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Ramgati Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Ramgati Upazila . This bulletin contains all the health related information of 2015. This bulletin 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 in health services of this upazila. Government health office has many data stored on line. This health bulletin will help us to find constrains and also to see the results and achievements of 2015. The 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 running month. I like to take 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. Md Jahidul Islam Upazilla Health & Family Planning Offer Ramgoti, Lakshmipur
Dr. Md Jahidul Islam
UH&FPO
Ramgati Upazila Health Complex

Ramgati Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Ramgati
Organization Code 10001019
Name of UHFPO Dr. Md Jahidul Islam
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No. 01716485791
Email ramgati@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.6482 And Long: 90.9257
No. of Unions in the Upazila8
No. of Households in the Upazila 40,146
Population in the Upazila 258,010
Area of Upazila in sq km 385.50

Ramgati 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) 0 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 19 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 0 0

Ramgati Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,757


Under 5 Mortality Rate: 29.908 (Per 1,000 live births)
Infant Mortality Rate: 22.947 (Per 1,000 live births)
Neonatal Mortality Rate: 19.982 (Per 1,000 live births)
Still Birth Rate: 1.289 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 6,603
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months):

Ramgati 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: 728
Total Number of Deliveries: 7,757
Valid TT Coverage: 85.00 %
Maternal Mortality Ratio (MMR) is: 116.02 per 100,000 live births.

Ramgati 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 12,085 28,788 40,873 2,300 2,382 4,682 45,555 1,257 1,166 2,423 1,506 872 2,378 4,801
Union Sub-Centres 0 0 0 0 0 0 0 9,357 14,243 23,600 3,452 4,721 8,173 31,773
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 0 0 0 0 0 0 0 22,695 59,669 82,364 4,605 4,495 9,100 91,464
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

Ramgati 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 916 964 1,880 1,488 870 2,358 4,238 1 0 1 1 0 1 2
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

Ramgati 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 2,892
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A009 Cholera, unspecified I: Certain infectious and parasitic diseases 1313 45.40
2 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 369 12.76
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 209 7.23
4 A99 Unspecified viral haemorrhagic fever I: Certain infectious and parasitic diseases 78 2.70
5 J45 Asthma X: Diseases of the respiratory system 57 1.97
6 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 53 1.83
7 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 42 1.45
8 T602 Other insecticides XIX: Injury, poisoning and certain other consequences of external causes 28 0.97
9 X86 Assault by corrosive substance XX: External causes of morbidity and mortality 15 0.52
10 T210 Burn of unspecified degree of trunk XIX: Injury, poisoning and certain other consequences of external causes 10 0.35

Ramgati 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 2
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1 50.00
2 I469 Cardiac arrest, unspecified IX: Diseases of the circulatory system 1 50.00
3 X: Diseases of the respiratory system 0 0.00
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

Ramgati 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 (%) 88.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 10,234
Bed Occupancy Rates (%) 90.45
Average Length of Hospital Stay (No. of days per patient) 3.54
Hospital Death Rate (%) 0.07


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 198

 

Ramgati 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 3 2 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 9 0 0 9 100.00
Class III 75 44 13 18 24.00
Class IV 18 8 3 7 38.89
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 0 0 0 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 1 1 25.00
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 19 10 9 0 0.00
Class IV 0 0 0 0 0.00

 

Ramgati 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 16 10 2 4 25.00
Non Doctor 0 0 0 0 0.00
Class II 9 0 0 9 100.00
Class III 109 63 21 25 22.94
Class IV 20 10 3 7 35.00
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 5 5 0 0 0.00
Class IV 0 0 0 0 0.00

 

Ramgati 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 2 2 9 5 0 0 0 0 0
Nurse 0 0 0 0 0 0 0 0 0 0 0
Medical Assistant 0 0 2 2 7 7 0 0 0 0 0
Medical Technologist 0 0 0 0 2 1 0 0 0 0 0
CHCP 19 19 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 9 8 0 0 0 0 0
HA 0 0 0 0 43 34 0 0 0 3 4

Ramgati 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 0 1
X-ray machine (300 mA) 0 0 0 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 0 0 0 1
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 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 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 3 3 0 0 0
Ventilator 1 1 0 0 0


Ramgati 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 0 0 0 1
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 0 0 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Ramgati 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) 0 0 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Ramgati 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 1 0 0 0


Ramgati 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) 2 2 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) 7 6 1 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) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 6 6 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


Ramgati 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 0 0 0 0 0
Mobile phone 1 1 0 0 0
Total 38 32 2 0 4

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

Important information and necessary issues for Ramgati Upazila Health Complex
Last year we could not give our maximum efforts improve the health status due to many reasons. Here I like mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediately. 2. Our doctor and nurse need more training on IMCI 3. Number of community clinic and the bed capacity of the health complex should be increased 4. All the repairable equipment’s should be repaired as soon as possible 5. All Female HA who need CSBA training. Finally I am very happy to write this health bulletin of 2015 because this document will help us to compare our progress in upcoming 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.