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Rupganj Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Rupganj upazila. This bulletin contains all the health related informations of 2014. This bulletin is published to disseminate the information of Rupganj upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. The bulletin contains the status of MDG 4 and MDG5 which will help to localize the MDG target. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2014. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Dr. Md. Tofazzal Hossain Sarder UH&FPO Upazila Health Complex Rupganj,Narayanganj.
Dr. Md. Tofazzal Hossain Sarder
UH&FPO
Rupganj Upazila Health Complex

Rupganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Rupganj
Organization Code 10000430
Name of UHFPO Dr. Md. Tofazzal Hossain Sarder
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No. 01762654605
Email rupganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 85,503
Population in the Upazila 452,295
Area of Upazila in sq km 175.50

Rupganj 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 2 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 5 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 30 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 10 150
No. of NGO Clinics/Facilities 1 0

Rupganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 12,448


Under 5 Mortality Rate: 2.410 (Per 1,000 live births)
Infant Mortality Rate: 1.285 (Per 1,000 live births)
Neonatal Mortality Rate: 1.205 (Per 1,000 live births)
Still Birth Rate: 1.848 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 65,895
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 97%

Rupganj 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: 2
Total No. of Recipients Who Took at least one ANC: 38,648
Total Number of Deliveries: 5,744
Valid TT Coverage: 30.00 %
Maternal Mortality Ratio (MMR) is: 16.07 per 100,000 live births.

Rupganj 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 15,380 19,610 34,990 6,110 6,980 13,090 48,080 2,436 2,764 5,200 82 103 185 5,385
Union Sub-Centres 5,126 9,856 14,982 536 718 1,254 16,236 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 80,942 216,917 297,859 21,912 25,436 47,348 345,207 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 15,331 18,129 33,460 5,980 7,535 13,515 46,975 4,891 5,311 10,202 1,920 2,409 4,329 14,531
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Rupganj 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 2,462 2,388 4,850 26 22 48 4,898 0 1 1 0 0 0 1
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 2,319 5,710 8,029 498 1,003 1,501 9,530 2 3 5 0 0 0 5
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Rupganj 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 4,898
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 X99 Assault by sharp object XX: External causes of morbidity and mortality 732 14.94
2 O64 Obstructed labour due to malposition and malpresentation of fetus XV: Pregnancy, childbirth and the puerperium 309 6.31
3 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 270 5.51
4 X68 Intentional self-poisoning by and exposure to pesticides XX: External causes of morbidity and mortality 92 1.88
5 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 73 1.49
6 K25 Gastric ulcer XI: Diseases of the digestive system 63 1.29
7 J45 Asthma X: Diseases of the respiratory system 56 1.14
8 S00 Superficial injury of head XIX: Injury, poisoning and certain other consequences of external causes 40 0.82
9 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 32 0.65
10 J10 Influenza due to identified influenza virus X: Diseases of the respiratory system 27 0.55

Rupganj 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 3
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 2 66.67
2 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 1 33.33
3 X: Diseases of the respiratory system 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

Rupganj 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 (%) 94.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 13,623
Bed Occupancy Rates (%) 74.65
Average Length of Hospital Stay (No. of days per patient) 4.45
Hospital Death Rate (%) 1.00


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 111
Minor Surgeries 1,800

 

Rupganj 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 30 15 15 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 9 2 18.18
Class III 0 55 30 -85 0.00
Class IV 0 9 5 -14 0.00
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 2 1 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 0 3 1 -4 0.00
Class IV 0 1 1 -2 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 48 18 30 0 0.00
Class IV 0 0 0 0 0.00

 

Rupganj 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 0 21 9 -30 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 9 -9 0.00
Class III 0 74 61 -135 0.00
Class IV 0 10 6 -16 0.00
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

 

Rupganj 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 2 2 21 21 7 7 4 1 0
Nurse 0 0 0 0 12 10 0 0 4 3 0
Medical Assistant 0 0 0 0 4 4 7 7 5 0 0
Medical Technologist 0 0 0 0 5 5 0 0 0 0 15
CHCP 53 48 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0 0
AHI 0 0 0 0 13 13 0 0 0 0 0
HA 0 0 0 0 63 58 0 0 0 0 0

Rupganj 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) 2 1 1 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 3 2 1 0 0
Autoclave 4 3 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 9 6 3 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 4 4 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 2 1 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 9 6 3 0 0
Ventilator 0 0 0 0 0


Rupganj 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 2 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Rupganj 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) 3 2 1 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 1 1 0 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Rupganj 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 1 1 0 0 0
Vehicles
Ambulance 3 2 0 1 0


Rupganj 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) 2 1 1 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 0 0 0 0 0
ICT equipment
Computer (desktop) 8 8 0 0 0
Laptop 33 33 0 0 0
Printer (dot matrix) 1 1 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 2 2 0 0 0
Scanner 1 1 0 0 0
UPS 7 6 0 1 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


Rupganj 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 103 89 12 2 0

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

Important information and necessary issues for Rupganj Upazila Health Complex
Here , I like to mention some important factors which will help us to active good results . 1. The vacant posts must be filled immediately. 2. our doctors & nurses need more training on IMCI. 3. All the repairabled Equipment must be repair as soon as possible. Finally, I am very happy to write this health bulletin of 2014 because this document will help us to compare our progess in upcoming years. this is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future. Dr, Md. Tofazzal Hossain Sarder UH&-FPO, Rupganj, Narayayanganj.