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Rajarhat Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Rajarhat Upazila of Kurigram District. This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of Rajarhat Upazila of Kurigram District 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 in the file. This health bulletin will help us to find constrains and also to see the results and achievements of 2014. 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 2015. 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. Krishna Kumar paul UH&FPO Rajarhat Upazila Health Complex
Dr.Krishna Kumar Paull
UH&FPO
Rajarhat Upazila Health Complex

Rajarhat Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Rajarhat
Organization Code 10001327
Name of UHFPO Dr.Krishna Kumar Paull
Land Phone No. 1 -0582756053
Land Phone No. 2
FAX No.
Mobile No. 01712140745
Email rajarhat@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 94.0000
No. of Unions in the Upazila7
No. of Households in the Upazila 44,571
Population in the Upazila 190,037
Area of Upazila in sq km 167.00

Rajarhat 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) 2 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 2 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 29 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 1 0

Rajarhat Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,963


Under 5 Mortality Rate: 20.754 (Per 1,000 live births)
Infant Mortality Rate: 18.739 (Per 1,000 live births)
Neonatal Mortality Rate: 17.328 (Per 1,000 live births)
Still Birth Rate: 15.112 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 12,812
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 0%

Rajarhat 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: 6
Total No. of Recipients Who Took at least one ANC: 5,433
Total Number of Deliveries: 5,038
Valid TT Coverage: 46.00 %
Maternal Mortality Ratio (MMR) is: 120.89 per 100,000 live births.

Rajarhat 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 31,537 14,204 45,741 1,123 1,562 2,685 48,426 0 0 0 0 0 0 0
Union Sub-Centres 1,214 1,330 2,544 121 210 331 2,875 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 15,281 21,732 37,013 721 805 1,526 38,539 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 98,603 176,685 275,288 11,556 11,581 23,137 298,425 98,603 176,685 275,288 11,556 11,581 23,137 298,425
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 16,983 79,006 95,989 1,303 16,255 17,558 113,547 0 0 0 0 0 0 0

Rajarhat 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 863 1,588 2,451 89 131 220 2,671 1 1 2 0 0 0 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

Rajarhat 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 2,619
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 398 15.20
2 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 306 11.68
3 A010 Typhoid fever I: Certain infectious and parasitic diseases 287 10.96
4 A060 Acute amoebic dysentery I: Certain infectious and parasitic diseases 260 9.93
5 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 225 8.59
6 J06 Acute upper respiratory infections of multiple and unspecified sites X: Diseases of the respiratory system 178 6.80
7 J459 Asthma, unspecified X: Diseases of the respiratory system 145 5.54
8 K35 Acute appendicitis XI: Diseases of the digestive system 121 4.62
9 K402 Bilateral inguinal hernia, without obstruction or gangrene XI: Diseases of the digestive system 98 3.74
10 V803 Rider or occupant injured in collision with two- or three-wheeled motor vehicle XX: External causes of morbidity and mortality 92 3.51

Rajarhat 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 J459 Asthma, unspecified X: Diseases of the respiratory system 1 50.00
2 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory 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

Rajarhat 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 (%) 96.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 11,083
Bed Occupancy Rates (%) 97.95
Average Length of Hospital Stay (No. of days per patient) 4.23
Hospital Death Rate (%) 0.08


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 121

 

Rajarhat 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 1 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 10 1 9 0 0.00
Class III 59 48 5 6 10.17
Class IV 19 14 5 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 2 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 3 3 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 1 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 29 14 12 3 10.34
Class IV 0 0 0 0 0.00

 

Rajarhat 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 14 7 2 5 35.71
Non Doctor 0 0 0 0 0.00
Class II 10 1 9 0 0.00
Class III 66 53 7 6 9.09
Class IV 21 16 4 1 4.76
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

 

Rajarhat 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 5 5 9 4 0 0 3 1 0
Nurse 0 0 0 0 10 10 0 0 6 0 0
Medical Assistant 0 0 5 5 2 2 0 0 6 0 0
Medical Technologist 0 0 0 0 5 4 0 0 0 0 0
CHCP 29 26 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0 0
HA 0 0 0 0 30 28 0 0 24 0 0

Rajarhat 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 0 1 0 0
X-ray machine (300 mA) 1 0 1 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 1 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 2 0 0 0
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 16 8 8 0 0
Sucker machine (electric) 5 5 0 0 0
Ventilator 0 0 0 0 0


Rajarhat 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 3 3 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Rajarhat 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 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 1 1 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Rajarhat 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


Rajarhat 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 1 1 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 8 7 1 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 0 1 1 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


Rajarhat 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 63 48 14 1 0

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

Important information and necessary issues for Rajarhat 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 achive good results in future. Our 50 bedded approved upazilla health complex running without the approval of manpower. It has been functioning as 50 bedded from 1.10.2013 year. But diet was not allocated for 50 bedded .As result we have to suffer always by only 31 bedded diet . Man power and diet for 50 bedded need very soon So that our hospital may run very perfectly. We hope that the matter will be solved as soon as possible. I am very happy to write this health bullatin 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.