Rajarhat Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Rajarhat Upazila of Kurigram District. This bulletin contains all the health related information of 2013.This bulletin is published to disseminate the information of Rajarhat Upazila of Kurigram District to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this Upazila. Government health office has many data stored in the file. 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 2014. 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. Krishna Kumar paul
UH&FPO
Rajarhat Upazila Health Complex
Rajarhat Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Rajarhat
Name of UHFPO Dr.Krishna Kumar Paull
Telephone No. 0582756053
FAX No. 0
Mobile No. 01712140745
Email rajarhat@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 94.0000
No. of Unions in the Upazila 7
No. of Households in the Upazila 44,571
No. of Population in the Upazila 190,037
Area of Upazila in sq km 167.00
Rajarhat 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
2
0
No. of Union Health and Family Welfare Centres
4
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
29
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
1
0
Rajarhat Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,792
Total No. of children treated under IMCI Program 3,201
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 21.91 per 1,000 live births.
Rajarhat 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: 4913
Total Number of Deliveries: 4839
No. of Maternal Death: 6
Valid TT Coverage: 56.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
125.21 per 100,000 live births.
Rajarhat 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
41,750
20,593
21,157
6,847
5,465
3,045
2,420
360
Union Sub-Centres
22,877
11,065
11,812
680
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
32,516
13,158
19,358
994
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
255,838
81,311
174,527
4,052
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
83,535
18,223
65,312
22,758
0
0
0
0
Total
436,516
144,350
292,166
35,331
5,465
3,045
2,420
360
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
2,060
785
1,275
158
3
2
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
2,060
785
1,275
158
3
2
1
0
Rajarhat 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
2218
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Y08 Assault by other specified means
306
13.80
2
S007 Multiple superficial injuries of head
201
9.06
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
182
8.21
4
J458 Mixed asthma
163
7.35
5
K274 Peptic ulcer, site unspecified, chronic or unspecified with haemorrhage
152
6.85
6
J449 Chronic obstructive pulmonary disease, unspecified
112
5.05
7
I13 Hypertensive heart and renal disease
110
4.96
8
A010 Typhoid fever
105
4.73
9
N433 Hydrocele, unspecified
95
4.28
10
E140 Unspecified diabetes mellitus with coma
93
4.19
Rajarhat 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
3
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J458 Mixed asthma
1
33.33
2
J45 Asthma
1
33.33
3
P27 Chronic respiratory disease originating in the perinatal period
1
33.33
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
Rajarhat 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 (%)
100.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
11,308
Bed Occupancy Rates (%)
89.50
Average Length of Hospital Stay (No. of days per patient)
4.75
Hospital Death Rate (%)
0.13
Rajarhat Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
104
Rajarhat 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
4
1
4
44.44
Non Doctor
0
0
0
0
0.00
Class II
10
1
9
0
0.00
Class III
58
45
6
7
12.07
Class IV
21
15
5
1
4.76
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
5
1
0
4
80.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
7
5
1
1
14.29
Class IV
2
1
1
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
29
15
13
1
3.45
Class IV
0
0
0
0
0.00
Rajarhat 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
6
1
7
50.00
Non Doctor
0
0
0
0
0.00
Class II
10
1
9
0
0.00
Class III
58
45
6
7
12.07
Class IV
21
15
5
1
4.76
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
Rajarhat 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
5
1
9
5
0
0
3
1
Nurse
0
0
0
0
10
10
0
0
6
0
Medical Assistant
0
0
5
5
2
2
0
0
6
0
Medical Technologist
0
0
0
0
6
5
0
0
0
0
CHCP
29
29
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
2
0
0
2
0
AHI
0
0
0
0
6
6
0
0
6
0
HA
0
0
0
0
30
24
0
0
24
0
CSBA trained***
0
0
0
0
0
1
6
6
0
0
Rajarhat 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
1
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
0
0
0
0
0
Autoclave
2
2
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
0
0
0
0
0
Sterilizer
16
8
8
0
0
Sucker machine (electric)
5
5
0
0
0
Ventilator
0
0
0
0
0
Rajarhat 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
3
3
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
Rajarhat 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)
1
1
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
Rajarhat 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
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
Rajarhat 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)
8
4
0
4
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
1
0
0
0
IPS
1
1
0
0
0
ICT equipment
Computer (desktop)
7
7
0
0
0
Laptop
33
33
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
2
1
1
0
0
Printer (laser)
5
5
0
0
0
Scanner
1
1
0
0
0
UPS
7
7
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
0
0
0
0
0
Multimedia
1
1
0
0
0
Rajarhat 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
103
89
9
5
0
Rajarhat Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Rajarhat 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.Our 50 bedded approved upazilla Health Complex running without the approval of manpower. It has been Functioning as 50 bedded from 1.10.2013 last year. But diet was not allocated for 50 bedded. As a result we have to suffer always by only 31 bedded diet. 100 KVA power Sub station work is being continued. we expect the connection will be fulfilled by two or three months . Man power and diet for 50 bedded need very soon.So that our hospital may run very perfectly. we hope that the matter will be solved as soon as possible.
. 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.