Charghat Upazila Health Complex | Health Bulletin 2015 |
Preface
Charghat upazila is a remote upazila of rajshahi district. It is 32 km east from rajshahi. It has 6 union with 49305 households and total population 2,24,485 the upazila health complex is located in the center of the upazila. The socio- economic condition is very poor in this upazila. Most of the house is made of mud and the road condition is not very well. The padma is the main river which passes beside the upazila health cmplex. In rainy season most of the land goes under water due to overflow of this river. Most of the people depends on agriculture, fishing and enterprise business.
Charghat Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Charghat
Organization Code
10001528
Name of UHFPO Dr. Md. Abdul Alim
Land Phone No. 1
07223-0722356030
Land Phone No. 2
FAX No.
Mobile No.
01715324840
Email charghat@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
20.0000 And
Long:
87.0000
No. of Unions in the Upazila 6
No. of Households in the Upazila 50,315
Population in the Upazila 224,485
Area of Upazila in sq km 163.93
Charghat 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
1
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
4
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
24
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
4
0
No. of NGO Clinics/Facilities
2
0
Charghat Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,043
Under 5 Mortality Rate: 7.887 (Per 1,000 live births)
Infant Mortality Rate: 5.587 (Per 1,000 live births)
Neonatal Mortality Rate: 3.615 (Per 1,000 live births)
Still Birth Rate: 3.615 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 55,510
Fully Vaccinated Children (<= 12 months): 95.00 %
Fully Vaccinated Children (<= 23 months): 0%
Charghat 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:
1
Total No. of Recipients Who Took at least one ANC:
2,162
Total Number of Deliveries:
3,054
Valid TT Coverage: 35.00 %
Maternal Mortality Ratio (MMR) is:
32.86 per 100,000 live births.
Charghat 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
36,958
46,948
83,906
18,991
19,782
38,773
122,679
2,804
2,103
4,907
2,104
2,432
4,536
9,443
Union Sub-Centres
6,667
8,596
15,263
3,728
4,725
8,453
23,716
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
82,733
110,311
193,044
25,155
30,785
55,940
248,984
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
Charghat 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
2,426
4,839
7,265
419
385
804
8,069
6
4
10
0
0
0
10
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
Charghat 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
2,898
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
870
30.02
2
T009 Multiple superficial injuries, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
491
16.94
3
O80 Single spontaneous delivery
XV: Pregnancy, childbirth and the puerperium
458
15.80
4
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
288
9.94
5
F412 Mixed anxiety and depressive disorder
V: Mental and behavioural disorders
228
7.87
6
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
172
5.94
7
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
89
3.07
8
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
73
2.52
9
J41 Simple and mucopurulent chronic bronchitis
X: Diseases of the respiratory system
69
2.38
10
J45 Asthma
X: Diseases of the respiratory system
45
1.55
Charghat 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
10
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
6
60.00
2
I201 Angina pectoris with documented spasm
IX: Diseases of the circulatory system
4
40.00
3
I: Certain infectious and parasitic diseases
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
Charghat 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 (%)
90.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
10,448
Bed Occupancy Rates (%)
57.25
Average Length of Hospital Stay (No. of days per patient)
3.61
Hospital Death Rate (%)
0.35
Charghat Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
395
Charghat 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
27
27
13
-13
-48.15
Non Doctor
0
0
0
0
0.00
Class II
15
2
13
0
0.00
Class III
96
51
13
32
33.33
Class IV
20
14
6
0
0.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
0
0
4
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
12
7
5
0
0.00
Class IV
4
4
0
0
0.00
Rural Dispensaries
Class I
Doctor
1
1
0
0
0.00
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
1
1
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
25
14
11
0
0.00
Class IV
0
0
0
0
0.00
Charghat 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
27
35
13
-21
-77.78
Non Doctor
0
0
0
0
0.00
Class II
15
2
13
0
0.00
Class III
96
51
13
32
33.33
Class IV
20
14
6
0
0.00
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
0
0
0
0
0.00
Class IV
0
0
0
0
0.00
Charghat 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
1
1
27
22
0
0
0
0
0
Nurse
0
0
0
0
15
15
0
0
5
3
0
Medical Assistant
0
0
1
1
7
7
0
0
7
0
0
Medical Technologist
0
0
0
0
3
3
0
0
0
0
0
CHCP
24
24
0
0
0
0
0
0
0
0
2
HI
0
0
0
0
2
2
0
0
0
0
2
AHI
0
0
0
0
8
8
0
0
0
0
0
HA
0
0
0
0
40
29
0
0
0
0
0
Charghat 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)
4
2
1
1
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
0
0
0
0
0
Anesthesia machine without ventilator
6
3
3
0
0
Autoclave
4
2
2
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
4
2
2
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
6
3
3
0
0
Portable OT Light
2
1
1
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
2
1
1
0
0
Sucker machine (electric)
4
2
2
0
0
Ventilator
0
0
0
0
0
Charghat 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
4
2
2
0
0
Dental equipment
Dental unit
2
1
0
1
0
Charghat 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
2
1
1
0
0
Centrifuge machine (electric)
10
5
5
0
0
Colorimeter
4
2
2
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
8
4
2
2
0
Pediatric equipment
Baby incubator
2
1
1
0
0
Phototherapy unit
0
0
0
0
0
Charghat 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
4
2
2
0
0
Blood bank refrigerator
2
1
1
0
0
Refrigerator
4
2
2
0
0
Vehicles
Ambulance
6
3
1
2
0
Charghat 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
0
1
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
2
1
1
0
0
ICT equipment
Computer (desktop)
16
8
5
3
0
Laptop
54
27
23
4
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
2
1
0
1
0
Printer (laser)
14
7
5
2
0
Scanner
2
1
1
0
0
UPS
2
1
1
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
2
1
1
0
0
Multimedia
2
1
1
0
0
Charghat 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
2
1
1
0
0
Mobile phone
2
1
1
0
0
Total
185
94
74
17
0
Charghat Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Charghat Upazila Health Complex
I am very very Glal to publish this health bulletin of upazila health complex, charghat, rajshahi. This bulletin contains all the health related information of 2014. This bulletin is published disseminate the information of upazila health complex, charghat, rajshahi to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bringing the gaps in health services of thisupazila. Government health office has many data stored in the fine. This health bulletin will help us to find constrains and also to see the result and achievements of 2014. The bulletin contains the status of MDG4 and MDG5 which will help to localise 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. Final I would to congratulate the inatiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Dr. Md. Abdul Alim UHFPO Charghat, UHC Rajshahi. Dr. Md. Abdul Alim UH&FPO Charghat Upazila Health Complex.