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Ramgati Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Ramgati Upazila . This bulletin contains all the health related information of 2013. This bulletin is published to disseminate the information of Upazila to other line department and development partners of health. I hope all the informations of this bulletin will help for planning and bridging the gaps in health services of this upazila. Government health office has many data stored on line. This health bulletin will help us to find constrains and also to see the results and achievements of 2013. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the Upazila. All the sanctioned and vacant posts are published in this bulletin of running month. I like to take attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr. Mamun Ar Rashid
UH&FPO
Ramgati Upazila Health Complex

Ramgati Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaRamgati
Name of UHFPO Dr. Mamun Ar Rashid
Telephone No. 00
FAX No. 0
Mobile No. 01711544609
Email ramgati@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.6482 And Long: 90.9257
No. of Unions in the Upazila8
No. of Households in the Upazila 40,956
No. of Population in the Upazila 261,002
Area of Upazila in sq km 384.00

Ramgati 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 0 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 19 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

Ramgati Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,821


Total No. of children treated under IMCI Program 6,253
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 30.06 per 1,000 live births.

Ramgati 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: 504
Total Number of Deliveries: 5821
No. of Maternal Death: 10
Valid TT Coverage: 92.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 171.79 per 100,000 live births.

Ramgati 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 44,407 16,509 27,898 13,226 3,380 1,962 1,418 1,664
Union Sub-Centres 6,636 3,342 3,294 943 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 76,305 26,207 50,098 11,947 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 127,348 46,058 81,290 26,116 3,380 1,962 1,418 1,664
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 2,718 1,562 1,156 1,547 6 2 4 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 2,718 1,562 1,156 1,547 6 2 4 2

Ramgati 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 2728
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 1094 40.10
2 Y04 Assault by bodily force 308 11.29
3 J189 Pneumonia, unspecified 188 6.89
4 A01 Typhoid and paratyphoid fevers 67 2.46
5 J40 Bronchitis, not specified as acute or chronic 59 2.16
6 K27 Peptic ulcer, site unspecified 51 1.87
7 A99 Unspecified viral haemorrhagic fever 46 1.69
8 T602 Other insecticides 44 1.61
9 V892 Person injured in unspecified motor-vehicle accident, traffic 44 1.61
10 E14 Unspecified diabetes mellitus 35 1.28

Ramgati 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 6
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J15 Bacterial pneumonia, NEC 4 66.67
2 I21 Acute myocardial infarction 2 33.33
3 0 0.00
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 92.00
Coverage of households having access to sanitary latrines (%) 78.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 7,944
Bed Occupancy Rates (%) 47.80
Average Length of Hospital Stay (No. of days per patient) 2.80
Hospital Death Rate (%) 0.21


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 57

 

Ramgati 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 3 2 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 9 0 2 7 77.78
Class III 75 44 13 18 24.00
Class IV 18 9 3 6 33.33
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 2 0 0 2 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 3 0 1 25.00
Class IV 2 2 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 25 11 8 6 24.00
Class IV 0 0 0 0 0.00

 

Ramgati 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 16 3 2 11 68.75
Non Doctor 0 0 0 0 0.00
Class II 9 0 2 7 77.78
Class III 109 62 22 25 22.94
Class IV 20 11 3 6 30.00
Other Hospitals & Clinics
Class I Doctor 5 0 0 5 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 5 0 0 0.00
Class IV 0 0 0 0 0.00

 

Ramgati 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 9 5 5 0 2 0
Nurse 0 0 0 0 9 2 0 0 0 0
Medical Assistant 0 0 2 2 2 2 5 5 4 0
Medical Technologist 0 0 0 0 6 2 0 0 0 0
CHCP 25 19 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 1 0 0 0 0
AHI 0 0 0 0 9 9 0 0 0 0
HA 0 0 0 0 43 34 0 0 0 0
CSBA trained*** 0 0 0 0 0 4 0 0 0 0

Ramgati 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) 2 1 0 0 1
X-ray machine (300 mA) 0 0 0 0 0
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 1 0 0 0 1
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 0 0 0 1
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 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 0 0 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 3 3 0 0 0
Ventilator 1 1 0 0 0


Ramgati 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 0 0 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Ramgati 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) 0 0 0 0 0
Colorimeter 0 0 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 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Ramgati 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 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Ramgati 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 2 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 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 6 1 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 0 1
Printer (laser) 2 2 0 0 0
Scanner 1 1 0 0 0
UPS 6 6 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


Ramgati 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 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 35 28 2 0 5

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

Important information and necessary issues for Ramgati Upazila Health Complex |
 Last year we could not give our maximum efforts improve the health status due to many reasons. Here I like mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediately. 2. Our doctor and nurse need more training on IMCI 3. Number of community clinic and the bed capacity of the health complex should be increased 4. All the repairable equipment’s should be repaired as soon as possible 5. All Female HA who need CSBA training. Finally I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.