Gazaria Upazila Health Complex | Health Bulletin 2015 |
Preface
In the year of 2014 we tried to give the best services to the people of Gazaria. We are satisfied with our effort but we know that we can do better. Our OT should be started as early as possible. It could not be started for lack of instruments and man power. Our doctors and other staffs need more training to develop their skills. USG and Echocardiography should be started.One 10 bedded hospital in Gazaria union and one 20 bedded hospital in Guagasia union should be established .
Gazaria Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Gazaria
Organization Code
10000317
Name of UHFPO Dr.Bijon kumar das
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No.
01716030257
Email gazaria@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
23.5417 And
Long:
90.6083
No. of Unions in the Upazila 8
No. of Households in the Upazila 31,000
Population in the Upazila 164,828
Area of Upazila in sq km 131.00
Gazaria 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
50
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)
4
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
17
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
3
35
No. of NGO Clinics/Facilities
1
12
Gazaria Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,682
Under 5 Mortality Rate: 38.023 (Per 1,000 live births)
Infant Mortality Rate: 25.801 (Per 1,000 live births)
Neonatal Mortality Rate: 24.443 (Per 1,000 live births)
Still Birth Rate: 0.543 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 21,400
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 0%
Gazaria 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:
3,882
Total Number of Deliveries:
3,687
Valid TT Coverage: 43.00 %
Maternal Mortality Ratio (MMR) is:
135.80 per 100,000 live births.
Gazaria 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
20,796
33,713
54,509
8,480
10,840
19,320
73,829
3,374
3,618
6,992
975
1,289
2,264
9,256
Union Sub-Centres
18,128
21,298
39,426
930
1,480
2,410
41,836
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
41,099
66,966
108,065
7,272
8,012
15,284
123,349
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
Gazaria 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
2,106
2,413
4,519
815
1,025
1,840
6,359
9
6
15
0
1
1
16
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
Gazaria 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
6,359
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
575
9.04
2
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
506
7.96
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
130
2.04
4
J45 Asthma
X: Diseases of the respiratory system
96
1.51
5
V99 Unspecified transport accident
XX: External causes of morbidity and mortality
93
1.46
6
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
78
1.23
7
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
70
1.10
8
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
51
0.80
9
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
22
0.35
10
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
6
0.09
Gazaria 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
16
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
2
12.50
2
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
2
12.50
3
J45 Asthma
XX: External causes of morbidity and mortality
2
12.50
4
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
2
12.50
5
V99 Unspecified transport accident
XX: External causes of morbidity and mortality
2
12.50
6
I500 Congestive heart failure
IX: Diseases of the circulatory system
2
12.50
7
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
1
6.25
8
K271 Peptic ulcer, site unspecified, acute with perforation
XI: Diseases of the digestive system
1
6.25
9
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
1
6.25
10
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
1
6.25
Gazaria 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 (%)
95.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
12,287
Bed Occupancy Rates (%)
67.33
Average Length of Hospital Stay (No. of days per patient)
1.93
Hospital Death Rate (%)
0.25
Gazaria Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
155
Gazaria 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
21
15
5
1
4.76
Non Doctor
0
0
0
0
0.00
Class II
15
2
13
0
0.00
Class III
65
41
17
7
10.77
Class IV
22
11
6
5
22.73
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
4
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
2
2
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
4
2
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
5
2
1
12.50
Class IV
4
4
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
18
8
9
1
5.56
Class IV
0
0
0
0
0.00
Gazaria 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
29
21
7
1
3.45
Non Doctor
0
0
0
0
0.00
Class II
15
2
13
0
0.00
Class III
95
59
27
9
9.47
Class IV
26
15
6
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
Gazaria 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
8
8
21
20
0
0
2
0
1
Nurse
0
0
0
0
15
15
0
0
2
4
0
Medical Assistant
0
0
8
8
2
2
0
0
0
0
0
Medical Technologist
0
0
0
0
7
6
0
0
0
0
0
CHCP
18
17
0
0
0
0
0
0
0
0
2
HI
0
0
0
0
2
2
0
0
0
0
0
AHI
0
0
0
0
6
6
0
0
0
0
0
HA
0
0
0
0
30
24
0
0
0
0
1
Gazaria 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
2
2
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
1
1
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
Gazaria 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
2
2
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
8
8
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Gazaria 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
2
1
1
0
0
Centrifuge machine (electric)
0
0
0
0
0
Colorimeter
0
0
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
0
0
0
0
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Gazaria 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
1
0
0
0
1
Refrigerator
0
0
0
0
0
Vehicles
Ambulance
1
1
0
0
0
Gazaria 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)
3
2
1
0
0
Generator
Generator (diesel/petrol)
1
0
1
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
0
0
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
8
6
2
0
0
Scanner
2
2
0
0
0
UPS
7
5
2
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
1
1
0
0
0
Gazaria 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)
0
0
0
0
0
Land phone
0
0
0
0
0
Mobile phone
1
1
0
0
0
Total
51
40
10
0
1
Gazaria Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Gazaria Upazila Health Complex
