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Goshairhat Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very happy to publish this health bulletin. This bulletin contain all information about health . The health bulletin of Goshairhat Upazila is publish to disseminate the information to the other department and NGO's who are related with health. This bulletin with all health related information will help for planning fill up the gaps in health services of this upazila. This health bulletin contains all facilities in the health complex. It also contains MDG 4 and MDG 5 which help us to Analise the MDG target. Number of OPD, Emergency visits indoor admission, death and referral data narrated in fine. Sanctioned, Filled-up and vacant post are published in the bulletin. This bulletin publish the information safe water and sanitation. I would like to attention to the higher authority look in these data. I also thank the total unit who created and developed this kind of software.
Dr. Md. Abu Sama
UH&FPO
Goshairhat Upazila Health Complex

Goshairhat Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Goshairhat
Organization Code 10000546
Name of UHFPO Dr. Md. Abu Sama
Land Phone No. 1 -0602475008
Land Phone No. 2
FAX No.
Mobile No. 01711971418
Email gosairhat@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0786 And Long: 90.4287
No. of Unions in the Upazila8
No. of Households in the Upazila 31,835
Population in the Upazila 176,415
Area of Upazila in sq km 178.50

Goshairhat 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 1 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) 6 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 18 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 1 10
No. of NGO Clinics/Facilities 1 0

Goshairhat Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,755


Under 5 Mortality Rate: 14.647 (Per 1,000 live births)
Infant Mortality Rate: 6.391 (Per 1,000 live births)
Neonatal Mortality Rate: 3.728 (Per 1,000 live births)
Still Birth Rate: 2.663 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 31,050
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 98%

Goshairhat 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: 0
Total No. of Recipients Who Took at least one ANC: 2,961
Total Number of Deliveries: 2,975
Valid TT Coverage: 98.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Goshairhat 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 17,539 25,155 42,694 5,143 6,377 11,520 54,214 2,487 2,280 4,767 645 456 1,101 5,868
Union Sub-Centres 2,783 5,548 8,331 135 213 348 8,679 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) 7,598 13,643 21241 1,253 1,476 2,729 23,970 0 0 0 0 0 0 2,729
Community Clinics 35,231 70,051 105,282 8,608 10,777 19,385 124,667 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 795 1,085 1,880 976 1,097 2,073 3,953 37 386 423 26 23 49 472
NGO Clinics/Facilities 524 956 1,480 1,297 1,166 2,463 3,943 0 0 0 0 0 0 0

Goshairhat 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 1,536 1,627 3,163 387 541 928 4,091 7 6 13 10 8 18 31
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 871 1,537 2,408 70 87 157 2,565 0 2 2 1 2 3 5
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Goshairhat 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 4,091
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 613 14.98
2 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 548 13.40
3 X854 Assault by drugs, medicaments and biological substances, street and highway XX: External causes of morbidity and mortality 534 13.05
4 V019 Pedestrian injured in collision with pedal cycle, unspecified whether traffic or nontraffic accident XX: External causes of morbidity and mortality 365 8.92
5 T44 Poisoning by drugs primarily affecting the autonomic nervous system XIX: Injury, poisoning and certain other consequences of external causes 341 8.34
6 O630 Prolonged first stage (of labour) XV: Pregnancy, childbirth and the puerperium 275 6.72
7 I63 Cerebral infarction IX: Diseases of the circulatory system 217 5.30
8 J069 Acute upper respiratory infection, unspecified X: Diseases of the respiratory system 134 3.28
9 J219 Acute bronchiolitis, unspecified X: Diseases of the respiratory system 56 1.37
10 P03 Fetus and newborn affected by other complications of labour and delivery XVI: Certain conditions originating in the perinatal period 43 1.05

Goshairhat 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 31
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 P03 Fetus and newborn affected by other complications of labour and delivery XVI: Certain conditions originating in the perinatal period 8 25.81
2 T44 Poisoning by drugs primarily affecting the autonomic nervous system XIX: Injury, poisoning and certain other consequences of external causes 5 16.13
3 V019 Pedestrian injured in collision with pedal cycle, unspecified whether traffic or nontraffic accident XVI: Certain conditions originating in the perinatal period 3 9.68
4 O630 Prolonged first stage (of labour) XV: Pregnancy, childbirth and the puerperium 2 6.45
5 I63 Cerebral infarction IX: Diseases of the circulatory system 2 6.45
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Goshairhat 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.) 10,270
Bed Occupancy Rates (%) 90.76
Average Length of Hospital Stay (No. of days per patient) 2.51
Hospital Death Rate (%) 0.76


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 357

 

Goshairhat 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 4 1 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 9 1 6 2 22.22
Class III 59 36 13 10 16.95
Class IV 22 11 6 5 22.73
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 5 0 1 16.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 0 0 6 100.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 0 0 1 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 1 1 0 0 0.00
Class IV 1 1 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 21 7 13 1 4.76
Class IV 0 0 0 0 0.00

 

Goshairhat 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 17 10 2 5 29.41
Non Doctor 0 0 0 0 0.00
Class II 9 1 6 2 22.22
Class III 67 37 13 17 25.37
Class IV 23 12 6 5 21.74
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

 

Goshairhat 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 6 10 6 0 0 0 0 0
Nurse 0 0 0 0 10 8 0 0 0 0 0
Medical Assistant 0 0 7 1 2 0 0 0 0 0 0
Medical Technologist 0 0 0 0 8 6 0 0 0 0 0
CHCP 21 20 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 1 0 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0 0
HA 0 0 0 0 32 29 0 0 0 0 0

Goshairhat 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 0 0 0 0 0
Anesthesia machine without ventilator 1 1 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 1 1 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 4 1 3 0 0
Sucker machine (electric) 9 8 1 0 0
Ventilator 0 0 0 0 0


Goshairhat 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 8 1 7 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Goshairhat 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 2 0 0 0
Centrifuge machine (electric) 0 0 0 0 0
Colorimeter 2 1 1 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 3 2 1 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Goshairhat 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


Goshairhat 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 0 0 0 0 0
ICT equipment
Computer (desktop) 8 7 1 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 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 1 1 0 0 0
Internet wireless line 1 1 0 0 0
Multimedia 1 1 0 0 0


Goshairhat 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 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 60 44 16 0 0

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

Important information and necessary issues for Goshairhat Upazila Health Complex
Last year we could not give our maximum efforts improve the health status due to many reasons.here I like mention factors which will help us to achieve good . result in future. Firstly The vacant post should be filled immediately . X-ray machine for better health services.DSF program is going on in this upazila. Secondly our doctor and nurse need training on IMCI and every HA need CSBA training .Finally I am very to write this health bulletin of 2015 .Because this document helps us to compaire our progress in upcoming year. UH&FPO Dr, Md.Abu.Sama GOSAIRHAT SHARIATPUR