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Taraganj Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Taraganj Upazila Health Complex.This bulletin contains all the related information upto December 2013.This bulletin is published to disseminate the information of Taraganj Upazila Health Complex to other line departments 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 understand 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 us to localize the MDG targets.This health bulletin also contains information of safe drinking water and sanitation status of this Upazila. All the sanctioned and vacant posts are published in this bulletin of 2013. I like to draw attention of the higher authority to look into to these issues.Finally, I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bangladesh.
Dr. Md. Shahzahan
UH&FPO
Taraganj Upazila Health Complex

Taraganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaTaraganj
Name of UHFPO Dr. Md. Shahzahan
Telephone No. 0522856020
FAX No. 0
Mobile No. 01712598242
Email taraganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.8111 And Long: 89.0167
No. of Unions in the Upazila5
No. of Households in the Upazila 48,260
No. of Population in the Upazila 156,727
Area of Upazila in sq km 130.00

Taraganj 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 5 0
No. of Union Health and Family Welfare Centres 4 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 15 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 2 0

Taraganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,134


Total No. of children treated under IMCI Program 7,100
Fully Vaccinated Children: 92.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 36.38 per 1,000 live births.

Taraganj 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: 2500
Total Number of Deliveries: 3228
No. of Maternal Death: 6
Valid TT Coverage: 35.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 191.45 per 100,000 live births.

Taraganj 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 51,720 23,148 28,572 8,238 58,202 24,100 34,102 7,201
Union Sub-Centres 17,594 8,130 9,464 2,608 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 23,829 20,520 3,309 3,002 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 130,382 52,380 78,002 30,009 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 223,525 104,178 119,347 43,857 58,202 24,100 34,102 7,201
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 3,102 1,970 1,132 809 4 2 2 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 3,102 1,970 1,132 809 4 2 2 0

Taraganj 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 3713
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y09 Assault by unspecified means 450 12.12
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 320 8.62
3 R100 Acute abdomen 210 5.66
4 J069 Acute upper respiratory infection, unspecified 201 5.41
5 R509 Fever, unspecified 151 4.07
6 E43 Unspecified severe protein-energy malnutrition 126 3.39
7 J459 Asthma, unspecified 81 2.18
8 V899 Person injured in unspecified vehicle accident 73 1.97
9 T629 Noxious substance eaten as food, unspecified 53 1.43
10 I10 Essential (primary) hypertension 27 0.73

Taraganj 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 4
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J459 Asthma, unspecified 2 50.00
2 J069 Acute upper respiratory infection, unspecified 2 50.00
3 0 0.00
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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 80.00
Coverage of households having access to sanitary latrines (%) 50.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 7,596
Bed Occupancy Rates (%) 60.93
Average Length of Hospital Stay (No. of days per patient) 1.00
Hospital Death Rate (%) 0.04


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 520

 

Taraganj 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 4 1 11.11
Non Doctor 0 0 0 0 0.00
Class II 11 3 8 0 0.00
Class III 53 36 9 8 15.09
Class IV 19 10 3 6 31.58
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 0 0 4 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 4 3 5 41.67
Class IV 8 2 2 4 50.00
Rural Dispensaries
Class I Doctor 5 1 3 1 20.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 1 0 9 90.00
Class IV 1 0 0 1 100.00
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 15 4 11 0 0.00
Class IV 0 0 0 0 0.00

 

Taraganj 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 5 6 3 21.43
Non Doctor 0 0 0 0 0.00
Class II 11 3 8 0 0.00
Class III 74 41 20 13 17.57
Class IV 20 10 3 7 35.00
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

 

Taraganj 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 1 1 9 9 0 0 1 0
Nurse 0 0 0 0 11 11 0 0 5 0
Medical Assistant 0 0 9 0 2 1 0 0 1 0
Medical Technologist 0 0 0 0 8 8 0 0 0 0
CHCP 15 15 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0
AHI 0 0 0 0 5 5 0 0 0 0
HA 0 0 0 0 25 20 0 0 0 0
CSBA trained*** 0 0 0 0 0 3 0 0 0 0

Taraganj 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 1 1 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 1 1 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Taraganj 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 4 2 2 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


Taraganj 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 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) 3 2 1 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


Taraganj 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


Taraganj 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) 2 2 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 4 2 2 0 0
ICT equipment
Computer (desktop) 6 3 3 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 12 6 2 4 0
Scanner 1 1 0 0 0
UPS 4 2 1 1 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


Taraganj 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 0 1 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 60 39 15 6 0

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

Important information and necessary issues for Taraganj Upazila Health Complex |
 Important information and necessary issues for Taraganj Upazila Health Complex, Taraganj, Rangpur last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve good results (1) The vacant posts must be filled-up immediately. (2) More pathological facilities should be available and disordered x-ray machines should be repaired for functioning. A refrigerator is mandatory for functioning of pathological tests. Emergency department must be decorated well with full requirements as accidents often happens done to high way road side health complex. Our doctors and nurses need more training on the IMCI. I am very happy to write this health bulletin 2014 because this document will help us to compare our progress in upcoming year. This is very useful document and will help the public to understand health services and provident us the useful advice for improvement in future.