Rangunia Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Rangunia upazila.This bulletin contains all the health related Information of 2014.I hope all the Information of this bulletin will help for planning & bridging the gaps in health services of this upazila.The bulletin contains the status of MDG4&MDG5 which will help to localize the MDG targets.This health bulletin also have the Information on safe drinking water & sanitation status of upazila.All the Sanctioned & vacant posts are published in this bulletin of 2014. I like to take the attention of the higher authority to look into this issue.Finally i would like to congratulate the initiator of the health bulletin software for setting us one step ahead towards Digital Bangladesh.
Dr. Sheik Fazle Rabbi
UH&FPO
Upazila Health Complex
Rangunia, Chittagong
Rangunia Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Rangunia
Organization Code
10000813
Name of UHFPO Dr. Sheik Fazle Rabbi
Land Phone No. 1
-0302556008
Land Phone No. 2
FAX No.
Mobile No.
01711468326
Email rangunia@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.4634 And
Long:
92.0473
No. of Unions in the Upazila 15
No. of Households in the Upazila 61,424
Population in the Upazila 357,115
Area of Upazila in sq km 346.47
Rangunia 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
7
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)
10
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
39
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
15
No. of NGO Clinics/Facilities
2
0
Rangunia Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 12,228
Under 5 Mortality Rate: 12.022 (Per 1,000 live births)
Infant Mortality Rate: 5.643 (Per 1,000 live births)
Neonatal Mortality Rate: 3.108 (Per 1,000 live births)
Still Birth Rate: 1.881 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 16,533
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%%
Rangunia 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:
1,235
Total Number of Deliveries:
10,426
Valid TT Coverage: 97.00 %
Maternal Mortality Ratio (MMR) is:
16.36 per 100,000 live births.
Rangunia 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
19,876
16,580
36,456
17,972
14,880
32,852
69,308
5,425
4,960
10,385
2,402
1,162
3,564
13,949
Union Sub-Centres
21,565
22,990
44,555
0
0
0
44,555
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
68,520
72,950
141,470
11,520
16,455
27,975
169,445
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
850
1,035
1,885
835
1,140
1,975
3,860
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Rangunia 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
3,545
2,845
6,390
1,143
960
2,103
8,493
19
14
33
2
3
5
38
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
Rangunia 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
6,520
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
2650
40.64
2
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
1412
21.66
3
J459 Asthma, unspecified
X: Diseases of the respiratory system
950
14.57
4
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
XI: Diseases of the digestive system
893
13.70
5
R100 Acute abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
250
3.83
6
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
130
1.99
7
I95 Hypotension
IX: Diseases of the circulatory system
90
1.38
8
E14 Unspecified diabetes mellitus
IV: Endocrine, nutritional and metabolic diseases
45
0.69
9
B86 Scabies
I: Certain infectious and parasitic diseases
30
0.46
10
0
0.00
Rangunia 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
38
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J459 Asthma, unspecified
X: Diseases of the respiratory system
18
47.37
2
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
11
28.95
3
R100 Acute abdomen
X: Diseases of the respiratory system
4
10.53
4
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
2
5.26
5
I50 Heart failure
IX: Diseases of the circulatory system
1
2.63
6
R571 Hypovolaemic shock
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
2.63
7
J960 Acute respiratory failure
X: Diseases of the respiratory system
1
2.63
8
0
0.00
9
0
0.00
10
0
0.00
Rangunia 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 (%)
92.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
13,980
Bed Occupancy Rates (%)
76.60
Average Length of Hospital Stay (No. of days per patient)
2.14
Hospital Death Rate (%)
0.58
Rangunia Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
620
Rangunia 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
7
11
3
14.29
Non Doctor
0
0
0
0
0.00
Class II
17
0
15
2
11.76
Class III
101
50
35
16
15.84
Class IV
22
14
5
3
13.64
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
8
3
5
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
3
1
4
50.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
7
4
3
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
14
5
2
7
50.00
Class IV
7
2
3
2
28.57
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
46
20
20
6
13.04
Class IV
0
0
0
0
0.00
Rangunia 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
36
16
20
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
17
0
15
2
11.76
Class III
179
78
68
33
18.44
Class IV
29
16
8
5
17.24
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
Rangunia 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
15
15
21
20
0
0
1
0
0
Nurse
0
0
0
0
17
15
0
0
4
0
0
Medical Assistant
0
0
15
13
2
2
0
0
10
0
0
Medical Technologist
0
0
0
0
6
4
0
0
0
0
0
CHCP
46
40
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
12
12
0
0
0
0
0
HA
0
0
0
0
59
50
0
0
0
0
0
Rangunia 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)
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
0
0
0
1
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
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
5
4
0
1
0
Sucker machine (electric)
5
1
4
0
0
Ventilator
0
0
0
0
0
Rangunia 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
7
2
5
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
2
1
0
1
0
Rangunia 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
3
0
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
3
3
0
0
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Rangunia 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
1
1
1
0
Rangunia 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)
4
2
0
2
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
6
2
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)
10
5
5
0
0
Scanner
2
1
1
0
0
UPS
12
6
6
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
2
1
1
0
0
Multimedia
2
1
1
0
0
Rangunia 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
84
48
30
5
1
Rangunia Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Rangunia Upazila Health Complex
For the smooth and proper delivery of health service, its necessary to ensure the presence of doctors, nurses and other stuffs in the hospital campus. So, reconstruction of doctor and staff quarter, improvement of hospital environment, ensure security of hospital area,to provide hospital furniture are mandatory. Digital X-ray machine is a demand of time. Enrollment of UHC for EOC, reconstruction of sub cent re and community clinics necessary to improve health service to acquire MDG Target.