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Roujan Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this yearly health bulletin of Upazila. This bulletin contains all the health related information of 2014. It is published to disseminate the information of 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 between health services of this upazila. Government health office has many data stored in the file. This health bulletin will help us to find out the constrains and also to see the results and achievements of 2014. This bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. 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. I like to bring the attention of the higher authority to look into to this issues.Here I like to show my gratitude to our honorable MP MR. A B M FAZLE KARIM CHOWDHURY sir for his valuable opinion and active participation in every aspect of upazilla health sector. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr. Ashim Kumar Nath
UH&FPO
Roujan Upazila Health Complex

Roujan Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Raujan
Organization Code 10000817
Name of UHFPO Dr. Ashim Kumar Nath
Land Phone No. 1 -0302656104
Land Phone No. 2
FAX No.
Mobile No. 01730324453
Email raujan@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.5172 And Long: 91.9294
No. of Unions in the Upazila15
No. of Households in the Upazila 65,787
Population in the Upazila 336,009
Area of Upazila in sq km 235.00

Roujan 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 8 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) 7 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 44 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 3 0
No. of NGO Clinics/Facilities 3 0

Roujan Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,110


Under 5 Mortality Rate: 34.051 (Per 1,000 live births)
Infant Mortality Rate: 28.180 (Per 1,000 live births)
Neonatal Mortality Rate: 24.658 (Per 1,000 live births)
Still Birth Rate: 6.849 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 36,314
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 97%

Roujan 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: 9
Total No. of Recipients Who Took at least one ANC: 6,898
Total Number of Deliveries: 5,081
Valid TT Coverage: 68.00 %
Maternal Mortality Ratio (MMR) is: 176.13 per 100,000 live births.

Roujan 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 38,202 40,358 78,560 2,445 2,510 4,955 83,515 5,325 3,325 8,650 685 712 1,397 10,047
Union Sub-Centres 39,135 42,148 81,283 2,412 2,705 5,117 86,400 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 6,580 7,925 14,505 658 597 1,255 15,760 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 89,544 101,893 191,437 11,465 12,125 23,590 215,027 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

Roujan 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 3,645 5,056 8,701 1,365 959 2,324 11,025 7 4 11 8 5 13 24
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

Roujan 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 9,786
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 2089 21.35
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 2030 20.74
3 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 1801 18.40
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 994 10.16
5 A010 Typhoid fever I: Certain infectious and parasitic diseases 820 8.38
6 J45 Asthma X: Diseases of the respiratory system 552 5.64
7 J00 Acute nasopharyngitis [common cold] X: Diseases of the respiratory system 470 4.80
8 B77 Ascariasis I: Certain infectious and parasitic diseases 455 4.65
9 E10 Insulin-dependent diabetes mellitus IV: Endocrine, nutritional and metabolic diseases 350 3.58
10 J11 Influenza, virus not identified X: Diseases of the respiratory system 225 2.30

Roujan 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 11
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 8 72.73
2 J45 Asthma X: Diseases of the respiratory system 2 18.18
3 A150 Tuberculosis of lung, confirmed by sputum microscopy with or without culture X: Diseases of the respiratory system 1 9.09
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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 99.00
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.) 78,560
Bed Occupancy Rates (%) 430.47
Average Length of Hospital Stay (No. of days per patient) 8.03
Hospital Death Rate (%) 0.11


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 355

 

Roujan 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 6 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 10 2 7 1 10.00
Class III 17 12 2 3 17.65
Class IV 20 12 5 3 15.00
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 7 0 1 6 85.71
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 8 4 3 1 12.50
Non Doctor 0 0 0 0 0.00
Class II 5 0 0 5 100.00
Class III 21 6 1 14 66.67
Class IV 6 4 2 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 44 10 21 13 29.55
Class IV 0 0 0 0 0.00

 

Roujan 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 14 13 2 6.90
Non Doctor 0 0 0 0 0.00
Class II 15 2 7 6 40.00
Class III 111 55 35 21 18.92
Class IV 27 16 7 4 14.81
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

 

Roujan 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 29 27 9 9 0 0 0 0 0
Nurse 0 0 0 0 15 9 0 0 1 4 0
Medical Assistant 0 0 17 10 2 2 0 0 4 0 0
Medical Technologist 0 0 0 0 7 5 0 0 0 0 0
CHCP 44 31 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 5 5 0 0 0 0 0
AHI 0 0 0 0 14 14 0 0 0 0 0
HA 0 0 0 0 70 58 0 0 0 0 0

Roujan 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 1 0 0 0
Ultrasonogram machine 1 1 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 1 1 0 0 0
Ceiling mounting OT Light 1 1 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 1 1 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


Roujan 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 5 5 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Roujan 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 1 1 0 0 0
Centrifuge machine (electric) 4 2 0 2 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 6 4 0 1 1
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Roujan 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 6 3 3 0 0


Roujan 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) 1 1 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 0 0 0 0 0
ICT equipment
Computer (desktop) 9 6 3 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 1 0 0
Printer (laser) 5 4 0 0 1
Scanner 1 1 0 0 0
UPS 7 4 1 0 2
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 2 2 0 0 0
Multimedia 1 1 0 0 0


Roujan 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 66 49 10 3 4

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

Important information and necessary issues for Roujan Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like to mention some important facts which will help us to achieve good results in future, 1. The vacant post should be filled immediately. 2. Our doctors and nurses need more training on IMCI. 3.Vacant posts of CHCP should be filled immediately. 4. All the repairable equipments should be repaired as soon as possible. 5. All female health assistants need CSBA training. 6. Upazilla Health complex is recently upgraded to 50 bed Hospital.But it is running with previous manpower and also budget allocation of 31 bed which is realy impossible to perform efficiently. 7. One Store should be constructed as soon as possible. 8. All sub centers should be repaired.9 A 31 bed named SULTANPURE 31 hospital is running inefficiently due to lack of manpower and budget allocation. Finally I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in coming 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.