Raipur Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Raipur Upazila . This bulletin contains all the health related information of 2014. This health bulletin will help us to find constrains and see the results and achievements of 2014. 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 2015 . I would like to draw attention of the higher authority to look into to this issue . Finally I would like to congratulate the initiator of the health bulletin software for setting us One step ahead toward Digital Bangladesh.
Dr. Mostafa Khaled Ahmad
UH&FPO
Raipur Upazila Health Complex
District: Lakshmipur.
Raipur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Raipur
Organization Code
10001003
Name of UHFPO Dr. Mostafa Khaled Ahmad
Land Phone No. 1
03822-056044
Land Phone No. 2
FAX No.
Mobile No.
01711222659
Email raipur@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
23.0312 And
Long:
90.7661
No. of Unions in the Upazila 10
No. of Households in the Upazila 59,885
Population in the Upazila 280,000
Area of Upazila in sq km 315.50
Raipur 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)
0
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
8
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
34
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
5
50
No. of NGO Clinics/Facilities
0
0
Raipur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,692
Under 5 Mortality Rate: 33.479 (Per 1,000 live births)
Infant Mortality Rate: 23.125 (Per 1,000 live births)
Neonatal Mortality Rate: 20.133 (Per 1,000 live births)
Still Birth Rate: 4.602 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 36,372
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 0%
Raipur 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:
8
Total No. of Recipients Who Took at least one ANC:
8,264
Total Number of Deliveries:
8,723
Valid TT Coverage: 87.00 %
Maternal Mortality Ratio (MMR) is:
92.04 per 100,000 live births.
Raipur 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
22,789
35,630
58,419
8,756
12,325
21,081
79,500
2,307
1,224
3,531
172
106
278
3,809
Union Sub-Centres
8,291
11,122
19,413
1,613
1,297
2,910
22,323
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
693
1,503
2,196
187
180
367
2,563
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
34,984
105,989
140,973
8,656
9,723
18,379
159,352
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
Raipur 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
2,065
2,941
5,006
448
264
712
5,718
5
4
9
3
2
5
14
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
Raipur 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
5,718
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
1565
27.37
2
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
526
9.20
3
O82 Single delivery by caesarean section
XV: Pregnancy, childbirth and the puerperium
481
8.41
4
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
358
6.26
5
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
167
2.92
6
V99 Unspecified transport accident
XX: External causes of morbidity and mortality
134
2.34
7
J45 Asthma
X: Diseases of the respiratory system
45
0.79
8
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
42
0.73
9
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
42
0.73
10
R50 Fever of unknown origin
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
38
0.66
Raipur 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
14
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
2
14.29
2
J99 Respiratory disorders in diseases classified elsewhere
X: Diseases of the respiratory system
1
7.14
3
P21 Birth asphyxia
IX: Diseases of the circulatory system
1
7.14
4
R99 Other ill-defined and unspecified causes of mortality
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
7.14
5
P96 Other conditions originating in the perinatal period
XVI: Certain conditions originating in the perinatal period
1
7.14
6
T98 Sequelae of other and unspecified effects of external causes
XIX: Injury, poisoning and certain other consequences of external causes
1
7.14
7
J969 Respiratory failure, unspecified
X: Diseases of the respiratory system
1
7.14
8
T50 Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances
XIX: Injury, poisoning and certain other consequences of external causes
1
7.14
9
T609 Pesticide, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
1
7.14
10
K93 Disorders of other digestive organs in diseases classified elsewhere
XI: Diseases of the digestive system
1
7.14
Raipur 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 (%)
87.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
16,093
Bed Occupancy Rates (%)
88.18
Average Length of Hospital Stay (No. of days per patient)
2.81
Hospital Death Rate (%)
0.24
Raipur Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
481
Minor Surgeries
906
Raipur 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
13
3
5
23.81
Non Doctor
0
0
0
0
0.00
Class II
15
1
4
10
66.67
Class III
98
57
16
25
25.51
Class IV
25
14
5
6
24.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
8
5
3
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
7
1
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
2
2
0
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
2
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
35
18
15
2
5.71
Class IV
0
0
0
0
0.00
Raipur 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
31
18
6
7
22.58
Non Doctor
0
0
0
0
0.00
Class II
15
1
4
10
66.67
Class III
144
85
32
27
18.75
Class IV
27
16
5
6
22.22
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
Raipur 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
10
10
21
16
0
0
2
2
0
Nurse
0
0
0
0
15
5
0
0
2
0
0
Medical Assistant
0
0
10
10
2
2
0
0
4
0
0
Medical Technologist
0
0
0
0
7
3
0
0
0
0
0
CHCP
35
33
0
0
0
0
0
0
0
0
15
HI
0
0
0
0
4
3
0
0
0
0
9
AHI
0
0
0
0
11
11
0
0
0
0
0
HA
0
0
0
0
55
39
0
0
0
0
9
Raipur 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)
2
1
0
1
0
X-ray machine (300 mA)
0
0
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
2
2
0
0
0
Autoclave
5
4
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
2
2
0
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
4
4
0
0
0
Sucker machine (electric)
8
6
1
1
0
Ventilator
0
0
0
0
0
Raipur 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
5
1
4
0
0
Pulse oximeter
2
1
1
0
0
Dental equipment
Dental unit
1
1
0
0
0
Raipur 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)
0
0
0
0
0
Colorimeter
0
0
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
1
1
0
0
0
Pediatric equipment
Baby incubator
1
0
1
0
0
Phototherapy unit
0
0
0
0
0
Raipur 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
1
1
0
0
0
Refrigerator
0
0
0
0
0
Vehicles
Ambulance
3
1
1
1
0
Raipur 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)
1
1
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
3
2
0
1
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
5
5
0
0
0
Scanner
1
1
0
0
0
UPS
6
4
0
2
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
0
1
0
0
Raipur 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
72
55
10
7
0
Raipur Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Raipur Upazila Health Complex
Expectation 1. The vacant posts should be filled up immediately ( Senior Stuff Nurse, MT(Lab), Night guard, Sweeper) 2. New Generator should be installed and Budget for fuel should be supplied constantly. 3. Budget for the registration of ambulance and fund for fuel should be supplied constantly. 4. Allocation for central water supply. 5. Repair and maintenance of Hospital Building and other instruments and furniture. 6. Budget for new furniture. 7. Extension and decoration of Hall Room.