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

Ramgarh Upazila Health Complex | Health Bulletin 2014 |
Preface
Ramgarh Upazila Health Complex is only subdivision Hospital in CHT. It is nearer to India Border. It cover hold Ramgah Upazila Dadmara, Fatikchari,CTG and Batna Union Manikchari. About three hundred patents ate treated every day as outdoor basis 31 Beds indoor services are ensured with 24 hours ambulance services . We ate working to achieve the optimums results of MDG. Dr. Harunur Rashid UH&FPO Ramgarh Upazila Health Complex.
Dr. Harunur Rashid
UH&FPO
Ramgarh Upazila Health Complex

Ramgarh Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaRamgarh
Name of UHFPO Dr. Harunur Rashid
Telephone No. 00
FAX No. 0
Mobile No. 01812544877
Email ramgor@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila3
No. of Households in the Upazila 14,182
No. of Population in the Upazila 68,825
Area of Upazila in sq km 241.12

Ramgarh 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 1 0
No. of Union Health and Family Welfare Centres 0 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 7 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 3 0

Ramgarh Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,100


Total No. of children treated under IMCI Program 7,177
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 3.33 per 1,000 live births.

Ramgarh 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: 1234
Total Number of Deliveries: 2100
No. of Maternal Death: 2
Valid TT Coverage: 89.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 95.24 per 100,000 live births.

Ramgarh 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 40,622 15,039 25,583 9,674 1,806 966 840 287
Union Sub-Centres 5,380 1,579 3,801 541 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 40,154 15,051 25,103 1,684 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 86,156 31,669 54,487 11,899 1,806 966 840 287
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 1,826 916 910 303 22 15 7 8
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 1,826 916 910 303 22 15 7 8

Ramgarh 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 0
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J13 Pneumonia due to Streptococcus pneumoniae 211 0.00
2 X99 Assault by sharp object 284 0.00
3 A09 Diarrhoea and gastroenteritis of presumed infectious origin 252 0.00
4 K27 Peptic ulcer, site unspecified 230 0.00
5 J12 Viral pneumonia, NEC 162 0.00
6 A090 Other and unspecified gastroenteritis and colitis of infectious origin 63 0.00
7 J45 Asthma 84 0.00
8 I11 Hypertensive heart disease 35 0.00
9 A090 Other and unspecified gastroenteritis and colitis of infectious origin 38 0.00
10 N34 Urethritis and urethral syndrome 27 0.00

Ramgarh 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 0
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I21 Acute myocardial infarction 7 0.00
2 J13 Pneumonia due to Streptococcus pneumoniae 3 0.00
3 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3 0.00
4 R10 Abdominal and pelvic pain 2 0.00
5 A099 Gastroenteritis and colitis of unspecified origin 3 0.00
6 T90 Sequelae of injuries of head 1 0.00
7 J45 Asthma 2 0.00
8 T71 Asphyxiation 1 0.00
9 I69 Sequelae of cerebrovascular disease 2 0.00
10 K77 Liver disorders in diseases classified elsewhere 1 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 73.00
Coverage of households having access to sanitary latrines (%) 71.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 5,575
Bed Occupancy Rates (%) 49.27
Average Length of Hospital Stay (No. of days per patient) 2.61
Hospital Death Rate (%) 1.36


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 380

 

Ramgarh 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 13 2 0 11 84.62
Non Doctor 0 0 0 0 0.00
Class II 11 0 10 1 9.09
Class III 74 46 13 15 20.27
Class IV 23 13 5 5 21.74
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 1 0 0 1 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 0 1 50.00
Class IV 1 0 0 1 100.00
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 7 4 3 0 0.00
Class IV 0 0 0 0 0.00

 

Ramgarh 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 14 2 0 12 85.71
Non Doctor 0 0 0 0 0.00
Class II 11 10 0 1 9.09
Class III 83 51 16 16 19.28
Class IV 24 13 5 6 25.00
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

 

Ramgarh 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 2 0 0 0 2 1 1 0
Nurse 0 0 0 0 9 9 0 0 0 0
Medical Assistant 0 0 0 0 4 4 0 0 4 0
Medical Technologist 0 0 0 0 4 4 0 0 0 0
CHCP 7 7 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 2 0
AHI 0 0 0 0 7 5 0 0 5 0
HA 0 0 0 0 35 33 0 0 33 0
CSBA trained*** 0 0 0 0 6 6 0 0 6 0

Ramgarh 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 1 0 1 0 0
MRI machine 0 0 0 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 0 1 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 1 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 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 2 3 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


Ramgarh 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 7 5 2 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0
Gastroeneterology equipment
Endoscopy machine 1 0 0 1 0
Laparoscopic machine 0 0 0 0 0


Ramgarh 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 2 1 0 0
Colorimeter 3 3 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 1 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


Ramgarh 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 1 1 0 0 0
Bus 0 0 0 0 0
Jeep 1 0 0 1 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Ramgarh 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) 0 0 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 0 0 0 1
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 2 2 0 0 0
Laptop 3 2 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 4 4 0 0 0
Scanner 1 1 0 0 0
UPS 1 1 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 2 2 0 0 0


Ramgarh 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 49 35 11 2 1

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

Important information and necessary issues for Ramgarh Upazila Health Complex |
 Important information and necessary issues for Ramgarh UHC Ramgarh is upazila within khagrachari hilly district, It has border area with Fatikchari Manikchari upazila & Tripura of India, It is very rich in natural beauty, adorned with hilly Serpentine roads & thick forests. There is admixture of different tribes & Bengalese who live in harmony with each other. Ignorance, poverty. lack of medical knowledge is prevailing over here. Health education knowledge among people have to be strengthened further. The most important chronic problem is shortage of doctors, Out of 13 post, 11 is still vacant. So vacant posts must be filled up immediately to achieve MDG target. Different NGO BRAC, SKUS & PIDIM have working with govt. in the field of malaria. Tuberculosis Antenantal & Postnatal checkup. Besides CSBA training of HA for 6 month had contributed a lot in reducing maternal & infant mortality. Whole hearted concerted effort & proper training are very important in achieving MDG target within 2021.