Rowmari Upazila Health Complex | Health Bulletin 2014 |
Preface
Rowmari Health Complex Situated on the main town of the rowmari upazilla at the road site
on the Dhaka rowmari high way.Total area of rowmari upazila is about 197sq km,Bed no 31 &50 Baded under prososed.50 Baded hospital building has been constructed & handed over but manpower &budget
not yet allocated..The name of uh&fpo is DR,Md,shajahan Kabir,His contuct no is
01716729875,Telephone no is 0582856005,Health service mobile no is 01730324662,Total union is
05,Total ward no 15,Total population is 2,20,409,Total household is 45855.It is hard to reach & border belt area.This is very wonderfull upazzilla, valley of bramhaputro river having typical temperate weather surrounded by indian hills.Still this is malaria prone zone but scenery become changing now a days.We have been waiting since long time to show our health service performance and local health bulletin gives us the lucrative chance to show our performance to our nation.It enriches our health information and documentation system.This is most forwarding step to digitalise our health sector.We are very happy as well as lucky to get the opportunity to work in such a scientific, informative and timely health bulletin projecct.
Rowmari Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Rowmari
Name of UHFPO DR MD SAHJAHAN KOBIR
Telephone No. 0582856005
FAX No. 0
Mobile No. 01716729875
Email rowmari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 23.0000
No. of Unions in the Upazila 5
No. of Households in the Upazila 45,855
No. of Population in the Upazila 220,409
Area of Upazila in sq km 197.00
Rowmari 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
2
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
1
10
No. of NGO Clinics/Facilities
5
0
Rowmari Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,547
Total No. of children treated under IMCI Program 24,923
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (January-December, 2013)
Rowmari 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: 2990
Total Number of Deliveries: 3629
No. of Maternal Death: 5
Valid TT Coverage: 38.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Rowmari 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
48,702
23,513
25,189
11,089
1,477
907
570
143
Union Sub-Centres
14,956
7,753
7,203
2,990
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
193,151
75,558
117,593
26,676
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
21,030
11,250
9,780
610
0
0
0
0
Total
277,839
118,074
159,765
41,365
1,477
907
570
143
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
4,119
1,900
2,219
257
41
20
21
9
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
4,119
1,900
2,219
257
41
20
21
9
Rowmari 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
4349
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A499 Bacterial infection, unspecified
629
14.46
2
Y00 Assault by blunt object
402
9.24
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
237
5.45
4
A01 Typhoid and paratyphoid fevers
118
2.71
5
T600 Organophosphate and carbamate insecticides
109
2.51
6
E11 Non-insulin-dependent diabetes mellitus
104
2.39
7
J459 Asthma, unspecified
100
2.30
8
N341 Nonspecific urethritis
98
2.25
9
N189 Chronic renal failure, unspecified
62
1.43
10
I110 Hypertensive heart disease with (congestive) heart failure
32
0.74
Rowmari 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
50
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
P210 Severe birth asphyxia
13
26.00
2
T600 Organophosphate and carbamate insecticides
9
18.00
3
I23 Certain current complications following acute myocardial infarction
7
14.00
4
I691 Sequelae of intracerebral haemorrhage
6
12.00
5
J159 Bacterial pneumonia, unspecified
4
8.00
6
K26 Duodenal ulcer
4
8.00
7
G009 Bacterial meningitis, unspecified
2
4.00
8
K850 Idiopathic acute pancreatitis
2
4.00
9
B150 Hepatitis A with hepatic coma
3
6.00
10
0
0.00
Rowmari Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
100.00
Coverage of households having access to sanitary latrines (%)
90.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
4,349
Bed Occupancy Rates (%)
93.46
Average Length of Hospital Stay (No. of days per patient)
0.99
Hospital Death Rate (%)
1.11
Rowmari Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
1233
Rowmari 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
0
6
66.67
Non Doctor
0
0
0
0
0.00
Class II
11
0
9
2
18.18
Class III
62
48
14
0
0.00
Class IV
19
9
0
10
52.63
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
2
1
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
2
0
0
2
100.00
Class III
2
2
0
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
2
1
0
1
50.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
1
0
3
75.00
Class IV
2
1
0
1
50.00
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
16
11
0
0.00
Class IV
0
0
0
0
0.00
Rowmari 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
13
6
0
7
53.85
Non Doctor
0
0
0
0
0.00
Class II
11
0
9
2
18.18
Class III
97
69
25
3
3.09
Class IV
23
9
0
14
60.87
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
Rowmari 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
1
9
3
0
0
0
1
Nurse
0
0
0
0
11
9
0
0
3
3
Medical Assistant
0
0
4
4
2
1
0
0
1
0
Medical Technologist
0
0
2
1
7
4
0
0
0
0
CHCP
27
27
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
2
0
0
0
0
AHI
0
0
0
0
6
5
0
0
0
0
HA
0
0
0
0
30
24
0
0
0
0
CSBA trained***
0
0
0
0
3
3
0
0
0
0
Rowmari 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
0
1
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
1
1
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
1
0
0
0
Autoclave
1
1
0
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
2
1
1
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
1
1
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Rowmari 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
9
3
1
5
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Rowmari 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)
2
2
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)
5
3
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
Rowmari 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
0
1
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
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
Rowmari 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)
4
1
3
0
0
Generator
Generator (diesel/petrol)
2
2
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
3
3
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
7
7
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)
6
6
0
0
0
Scanner
1
1
0
0
0
UPS
5
5
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
Rowmari 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
70
54
11
5
0
Rowmari Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Rowmari Upazila Health Complex |
There are thirty one hard to reach upazilla in Bangladesh ,Rowmari is one Of Them.This is a historical place for boraibari war against BSF.This is very important border belt area of bangladesh.This is not only remote from Dhaka but also from kurigram district.I like to mention some important factors which will help us active good result in future,we are very lucky that we have all the equipments and tarined nurses to run EOC activity but the great regret is we have no trained doctors, our vacant post should be filled up immediately.doctors,nurses,sacmo,pharmacist are not trained in computer & others tecnology.Most of the people of this area is uneducated & poor.We have limited manpower.Many of our post is vacant.Having all those limitations with the combined effort of all of my health stuff we are providing all necessary health services for the peoples of rowmari.Finally I Would like To Congratulate the Initiator Of the Health Bullettin software for Setting us One step ahead toward digital Bangladesh.I would like to show my regards and gratitude to MIS-DGHS-LHB for help us to create such a wonderful, informative local health bulletin.
