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Raiganj Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of this Upazila.This bulletin contains all the health related informations of 2014.This bulletin is published to disseminate the informations of Upazila health activities to other line and development partners of health sector.I hope all the informations of this bulletin will help for planning and bridging the gaps in the health services of this Upazila.This health bulletin will help us to find constrains and to overcome the different health problems and also to see the results and achivements of 2014.This health bulletin has also the informations on safe drinking water and sanitary status and disease pattern of the upazila.I like to take attention of the higher authority to look in to this issue. Finally, I would like to Congratulate the initiator of the health bulletin software for setting us one step ahead towards Digital Bangladesh.
Dr. Nitya Gopal Chowdhury
UH&FPO
Raiganj Upazila Health Complex

Raiganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Raiganj
Organization Code 10001636
Name of UHFPO Dr. Nitya Gopal Chowdhury
Land Phone No. 1 -0752656142
Land Phone No. 2
FAX No.
Mobile No. 01714993797
Email raiganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.9740 And Long: 89.6986
No. of Unions in the Upazila9
No. of Households in the Upazila 70,057
Population in the Upazila 312,352
Area of Upazila in sq km 166.00

Raiganj 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) 6 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 8 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 47 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 8 0
No. of NGO Clinics/Facilities 0 0

Raiganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,632


Under 5 Mortality Rate: 61.190 (Per 1,000 live births)
Infant Mortality Rate: 39.439 (Per 1,000 live births)
Neonatal Mortality Rate: 20.047 (Per 1,000 live births)
Still Birth Rate: 16.903 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 60,691
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 98%

Raiganj 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: 5,263
Total Number of Deliveries: 7,761
Valid TT Coverage: 51.00 %
Maternal Mortality Ratio (MMR) is: 117.92 per 100,000 live births.

Raiganj 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 17,621 17,749 35,370 1,067 1,135 2,202 37,572 680 913 1,593 149 193 342 1,935
Union Sub-Centres 0 0 0 0 0 0 0 16,608 19,340 35,948 3,020 2,808 5,828 41,776
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 0 132,292 329,026 461,318 26,654 29,136 55,790 517,108
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

Raiganj 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 4,005 3,946 7,951 1,019 752 1,771 9,722 2 0 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

Raiganj 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 9,722
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 351 3.61
2 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 296 3.04
3 Y00 Assault by blunt object XX: External causes of morbidity and mortality 238 2.45
4 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 238 2.45
5 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 235 2.42
6 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 203 2.09
7 V33 Occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van XX: External causes of morbidity and mortality 161 1.66
8 T440 Anticholinesterase agents XIX: Injury, poisoning and certain other consequences of external causes 62 0.64
9 T210 Burn of unspecified degree of trunk XIX: Injury, poisoning and certain other consequences of external causes 21 0.22
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 12 0.12

Raiganj 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 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 2 100.00
2 0 0.00
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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 92.00
Coverage of households having access to sanitary latrines (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 9,722
Bed Occupancy Rates (%) 85.92
Average Length of Hospital Stay (No. of days per patient) 3.67
Hospital Death Rate (%) 0.08


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 581

 

Raiganj 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 0 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 12 0 11 1 8.33
Class III 82 59 18 5 6.10
Class IV 21 13 4 4 19.05
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 4 1 1 16.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 1 5 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 3 2 0 1 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 3 1 0 0.00
Class IV 2 2 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 47 29 18 0 0.00
Class IV 0 0 0 0 0.00

 

Raiganj 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 18 10 1 7 38.89
Non Doctor 0 0 0 0 0.00
Class II 12 0 11 1 8.33
Class III 139 92 42 5 3.60
Class IV 23 15 4 4 17.39
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 18 8 9 1 5.56
Class IV 18 9 8 1 5.56

 

Raiganj 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 9 7 9 4 0 0 2 0 0
Nurse 0 0 0 0 12 11 0 0 6 2 0
Medical Assistant 0 0 8 8 2 2 0 0 9 0 0
Medical Technologist 0 0 2 2 8 8 0 0 0 0 0
CHCP 47 47 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 10 10 0 0 0 0 18
HA 0 0 0 0 49 45 0 0 0 0 11

Raiganj 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 0 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 0 0 0 0 0
Autoclave 0 0 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 4 2 2 0 0
Ceiling mounting OT Light 1 1 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) 4 2 2 0 0
Ventilator 0 0 0 0 0


Raiganj 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 1 1 0 0


Raiganj 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) 2 2 0 0 0
Colorimeter 0 0 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


Raiganj 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 2 2 0 0 0
Vehicles
Ambulance 2 1 0 1 0


Raiganj 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 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 9 8 0 1 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 3 3 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 3 2 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Raiganj 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 51 42 6 3 0

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

Important information and necessary issues for Raiganj Upazila Health Complex
Last year we could not produce our maximum improved health outcome due to many reasons.Here I like to mention some important factors which will help us to achive good results in future. 1.The vacant post of doctors and staffs should be filled immediately. 2.Our Doctors & Nurse need more training on IMCI,ARI,Breast feeding,Nutrition,Diarrhoea,EPI and other health related subjects on priority basis. 3.All the repairable equipments should repaired as soon as possible. Finally. I am very happy to write this health bulletin-2015.This documents will help us to compare our progress in up coming year.This is very useful documents and will help to provide us the useful advice improving the health status in future. (Dr. Nitya Gopal Chowdhury) UH&FPO Raiganj.Serajganj.