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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.
Dr. A.K.M. Kamrul Ahsan
UH&FPO
Gurudashpur Upazila Health Complex

Gurudashpur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaGurudashpur
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 Upazila7
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.