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Golapganj Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Golapganj upazila. This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of golapganj 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 bulleting 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 thesanctioned and vacant posts are published in this bulletin of 2014. 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. Himangshu Lal Roy, UH&FPO,Golapganj Upazila Health Complex Golapganj, Sylhet. DR HIMANGSHU LAL RAY UH&FPO
Dr. Himangshu Lal Roy
UH&FPO
Golapganj Upazila Health Complex

Golapganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Golapganj
Organization Code 10002182
Name of UHFPO Dr. Himangshu Lal Roy
Land Phone No. 1 -0822756028
Land Phone No. 2
FAX No. 0822756028
Mobile No. 01711300871
Email golapganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 88.0000
No. of Unions in the Upazila11
No. of Households in the Upazila 45,592
Population in the Upazila 321,938
Area of Upazila in sq km 274.50

Golapganj 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 3 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 8 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 31 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 2 0
No. of NGO Clinics/Facilities 2 0

Golapganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,361


Under 5 Mortality Rate: 5.980 (Per 1,000 live births)
Infant Mortality Rate: 5.741 (Per 1,000 live births)
Neonatal Mortality Rate: 4.066 (Per 1,000 live births)
Still Birth Rate: 3.827 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 46,669
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%%

Golapganj 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: 7
Total No. of Recipients Who Took at least one ANC: 6,351
Total Number of Deliveries: 8,393
Valid TT Coverage: 16.00 %
Maternal Mortality Ratio (MMR) is: 83.72 per 100,000 live births.

Golapganj 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 17,262 31,800 49,062 5,920 5,987 11,907 60,969 3,393 3,895 7,288 732 728 1,460 8,748
Union Sub-Centres 29,750 33,275 63,025 3,725 3,609 7,334 70,359 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) 13,154 37,146 50300 7,200 7,016 14,216 64,516 0 0 0 0 0 0 14,216
Community Clinics 75,541 147,273 222,814 16,047 18,636 34,683 257,497 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 3,190 3,555 6,745 700 630 1,330 8,075 0 0 0 0 0 0 0
NGO Clinics/Facilities 23,985 42,374 66,359 17,250 16,220 33,470 99,829 0 0 0 0 0 0 0

Golapganj 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 1,147 2,179 3,326 762 427 1,189 4,515 1 0 1 1 1 2 3
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

Golapganj 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 4,515
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 1775 39.31
2 Y05 Sexual assault by bodily force XX: External causes of morbidity and mortality 269 5.96
3 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 436 9.66
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 0 0.00
5 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 10 0.22
6 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 0 0.00
7 V021 Pedestrian injured in collision with two- or three-wheeled motor vehicle, traffic accident XX: External causes of morbidity and mortality 0 0.00
8 I11 Hypertensive heart disease IX: Diseases of the circulatory system 4 0.09
9 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 235 5.20
10 O631 Prolonged second stage (of labour) XV: Pregnancy, childbirth and the puerperium 965 21.37

Golapganj 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 3
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 0 0.00
2 Y05 Sexual assault by bodily force XX: External causes of morbidity and mortality 0 0.00
3 J18 Pneumonia, organism unspecified I: Certain infectious and parasitic diseases 1 33.33
4 J96 Respiratory failure, NEC X: Diseases of the respiratory system 1 33.33
5 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 0 0.00
6 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 0 0.00
7 P070 Extremely low birth weight XVI: Certain conditions originating in the perinatal period 1 33.33
8 I13 Hypertensive heart and renal disease IX: Diseases of the circulatory system 0 0.00
9 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 0 0.00
10 O670 Intrapartum haemorrhage with coagulation defect XV: Pregnancy, childbirth and the puerperium 0 0.00

Golapganj 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 (%) 96.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 8,266
Bed Occupancy Rates (%) 73.05
Average Length of Hospital Stay (No. of days per patient) 1.83
Hospital Death Rate (%) 0.07


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 2
Minor Surgeries 2,884

 

Golapganj 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 21 15 4 2 9.52
Non Doctor 0 0 0 0 0.00
Class II 16 4 8 4 25.00
Class III 26 13 3 10 38.46
Class IV 27 11 6 10 37.04
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 3 4 1 12.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 0 1 7 87.50
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 3 0 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 2 1 3 50.00
Class IV 3 3 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 32 14 15 3 9.38
Class IV 0 0 0 0 0.00

 

Golapganj 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 32 18 11 3 9.38
Non Doctor 0 0 0 0 0.00
Class II 16 4 8 4 25.00
Class III 110 53 33 24 21.82
Class IV 30 14 6 10 33.33
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

 

Golapganj 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 11 10 21 19 0 0 0 0 0
Nurse 0 0 0 0 16 12 0 0 0 0 0
Medical Assistant 0 0 11 5 2 2 0 0 0 0 0
Medical Technologist 0 0 0 0 8 5 0 0 0 0 0
CHCP 32 29 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 3 0 0 0 0 4
AHI 0 0 0 0 11 11 0 0 0 0 0
HA 0 0 0 0 55 41 0 0 0 0 0

Golapganj 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) 2 0 1 1 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 2 2 0 0 0
Autoclave 3 3 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 4 2 2 0 0
Ventilator 0 0 0 0 0


Golapganj 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 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 4 2 2 0 0
Pulse oximeter 1 0 1 0 0
Dental equipment
Dental unit 1 1 0 0 0


Golapganj 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 2 1 1 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 2 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 1 1 0 0 0


Golapganj 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 1 1 0 0 0
Blood bank refrigerator 1 1 0 0 0
Refrigerator 1 1 0 0 0
Vehicles
Ambulance 1 1 0 0 0


Golapganj 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) 3 3 0 0 0
Generator
Generator (diesel/petrol) 2 0 2 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) 8 8 0 0 0
Laptop 34 34 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 6 6 0 0 0
Fax 1 0 1 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


Golapganj 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 101 90 10 1 0

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

Important information and necessary issues for Golapganj 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 actors 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. All the repairable equipment’s should be repaired as soon as possible 4. We have four female HA who need CSBA training complete. Finally I am very happy to write his 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.