HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Ramu Upazila Health Complex | Health Bulletin 2014 |
Preface
It is an enormous pleasure for us to be share with publishing the health Bulletin 2014 by the MIS of DGHS this year. This bulletin contains the overall health organogram, facilities,service provider particulars and service rendered by the heath service providers of GOB & NGO. Overall the health bulletin is a mirror of health care delivery system of Bangladesh.We hope this bulletin will help us to make a better future plan and better health service for the rural people. Dr. Akhterul Islam UH&FPO,Ramu,Coxsbazar
DR. AKHTER UL ISLAM
UH&FPO
Ramu Upazila Health Complex

Ramu Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaRamu
Name of UHFPO DR. AKHTER UL ISLAM
Telephone No. 0342556119
FAX No. 0
Mobile No. 01816824047
Email ramu@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 94.0000
No. of Unions in the Upazila11
No. of Households in the Upazila 44,969
No. of Population in the Upazila 263,603
Area of Upazila in sq km 391.71

Ramu 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 31
No. of Union Sub-Centres 2 0
No. of Union Health and Family Welfare Centres 7 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 23 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 2 30

Ramu Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 8,428


Total No. of children treated under IMCI Program 24,710
Fully Vaccinated Children: 92.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 4.51 per 1,000 live births.

Ramu 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: 1915
Total Number of Deliveries: 8452
No. of Maternal Death: 5
Valid TT Coverage: 22.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 59.33 per 100,000 live births.

Ramu 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 52,207 24,514 27,693 17,675 8,050 2,882 5,168 1,889
Union Sub-Centres 35,454 11,606 23,848 11,722 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 159,835 57,225 102,610 37,491 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 247,496 93,345 154,151 66,888 8,050 2,882 5,168 1,889
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 4,384 1,570 2,814 1,028 11 7 4 7
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 4,384 1,570 2,814 1,028 11 7 4 7

Ramu 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 5412
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 1787 33.02
2 A403 Septicaemia due to Streptococcus pneumoniae 474 8.76
3 Y00 Assault by blunt object 220 4.07
4 J46 Status asthmaticus 217 4.01
5 B50 Plasmodium falciparum malaria 194 3.58
6 K27 Peptic ulcer, site unspecified 140 2.59
7 T36 Poisoning by systemic antibiotics 110 2.03
8 A020 Salmonella enteritis 99 1.83
9 O021 Missed abortion 51 0.94
10 N390 Urinary tract infection, site not specified 48 0.89

Ramu 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 18
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A403 Septicaemia due to Streptococcus pneumoniae 6 33.33
2 J449 Chronic obstructive pulmonary disease, unspecified 4 22.22
3 G464 Cerebellar stroke syndrome 2 11.11
4 A86 Unspecified viral encephalitis 2 11.11
5 J46 Status asthmaticus 1 5.56
6 I210 Acute transmural myocardial infarction of anterior wall 1 5.56
7 P240 Neonatal aspiration of meconium 1 5.56
8 A419 Septicaemia, unspecified 1 5.56
9 0 0.00
10 0 0.00

Ramu Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 96.00
Coverage of households having access to sanitary latrines (%) 86.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 91,432
Bed Occupancy Rates (%) 103.00
Average Length of Hospital Stay (No. of days per patient) 2.15
Hospital Death Rate (%) 0.33


Ramu Upazila Health Complex | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 17
Minor Surgeries 1417

 

Ramu 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 10 4 0 6 60.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 9 1 10.00
Class III 65 39 9 17 26.15
Class IV 20 9 6 5 25.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 0 0 7 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 0 0 7 100.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 0 0 2 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 2 0 0 0.00
Class IV 2 1 0 1 50.00
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 26 14 11 1 3.85
Class IV 0 0 0 0 0.00

 

Ramu 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 20 4 0 16 80.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 9 1 10.00
Class III 104 55 21 28 26.92
Class IV 22 10 6 6 27.27
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

 

Ramu 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 11 0 9 5 0 0 0 0
Nurse 0 0 0 0 10 19 0 0 5 4
Medical Assistant 0 0 11 3 2 2 0 0 4 0
Medical Technologist 0 0 0 0 5 4 0 0 0 0
CHCP 26 25 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 2 2 0 0
AHI 0 0 0 0 0 0 7 7 0 0
HA 0 0 0 0 0 0 35 24 0 0
CSBA trained*** 0 0 0 0 0 0 19 19 0 0

Ramu 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) 0 0 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 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 2 2 0 0 0
Autoclave 1 0 1 0 0
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 1 1 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 4 3 0 0 1
Sterilizer 3 3 0 0 0
Sucker machine (electric) 3 2 0 1 0
Ventilator 0 0 0 0 0


Ramu 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 5 5 0 0 0
Pulse oximeter 2 2 0 0 0
Dental equipment
Dental unit 1 0 1 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Ramu 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) 1 1 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) 2 1 0 1 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 1 0 0 1
Phototherapy unit 2 1 0 0 1


Ramu 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 1 1 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 2 0 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


Ramu 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) 1 1 0 0 0
Air conditioner (window) 2 2 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 3 3 0 0 0
ICT equipment
Computer (desktop) 7 7 0 0 0
Laptop 25 20 5 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Ramu 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 91 78 8 2 3

Ramu Upazila Health Complex | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Ramu Upazila Health Complex |