Chowgacha Upazila Health Complex | Health Bulletin 2014 |
Preface
Health Bulletin is the mirror of Chowgacha Upazila health complex,Jessore.Primary health care with its all components are implemented in the Upazila health Complex, RDC, FWC and Community clinic as per guide line of WHO. It is the picture of the performance of the Chowgacha Upazila health Complex. Easily available & accessible service are the components of the Chowgacha Model Upazila health complex.The performance of Chowgacha Upazila complex is praiseworthy and it helps to achieve the MDG target 4 & 5 in Chowgacha within 2009 and Now it is sustainable. Community participation and Systemic service delivery systems help to make the health Complex "Model". I thank to all service providers who are directly and indirectly performing their duties with satisfaction and I also thank the volunteers who are giving their hard labor side by side of the Government employee. And a lot of thanks to the community leaders who are spending their money and giving the moral supports to all activities of the Upazila heath Complex. And grateful to higher authorities for their inspiration.
Chowgacha Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Chowgacha
Name of UHFPO Dr. A.S.M Abdur Razzaque.
Telephone No. 0422456231
FAX No. 0
Mobile No. 01711157876
Email chowgacha@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.2600 And Long: 89.0248
No. of Unions in the Upazila 11
No. of Households in the Upazila 55,456
No. of Population in the Upazila 254,763
Area of Upazila in sq km 257.75
Chowgacha 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
4
0
No. of Union Health and Family Welfare Centres
7
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
4
40
No. of NGO Clinics/Facilities
0
0
Chowgacha Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,486
Total No. of children treated under IMCI Program 48,062
Fully Vaccinated Children: 83.00
Neonatal Mortality Rate (January-December, 2013)
Chowgacha 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: 2524
Total Number of Deliveries: 5500
No. of Maternal Death: 5
Valid TT Coverage: 17.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Chowgacha 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
71,402
23,586
47,816
20,136
7,332
3,859
3,473
1,086
Union Sub-Centres
31,668
14,344
17,324
5,888
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
58,279
14,312
43,967
18,951
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
137,264
46,122
91,142
29,128
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
959
467
492
131
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
300,531
98,831
200,741
74,234
7,332
3,859
3,473
1,086
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
11,396
3,094
8,302
2,312
18
8
10
9
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
1,545
192
1,353
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
12,941
3,286
9,655
2,312
18
8
10
9
Chowgacha 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
13708
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
1033
7.54
2
K27 Peptic ulcer, site unspecified
966
7.05
3
B34 Viral infection of unspecified site
740
5.40
4
J18 Pneumonia, organism unspecified
576
4.20
5
F412 Mixed anxiety and depressive disorder
548
4.00
6
Y09 Assault by unspecified means
437
3.19
7
T47 Poisoning by agents primarily affecting the gastrointestinal system
431
3.14
8
I11 Hypertensive heart disease
400
2.92
9
V87 Traffic accident of specified type but victim's mode of transport unknown
242
1.77
10
J45 Asthma
215
1.57
Chowgacha 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
27
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
P21 Birth asphyxia
5
18.52
2
J18 Pneumonia, organism unspecified
4
14.81
3
J45 Asthma
4
14.81
4
T47 Poisoning by agents primarily affecting the gastrointestinal system
3
11.11
5
I679 Cerebrovascular disease, unspecified
3
11.11
6
I11 Hypertensive heart disease
2
7.41
7
I219 Acute myocardial infarction, unspecified
2
7.41
8
D50 Iron deficiency anaemia
1
3.70
9
B34 Viral infection of unspecified site
1
3.70
10
B99 Other and unspecified infectious diseases
2
7.41
Chowgacha Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
73.00
Coverage of households having access to sanitary latrines (%)
100.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
33,029
Bed Occupancy Rates (%)
181.00
Average Length of Hospital Stay (No. of days per patient)
2.58
Hospital Death Rate (%)
0.21
Chowgacha Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
901
Minor Surgeries
1275
Chowgacha 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
6
2
13
61.90
Non Doctor
0
0
0
0
0.00
Class II
17
1
16
0
0.00
Class III
71
32
12
27
38.03
Class IV
22
11
8
3
13.64
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
7
1
0
6
85.71
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
7
5
2
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
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
8
4
0
4
50.00
Class IV
4
2
0
2
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
28
15
11
2
7.14
Class IV
0
0
0
0
0.00
Chowgacha 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
32
7
2
23
71.88
Non Doctor
0
0
0
0
0.00
Class II
17
1
16
0
0.00
Class III
114
56
25
33
28.95
Class IV
26
13
8
5
19.23
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
Chowgacha 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
11
1
21
8
0
0
0
1
Nurse
0
0
0
0
17
17
0
0
0
2
Medical Assistant
0
0
11
11
2
2
0
0
5
0
Medical Technologist
0
0
0
0
8
5
0
0
0
0
CHCP
28
26
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
4
0
0
0
0
HA
0
0
0
0
35
21
0
0
0
0
CSBA trained***
0
0
0
0
0
6
0
0
0
0
Chowgacha 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
2
1
1
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
5
3
1
0
1
Autoclave
7
2
5
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
3
1
2
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
1
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
4
1
3
0
0
Sucker machine (electric)
4
2
2
0
0
Ventilator
0
0
0
0
0
Chowgacha 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
0
0
0
1
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
6
3
3
0
0
Pulse oximeter
2
0
2
0
0
Dental equipment
Dental unit
1
0
1
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Chowgacha 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)
4
4
0
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)
2
2
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
2
2
0
0
0
Phototherapy unit
2
2
0
0
0
Chowgacha 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
Chowgacha 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)
6
5
1
0
0
Generator
Generator (diesel/petrol)
5
3
1
0
1
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
5
4
1
0
0
ICT equipment
Computer (desktop)
9
9
0
0
0
Laptop
3
1
2
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
16
7
2
0
7
Scanner
1
1
0
0
0
UPS
3
0
0
3
0
Fax
0
0
0
0
0
Intercom
9
9
0
0
0
Internet fixed line
1
1
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
2
0
2
0
0
Chowgacha 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
115
72
29
4
10
Chowgacha Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Chowgacha Upazila Health Complex |
Health Manpower shortage is the burning and important issue of Chowgacha Upazila health complex. Deficiency of doctors and others staffs & fields staffs are hampering the normal speed of the work. This is a big challenge of the Chowgacha Upazila health complex. Model activities are running against the said challenge because community participation is very strong. Various types of management system makes the Chowgacha Upazila health complex "Model" are given below:
1. Integrated approach of community leaders, administration & health management.
2.Team approach & dedication of the health service providers.
3. Citizen charter of hospital & fields services are displayed on the wall of the hospital.
4. Protocol board to locate the service points.
5. Continuous health education in outdoor, indoor, antenatal registration room.
6. Mobile phone of Emergency, Indoor, EOC to provide telephonic health service facility.
7. Separate service delivery system with 4 outdoor pts registration counter.
8. Under 5 corner/ IMCI corner for under 5 children.
9. Pregnant women rest room where heath education is given daily by Nursing supervisor, DSF coordinator & audiovisual system.
10. Maximum utilization of govt. limited resource.
11. Maintaining all criteria for woman friendly hospital like separate female Pt's registration, separate ANC service by female doctor, maintaining privacy by screening, safe drinking water supply by water filter and other facilities.
12. Running blood bank system by registered about 1000 donors with their addresses with in 1km radius of the hospital.
13. All activities focused on the basis of all components of PHC as per guide line of WHO.
14. TQM with 5s kaizen program is going on with the help of JICA & DGHS.
15. With honesty & sincerity all motivated staffs are working, providing effective and prompt services showing respect to the patients.
*Scope for extra information from individual institution should be remained.
