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Mohakhali, Dhaka-1212

Rajapur Upazila Health Complex | Health Bulletin 2014 |
Preface
It is a great pleasure to me for publishing Health Bulletin 2014 of Rajapur Upazilla Health complex under Jhalakati district.The Bulletin contains all Health related information and data 2014.It also highlight on going Health sectoral program of Rajapur Upazila .Analyizing the data given in the Health Bulletin. We can improve our service also future planning. The Bulletin help us to compare our present activities with previous one.The Bulletin contains status of MDG target. The Bulletin also help us information of safe drinking water and sanitation status of Rajapur Upazila .All the sanctioned and vacant post publishing in the bulletin. The Hospital improve 50 beds from 31 beds but manpower isn't yet sanctioned.There is a acute shortage of doctors.I like to attend to higher authority to action into this issue. I like to congratulate initiation of Health Bulletin software setting us on step ahead towards digital Bangladesh.The Hospital is running 50 beds.
Dr.Md. Mahbubur Rahman.
UH&FPO
Rajapur Upazila Health Complex

Rajapur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaRajapur
Name of UHFPO Dr.Md. Mahbubur Rahman.
Telephone No. 0495465009
FAX No. 0
Mobile No. 01816410168
Email rajapur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.3400 And Long: 90.0800
No. of Unions in the Upazila6
No. of Households in the Upazila 30,190
No. of Population in the Upazila 151,849
Area of Upazila in sq km 163.00

Rajapur 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 0 0
No. of Union Health and Family Welfare Centres 5 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 19 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 1 0
No. of NGO Clinics/Facilities 0 0

Rajapur Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,255


Total No. of children treated under IMCI Program 1,879
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 2.76 per 1,000 live births.

Rajapur 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: 448
Total Number of Deliveries: 3266
No. of Maternal Death: 5
Valid TT Coverage: 8.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 153.61 per 100,000 live births.

Rajapur 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 23,857 9,182 14,675 11,668 4,748 2,369 2,379 719
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 99,770 31,215 68,555 35,164 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 123,627 40,397 83,230 46,832 4,748 2,369 2,379 719
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 3,119 1,464 1,655 313 8 5 3 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 3,119 1,464 1,655 313 8 5 3 3

Rajapur 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 3432
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 646 18.82
2 Y04 Assault by bodily force 381 11.10
3 J459 Asthma, unspecified 234 6.82
4 J189 Pneumonia, unspecified 183 5.33
5 A010 Typhoid fever 166 4.84
6 K27 Peptic ulcer, site unspecified 145 4.22
7 V899 Person injured in unspecified vehicle accident 81 2.36
8 O083 Shock following abortion and ectopic and molar pregnancy 70 2.04
9 F419 Anxiety disorder, unspecified 67 1.95
10 G969 Disorder of central nervous system, unspecified 45 1.31

Rajapur 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 11
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I219 Acute myocardial infarction, unspecified 3 27.27
2 J459 Asthma, unspecified 2 18.18
3 J189 Pneumonia, unspecified 2 18.18
4 G969 Disorder of central nervous system, unspecified 2 18.18
5 J90 Pleural effusion, NEC 1 9.09
6 A858 Other specified viral encephalitis 1 9.09
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 99.00
Coverage of households having access to sanitary latrines (%) 94.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 13,055
Bed Occupancy Rates (%) 71.17
Average Length of Hospital Stay (No. of days per patient) 3.79
Hospital Death Rate (%) 0.32


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 1123

 

Rajapur 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 9 3 0 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 72 29 23 20 27.78
Class IV 19 12 2 5 26.32
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 1 0 5 83.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 3 1 2 33.33
Class IV 0 0 0 0 0.00
Rural Dispensaries
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
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 19 8 11 0 0.00
Class IV 0 0 0 0 0.00

 

Rajapur 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 15 4 0 11 73.33
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 78 32 24 22 28.21
Class IV 19 12 2 5 26.32
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

 

Rajapur 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 6 1 9 3 0 0 0 1
Nurse 0 0 0 0 11 11 0 0 3 2
Medical Assistant 0 0 6 4 2 1 0 0 1 0
Medical Technologist 0 0 0 0 7 3 0 0 0 0
CHCP 22 19 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 3 0
AHI 0 0 0 0 8 8 0 0 8 0
HA 0 0 0 0 39 26 0 0 26 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Rajapur 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 1 0 0 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 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 4 2 2 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 0 0 0 0 0
Portable OT Light 4 2 1 1 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 2 1 1 0 0
Sucker machine (electric) 4 2 1 1 0
Ventilator 0 0 0 0 0


Rajapur 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 0 0 0 0 0
Pulse oximeter 0 0 0 0 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


Rajapur 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 2 1 1 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) 5 4 1 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


Rajapur 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 0 0 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 0 0 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


Rajapur 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 2 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) 8 5 0 0 3
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 5 0 0 1
Scanner 1 1 0 0 0
UPS 6 4 0 0 2
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


Rajapur 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 54 38 7 3 6

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

Important information and necessary issues for Rajapur Upazila Health Complex |
 For improving our Health Service a new x-ray machine is needed. Posting of pathology technician is necessary for investigation facility. The vacant post should be field immediately.There is no meting room in the upazila health complex . The vacant post of all jr. consultant should be field immediately for interest of public service . The hospital is running 50 bed but manpower is not yet sanctioned .The hospital building including o