Gofargaon Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to Publish this health Bulletin of Goffargaon Upazila Health Complex, Mymensingh with great blessings of almighty Allah.It is published to disseminate the information of Upazila to other line departments and development partners of health with a hope that this will help for planning and bridging the existing gaps in health services.The bulletin will also help us to see the result and achievement of 2013 in Health sector.The bulletin contains all the information of health status of this upazila. Goffargaon is the largest upazila in Mymensingh district. It is about 30kms to the north of Mymensingh sador. There are 15 unions and 311 villages. About 540200 people live in this upazila. Most of them have low socioeconomic condition. People living in this upazila depends mostly on agriculture, Their homes are made up of wood,bamboo & tins. Sanitary condition of is not up to the level. Almost all use tube well water for drinking & household purpose.A few of the tube wells are contaminated with arsenic.These tube wells are marked and people are alerted not to drink water from them.There are still some people who are using impure drinking water due to lack of knowledge and difficulties to access tube wells. The main river passing beside the health complex is Khoria.This health complex is situated in such a suitable place that communication with the unions as well as other upazilas is easily accessible. All sanctioned & vacant posts are published here to bring attention of the higher authority. I think this health bulletin software is a great step in digitailsation of our health sector, with a view to achieve a digital Bangladesh.
Dr Md.Waizuddin Faraji
UH&FPO
Goffargaon Upazila Health Complex
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Gofargaon
Name of UHFPO Dr.Md.Waizuddin Faraji
Telephone No. 0902556021
FAX No. 0
Mobile No. 01714261748
Email
GPS location of UHFPO office Lati: 24.2536 And Long: 90.3753
No. of Unions in the Upazila 15
No. of Households in the Upazila 85,430
No. of Population in the Upazila 540,429
Area of Upazila in sq km 432.00
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex
1
50
No. of Union Sub-Centres
4
0
No. of Union Health and Family Welfare Centres
11
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
45
0
No of Trauma Centres
0
0
No. of MCWCs
0
0
No. of Chest Disease Clinics (TB clinics)
0
0
No. of Private Clinics/Facilities
0
0
No. of NGO Clinics/Facilities
0
0
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 9,284
Total No. of children treated under IMCI Program 3,880
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 4
Legends
R.P.W-
Registered Pregnanat Woman
1st ANC-
No. of 1st ANC recipients
R.P.W-
No. of 4th ANC recipients
C. Preg-
No. of complicated pregnancies
N. deli-
No. of normal deliveries
V. deli-
No. of vaginal deliveries
C. deli-
No. of cesarean deliveries
PNC-
No. of PNC services provided to mother in the Upazila
Maternal health and MDG-5 (No.) (January-December, 2013)
All ANC Receiptients: 8859
Total Number of Deliveries: 9607
No. of Maternal Death: 16
Valid TT Coverage: 27.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 5
No. of OPD & Emergency visits & Deaths at UHC
Health Facility
OPD
Emergency
T (M+F)
M
F
Child (U-5)
T (M+F)
M
F
Child (U-5)
Upazila Health Complex
43,061
24,011
19,050
19,215
4,906
2,006
2,900
750
Union Sub-Centres
44,311
25,606
18,705
15,617
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
0
0
0
0
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
43,655
19,333
24,322
10,600
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB clinics)
0
0
0
0
0
0
0
0
Private Clinics/Facilities
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
131,027
68,950
62,077
45,432
4,906
2,006
2,900
750
No. of Admissions & Deaths at UHC
Health Facility
Admission
Death
T (M+F)
M
F
Child (U-5)
T (M+F)
M
F
Child (U-5)
Upazila Health Complex
9,060
4,800
4,260
2,063
17
10
7
4
Union Sub-Centres
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
0
0
0
0
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
0
0
0
0
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB clinics)
0
0
0
0
0
0
0
0
Private Clinics/Facilities
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
9,060
4,800
4,260
2,063
17
10
7
4
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 6
Top 10 diseases according to the number of patients admitted in the UHC during the reporting period
Total number of admitted patients during the reporting period
11123
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
z321 pregnancy comfirmed Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1276
11.47
2
T07unspecified multiple injuries Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1004
9.03
3
K297 Gastritis Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
750
6.74
4
X850 Assault by drugs,medicaments and biological substances , home Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
715
6.43
5
A090other and unspecified Gastritis gastroenteritis and colitis of in fectious orgin Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
613
5.51
6
J189 pneumonia Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
546
4.91
7
J459 Asthma Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
315
2.83
8
T509 other and unspecified drugs medicaments and biological substances Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
35
0.31
9
I159 secondary hypentention unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
15
0.13
10
V099 Pedestrian injured in unspecified transport accident Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
7
0.06
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 7
Top 10 diseases according to the number of deaths among admitted patients in the UHC during the reporting period
Total number of Deaths during the reporting period
21
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
RTA A09.0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
4
19.05
2
Severe Pnuemonia A09 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
4
19.05
3
Injurey Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
3
14.29
4
HTN Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2
9.52
5
ARI Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2
9.52
6
Birth Anayxia Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2
9.52
7
CVD Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
4.76
8
ActueAbdomen Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
4.76
9
Anemia Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
4.76
10
Cast pain Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
4.76
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
98.00
Coverage of households having access to sanitary latrines (%)
95.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
11,123
Bed Occupancy Rates (%)
78.00
Average Length of Hospital Stay (No. of days per patient)
2.00
Hospital Death Rate (%)
0.18
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
123
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
UHC
Class I
Doctor
21
9
9
3
14.29
Non Doctor
0
0
0
0
0.00
Class II
16
1
15
0
0.00
Class III
198
109
71
18
9.09
Class IV
28
13
12
3
10.71
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
0
0
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
0
0
0
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
14
2
7
5
35.71
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
18
10
6
2
11.11
Class IV
4
3
0
1
25.00
Community Clinics
Class I
Doctor
0
0
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
58
23
21
14
24.14
Class IV
0
0
0
0
0.00
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 11
Status of Human Resources (Class wise)
Class
Sanctioned (No.)
Filled-up (No.)
Vacant (No.)
Vacancy %
M
F
Upazila Total
Class I
Doctor
35
11
16
8
22.86
Non Doctor
0
0
0
0
0.00
Class II
16
1
15
0
0.00
Class III
274
142
98
34
12.41
Class IV
32
16
12
4
12.50
Other Hospitals & Clinics
Class I
Doctor
0
0
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
0
0
0
0
0.00
Class IV
0
0
0
0
0.00
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 12
Status of Human Resources (No.) (Category wise)
Manpower
Community Clinic
USC/UHFWC/RD
UHC
Others
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Physician
0
0
0
0
21
17
0
0
12
0
Nurse
0
0
0
0
16
16
0
0
12
0
Medical Assistant
0
0
0
0
2
2
12
12
12
0
Medical Technologist
0
0
0
0
0
0
0
0
0
0
CHCP
58
44
0
0
8
8
0
0
0
0
HI
0
0
0
0
6
6
0
0
0
0
AHI
0
0
0
0
17
17
0
0
0
0
HA
0
0
0
0
85
70
0
0
0
0
CSBA trained***
0
0
0
0
0
5
0
0
0
0
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 13
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Radiology equipment
X-ray machine (100 mA)
1
1
0
0
0
X-ray machine (300 mA)
0
0
0
0
0
X-ray machine (500 mA)
0
0
0
0
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
0
0
0
0
0
Dental X-ray unit
0
0
0
0
0
Spiral CT Scan
0
0
0
0
0
C-arm
0
0
0
0
0
Mamogram machine
0
0
0
0
0
Dehumidifier
0
0
0
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
4
2
2
0
0
Autoclave
0
0
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
4
2
2
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
4
2
2
0
0
Portable OT Light
5
3
2
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
6
4
2
0
0
Sucker machine (electric)
6
4
2
0
0
Ventilator
0
0
0
0
0
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 14
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine
0
0
0
0
0
Debrililator
0
0
0
0
0
ECG machine
0
0
0
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
0
0
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
2
1
1
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
7
4
3
0
0
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 15
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Lab equipment
Biochemical auto-analyzer
0
0
0
0
0
Centrifuge machine (electric)
4
3
1
0
0
Colorimeter
2
2
0
0
0
Electrolyte analyzer
0
0
0
0
0
ELISA machine
0
0
0
0
0
Gas analyzer
0
0
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
0
0
0
0
0
Microscope (binocular)
0
0
0
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
0
0
0
0
0
Pediatric equipment
Baby incubator
2
2
0
0
0
Phototherapy unit
0
0
0
0
0
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 16
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge
2
2
0
0
0
Laminar flow hood
0
0
0
0
0
pH meter
0
0
0
0
0
Hemoglobin photometer
0
0
0
0
0
Blood bank refrigerator
2
2
0
0
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
0
0
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
0
0
0
0
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
0
0
0
0
0
Urology equipment
Cystoscopic machine
0
0
0
0
0
Vehicles
Ambulance
2
1
1
0
0
Bus
0
0
0
0
0
Jeep
0
0
0
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 17
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Air conditioner
Air conditioner (split type)
0
0
0
0
0
Air conditioner (window)
3
2
1
0
0
Generator
Generator (diesel/petrol)
2
1
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
7
7
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
4
4
0
0
0
Scanner
0
0
0
0
0
UPS
5
5
0
0
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
0
0
0
0
0
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 18
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
OHP
PA system (Sound)
0
0
0
0
0
Land phone
0
0
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
77
57
20
0
0
Gofargaon Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Gofargaon Upazila Health Complex |
Important information and necessary issues for Goffargaon Upazila Health Complex | Goffargaon upazila is one of the Big upazila in Mymensingh Dist..It has a fifty (50) bed health complex and (04) union sub centres(RD).Out of 58 proposed community clnics, 46 are functioning and 16 are under construction. CHCPs,health assistants & FWAs are providing services at community clinics. There are 9 Union Health and Family Welfare Centers (UH & FWC) in our upazilla, which are run by the FWVs and SACMOs. Two (02) private clinics are providing service in this upazilla and some diagnostic centers are also present here. In spite of having all these health care facilities in this upazila there is a lack of a trauma center here.Therefore,we need a trauma center immediately to save the lives & impairments of the victims of RTA.We also need some more union sub centers to render services at the doorstep of the villagers. I feel proud that my staffs are delivering good service to the poor villagers with so many limitations.I like to mention some important factors which will help us to improve our service in future.Theses are: 1. The vacant posts should be filled up immediately. 2. Our doctors and nurses need more training on IMCI. 3. Number of community clinics should be increased. 4. All the repairable equipments should be repaired as early as possible. Finally I am very happy to publish this health bulletin of 2014, because this document will help us to compare our progress in upcoming years.
