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Raninagar Upazila Health Complex | Health Bulletin 2014 |
Preface
It is a great pleasure for me that a Health Bulletin has been published for Raninagar Upazila of Naogaon district. The Health Bulletin contains all the health and family planning related informations of this Upazila of 2013 reflecting manpower ,infrastructural status and ongoing health and family planning related activities .I hope this Health Bulletin will inhance the status of health & family planning department of this Upazila and ensure their transparency and accountability to the people of this Upazila.
Dr.Sardar Mohammad Nazmul Ahsan
UH&FPO
Raninagar Upazila Health Complex

Raninagar Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaRaninagar
Name of UHFPO Dr.Sardar Mohammad Nazmul Ahsan
Telephone No. 0743356003
FAX No. 0
Mobile No. 01712166282
Email raninagar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.7420 And Long: 88.9604
No. of Unions in the Upazila8
No. of Households in the Upazila 44,427
No. of Population in the Upazila 186,786
Area of Upazila in sq km 249.00

Raninagar 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 8 0
No. of Union Health and Family Welfare Centres 0 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 22 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 0 0

Raninagar Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,407


Total No. of children treated under IMCI Program 37,823
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 32.87 per 1,000 live births.

Raninagar 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: 828
Total Number of Deliveries: 3408
No. of Maternal Death: 6
Valid TT Coverage: 96.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 176.11 per 100,000 live births.

Raninagar 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 23,735 8,241 15,494 10,711 12,751 4,312 8,439 3,206
Union Sub-Centres 29,891 10,583 19,308 8,142 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 218,348 63,557 154,791 27,188 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 271,974 82,381 189,593 46,041 12,751 4,312 8,439 3,206
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 3,408 1,509 1,899 369 6 6 0 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 302 7 295 2 0 0 0 2
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 3,710 1,516 2,194 371 6 6 0 2

Raninagar 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 3777
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 483 12.79
2 Y00 Assault by blunt object 470 12.44
3 V892 Person injured in unspecified motor-vehicle accident, traffic 305 8.08
4 J45 Asthma 181 4.79
5 T42 Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs 108 2.86
6 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 102 2.70
7 J189 Pneumonia, unspecified 79 2.09
8 A014 Paratyphoid fever, unspecified 52 1.38
9 A08 Viral and other specified intestinal infections 45 1.19
10 J95 Postprocedural respiratory disorders, NEC 16 0.42

Raninagar 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 J45 Asthma 2 33.33
2 T14 Injury of unspecified body region 1 16.67
3 J16 Pneumonia due to other infectious organisms, NEC 1 16.67
4 C88 Malignant immunoproliferative diseases 1 16.67
5 R104 Other and unspecified abdominal pain 1 16.67
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 95.00
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.) 9,508
Bed Occupancy Rates (%) 84.00
Average Length of Hospital Stay (No. of days per patient) 2.64
Hospital Death Rate (%) 0.17


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 154

 

Raninagar 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 2 2 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 65 48 13 4 6.15
Class IV 19 11 5 3 15.79
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 8 2 0 6 75.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 12 0 0 0.00
Class IV 4 2 0 2 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 23 15 8 0 0.00
Class IV 0 0 0 0 0.00

 

Raninagar 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 17 4 2 11 64.71
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 88 63 21 4 4.55
Class IV 23 13 5 5 21.74
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

 

Raninagar 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 8 2 9 3 0 0 1 0
Nurse 0 0 0 0 11 11 0 0 1 0
Medical Assistant 0 0 8 8 2 2 0 0 5 0
Medical Technologist 0 0 0 0 4 4 0 0 0 0
CHCP 23 23 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 1 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0
HA 0 0 0 0 30 24 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Raninagar 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 3 3 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 0 0 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Raninagar 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 2 2 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 2 2 0 0 0
Pulse oximeter 1 1 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


Raninagar 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) 3 1 2 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) 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 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Raninagar 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 0 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


Raninagar 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) 3 3 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) 2 2 0 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 1 1 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 2 2 0 0 0
Scanner 0 0 0 0 0
UPS 1 1 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 0 0 0 0 0


Raninagar 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 0 0 0 0 0
Photocopier machine 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 1 1 0 0 0
Total 35 28 4 3 0

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

Important information and necessary issues for Raninagar Upazila Health Complex |
 31 beded UHC has been infrastructurally developed to 50 beded UHC ,but no manpower and MSR diet have been provided in that respect.