Rangunia Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Rangunia upazila.This bulletin contains all the health related Information of 2013.I hope all the Information of this bulletin will help for planning & bridging the gaps in health services of this upazila.The bulletin contains the status of MDG4&MDG5 which will help to localize the MDG targets.This health bulletin also have the Information on safe drinking water & sanitation status of upazila.All the Sanctioned & vacant posts are published in this bulletin of 2013.I like to take the attention of the higher authority to look into this issue.Finally i would like to congratulate the initiator of the health bulletin software for setting us one step ahead towards Digital Bangladesh.
Dr.Mohammad Abu Tayyeb
UH&FPO
Rangunia upazila Health Complex,Ctg.
Rangunia Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Rangunia
Name of UHFPO Dr.Mohammad Abu Tayyeb
Telephone No. 0302556008
FAX No. 0
Mobile No. 01819171691
Email rangunia@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.4634 And Long: 92.0473
No. of Unions in the Upazila 15
No. of Households in the Upazila 61,424
No. of Population in the Upazila 327,115
Area of Upazila in sq km 346.47
Rangunia 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
7
0
No. of Union Health and Family Welfare Centres
10
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
39
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
1
15
No. of NGO Clinics/Facilities
2
0
Rangunia Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 9,221
Total No. of children treated under IMCI Program 11,272
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 3.14 per 1,000 live births.
Rangunia 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: 3987
Total Number of Deliveries: 9316
No. of Maternal Death: 4
Valid TT Coverage: 96.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
43.38 per 100,000 live births.
Rangunia 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
35,303
16,415
18,888
13,972
7,924
5,675
2,249
2,478
Union Sub-Centres
41,399
20,232
21,167
17,161
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
145,803
65,474
80,329
28,746
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
1,550
800
750
620
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
225,605
102,921
121,134
60,499
7,924
5,675
2,249
2,478
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
3,835
1,540
2,295
2,143
22
12
10
6
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
3,835
1,540
2,295
2,143
22
12
10
6
Rangunia 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
5978
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
2500
41.82
2
J189 Pneumonia, unspecified
1380
23.08
3
J459 Asthma, unspecified
900
15.06
4
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
843
14.10
5
R100 Acute abdomen
120
2.01
6
A01 Typhoid and paratyphoid fevers
80
1.34
7
I95 Hypotension
60
1.00
8
E14 Unspecified diabetes mellitus
45
0.75
9
B86 Scabies
30
0.50
10
B82 Unspecified intestinal parasitism
20
0.33
Rangunia 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
28
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J459 Asthma, unspecified
13
46.43
2
J18 Pneumonia, organism unspecified
8
28.57
3
R100 Acute abdomen
2
7.14
4
I679 Cerebrovascular disease, unspecified
2
7.14
5
I50 Heart failure
1
3.57
6
R571 Hypovolaemic shock
1
3.57
7
J960 Acute respiratory failure
1
3.57
8
0
0.00
9
0
0.00
10
0
0.00
Rangunia Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
95.00
Coverage of households having access to sanitary latrines (%)
89.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
13,870
Bed Occupancy Rates (%)
76.00
Average Length of Hospital Stay (No. of days per patient)
2.25
Hospital Death Rate (%)
0.40
Rangunia Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
512
Rangunia 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
1
11
52.38
Non Doctor
0
0
0
0
0.00
Class II
17
0
16
1
5.88
Class III
101
53
33
15
14.85
Class IV
22
14
5
3
13.64
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
8
2
1
5
62.50
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
3
1
4
50.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
7
4
1
2
28.57
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
14
7
2
5
35.71
Class IV
7
3
3
1
14.29
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
46
20
20
6
13.04
Class IV
0
0
0
0
0.00
Rangunia 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
36
15
2
19
52.78
Non Doctor
0
0
0
0
0.00
Class II
17
0
16
1
5.88
Class III
101
54
33
14
13.86
Class IV
22
13
5
4
18.18
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
Rangunia 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
15
6
21
11
0
0
1
0
Nurse
0
0
0
0
16
14
0
0
4
0
Medical Assistant
0
0
15
14
2
2
0
0
10
0
Medical Technologist
0
0
0
0
6
5
0
0
0
0
CHCP
46
40
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
3
0
0
0
0
AHI
0
0
0
0
12
11
0
0
0
0
HA
0
0
0
0
59
50
0
0
0
0
CSBA trained***
0
0
0
0
0
0
0
0
0
0
Rangunia 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)
1
0
1
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
1
1
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
1
0
0
0
1
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
5
4
0
1
0
Sucker machine (electric)
5
1
4
0
0
Ventilator
0
0
0
0
0
Rangunia 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
1
1
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
7
2
5
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
2
1
0
1
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Rangunia 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)
3
3
0
0
0
Colorimeter
1
1
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)
3
3
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
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Rangunia 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
0
0
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
0
0
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
3
1
1
1
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
Rangunia 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)
2
2
0
0
0
Air conditioner (window)
0
0
0
0
0
Generator
Generator (diesel/petrol)
1
0
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)
8
6
2
0
0
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
10
5
5
0
0
Scanner
2
1
1
0
0
UPS
12
6
6
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
2
1
1
0
0
Multimedia
2
1
1
0
0
Rangunia 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
1
1
0
0
0
Mobile phone
1
1
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
81
48
29
3
1
Rangunia Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Rangunia Upazila Health Complex |
In this moment to distribute the proper health service in all Rangunia upazila the urgent need is to fill up the vacant post of doctors,nurses & other staff& also to provide some digital instrument which are very necessary for treatment.If the proper treatment & health advise can be given the child death & meternal death can be reduced & also acqure the MDG target.We have also shortage in staff quarter facilities.Officer &staff quarter is to be buitt urgently.Attitudes of health care providers are to be changed & supervision at all levels should be stregthened to reduce maternal &infant mortality for achieving MDG Target.