Rampal Upazila Health Complex | Health Bulletin 2014 |
Preface
We are going to publish the Health Bulletin of Rampal Upazilla Health Complex for Third time. This Bulletin contains health related information & data for the year 2013 & reflects our activities for that period. we have our limitations like shortage of manpower (Doctors, support staff and field workers) and lac of facilities (investigations,Transport) yet we are trying our level best to discharge satisfactory services to the people. A large number of people specially the poor, got health services at their door - step through 23 community clinics. This was a great job performed by the CHCPS. All our achievements, failure and short falls- have been reflected in this Bulletin for general information and consideration of all concerned. suggestions and Directives for the improvement of our activities would be cordially accepted and will enrich our future planning & implementation. I am very much greatful to Prof. Dr. A.K. AZAD,.A.D.G (planning & Dev) & Director, MIS- DGHS. Mohakhali, Dhaka, Director Health ( Khulna Division, Khulna), Civil Surgeon, Bagerhat for their guidance to prepare & publish this Health Bulletin . I would like to thank every body who helped me to furnish the job. I beg pardon for any unintended errors and omissions. Thank you all . (Dr. Utpal Kumar Debnath) UH&FPO Rampal, Bagerhat .
Rampal Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Rampal
Name of UHFPO DR. UTPAL KUMAR DEBNATH
Telephone No. 0465756011
FAX No. 0
Mobile No. 01711188896
Email rampal@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.5879 And Long: 89.6499
No. of Unions in the Upazila 10
No. of Households in the Upazila 37,518
No. of Population in the Upazila 160,478
Area of Upazila in sq km 276.75
Rampal 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
9
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
23
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
0
0
Rampal Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,178
Total No. of children treated under IMCI Program 5,100
Fully Vaccinated Children: 89.00
Neonatal Mortality Rate (January-December, 2013)
Rampal 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: 1360
Total Number of Deliveries: 2180
No. of Maternal Death: 2
Valid TT Coverage: 65.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Rampal 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
25,884
8,500
17,384
7,618
4,094
1,832
2,262
432
Union Sub-Centres
11,870
4,824
7,046
3,530
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
50,363
22,111
28,252
7,682
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
102,891
48,000
54,891
15,374
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
191,008
83,435
107,573
34,204
4,094
1,832
2,262
432
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
3,939
1,639
2,300
289
35
20
15
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
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
3,939
1,639
2,300
289
35
20
15
3
Rampal 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
3939
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
436
11.07
2
K35 Acute appendicitis
359
9.11
3
X85 Assault by drugs, medicaments and biological substances
325
8.25
4
A08 Viral and other specified intestinal infections
297
7.54
5
J45 Asthma
238
6.04
6
I13 Hypertensive heart and renal disease
167
4.24
7
T43 Poisoning by psychotropic drugs, NEC
141
3.58
8
K27 Peptic ulcer, site unspecified
135
3.43
9
J17 Pneumonia in diseases classified elsewhere
57
1.45
10
V892 Person injured in unspecified motor-vehicle accident, traffic
51
1.29
Rampal 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
35
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I64 Stroke, not specified as haemorrhage or infarction
5
14.29
2
J18 Pneumonia, organism unspecified
5
14.29
3
I64 Stroke, not specified as haemorrhage or infarction
4
11.43
4
D01 Carcinoma in situ of other and unspecified digestive organs
3
8.57
5
J06 Acute upper respiratory infections of multiple and unspecified sites
3
8.57
6
J45 Asthma
3
8.57
7
K72 Hepatic failure, NEC
2
5.71
8
R57 Shock, NEC
2
5.71
9
A40 Streptococcal septicaemia
2
5.71
10
C49 Malignant neoplasm of other connective and soft tissue
1
2.86
Rampal Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
77.00
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.)
15,589
Bed Occupancy Rates (%)
85.41
Average Length of Hospital Stay (No. of days per patient)
3.78
Hospital Death Rate (%)
0.92
Rampal Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
371
Minor Surgeries
326
Rampal 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
4
0
17
80.95
Non Doctor
0
0
0
0
0.00
Class II
15
0
15
0
0.00
Class III
78
35
9
34
43.59
Class IV
23
14
6
3
13.04
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
9
0
0
9
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
9
2
7
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
1
0
0
1
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
2
2
0
0
0.00
Class IV
1
1
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
26
11
14
1
3.85
Class IV
0
0
0
0
0.00
Rampal 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
31
4
0
27
87.10
Non Doctor
0
0
0
0
0.00
Class II
15
0
15
0
0.00
Class III
115
52
29
34
29.57
Class IV
24
15
6
3
12.50
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
Rampal 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
10
0
21
4
0
0
1
0
Nurse
0
0
0
0
18
18
0
0
3
4
Medical Assistant
0
0
10
10
2
2
0
0
6
0
Medical Technologist
0
0
0
0
11
5
0
0
0
0
CHCP
26
25
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
AHI
0
0
0
0
8
5
0
0
0
0
HA
0
0
0
0
39
19
0
0
0
0
CSBA trained***
0
0
0
0
0
0
0
4
0
0
Rampal 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)
2
1
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
3
2
1
0
0
Autoclave
4
1
3
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
2
1
1
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
5
3
2
0
0
Sucker machine (electric)
5
3
2
0
0
Ventilator
0
0
0
0
0
Rampal 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
6
2
4
0
0
Pulse oximeter
2
1
1
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
Rampal 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
3
2
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)
4
1
3
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
1
1
0
0
0
Rampal 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
2
2
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
3
2
1
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
1
0
0
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
Rampal 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)
4
1
3
0
0
Generator
Generator (diesel/petrol)
2
1
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
1
0
1
0
0
ICT equipment
Computer (desktop)
8
8
0
0
0
Laptop
24
24
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
1
0
0
Printer (laser)
6
6
0
0
0
Scanner
1
1
0
0
0
UPS
7
7
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
23
23
0
0
0
Multimedia
1
1
0
0
0
Rampal 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)
1
1
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
130
104
26
0
0
Rampal Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Rampal Upazila Health Complex |
MNH program to be implemented in this Upa-zilla immediately. For proper running of this program & for smooth & effective service delivery to the people I like to draw kind attention of my higher authorities & all concerned on the following burning issues of Rampal UHC. 1. The vaccant posts of Doctors & Supporting Staffs should be filled up immediately . 2. Doctors, Nurses & SACMOs need training on EOC & IMCI. 3. We are seriously in need of a Gaynee-obs specilist & anesthesiologist to achive the target of MDG-4&5. 4. X-ray machine should be repaired immediately. 5.All female HA should receive SBA training . If all these problems are solved we would be able to put our maximum efforts for the improvement of Health service of Rampal Upazilla . I again pay my thanks & gratitude to all for patient hearing to the presentation of Health Bulletin 2013 of Rampal UHC.
