Raiganj Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of this Upazila.This bulletin contains all the health related informations of 2013.This bulletin is published to disseminate the informations of Upazila health activities to other line and development partners of health sector.I hope all the informations of this bulletin will help for planning and bridging the gaps in the health services of this Upazila.This health bulletin will help us to find constrains and to overcome the different health problems and also to see the results and achivements of 2013.This health bulletin has also the informations on safe drinking water and sanitary status and disease pattern of the upazila.I like to take attention of the higher authority to look in to this issue.
Finally,
I would like to Congratulate the initiator of the health bulletin software for setting us one step ahead towards Digital Bangladesh.
Raiganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Raiganj
Name of UHFPO Dr.Md.Abdur Razzaque
Telephone No. 0752656142
FAX No. 0
Mobile No. 01716810183
Email raiganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.9740 And Long: 89.6986
No. of Unions in the Upazila 9
No. of Households in the Upazila 70,057
No. of Population in the Upazila 312,352
Area of Upazila in sq km 166.00
Raiganj 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
8
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
47
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
8
0
No. of NGO Clinics/Facilities
0
0
Raiganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 7,362
Total No. of children treated under IMCI Program 63,339
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 19.02 per 1,000 live births.
Raiganj 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: 1649
Total Number of Deliveries: 7502
No. of Maternal Death: 3
Valid TT Coverage: 5.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
40.75 per 100,000 live births.
Raiganj 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
23,164
11,197
11,967
2,021
1,767
928
839
434
Union Sub-Centres
29,790
13,577
16,213
3,993
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
466,162
150,316
315,846
55,910
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
519,116
175,090
344,026
61,924
1,767
928
839
434
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
7,653
4,008
3,645
1,490
3
2
1
1
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
7,653
4,008
3,645
1,490
3
2
1
1
Raiganj 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
9143
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
320
3.50
2
K27 Peptic ulcer, site unspecified
241
2.64
3
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
215
2.35
4
V33 Occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van
202
2.21
5
Y00 Assault by blunt object
193
2.11
6
J18 Pneumonia, organism unspecified
187
2.05
7
N390 Urinary tract infection, site not specified
183
2.00
8
T44 Poisoning by drugs primarily affecting the autonomic nervous system
70
0.77
9
I10 Essential (primary) hypertension
17
0.19
10
T210 Burn of unspecified degree of trunk
9
0.10
Raiganj 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
J18 Pneumonia, organism unspecified
2
50.00
2
I150 Renovascular hypertension
1
25.00
3
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
1
25.00
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
Raiganj Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
90.00
Coverage of households having access to sanitary latrines (%)
88.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
9,143
Bed Occupancy Rates (%)
80.80
Average Length of Hospital Stay (No. of days per patient)
3.34
Hospital Death Rate (%)
0.15
Raiganj Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
368
Raiganj 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
0
7
77.78
Non Doctor
0
0
0
0
0.00
Class II
12
0
10
2
16.67
Class III
82
60
13
9
10.98
Class IV
21
8
4
9
42.86
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
9
2
1
6
66.67
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
10
5
5
0
0.00
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
47
29
18
0
0.00
Class IV
0
0
0
0
0.00
Raiganj 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
18
4
1
13
72.22
Non Doctor
0
0
0
0
0.00
Class II
12
0
10
2
16.67
Class III
139
94
36
9
6.47
Class IV
23
9
4
10
43.48
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
18
8
9
1
5.56
Class IV
18
9
8
1
5.56
Raiganj 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
9
3
9
2
0
0
2
0
Nurse
0
0
0
0
12
10
0
0
5
2
Medical Assistant
0
0
8
8
2
2
0
0
9
0
Medical Technologist
0
0
2
2
8
8
0
0
0
0
CHCP
47
47
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
AHI
0
0
0
0
10
10
0
0
0
0
HA
0
0
0
0
49
41
0
0
0
0
CSBA trained***
0
0
0
0
0
0
12
9
0
0
Raiganj 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
0
1
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
0
0
0
0
0
Autoclave
0
0
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
4
2
2
0
0
Ceiling mounting OT Light
1
1
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)
4
2
2
0
0
Ventilator
0
0
0
0
0
Raiganj 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
2
2
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
2
1
1
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Raiganj 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
1
1
0
0
0
Microscope (binocular)
1
1
0
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
Raiganj 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)
2
2
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
2
2
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
Raiganj 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)
0
0
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
1
1
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
3
0
0
0
Printer (laser)
5
5
0
0
0
Scanner
1
1
0
0
0
UPS
3
2
1
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
Raiganj 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
54
46
6
2
0
Raiganj Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Raiganj Upazila Health Complex |
Last year we could not produce our maximum improved health outcome due to many reasons.Here I like to mention some important factors which will help us to achive good results in future.
1.The vacant post of doctors and staffs should be filled immediately.
2.Our Doctors & Nurse need more training on IMCI,ARI,Breast feeding,Nutrition,Diarrhoea,EPI and other health related subjects
on priority basis.
3.All the repairable equipments should repaired as soon as possible.
Finally.
I am very happy to write this health bulletin-2014.This documents will help us to compare our progress in up coming year.This is very useful documents and will help to provide us the useful advice improving the health status in future.
(Dr.Md.Abdur Razzaque)
UH&FPO
Raiganj.Serajganj.