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Gangni Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin as last year. This bulletin contains all the health related information of 2013. I hope all the information of this bulletin will help for planning and bridging the gaps in health service of this Upazila. All the sanctioned and vacant posts are shown in this bulletin .I like to take attention of the higher authority to look this issue. Finally We would like to congratulate the initiator of the health bulletin software for setting us one step forward Digital Bangladesh.
Dr.Md. Monirul Haque
UH&FPO
Gangni Upazila Health Complex

Gangni Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaGangni
Name of UHFPO Dr.Md. Monirul Haque
Telephone No. 0792275004
FAX No. 0
Mobile No. 01712261766
Email gangni@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 88.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 76,273
No. of Population in the Upazila 321,435
Area of Upazila in sq km 342.00

Gangni 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 3 0
No. of Union Health and Family Welfare Centres 4 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 35 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 2 20

Gangni Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,317


Total No. of children treated under IMCI Program 7,684
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 1.58 per 1,000 live births.

Gangni 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: 1829
Total Number of Deliveries: 7723
No. of Maternal Death: 8
Valid TT Coverage: 92.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 126.64 per 100,000 live births.

Gangni 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 116,683 44,758 71,925 9,763 2,680 1,545 1,135 309
Union Sub-Centres 16,992 7,555 9,437 672 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 21,867 9,509 12,358 1,138 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 281,744 83,842 197,902 29,445 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 18,385 6,125 12,260 0 0 0 0 0
NGO Clinics/Facilities 16,246 3,989 12,257 3,105 1,259 601 658 44
Total 490,302 155,778 316,139 44,123 3,939 2,146 1,793 967
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 8,252 2,772 5,480 1,212 19 10 9 2
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 1,300 126 1,174 55 0 0 0 0
NGO Clinics/Facilities 1,094 348 746 387 0 0 0 0
Total 10,646 3,246 7,400 1,654 19 10 9 2

Gangni 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 9464
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 O80 Single spontaneous delivery 1315 13.89
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin 1110 11.73
3 A929 Mosquito-borne viral fever, unspecified 668 7.06
4 K27 Peptic ulcer, site unspecified 432 4.56
5 Y00 Assault by blunt object 396 4.18
6 J45 Asthma 287 3.03
7 R100 Acute abdomen 219 2.31
8 J189 Pneumonia, unspecified 214 2.26
9 I10 Essential (primary) hypertension 188 1.99
10 F419 Anxiety disorder, unspecified 178 1.88

Gangni 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 21
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J45 Asthma 4 19.05
2 I21 Acute myocardial infarction 3 14.29
3 K27 Peptic ulcer, site unspecified 3 14.29
4 J449 Chronic obstructive pulmonary disease, unspecified 3 14.29
5 I10 Essential (primary) hypertension 2 9.52
6 T60 Toxic effect of pesticides 2 9.52
7 J189 Pneumonia, unspecified 1 4.76
8 J15 Bacterial pneumonia, NEC 1 4.76
9 R509 Fever, unspecified 1 4.76
10 I10 Essential (primary) hypertension 1 4.76

Gangni 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 (%) 95.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 10,795
Bed Occupancy Rates (%) 95.40
Average Length of Hospital Stay (No. of days per patient) 1.14
Hospital Death Rate (%) 0.22


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 176
Minor Surgeries 1255

 

Gangni 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 0 16 76.19
Non Doctor 0 0 0 0 0.00
Class II 16 0 16 0 0.00
Class III 84 43 24 17 20.24
Class IV 21 8 5 8 38.10
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 0 0 6 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 5 1 0 0.00
Class IV 6 2 4 0 0.00
Rural Dispensaries
Class I Doctor 3 0 0 3 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 2 2 2 33.33
Class IV 3 2 0 1 33.33
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 35 15 20 0 0.00
Class IV 0 0 0 0 0.00

 

Gangni 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 30 5 0 25 83.33
Non Doctor 0 0 0 0 0.00
Class II 16 0 16 0 0.00
Class III 131 65 47 19 14.50
Class IV 30 12 9 9 30.00
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

 

Gangni 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 0 21 5 0 0 2 1
Nurse 0 0 0 0 16 16 0 0 5 2
Medical Assistant 0 0 9 9 2 2 0 0 9 0
Medical Technologist 0 0 0 0 8 6 0 0 0 0
CHCP 35 35 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 2 0 0 0 0
AHI 0 0 0 0 0 0 9 9 0 0
HA 0 0 0 0 0 0 44 37 0 0
CSBA trained*** 0 0 0 0 0 0 0 11 0 0

Gangni 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 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 2 1 0 0 1
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 1 0 1 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 0 1 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 3 2 0 1 0
Sterilizer 3 1 0 2 0
Sucker machine (electric) 4 1 0 3 0
Ventilator 0 0 0 0 0


Gangni 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 5 1 0 4 0
Pulse oximeter 2 0 1 1 0
Dental equipment
Dental unit 0 0 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Gangni 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 2 2 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) 3 3 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


Gangni 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 1 1 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 3 2 1 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


Gangni 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 1 0 0 1
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) 8 7 1 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 6 0 0 0
Scanner 2 2 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Gangni 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 69 50 4 13 2

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

Important information and necessary issues for Gangni Upazila Health Complex |
 Building condition of UHC, Gangni, Meherpur is very worse. It is risky for lives. Construction work of 50 bed Hospital is incomplete since 3 years. There are 21 post of doctors in this Health Complex, but only 5 doctors (including UH&FPO) are working now, rest of posts are vacant. Moreover there are also 9 posts of doctors had created at Union level (USC & UHFWC), but all are vacant. For better service it is urgent necessary to fill up the all post of doctors and complete the 50 bed Hospital contraction work immediately.