Ramganj Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very happy to publish this Local Health Bulletin of our Ramgonj Upazilla Health Complex. This Bulletin contains some valuable health related information of 2013. It is a mirror of health service of our Upazilla. All the sanctioned and vacant post are published in this Bulletin/2014. I would like to take attention of the higher authority to look this issue. Finally I would like to congratulate the initiator of the Health Bulletin software for setting us one step ahead toward Digital Bangladeh.
Ramganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Ramganj
Name of UHFPO Dr. Md. Mozammel Haque
Telephone No. 0382175011
FAX No. 0
Mobile No. 01717013890
Email ramganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0924 And Long: 90.8613
No. of Unions in the Upazila 10
No. of Households in the Upazila 62,920
No. of Population in the Upazila 302,070
Area of Upazila in sq km 169.00
Ramganj 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
4
0
No. of Union Health and Family Welfare Centres
4
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
27
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
7
90
No. of NGO Clinics/Facilities
0
0
Ramganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 8,313
Total No. of children treated under IMCI Program 9,553
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 27.55 per 1,000 live births.
Ramganj 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: 3308
Total Number of Deliveries: 8313
No. of Maternal Death: 14
Valid TT Coverage: 91.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
168.41 per 100,000 live births.
Ramganj 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
36,171
14,705
21,466
5,115
5,557
2,719
2,838
658
Union Sub-Centres
43,151
21,727
21,424
8,288
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
64,578
26,488
38,090
9,457
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
143,900
62,920
80,980
22,860
5,557
2,719
2,838
658
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
4,403
2,110
2,293
665
9
3
6
2
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
4,403
2,110
2,293
665
9
3
6
2
Ramganj 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
5054
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Y04 Assault by bodily force
954
18.88
2
A009 Cholera, unspecified
594
11.75
3
K27 Peptic ulcer, site unspecified
453
8.96
4
J189 Pneumonia, unspecified
349
6.91
5
O669 Obstructed labour, unspecified
326
6.45
6
V892 Person injured in unspecified motor-vehicle accident, traffic
135
2.67
7
E639 Nutritional deficiency, unspecified
128
2.53
8
T602 Other insecticides
111
2.20
9
Y189 Poisoning by and exposure to pesticides, undetermined intent, unspecified place
83
1.64
10
J45 Asthma
78
1.54
Ramganj 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
9
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I119 Hypertensive heart disease without (congestive) heart failure
5
55.56
2
G039 Meningitis, unspecified
1
11.11
3
R104 Other and unspecified abdominal pain
1
11.11
4
Y189 Poisoning by and exposure to pesticides, undetermined intent, unspecified place
1
11.11
5
P219 Birth asphyxia, unspecified
1
11.11
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Ramganj 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.)
9,830
Bed Occupancy Rates (%)
86.00
Average Length of Hospital Stay (No. of days per patient)
2.51
Hospital Death Rate (%)
0.23
Ramganj Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
106
Minor Surgeries
425
Ramganj 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
9
6
1
2
22.22
Non Doctor
0
0
0
0
0.00
Class II
9
0
4
5
55.56
Class III
110
59
30
21
19.09
Class IV
19
10
4
5
26.32
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
2
0
2
50.00
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
8
2
0
6
75.00
Rural Dispensaries
Class I
Doctor
4
2
0
2
50.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
4
0
4
50.00
Class IV
0
0
0
0
0.00
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
27
10
17
0
0.00
Class IV
0
0
0
0
0.00
Ramganj 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
10
1
9
45.00
Non Doctor
0
0
0
0
0.00
Class II
9
0
4
5
55.56
Class III
153
87
48
18
11.76
Class IV
22
14
4
4
18.18
Other Hospitals & Clinics
Class I
Doctor
7
2
0
5
71.43
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
7
7
0
0
0.00
Class IV
0
0
0
0
0.00
Ramganj 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
4
2
9
6
7
2
7
4
Nurse
0
0
0
0
9
4
0
0
0
0
Medical Assistant
0
0
4
4
2
2
7
7
0
0
Medical Technologist
0
0
0
0
6
4
0
0
0
0
CHCP
27
27
0
0
0
0
0
0
0
0
HI
0
0
0
0
5
2
0
0
0
0
AHI
0
0
0
0
14
11
0
0
0
0
HA
0
0
0
0
69
63
0
0
0
0
CSBA trained***
0
0
0
0
0
8
0
0
0
0
Ramganj 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)
2
0
2
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
0
0
0
1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
1
1
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
5
3
2
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
1
1
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Ramganj 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
0
0
0
1
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
2
2
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Ramganj 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
1
1
0
0
0
Centrifuge machine (electric)
1
1
0
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)
6
4
2
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
Ramganj 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
0
0
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
Ramganj 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)
2
1
0
0
1
Generator
Generator (diesel/petrol)
2
2
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
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)
5
2
3
0
0
Scanner
1
1
0
0
0
UPS
7
5
2
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
Ramganj 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)
1
1
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
61
44
14
0
3
Ramganj Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Ramganj Upazila Health Complex |
I am very happy to publish this Local Health Bulletin. I think it will be continue in future. I would like to give my thank to initiator of this Bulletin. I would also like to mention that a new building constructed in our Upazilla Health Complex's area. We need a lot of furniture for this new building. Now our Complex is ready to function as 50 bed hospital. So I hope that, formal all initiative will be taken with in short time.