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Ministry of Health & Family Welfare (MOHFW)
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Ranisankhail Upazila Health Complex | Health Bulletin 2014 |
Preface
Ministry of Health and Family Welfare (MOHFW0 RANISANKAIL UPAZILA HEALTH BULLETIN-2014 Preface, I am very glad to publish this Health Bulletin of Ranisankail upazila. This bulletin contains all the health related information of 2013.This bulletin is published to disseminate the information of Ranisankail upazila to other like department 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 find constains and also to see the results and achievements of 2013. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets.This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin 2013.I like to take attention of higher authority to look into this issue.Finally I would like to congratulate the initiator of this bulletin software for setting us of one step ahead toward digital Bangladesh. Dr. Md.Nazrul Islam UH&FPO Ranisankail,Thakurgaon.
Dr. Md Nazrul Islam
UH&FPO
Ranisankhail Upazila Health Complex

Ranisankhail Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaRanisankhail
Name of UHFPO Dr. Md Nazrul Islam
Telephone No. 0562556012
FAX No. 0
Mobile No. 01820520010
Email ranishankail@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.9000 And Long: 88.2500
No. of Unions in the Upazila8
No. of Households in the Upazila 46,079
No. of Population in the Upazila 217,937
Area of Upazila in sq km 272.40

Ranisankhail 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 2 0
No. of Union Health and Family Welfare Centres 6 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 25 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 5 50
No. of NGO Clinics/Facilities 0 0

Ranisankhail Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,524


Total No. of children treated under IMCI Program 9,645
Fully Vaccinated Children: 92.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 12.85 per 1,000 live births.

Ranisankhail 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: 1031
Total Number of Deliveries: 5505
No. of Maternal Death: 9
Valid TT Coverage: 10.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 162.93 per 100,000 live births.

Ranisankhail 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 30,132 10,125 20,007 7,639 6,277 2,909 3,368 559
Union Sub-Centres 19,022 8,527 10,495 3,112 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 44,387 21,207 23,180 10,224 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 209,745 73,943 135,802 26,722 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 335 65 270 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 303,956 113,867 189,754 47,697 6,277 2,909 3,368 559
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 6,561 2,257 4,304 641 18 9 9 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 163 25 138 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 6,724 2,282 4,442 641 18 9 9 0

Ranisankhail 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 6561
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y009 Assault by blunt object, unspecified place 1565 23.85
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 805 12.27
3 R509 Fever, unspecified 499 7.61
4 R529 Pain, unspecified 380 5.79
5 K27 Peptic ulcer, site unspecified 364 5.55
6 B86 Scabies 288 4.39
7 V739 Bus occupant injured in collision with car, pick-up truck or van, unspecified bus occupant, traffic accident 228 3.48
8 J18 Pneumonia, organism unspecified 211 3.22
9 A499 Bacterial infection, unspecified 180 2.74
10 O69 Labour and delivery complicated by umbilical cord complications 138 2.10

Ranisankhail 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 17
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J45 Asthma 7 41.18
2 I10 Essential (primary) hypertension 3 17.65
3 E14 Unspecified diabetes mellitus 2 11.76
4 N390 Urinary tract infection, site not specified 1 5.88
5 Y05 Sexual assault by bodily force 1 5.88
6 T69 Other effects of reduced temperature 1 5.88
7 I21 Acute myocardial infarction 1 5.88
8 E46 Unspecified protein-energy malnutrition 1 5.88
9 0 0.00
10 0 0.00

Ranisankhail 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 (%) 85.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 16,050
Bed Occupancy Rates (%) 87.95
Average Length of Hospital Stay (No. of days per patient) 2.35
Hospital Death Rate (%) 0.26


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 23
Minor Surgeries 65

 

Ranisankhail 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 21 5 1 15 71.43
Non Doctor 0 0 0 0 0.00
Class II 14 2 11 1 7.14
Class III 66 39 12 15 22.73
Class IV 25 14 4 7 28.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 1 1 4 66.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 3 3 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
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 0 2 50.00
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 26 9 16 1 3.85
Class IV 0 0 0 0 0.00

 

Ranisankhail 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 29 6 2 21 72.41
Non Doctor 0 0 0 0 0.00
Class II 14 2 11 1 7.14
Class III 102 56 29 17 16.67
Class IV 27 15 4 8 29.63
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

 

Ranisankhail 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 21 6 0 0 0 0
Nurse 0 0 0 0 14 13 0 0 2 0
Medical Assistant 0 0 8 7 2 2 0 0 3 0
Medical Technologist 0 0 2 1 7 7 0 0 0 0
CHCP 26 25 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0
HA 0 0 0 0 30 23 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Ranisankhail 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) 1 0 1 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 1 1 0 0 0
Autoclave 9 9 0 0 0
Electric cautery machine 1 1 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 2 1 1 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 3 3 0 0 0
Sucker machine (electric) 8 8 0 0 0
Ventilator 0 0 0 0 0


Ranisankhail 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 1 1 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 4 0 0 0
Pulse oximeter 1 1 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


Ranisankhail 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) 1 1 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 0 0 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 1 0 1 0 0
Phototherapy unit 1 0 1 0 0


Ranisankhail 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 1 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 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


Ranisankhail 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 0 0 2 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) 6 5 1 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Ranisankhail 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 2 1 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 67 56 7 4 0

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

Important information and necessary issues for Ranisankhail Upazila Health Complex |
 Important information and necessary issues for Upazila Health Complex, Ranisankail, Thakurgaon. Last year we could not give our maximum efforts to improve the health status due to many reasons.Here I like mention some important factors which will help us to achieve good result in future.1.The vacant post specialiiy Annesthetist should be filled up immediately.2.Our doctors and nurses need more training on IMCI.3.All the repairable equipments should be repaired as soon as possible.Finally I am very happy to write this bulletin of 2013, because this document will help us to compare our progress in-coming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future. Thanks. (Dr. Md.Nazrul Islam) UH&FPO Ranisankail,Thakurgaon.