Ghoraghat Upazila Health Complex | Health Bulletin 2015 |
Preface
I will great pleasure going to publish Health bulletin of Ghoraghat Upazila.The bulletin contains health related all informations of the last year .It will help future planning of health service to be effective and to be established to field level as well as in health complex.It contains the status of child health & maternal health which will help to implement the MDG-4 & MDG-5 targets.Many other informations, like informations about Sanitation,Safe drinking water, Social status,sanctioned & vacant posts has also been included in this bulletin.I hope this bulletin will be helpful for higher authority of health department as well as other departments.I thank to all concerned to this bulletin software, all doctors,nurses,field staffs & other office staffs for contribution in preparing this bulletin & special thanks to Statistician without whose tremendous endeavour in this bulletin would not have been possible.
Ghoraghat Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Ghoraghat
Organization Code
10001224
Name of UHFPO Dr. Md Shamsur Rahman.
Land Phone No. 1
-0532856004
Land Phone No. 2
FAX No.
Mobile No.
01712061096
Email ghorahat@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
25.1522 And
Long:
89.1424
No. of Unions in the Upazila 4
No. of Households in the Upazila 29,302
Population in the Upazila 125,117
Area of Upazila in sq km 148.67
Ghoraghat 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
3
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)
3
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
12
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
0
No. of NGO Clinics/Facilities
0
0
Ghoraghat Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,852
Under 5 Mortality Rate: 38.219 (Per 1,000 live births)
Infant Mortality Rate: 30.154 (Per 1,000 live births)
Neonatal Mortality Rate: 23.843 (Per 1,000 live births)
Still Birth Rate: 5.259 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 7,004
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months): 95%
Ghoraghat 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:
3
Total No. of Recipients Who Took at least one ANC:
3,158
Total Number of Deliveries:
2,860
Valid TT Coverage: 33.00 %
Maternal Mortality Ratio (MMR) is:
105.19 per 100,000 live births.
Ghoraghat 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
30,100
32,265
62,365
2,569
2,732
5,301
67,666
2,394
1,601
3,995
169
102
271
4,266
Union Sub-Centres
16,330
18,244
34,574
675
631
1,306
35,880
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)
7,442
11,656
19098
2,006
1,865
3,871
22,969
0
0
0
0
0
0
3,871
Community Clinics
41,470
79,427
120,897
6,023
6,230
12,253
133,150
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
Ghoraghat 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
1,019
1,325
2,344
120
64
184
2,528
2
2
4
0
0
0
4
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
Ghoraghat 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
2,528
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y040 Assault by bodily force, home
XX: External causes of morbidity and mortality
553
21.88
2
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
310
12.26
3
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
142
5.62
4
X680 Intentional self-poisoning by and exposure to pesticides, home
XX: External causes of morbidity and mortality
110
4.35
5
V863 Unspecified occupant of all-terrain or other off-road motor vehicle injured in traffic accident
XX: External causes of morbidity and mortality
93
3.68
6
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
48
1.90
7
J459 Asthma, unspecified
X: Diseases of the respiratory system
43
1.70
8
D464 Refractory anaemia, unspecified
II: Neoplasms
31
1.23
9
O021 Missed abortion
XV: Pregnancy, childbirth and the puerperium
30
1.19
10
T300 Burn of unspecified body region, unspecified degree
XIX: Injury, poisoning and certain other consequences of external causes
10
0.40
Ghoraghat 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
4
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
1
25.00
2
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
1
25.00
3
D649 Anaemia, unspecified
IX: Diseases of the circulatory system
1
25.00
4
R100 Acute abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
25.00
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Ghoraghat Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
100.00
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.)
9,812
Bed Occupancy Rates (%)
86.72
Average Length of Hospital Stay (No. of days per patient)
3.88
Hospital Death Rate (%)
0.16
Ghoraghat Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
1,978
Ghoraghat 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
4
1
4
44.44
Non Doctor
0
0
0
0
0.00
Class II
12
0
11
1
8.33
Class III
46
31
10
5
10.87
Class IV
19
10
6
3
15.79
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
4
2
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
7
4
3
0
0.00
Class IV
3
2
0
1
33.33
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
12
7
4
1
8.33
Class IV
0
0
0
0
0.00
Ghoraghat 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
13
6
3
4
30.77
Non Doctor
0
0
0
0
0.00
Class II
12
0
11
1
8.33
Class III
65
42
17
6
9.23
Class IV
22
12
6
4
18.18
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
Ghoraghat 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
4
4
9
5
0
1
1
0
0
Nurse
0
0
0
0
12
11
0
0
2
4
6
Medical Assistant
0
0
4
4
2
2
0
0
5
0
0
Medical Technologist
0
0
3
3
8
8
0
0
0
0
0
CHCP
12
11
0
0
0
0
0
0
0
0
1
HI
0
0
0
0
1
1
0
0
0
0
0
AHI
0
0
0
0
4
4
0
0
0
0
0
HA
0
0
0
0
20
18
0
0
0
0
1
Ghoraghat 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
1
0
0
0
X-ray machine (300 mA)
0
0
0
0
0
Ultrasonogram machine
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
2
2
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
2
1
1
0
0
Electric cautery machine
1
1
0
0
0
Diathermy machine
2
1
1
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
1
1
0
0
0
Sterilizer
5
1
4
0
0
Sucker machine (electric)
7
5
0
2
0
Ventilator
0
0
0
0
0
Ghoraghat 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
5
4
1
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
2
2
0
0
0
Ghoraghat 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
2
1
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
4
2
1
1
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Ghoraghat 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
2
1
1
0
0
Ghoraghat 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
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)
9
6
3
0
0
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
3
1
1
1
0
Printer (laser)
6
5
1
0
0
Scanner
1
1
0
0
0
UPS
8
5
0
3
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
Ghoraghat 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
76
52
16
7
1
Ghoraghat Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Ghoraghat Upazila Health Complex
Institutional delivery can an important role in reduction of maternal and neo-natal death. I like to mention here that ,we have been able to start normal delivery in two Community clinics in the upazila & we are trying to start normal delivery in other Community clinics in near future.
All reports from all types of health institutions in the upazila are done electronically.
Last year we could not give our maximum effort to improve the health status due to some reasons:
1. 50 bed extention work of the health complex has been stopped since july2012.
2. The health complex is under EOC service but because of lack of Anaesthetist & Sergeon(Gynee & Obs) Comprehensive EOC Service cannot be provided properly.
I hope this health bulletin will help us to compare our progress in upcoming years. The bulletin will help the people to understand health services & provide us useful advice for further improvement in future in concluding this preface. I would like to invite all relevant personnel, their ideas & comments to enrich future publication of the health bulletin.
