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Ghior Upazila Health Complex | Health Bulletin 2015 |
Preface
This Health Bulletin is published containing reports & information of performances of Health sector during 2014 of Ghior Upazilla, Manikganj. We have tried to improve services in every sectors considering the reports in Health Bulletin published in the last year 2012. All C.C activities are strengthened by regular services provided by CHCP (Community Health Care Provider) as their basic training has been completed in 2013. They are providing services continuously throughout the week except holidays. I think, considering any less performances, deficiencies and ineffectiveness published in this Health Bulletin we will be able to plan for further improvement of health services in future and higher authority may also extend their co-operation by full-filling the vacant posts along with solving other relevant problems.
Dr. Prithwish Kumar Datta
UH&FPO
Ghior Upazila Health Complex

Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Ghior
Organization Code 10000281
Name of UHFPO Dr. Prithwish Kumar Datta
Land Phone No. 1 02-027727006
Land Phone No. 2
FAX No.
Mobile No. 01711285577
Email ghior@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila7
No. of Households in the Upazila 34,342
Population in the Upazila 163,583
Area of Upazila in sq km 145.25

Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 31
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 4 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 3 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 0 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 19 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 0 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 2 0
No. of NGO Clinics/Facilities 2 0

Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,332


Under 5 Mortality Rate: 41.717 (Per 1,000 live births)
Infant Mortality Rate: 36.915 (Per 1,000 live births)
Neonatal Mortality Rate: 30.912 (Per 1,000 live births)
Still Birth Rate: 0.600 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 3,532
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 98%

Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 4
Maternal health and MDG-5 (Whole Upazila) (Jan-Dec, 2014)
R.P.W.: Registered Pregnant Women; 1st ANC: No. of 1st ANC recipients; 4th ANC: No. of 4th ANC recipients; C. Preg.: No. of complicated pregnancy; N.V. deli.: No. of normal deliveries; C. deli.: No. of cesarean deliveries; O. deli.: No. of other deliveries; PNC: No. of PNC services provided to the mothers;



No. of Maternal Deaths: 5
Total No. of Recipients Who Took at least one ANC: 2,311
Total Number of Deliveries: 3,332
Valid TT Coverage: 86.00 %
Maternal Mortality Ratio (MMR) is: 150.06 per 100,000 live births.

Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 5

No. of OPD & Emergency visits at Upazila
Health Facility
OPD
Emergency
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
Upazila Health Complex 19,548 27,718 47,266 5,360 5,986 11,346 58,612 2,625 2,717 5,342 482 542 1,024 6,366
Union Sub-Centres 13,380 19,067 32,447 4,125 4,877 9,002 41,449 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 51,891 112,205 164,096 11,111 12,689 23,800 187,896 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 6

No. of Admissions & Deaths at Upazila
Health Facility
Admission
Death
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
Upazila Health Complex 1,369 1,695 3,064 198 213 411 3,475 1 0 1 0 1 1 2
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 7

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 3,475
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
X99 Assault by sharp object Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
328 9.44
2
K27 Peptic ulcer, site unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
322 9.27
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
292 8.40
4
J17 Pneumonia in diseases classified elsewhere Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
271 7.80
5
R10 Abdominal and pelvic pain Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
233 6.71
6
J45 Asthma Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
212 6.10
7
R50 Fever of unknown origin Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
191 5.50
8
I11 Hypertensive heart disease Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
184 5.29
9
V87 Traffic accident of specified type but victims mode of transport unknown Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
71 2.04
10
Y18 Poisoning by adn exposure to pesticides, undetemined intent Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
69 1.99

Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 8

Top 10 Causes of diseases according to the number of deaths among admitted patients in the UHC
Total number of Deaths during the reporting period 2
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
T14 Injury of unspecified body region Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1 50.00
2
J17 Pneumonia in diseases clasified elsewhere Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1 50.00
3 0 0.00
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 95.00
Coverage of households having access to sanitary latrines (%) 86.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 9,780
Bed Occupancy Rates (%) 86.43
Average Length of Hospital Stay (No. of days per patient) 2.81
Hospital Death Rate (%) 0.06


Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 22

 

Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 9 5 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 12 0 8 4 33.33
Class III 66 39 18 9 13.64
Class IV 19 11 6 2 10.53
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 5 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 11 9 2 0 0.00
Class IV 4 3 0 1 25.00
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 9 9 1 5.26
Class IV 0 0 0 0 0.00

 

Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 12

Status of Human Resources (Class wise)
Class Sanctioned (No.) Filled-up (No.) Vacant (No.) Vacancy %
M F
Upazila Total
Class I Doctor 16 10 6 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 12 0 8 4 33.33
Class III 77 48 20 9 11.69
Class IV 23 14 6 3 13.04
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

 

Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 13

Status of Human Resources (No.) (Category wise)
Manpower Community Clinic USC/UHFWC/RD UHC Others IMCI trained Basic EOC trained CSBA trained
Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up
Physician 0 0 7 7 9 9 0 0 0 0 0
Nurse 0 0 0 0 11 8 0 0 0 0 0
Medical Assistant 0 0 7 7 2 2 0 0 0 0 0
Medical Technologist 0 0 0 0 5 5 0 0 0 0 0
CHCP 19 18 0 0 0 0 0 0 0 0 6
HI 0 0 0 0 2 2 0 0 0 0 6
AHI 0 0 0 0 6 3 0 0 0 0 0
HA 0 0 0 0 29 26 0 0 0 0 0

Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 14

Existing equipment 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 1 0 0
X-ray machine (300 mA) 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 0 0 0 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 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 15

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
ECG machine 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 0 0 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 16

Existing equipment 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 0 0 1 0
Colorimeter 1 0 1 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 4 2 2 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 17

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 0 0 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 1 0 1 0 0


Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 18

Existing equipment 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) 0 0 0 0 0
Generator
Generator (diesel/petrol) 0 0 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 4 2 1 0 1
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 3 1 0 0
Scanner 0 0 0 0 0
UPS 2 0 0 2 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 0 0 0 0 0


Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 19

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
OHP 0 0 0 0 0
PA system (Sound) 1 0 1 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 26 12 10 3 1

Ghior Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Ghior Upazila Health Complex
Last year we could not give our maximum efforts improve the health statues due to many reasons. Here I like mention some important factors which will help us to achieve good result in future. a) The vacant post should be filled up immediately. b) Number of CC and the bed capacity of the health complex should increased. c) All the reparable equipments should be repaired as soon as possible.d) We want new Ambulance. e) We want new X-ray and ECG Machine. Finally I am very happy to write this health bulletin of 2014 because this document will help us to compare our upcoming year. This is very useful document and will help the public to understand health services and provide us the useful advice for improvement in future.