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Ramu Upazila Health Complex | Health Bulletin 2015 |
Preface
It is an enormous pleasure for us to be share with publishing the health Bulletin 2015 by the MIS of DGHS this year. This bulletin contains the overall health organogram, facilities,service provider particulars and service rendered by the heath service providers of GOB & NGO. Overall the health bulletin is a mirror of health care delivery system of Bangladesh.We hope this bulletin will help us to make a better future plan and better health service for the rural people. Dr. Akhterul Islam UH&FPO,Ramu,Coxsbazar
DR. AKHTER UL ISLAM
UH&FPO
Ramu Upazila Health Complex

Ramu Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Ramu
Organization Code 10000931
Name of UHFPO DR. AKHTER UL ISLAM
Land Phone No. 1 -0342556119
Land Phone No. 2
FAX No.
Mobile No. 01816824047
Email ramu@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 94.0000
No. of Unions in the Upazila11
No. of Households in the Upazila 44,969
Population in the Upazila 289,775
Area of Upazila in sq km 391.71

Ramu 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 2 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 23 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 2 30

Ramu Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,422


Under 5 Mortality Rate: 20.185 (Per 1,000 live births)
Infant Mortality Rate: 18.879 (Per 1,000 live births)
Neonatal Mortality Rate: 11.399 (Per 1,000 live births)
Still Birth Rate: 9.974 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 26,411
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 0%

Ramu 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: 11
Total No. of Recipients Who Took at least one ANC: 8,422
Total Number of Deliveries: 8,410
Valid TT Coverage: 54.00 %
Maternal Mortality Ratio (MMR) is: 130.61 per 100,000 live births.

Ramu 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 19,805 35,403 55,208 8,518 13,917 22,435 77,643 3,922 4,558 8,480 1,181 668 1,849 10,329
Union Sub-Centres 7,508 11,041 18,549 737 845 1,582 20,131 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) 4,125 10,573 14698 3,955 3,819 7,774 22,472 0 0 0 0 0 0 7,774
Community Clinics 40,314 110,831 151,145 12,593 13,283 25,876 177,021 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

Ramu 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 1,555 3,171 4,726 1,033 652 1,685 6,411 6 5 11 3 8 11 22
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

Ramu 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 6,411
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 1556 24.27
2 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 583 9.09
3 J46 Status asthmaticus X: Diseases of the respiratory system 303 4.73
4 B50 Plasmodium falciparum malaria I: Certain infectious and parasitic diseases 291 4.54
5 Y00 Assault by blunt object XX: External causes of morbidity and mortality 240 3.74
6 K319 Disease of stomach and duodenum, unspecified XI: Diseases of the digestive system 166 2.59
7 A020 Salmonella enteritis I: Certain infectious and parasitic diseases 117 1.82
8 F412 Mixed anxiety and depressive disorder V: Mental and behavioural disorders 115 1.79
9 T609 Pesticide, unspecified XIX: Injury, poisoning and certain other consequences of external causes 94 1.47
10 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 84 1.31

Ramu 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 22
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 8 36.36
2 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 5 22.73
3 J849 Interstitial pulmonary disease, unspecified X: Diseases of the respiratory system 1 4.55
4 R560 Febrile convulsions XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 4.55
5 P369 Bacterial sepsis of newborn, unspecified XVI: Certain conditions originating in the perinatal period 1 4.55
6 J181 Lobar pneumonia, unspecified X: Diseases of the respiratory system 1 4.55
7 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 1 4.55
8 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 1 4.55
9 E43 Unspecified severe protein-energy malnutrition IV: Endocrine, nutritional and metabolic diseases 1 4.55
10 R579 Shock, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 4.55

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 97.00
Coverage of households having access to sanitary latrines (%) 88.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 13,193
Bed Occupancy Rates (%) 116.60
Average Length of Hospital Stay (No. of days per patient) 2.06
Hospital Death Rate (%) 0.34


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,684

 

Ramu 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 1 3 33.33
Non Doctor 0 0 0 0 0.00
Class II 10 0 9 1 10.00
Class III 65 40 9 16 24.62
Class IV 20 8 5 7 35.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 4 2 1 14.29
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 2 1 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 0 2 50.00
Class IV 2 1 0 1 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 26 14 11 1 3.85
Class IV 0 0 0 0 0.00

 

Ramu 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 20 12 5 3 15.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 9 1 10.00
Class III 104 55 21 28 26.92
Class IV 22 9 5 8 36.36
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

 

Ramu 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 11 10 9 6 0 0 2 0 0
Nurse 0 0 0 0 10 9 0 0 5 4 0
Medical Assistant 0 0 11 3 2 2 0 0 4 0 0
Medical Technologist 0 0 0 0 5 4 0 0 0 0 0
CHCP 26 25 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 2 1 0 0 0
AHI 0 0 0 0 0 0 7 7 0 0 19
HA 0 0 0 0 0 0 35 24 0 0 19

Ramu 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 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 2 2 0 0 0
Autoclave 1 0 1 0 0
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 1 1 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 4 3 0 0 1
Sterilizer 3 3 0 0 0
Sucker machine (electric) 3 2 0 1 0
Ventilator 0 0 0 0 0


Ramu 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 5 5 0 0 0
Pulse oximeter 2 2 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


Ramu 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) 1 1 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 2 1 0 0 1
Phototherapy unit 2 1 0 0 1


Ramu 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 2 2 0 0 0


Ramu 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 2 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 3 3 0 0 0
ICT equipment
Computer (desktop) 7 7 0 0 0
Laptop 30 25 5 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 0 0 0 0 0
Internet wireless line 1 1 0 0 0
Multimedia 1 1 0 0 0


Ramu 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 95 82 8 2 3

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

Important information and necessary issues for Ramu Upazila Health Complex
Last year we could not give our maximum efforts improve the health status due to many reason. Here I like mention some important factors which will help to achive good result in future. 1) The vacent post Should filled up immediately espicially SACMO. 2) Our Doctors ,Nurse & SACMO need more training on IMCI. 3) All the repairable equipments should be repaired as soon as possible. Finally I am very happy to write this bulletin of 2015,Because this documents will help us to compare our progress in upcoming years. This is very useful documents and will help the public to understand health services and to provide us the useful advice for improvement in future.