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Rajibpur Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Rajibpur upazila. This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of Rajibpur 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 in the fine. 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 2014. I like to take attention of the higher authority to look into this issue.I Express my thanks to Md. Rayhanul pramanik (Statistician), Who have significantly contributed to the development and publication of this valuable Health Bulletin 2014. I expres my thanks to all concerned who directly or indirectly remained with Us to publish this health Bulletin 2014. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Dr. Abdul Mabud UH&FPO Rajibpur Upazila Health Complex
Dr. Abdul Mabud
UH&FPO
Rajibpur Upazila Health Complex

Rajibpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Rajibpur
Organization Code 10001330
Name of UHFPO Dr. Abdul Mabud
Land Phone No. 1 -0582356008
Land Phone No. 2
FAX No.
Mobile No. 01715173534
Email rajibpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 94.0000
No. of Unions in the Upazila3
No. of Households in the Upazila 17,080
Population in the Upazila 90,780
Area of Upazila in sq km 112.00

Rajibpur 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) 1 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 9 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

Rajibpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 1,751


Under 5 Mortality Rate: 44.546 (Per 1,000 live births)
Infant Mortality Rate: 35.979 (Per 1,000 live births)
Neonatal Mortality Rate: 27.984 (Per 1,000 live births)
Still Birth Rate: 19.417 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 2,189
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 00%

Rajibpur 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: 2,335
Total Number of Deliveries: 1,670
Valid TT Coverage: 90.00 %
Maternal Mortality Ratio (MMR) is: 171.33 per 100,000 live births.

Rajibpur 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 39,995 40,549 80,544 1,851 0 1,851 82,395 2,987 2,155 5,142 735 499 1,234 6,376
Union Sub-Centres 0 0 0 0 0 0 0 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) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 29,858 31,675 61,533 6,509 4,567 11,076 72,609 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

Rajibpur 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 795 887 1,682 304 280 584 2,266 6 3 9 1 1 2 11
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

Rajibpur 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 2,266
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 206 9.09
2 Y00 Assault by blunt object XX: External causes of morbidity and mortality 50 2.21
3 T019 Multiple open wounds, unspecified XIX: Injury, poisoning and certain other consequences of external causes 131 5.78
4 T300 Burn of unspecified body region, unspecified degree XIX: Injury, poisoning and certain other consequences of external causes 21 0.93
5 V289 Motorcycle rider injured in noncollision transport accident, unspecified motorcycle rider, traffic accident XX: External causes of morbidity and mortality 144 6.35
6 J459 Asthma, unspecified X: Diseases of the respiratory system 90 3.97
7 Y140 Poisoning by and exposure to other and unspecified drugs, medicaments and biological substances, undetermined intent, home XX: External causes of morbidity and mortality 29 1.28
8 E11 Non-insulin-dependent diabetes mellitus IV: Endocrine, nutritional and metabolic diseases 37 1.63
9 W039 Other fall on same level due to collision with, or pushing by, another person, unspecified place XX: External causes of morbidity and mortality 42 1.85
10 A010 Typhoid fever I: Certain infectious and parasitic diseases 88 3.88

Rajibpur 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 11
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 T509 Other and unspecified drugs, medicaments and biological substances XIX: Injury, poisoning and certain other consequences of external causes 2 18.18
2 P149 Birth injury to peripheral nervous system, unspecified XVI: Certain conditions originating in the perinatal period 1 9.09
3 P209 Intrauterine hypoxia, unspecified XIX: Injury, poisoning and certain other consequences of external causes 1 9.09
4 S328 Fracture of other and unspecified parts of lumbar spine and pelvis XIX: Injury, poisoning and certain other consequences of external causes 1 9.09
5 S062 Diffuse brain injury XIX: Injury, poisoning and certain other consequences of external causes 1 9.09
6 S017 Multiple open wounds of head XIX: Injury, poisoning and certain other consequences of external causes 1 9.09
7 I279 Pulmonary heart disease, unspecified IX: Diseases of the circulatory system 2 18.18
8 I289 Disease of pulmonary vessels, unspecified IX: Diseases of the circulatory system 1 9.09
9 O159 Eclampsia, unspecified as to time period XV: Pregnancy, childbirth and the puerperium 1 9.09
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 99.00
Coverage of households having access to sanitary latrines (%) 75.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 8,075
Bed Occupancy Rates (%) 71.37
Average Length of Hospital Stay (No. of days per patient) 3.56
Hospital Death Rate (%) 0.49


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,075

 

Rajibpur 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 1 1 7 77.78
Non Doctor 0 0 0 0 0.00
Class II 10 1 4 5 50.00
Class III 41 29 5 7 17.07
Class IV 21 12 5 4 19.05
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 1 0 1 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 1 0 0.00
Class IV 0 0 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 14 4 4 6 42.86
Class IV 0 0 0 0 0.00

 

Rajibpur 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 11 2 1 8 72.73
Non Doctor 0 0 0 0 0.00
Class II 10 1 4 5 50.00
Class III 56 33 9 14 25.00
Class IV 21 12 5 4 19.05
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

 

Rajibpur 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 1 9 2 0 0 1 1 0
Nurse 0 0 0 0 10 5 0 0 0 1 0
Medical Assistant 0 0 2 2 2 2 0 0 0 0 0
Medical Technologist 0 0 0 0 8 4 0 0 0 0 0
CHCP 14 8 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 3 1 0 0 0 0 0
HA 0 0 0 0 15 15 0 0 0 0 0

Rajibpur 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 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 1 0 1 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 2 2 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 1 1 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 3 2 0 1 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Rajibpur 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 2 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 2 2 0 0 0


Rajibpur 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 1 1 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 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Rajibpur 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


Rajibpur 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) 2 1 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 3 2 1 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 7 6 1 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 5 3 2 0 0
Scanner 1 1 0 0 0
UPS 6 4 2 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


Rajibpur 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 0 1 0 0
Mobile phone 1 1 0 0 0
Total 55 42 9 4 0

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

Important information and necessary issues for Rajibpur Upazila Health Complex
Last year we could not give our maximum efforts to 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. We have four female HA who need CSBA training Finally I am very happy to write this health bulletin of 2014 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.