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Gouripur Upazila Health Complex | Health Bulletin 2015 |
Preface
Preface I am very glad to Publish Health bulletin of Gouripur Upazila.The bulletin Contains all the Health Related information of 2014.This bulletin is published to disseminate the information of Gouripur Upazila to other line department and development partners of health.I hope all the information of this bulletin with help for planning and bridging the gap in health Services of the Upazila.This health bulletin will help us to find Contains and also see the result and achievements of 2015.
DR.MD.HABIBUR RAHMAN FAKIR
UH&FPO
Gouripur Upazila Health Complex

Gouripur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Gouripur
Organization Code 10000373
Name of UHFPO DR.MD.HABIBUR RAHMAN FAKIR
Land Phone No. 1 41306-0902456039
Land Phone No. 2
FAX No.
Mobile No. 01711368244
Email gouripur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.4616 And Long: 90.3408
No. of Unions in the Upazila10
No. of Households in the Upazila 73,864
Population in the Upazila 337,788
Area of Upazila in sq km 378.25

Gouripur 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 5 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 4 0
No. of Rural/Urban/Thana Health Centers 5 0
No. of Community Clinics 34 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 0 0
No. of NGO Clinics/Facilities 0 0

Gouripur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,713


Under 5 Mortality Rate: 40.451 (Per 1,000 live births)
Infant Mortality Rate: 35.654 (Per 1,000 live births)
Neonatal Mortality Rate: 28.134 (Per 1,000 live births)
Still Birth Rate: 39.933 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 56,801
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months):

Gouripur 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: 13
Total No. of Recipients Who Took at least one ANC: 7,689
Total Number of Deliveries: 6,720
Valid TT Coverage: 38.00 %
Maternal Mortality Ratio (MMR) is: 168.55 per 100,000 live births.

Gouripur 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 19,212 21,374 40,586 4,623 3,633 8,256 48,842 3,426 2,960 6,386 964 630 1,594 7,980
Union Sub-Centres 18,223 21,310 39,533 8,950 6,220 15,170 54,703 18,223 21,310 39,533 8,950 6,220 15,170 54,703
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 75,429 141,287 216,716 17,285 20,144 37,429 254,145 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

Gouripur 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 2,118 2,587 4,705 965 603 1,568 6,273 8 4 12 0 0 0 12
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

Gouripur 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 6,273
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 1062 16.93
2 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 1036 16.52
3 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 591 9.42
4 J45 Asthma X: Diseases of the respiratory system 424 6.76
5 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 394 6.28
6 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 338 5.39
7 V01 Pedestrian injured in collision with pedal cycle XX: External causes of morbidity and mortality 118 1.88
8 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 94 1.50
9 N17 Acute renal failure XIV: Diseases of the genitourinary system 58 0.92
10 Y16 Poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours, undetermined intent XX: External causes of morbidity and mortality 33 0.53

Gouripur 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 12
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J45 Asthma X: Diseases of the respiratory system 6 50.00
2 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 2 16.67
3 I50 Heart failure X: Diseases of the respiratory system 2 16.67
4 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 1 8.33
5 N17 Acute renal failure XIV: Diseases of the genitourinary system 1 8.33
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 24
Bed Occupancy Rates (%) 0.21
Average Length of Hospital Stay (No. of days per patient) 0.00
Hospital Death Rate (%) 0.19


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

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

 

Gouripur 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 2 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 11 1 9 1 9.09
Class III 78 34 24 20 25.64
Class IV 19 14 2 3 15.79
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I Doctor 10 7 2 1 10.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 14 11 3 0 0.00
Class IV 4 1 1 2 50.00
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 34 12 22 0 0.00
Class IV 0 0 0 0 0.00

 

Gouripur 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 19 10 6 3 15.79
Non Doctor 0 0 0 0 0.00
Class II 11 1 9 1 9.09
Class III 93 46 26 21 22.58
Class IV 24 16 3 5 20.83
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

 

Gouripur 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 10 9 9 7 0 0 3 0 0
Nurse 0 0 0 0 11 10 0 0 4 0 0
Medical Assistant 0 0 10 10 2 2 0 0 9 0 0
Medical Technologist 0 0 0 0 7 5 0 0 0 0 0
CHCP 34 34 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 9 9 0 0 0 0 0
HA 0 0 0 0 45 31 0 0 0 0 0

Gouripur 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) 0 0 0 0 0
X-ray machine (300 mA) 1 0 1 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 1 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 2 1 0 1 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 1 1 0 0 0
Sterilizer 3 2 0 1 0
Sucker machine (electric) 4 2 0 2 0
Ventilator 0 0 0 0 0


Gouripur 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 1 1 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 5 2 0 3 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 2 1 1 0 0


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


Gouripur 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 3 0 1 2 0


Gouripur 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) 1 0 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 2 0 2 0 0
ICT equipment
Computer (desktop) 7 6 1 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 2 3 0 0
Scanner 1 1 0 0 0
UPS 5 5 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


Gouripur 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 1 1 0 0 0
PA system (Sound) 0 0 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 54 33 11 10 0

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

Important information and necessary issues for Gouripur Upazila Health Complex
Important information and necessary issues for Gouripur Upazila Health Complex Last 2014 Year We could not show our maximum efforts improve the health Status due to some reasons . Here I like Mention Some Important Factors which will help us to achieve good results in future.1) The Vacant post should be fillap immediately.2) deputation should be cancelled immediately.3) Our doctor and nurse need more traing EOC,IMCI & PHC.4) All the repairable equipments should be repaired as soon as possible 5) We have need the structural development with established 50 beaded hospital UH&FPO.Doctors quarter . 3rd class & 4th class quarter.