Gurudashpur Upazila Health Complex | Health Bulletin 2014 |
Preface
We are very much proud to publish Local Health Bulletin 2014 by which the people would learn about the current health situation of Gurudaspur Upazila. This Upazila is in a remote distance from District town and its main problems regarding health are basic sanitation, maternal and child illness, OPC poisoning and Assaults. Shortage of manpower including Doctors in the main threat to serve the people. It is a fifty beded Hospital but its financial aproval not given which is the very much earnest need to meet the peoples demand. The database is made on the basis of informations of 2013. Thank you all. Dr. A.K.M. Kamrul Ahsan, UH &FPO. Upazila Health Complex, Gurudaspur, Natore.
Dr. A.K.M. Kamrul Ahsan,
UH &FPO.
Upazila Health Complex,
Gurudaspur, Natore.
Gurudashpur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Gurudashpur
Name of UHFPO Dr. A.K.M. Kamrul Ahsan
Telephone No. 0772474036
FAX No. 0
Mobile No. 01712018856
Email gurdaspur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 89.0000
No. of Unions in the Upazila 7
No. of Households in the Upazila 52,058
No. of Population in the Upazila 211,327
Area of Upazila in sq km 126.75
Gurudashpur 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
1
0
No. of Union Health and Family Welfare Centres
4
0
No. of Rural/Urban/Thana Dispensaries
1
0
No. of Community Clinics
20
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
4
40
No. of NGO Clinics/Facilities
2
0
Gurudashpur Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,704
Total No. of children treated under IMCI Program 85,127
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 12.45 per 1,000 live births.
Gurudashpur 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: 3117
Total Number of Deliveries: 5722
No. of Maternal Death: 0
Valid TT Coverage: 71.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
0.00 per 100,000 live births.
Gurudashpur 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
71,026
31,378
39,648
14,183
7,187
3,242
3,945
1,507
Union Sub-Centres
20,907
9,340
11,567
4,474
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
39,865
8,109
31,756
7,742
0
0
0
0
Rural/Urban/Thana Dispensaries
20,472
7,365
13,107
4,923
0
0
0
0
Community Clinics
151,598
45,241
106,357
49,109
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
35,528
16,879
18,649
1,698
0
0
0
0
NGO Clinics/Facilities
11,027
3,413
7,614
2,972
0
0
0
0
Total
385,951
121,725
228,698
85,101
7,187
3,242
3,945
1,507
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
7,205
3,287
3,918
1,774
39
27
12
3
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
2,202
651
1,551
301
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
9,407
3,938
5,469
2,075
39
27
12
3
Gurudashpur 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
8975
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
T00 Superficial injuries involving multiple body regions
1080
12.03
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
1015
11.31
3
K27 Peptic ulcer, site unspecified
1011
11.26
4
T96 Sequelae of poisoning by drugs, medicaments and biological substances
882
9.83
5
V011 Pedestrian injured in collision with pedal cycle, traffic accident
814
9.07
6
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
719
8.01
7
I10 Essential (primary) hypertension
678
7.55
8
J14 Pneumonia due to Haemophilus influenzae
672
7.49
9
D509 Iron deficiency anaemia, unspecified
548
6.11
10
J11 Influenza, virus not identified
417
4.65
Gurudashpur 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
42
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
T96 Sequelae of poisoning by drugs, medicaments and biological substances
12
28.57
2
I21 Acute myocardial infarction
10
23.81
3
I64 Stroke, not specified as haemorrhage or infarction
8
19.05
4
I10 Essential (primary) hypertension
3
7.14
5
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
2
4.76
6
J44 Other chronic obstructive pulmonary disease
2
4.76
7
V011 Pedestrian injured in collision with pedal cycle, traffic accident
2
4.76
8
T146 Injury of muscles and tendons of unspecified body region
1
2.38
9
J14 Pneumonia due to Haemophilus influenzae
1
2.38
10
S14 Injury of nerves and spinal cord at neck level
1
2.38
Gurudashpur 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 (%)
98.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
10,360
Bed Occupancy Rates (%)
56.76
Average Length of Hospital Stay (No. of days per patient)
2.11
Hospital Death Rate (%)
0.40
Gurudashpur Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
211
Gurudashpur 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
20
8
1
11
55.00
Non Doctor
0
0
0
0
0.00
Class II
15
0
14
1
6.67
Class III
94
54
17
23
24.47
Class IV
25
7
4
14
56.00
Union Health & Family Welfare Center (under DGHS)
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
2
2
0
0.00
Class IV
2
1
0
1
50.00
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
3
1
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
20
10
10
0
0.00
Class IV
0
0
0
0
0.00
Gurudashpur 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
26
8
1
17
65.38
Non Doctor
0
0
0
0
0.00
Class II
15
0
14
1
6.67
Class III
94
58
17
19
20.21
Class IV
25
7
4
14
56.00
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
Gurudashpur 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
6
1
20
8
0
0
1
0
Nurse
0
0
0
0
15
14
0
0
0
0
Medical Assistant
0
0
6
6
2
2
0
0
3
0
Medical Technologist
0
0
2
2
10
9
0
0
0
0
CHCP
20
20
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
0
0
HA
0
0
0
0
30
19
0
0
0
0
CSBA trained***
0
0
0
0
0
3
0
0
0
0
Gurudashpur 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)
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
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
2
1
0
1
0
Electric cautery machine
1
1
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
7
6
0
1
0
Ventilator
0
0
0
0
0
Gurudashpur 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
8
8
0
0
0
Pulse oximeter
0
0
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
Gurudashpur 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
1
1
0
0
Colorimeter
1
0
1
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
2
2
1
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
Gurudashpur 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
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
Gurudashpur 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)
3
2
1
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)
9
9
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
3
2
0
1
0
Printer (laser)
5
5
0
0
0
Scanner
0
0
0
0
0
UPS
7
0
7
0
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
1
1
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
0
0
0
0
0
Gurudashpur 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
74
55
14
5
0
Gurudashpur Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Gurudashpur Upazila Health Complex |
In 2013,We try our best to Improve our service at every level but we cannot achieve our standard in serving the pepole due to some lacking such as,1) Shortase of manpower Including doctors,2) Absence of equipements as,x-ray machine,ECG machine,USG machine,Photocopier and Fax machin,ect.Which should be filled up on an emergency basis.Local Level Planning and more financial power should be delegated to the Upazilla Level for Upgrading the service quality.
(Dr.A.K.M Kamrul Ahsan)
UH&FPO
Upazilla Health Complex
Gurudaspur,Natore.