Gabtali Upazila Health Complex | Health Bulletin 2014 |
Preface
INSHA-ALLAH,we are going to publish our local Health bulletin-2013 like previous year of Upazila health Complex,Gabtali,Bogra supported by MIS,DGHS,Mohakhali,Dhaka. I am very greatful to Prof.Dr.Abul Kalam Azad,ADG (Planning& devolepment) and line director,MIS,DGHS,Mohakhali,Dhaka who is always working hard to develop information system of health sector. Every one can see our activities and achievement of Gabtali upazila Health Complex by this bulletin.All doctors & staffs are very happy to know about this bulletin.All doctor & staff specially Statistician helped me to prepare this bulletin. Health bulletin is mirror of all activities of our hospital.I hope that the natural out come of these endeavors will be a much better opportunity of getting health information.There are many statistical data in this bulletin. This year it was easy to prepare from previous year experience.Please inform us if any error of this bulletin. Thanks with best regards.
Gabtali Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Gabtali
Name of UHFPO Dr.Md Rabiul Karim khan
Telephone No. 0502575009
FAX No. 0
Mobile No. 01715819646
Email gabtali@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.8781 And Long: 89.4488
No. of Unions in the Upazila 11
No. of Households in the Upazila 83,188
No. of Population in the Upazila 324,627
Area of Upazila in sq km 239.60
Gabtali 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
6
0
No. of Union Health and Family Welfare Centres
3
0
No. of Rural/Urban/Thana Dispensaries
2
0
No. of Community Clinics
42
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
4
0
Gabtali Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,802
Total No. of children treated under IMCI Program 52,268
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 7.50 per 1,000 live births.
Gabtali 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: 5276
Total Number of Deliveries: 4816
No. of Maternal Death: 0
Valid TT Coverage: 20.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
0.00 per 100,000 live births.
Gabtali 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
34,656
10,301
24,355
6,388
1,014
577
437
133
Union Sub-Centres
27,196
13,567
13,629
1,206
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
29,959
14,906
15,053
1,700
0
0
0
3,700
Rural/Urban/Thana Dispensaries
29,307
14,200
15,107
2,305
0
0
0
0
Community Clinics
287,745
88,601
199,144
43,797
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
408,863
141,575
267,288
55,396
1,014
577
437
3,833
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
2,830
1,317
1,513
604
2
1
1
0
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
2,830
1,317
1,513
604
2
1
1
0
Gabtali 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
3700
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
921
24.89
2
R509 Fever, unspecified
472
12.76
3
Y090 Assault by unspecified means, home
351
9.49
4
J449 Chronic obstructive pulmonary disease, unspecified
311
8.41
5
J189 Pneumonia, unspecified
147
3.97
6
K27 Peptic ulcer, site unspecified
122
3.30
7
V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified
66
1.78
8
I10 Essential (primary) hypertension
62
1.68
9
N390 Urinary tract infection, site not specified
36
0.97
10
X689 Intentional self-poisoning by and exposure to pesticides, unspecified place
26
0.70
Gabtali 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
2
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
D649 Anaemia, unspecified
1
50.00
2
J459 Asthma, unspecified
1
50.00
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
Gabtali Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
98.00
Coverage of households having access to sanitary latrines (%)
93.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
12,059
Bed Occupancy Rates (%)
66.10
Average Length of Hospital Stay (No. of days per patient)
3.30
Hospital Death Rate (%)
0.05
Gabtali Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
879
Gabtali 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
7
4
10
47.62
Non Doctor
0
0
0
0
0.00
Class II
18
1
16
1
5.56
Class III
98
67
20
11
11.22
Class IV
22
13
5
4
18.18
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
5
1
1
3
60.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
10
9
1
0
0.00
Class IV
5
5
0
0
0.00
Rural Dispensaries
Class I
Doctor
4
1
0
3
75.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
2
2
0
0.00
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
42
22
20
0
0.00
Class IV
0
0
0
0
0.00
Gabtali 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
30
8
4
18
60.00
Non Doctor
0
0
0
0
0.00
Class II
18
1
16
1
5.56
Class III
154
101
43
10
6.49
Class IV
27
17
5
5
18.52
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
Gabtali 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
9
3
21
9
0
0
2
9
Nurse
0
0
0
0
17
16
0
0
5
16
Medical Assistant
0
0
9
9
2
2
0
0
7
0
Medical Technologist
0
0
0
0
7
7
0
0
0
0
CHCP
42
42
0
0
0
0
0
0
0
0
HI
0
0
0
0
0
0
4
4
0
0
AHI
0
0
0
0
0
0
11
11
0
0
HA
0
0
0
0
0
0
54
47
0
0
CSBA trained***
0
0
0
0
0
0
0
0
0
0
Gabtali 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)
0
0
0
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
0
0
0
0
0
Anesthesia machine without ventilator
1
0
1
0
0
Autoclave
2
0
0
1
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
1
1
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
3
3
0
0
0
Sterilizer
2
1
0
0
1
Sucker machine (electric)
3
1
1
0
1
Ventilator
0
0
0
0
0
Gabtali 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
11
1
0
4
6
Pulse oximeter
1
0
0
0
1
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
Gabtali 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
3
1
1
1
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)
5
1
2
2
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
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Gabtali 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
1
1
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
2
1
0
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
Gabtali 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)
5
4
0
0
1
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)
8
8
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
4
4
0
0
0
Scanner
1
1
0
0
0
UPS
6
5
0
1
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
Gabtali 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
1
0
1
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
74
47
6
10
11
Gabtali Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Gabtali Upazila Health Complex |
Gabtali health complex is 50 beded hospital but huge number of shortage doctor in our UHC,we cannot properly maintain indoor/out door & emergency for this reason. To give proper health service in this upazila vacant post should fill up immediately. Some post like security guard & sweeper should be posted for security and cleanness of the hospital.Every year many seminar,advocacy meeting, and training held in our health complex so we need some furniture & digital camera.
We are also giving health service through Mobile Pone It is easy for people to take health service from any where and any time.To contact with high official we use web cam.We can give and take any information by web cam.We have a advice board infront of our hospital attached with emergency room.Any people can give advice about further better health service.We are trying our best for improving health service.Please pray for us.