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Gournadi Upazila Health Complex | Health Bulletin 2014 |
Preface
It is my great pleasare to publish this health bulletin.It has been tried to describe in a nutsell the health activites taken in Gournadi UHC in the year 2013 . Dr.Md Moslem Uddin Khan UH&FPO.Gournadi .Barisal
Dr.Md Moslem Uddin Khan
UH&FPO
Gournadi Upazila Health Complex

Gournadi Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaGournadi
Name of UHFPO Dr.Md Moslem Uddin Khan
Telephone No. 056106
FAX No. 0
Mobile No. 01711464521
Email gournadi@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.9626 And Long: 90.2258
No. of Unions in the Upazila7
No. of Households in the Upazila 41,134
No. of Population in the Upazila 226,761
Area of Upazila in sq km 145.39

Gournadi 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 24 0
No of Trauma Centres 1 20
No. of MCWCs 1 10
No. of Chest Disease Clinics (TB clinics) 0 0
No. of Private Clinics/Facilities 4 40
No. of NGO Clinics/Facilities 1 10

Gournadi Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,076


Total No. of children treated under IMCI Program 35,986
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 9.32 per 1,000 live births.

Gournadi 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: 786
Total Number of Deliveries: 4094
No. of Maternal Death: 1
Valid TT Coverage: 8.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 24.53 per 100,000 live births.

Gournadi 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 17,226 7,773 9,453 11,540 6,826 4,292 2,534 2,301
Union Sub-Centres 22,837 9,571 13,266 8,223 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 19,728 7,412 12,316 8,605 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 114,709 38,625 76,084 17,143 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 9,661 2,134 7,527 3,456 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 184,161 65,515 118,646 48,967 6,826 4,292 2,534 2,301
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 5,261 2,849 2,412 1,969 25 21 4 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 5,261 2,849 2,412 1,969 25 21 4 3

Gournadi 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 4712
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 1232 26.15
2 A01 Typhoid and paratyphoid fevers 1137 24.13
3 X85 Assault by drugs, medicaments and biological substances 933 19.80
4 R50 Fever of unknown origin 196 4.16
5 J189 Pneumonia, unspecified 165 3.50
6 Y19 Poisoning by and exposure to other and unspecified chemicals and noxious substances, undetermined intent 145 3.08
7 A99 Unspecified viral haemorrhagic fever 102 2.16
8 S099 Unspecified injury of head 101 2.14
9 V892 Person injured in unspecified motor-vehicle accident, traffic 90 1.91
10 F412 Mixed anxiety and depressive disorder 79 1.68

Gournadi 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 18
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J459 Asthma, unspecified 5 27.78
2 J069 Acute upper respiratory infection, unspecified 3 16.67
3 P219 Birth asphyxia, unspecified 2 11.11
4 Y634 Failure in dosage in electroshock or insulin-shock therapy 2 11.11
5 R103 Pain localized to other parts of lower abdomen 1 5.56
6 I120 Hypertensive renal disease with renal failure 1 5.56
7 I679 Cerebrovascular disease, unspecified 1 5.56
8 V892 Person injured in unspecified motor-vehicle accident, traffic 1 5.56
9 V822 Occupant of streetcar injured in collision with or hit by rolling stock 1 5.56
10 T490 Local antifungal, anti-infective and anti-inflammatory drugs, NEC 1 5.56

Gournadi Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 97.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 15,309
Bed Occupancy Rates (%) 84.00
Average Length of Hospital Stay (No. of days per patient) 3.55
Hospital Death Rate (%) 0.42


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 289

 

Gournadi 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 10 2 9 42.86
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 29 18 5 6 20.69
Class IV 25 12 6 7 28.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 1 0 3 75.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 1 1 2 50.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 3 2 0 1 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 3 0 3 50.00
Class IV 3 3 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 28 9 12 7 25.00
Class IV 0 0 0 0 0.00

 

Gournadi 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 28 13 2 13 46.43
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 116 98 18 0 0.00
Class IV 27 15 6 6 22.22
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

 

Gournadi 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 7 3 21 12 0 0 3 2
Nurse 0 0 0 0 15 15 0 0 8 6
Medical Assistant 0 0 7 3 2 2 0 0 2 0
Medical Technologist 0 0 0 0 8 6 0 0 0 0
CHCP 28 21 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 3 2 0 0
AHI 0 0 0 0 0 0 8 8 0 0
HA 0 0 0 0 0 0 39 32 31 7
CSBA trained*** 0 0 0 0 0 0 0 0 7 7

Gournadi 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 0 2 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 5 0 2 3 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 1 1 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 5 5 0 0 0
Sucker machine (electric) 3 2 0 1 0
Ventilator 0 0 0 0 0


Gournadi 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 3 1 0 2 0
Pulse oximeter 0 0 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


Gournadi 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 0 1 1 0
Colorimeter 2 1 0 1 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) 6 1 0 5 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


Gournadi 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 0 0 0 1
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 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 0 2 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


Gournadi 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) 1 0 1 0 0
Air conditioner (window) 1 1 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 0 0 0 0 0
ICT equipment
Computer (desktop) 9 6 3 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 3 3 0 0
Scanner 1 1 0 0 0
UPS 0 0 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 0 0 0 0 0


Gournadi 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 0 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 61 32 15 13 1

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

Important information and necessary issues for Gournadi Upazila Health Complex |
 Important information and necessary issues for Gournadi Upazila Health Complex | Important information and issues for UHC Gournadi.Due to many reasons we could not give our maximum eforts to improve the health status last year. I mention some important factors which will healp us to achive our goal in future as per 1.The Vacant post should be filled up immediately Doctor.Sacmos.and other staffs.2.Adequate supply of madicene should be confirmed .I am very much happy to write this health bulletine of 2013. Because this document will healp us to compare our programe in up comming days Dr.Md Moslem Uddin Khan .. UH&FPO .Gournadi.Barisal Thank's For ALL