Galachipa Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very much glad to publish this health bulletin of Galachipa upazila. This bulletin contains all the health related information of 2014. It is published to disseminate the information of Galachipa upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning, budgeting and bridging the gaps in health services of this upazila. We have many data stored in the file. this health bulletin will help us to find constrains and also to see the results and achievements of 2013The bulletin contains the status of MDG 4 and MDG 5 .It will help to localize the MDG targets.This health bulletin has also the information on safe drinking water and sanitation a 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. Naba Kumar Samadder
UH&FPO
Galachipa Upazila Health Complex
Galachipa Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Galachipa
Organization Code
10002039
Name of UHFPO Dr. Naba Kumar Samadder
Land Phone No. 1
-0442456328
Land Phone No. 2
FAX No.
Mobile No.
01712161216
Email galachipa@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.1658 And
Long:
90.4209
No. of Unions in the Upazila 17
No. of Households in the Upazila 77,363
Population in the Upazila 378,903
Area of Upazila in sq km 1,268.50
Galachipa 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
4
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)
13
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
39
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
6
0
No. of NGO Clinics/Facilities
2
0
Galachipa Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 9,504
Under 5 Mortality Rate: 9.049 (Per 1,000 live births)
Infant Mortality Rate: 5.682 (Per 1,000 live births)
Neonatal Mortality Rate: 2.946 (Per 1,000 live births)
Still Birth Rate: 1.263 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 40,471
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%
Galachipa 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:
10
Total No. of Recipients Who Took at least one ANC:
8,128
Total Number of Deliveries:
9,516
Valid TT Coverage: 9.00 %
Maternal Mortality Ratio (MMR) is:
105.22 per 100,000 live births.
Galachipa 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
1,007
2,726
3,733
10,495
5,355
15,850
19,583
2,102
1,786
3,888
44
32
76
3,964
Union Sub-Centres
14,080
24,288
38,368
2,465
3,657
6,122
44,490
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)
1,244
13,724
14968
3,064
5,205
8,269
23,237
0
0
0
0
0
0
8,269
Community Clinics
47,525
103,547
151,072
13,857
15,002
28,859
179,931
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
Galachipa 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
2,331
2,306
4,637
940
533
1,473
6,110
11
11
22
2
4
6
28
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
Galachipa 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
6,352
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y095 Assault by unspecified means, trade and service area
XX: External causes of morbidity and mortality
1640
25.82
2
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
944
14.86
3
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
844
13.29
4
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
431
6.79
5
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
261
4.11
6
V011 Pedestrian injured in collision with pedal cycle, traffic accident
XX: External causes of morbidity and mortality
254
4.00
7
F145 Mental and behavioural disorders due to use of cocaine, psychotic disorder
V: Mental and behavioural disorders
287
4.52
8
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
175
2.76
9
D649 Anaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
101
1.59
10
J459 Asthma, unspecified
X: Diseases of the respiratory system
79
1.24
Galachipa 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
28
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I11 Hypertensive heart disease
IX: Diseases of the circulatory system
3
10.71
2
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
3
10.71
3
I613 Intracerebral haemorrhage in brain stem
IX: Diseases of the circulatory system
2
7.14
4
B17 Other acute viral hepatitis
I: Certain infectious and parasitic diseases
2
7.14
5
J44 Other chronic obstructive pulmonary disease
X: Diseases of the respiratory system
1
3.57
6
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
2
7.14
7
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
1
3.57
8
E10 Insulin-dependent diabetes mellitus
IV: Endocrine, nutritional and metabolic diseases
1
3.57
9
G04 Encephalitis, myelitis and encephalomyelitis
VI: Diseases of the nervous system
1
3.57
10
K65 Peritonitis
XI: Diseases of the digestive system
1
3.57
Galachipa 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 (%)
85.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
6,374
Bed Occupancy Rates (%)
34.93
Average Length of Hospital Stay (No. of days per patient)
1.00
Hospital Death Rate (%)
0.44
Galachipa Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
257
Galachipa 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
22
9
4
9
40.91
Non Doctor
0
0
0
0
0.00
Class II
15
0
14
1
6.67
Class III
134
61
51
22
16.42
Class IV
27
15
4
8
29.63
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
13
8
1
4
30.77
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
13
6
1
6
46.15
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
4
4
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
4
0
4
50.00
Class IV
4
2
2
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
46
17
21
8
17.39
Class IV
0
0
0
0
0.00
Galachipa 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
39
21
5
13
33.33
Non Doctor
0
0
0
0
0.00
Class II
15
0
14
1
6.67
Class III
155
71
52
32
20.65
Class IV
31
17
6
8
25.81
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
Galachipa 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
17
13
22
12
0
0
2
0
0
Nurse
0
0
0
0
15
14
0
0
11
3
0
Medical Assistant
0
0
17
11
2
2
0
0
11
0
0
Medical Technologist
0
0
4
0
10
6
0
0
0
0
0
CHCP
46
38
0
0
0
0
0
0
38
0
10
HI
0
0
0
0
5
5
0
0
0
0
0
AHI
0
0
0
0
17
15
0
0
0
0
0
HA
0
0
0
0
85
72
0
0
0
0
13
Galachipa 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
1
1
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
1
1
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
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)
3
3
0
0
0
Ventilator
0
0
0
0
0
Galachipa 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
8
8
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Galachipa 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)
4
2
2
0
0
Colorimeter
0
0
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
10
5
2
3
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
1
1
0
0
0
Galachipa 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
Galachipa 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)
2
2
0
0
0
Generator
Generator (diesel/petrol)
1
1
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
2
1
1
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
20
10
6
4
0
Laptop
2
0
1
1
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
1
1
3
0
Scanner
1
1
0
0
0
UPS
18
9
8
1
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
1
0
1
0
0
Galachipa 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
90
54
24
12
0
Galachipa Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Galachipa Upazila Health Complex
Last year we put our maximum efforts to improve the health status in spite of some limitations. Here i like to mention some important issues which will help us to achieve good results in future 1. The vacant post should be filled immediately. 2.Our doctors & nurse need more training on IMCI 3. Number of community clinic & the bed Capacity of the health complex should be increased. 4. All the repairable equipments should be repaired as soon as possible . Finally i am very happy to write this health bulletin of 2013 because this document will help us to compare our progress in upcoming years.This is very useful document & will help the public to understand health services & to provide us the useful advice for improvement in future.