50 BEDED UPAZILA HEALTH COMPLEX Chowgacha, Jessore.

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Presentation transcript:

50 BEDED UPAZILA HEALTH COMPLEX Chowgacha, Jessore. Dr. Md Emdadul Haque Chowgacha UHC, Jessore.

A Sub-district level Women-Friendly Hospital with a Vision … Maximum utilization of Govt. resources with honesty and sincerity Integrated approach of Administration, Community Leaders & Health Management Providing Effective and prompt services through improved management system Show respect to the patients

Health Profile of Chowgacha Upazila- 2011 Total population : 247887 Total Fertile Couples : 53033 Total Pregnant : 5264 Total Delivery : 4475 Total Live birth : 4389 Total death : 1009 Total Maternal death : 03 Health Man power a. Doctor : 12 (10+2) b. Nurse : 18(14+4) c. HA : 25 d. SBA : 13( 3HA+10 FWA ) e. Volunteer, Security guard & cleaner: 52 9. Health Institutions a. Health Complex : 01 b. H & FWC : 11 (RD- 4 + FWC– 7 ) c. Community clinic : 23 d. Non- Govt. Clinic : 04

10. Mother Taken-ANC 1st : 170% (8935) 11. Chowgacha Mother ANC 1st : 96% (5044) 13. Hospital Delivery Rate : 98.6% (4413) 14. Hospital Delivery rate of Chowgacha Mothers (Chowgacha UHC) : 67% (2979) 15. Total C. Section rate : 22.5% (1007) 16. Total C. Section rate of Chowgacha Mothers : 12.8% (575) 17. No. of Hospital bed : 50 18. Bed Occupancy Rate : 208% 19. CPR : 69% 20. CBR : 17.7 /1000 population 21. CDR : 4.1 /1000 population 22. Population Growth Rate : 1.36 % 23. Maternal Mortality Ratio : 68 / 100000 live birth 24. Neonatal Mortality Rate : 18.2 / 1000 live birth 25. Infant Mortality Rate : 23.6 /1000 live birth 26. Under-5 Mortality Rate : 25.7 /1000 live birth 10. Mother Taken-ANC 1st : 170% (8935) 11. Hospital Delivery Rate : 98.6% (4413) 12.Hodpital Delivery rate of chwgacha Mothers (Chowgacha UHC) : 67% (2979) 13. Total C. Section rate : 22.5%(1007) 14. C section rate of chwgacha Mothers : 12.8% 15.Bed Occupancy Rate : 208 % 16. CPR : 17.Maternal Mortality Ratio : 68 / 100000 live birth 18. Neonatal Mortality Rate : 18.2 / 1000 live birth 19. Infant Mortality Rate : 23.6 /1000 live birth 20. Under-5 Mortality Rate : 25.7 /1000 live birth

Background History of MCH services of Chowgacha Health Complex, Jessore To reduce Maternal and Child Mortality and Mobility and to ensure the quality services to the mother and child, UHFPO opened 4 special activities headed by medical officers in Feb. 1996. And from January 1995 to 1997 JICA helped us by Frontline MCH Program to implement the program by giving technical and logistic supports. Since 1998 DGHS & UNICEF have continued the support. <4 Special activities> ANC-Corner – leaded by female Medical Officer for pregnant mother for effective ANC services who receive TT immunization in the Health Complex Basic EOC service by a Gyne & Obs. trained MO Under 5 corner for under 5 children for their nutritional assessment and treatment by RMO. Monthly birth and death record by specially developed format by health assistant throughout the Upazilla to asses the progress of maternal and child health status by health indicators supervised by UH&FPO

Contd. From Dec. 1999 Reproductive Health Department of DGHS and UNICEF gave logistic supports and human resources development (like medical officer trained in anesthesia). Form November 2000 started Comprehensive EOC program. In 2004, 2005, 2006, 2007 , 2008, 2009 & 2010 the UHC was awarded by the Bangladesh Government and UNICEF for best performance on EOC Service. From August 2006 Safe Blood Transfusion unit established with the aid of UNICEF. From April 2007 Demand Side Financing (DSF) program started. Women friendly Hospital declared in 2008. Hospital is declared as model health complex on 20 June 2008 and upgraded to 50 bedded hospital by Secretary of Ministry of Health & family welfare. Chowgacha health complex Model is replicable through out the country. Declared by Dr. Margaret Chan, D.G. WHO on 8th March 2010. Major Killer Disease (diabetes, hypertension, cancer, RTA & poisoning) prevention program starts in 1st January-2011. TQM activates starts in July 2011 by the support of JACA.

Upazila Health Complex CHOWGACHA , JESSORE. Emergency & Out door Service 2005 to 2011 Sl No Year Emergency Patients Out door Service 01 2005 4308 80591 02 2007 4287 105963 03 2008 4275 120117 04 2009 5144 126369 05 2010 7071 95958 06 2011 6318 91638

Upazila Health Complex CHOWGACHA , JESSORE. Indoor Service 2005 to 2011 Sl No Year indoor Service No of Bed Bed occupancy rate 01 2005 7126 31 158.0% 02 2007 8743 201.0% 03 2008 10944 50 199.0% 04 2009 12717 185.0% 05 2010 13887 200.0% 06 2011 14819 208.0%

Upazila Health Complex CHOWGACHA , JESSORE. EOC Activities : 1997- 2011 (ANC First Visit)

Upazila Health Complex CHOWGACHA , JESSORE. EOC Activities : 1997- 2011 (Admission in labour ward

Upazila Health Complex CHOWGACHA , JESSORE. EOC Activities : 1997- 2011 (Hospital Delivery )

Upazila Health Complex CHOWGACHA , JESSORE. EOC Activities : 2000 - 2011 (Caesarian Section)

Upazila Health Complex CHOWGACHA , JESSORE. EOC Activities : 2006 - 2011 (Caesarian Tubectomy) 2011 46 63 53 47 82 167

Upazila Health Complex CHOWGACHA , JESSORE. EOC Activities : 1997- 2011 (PNC )

Upazila Health Complex CHOWGACHA , JESSORE. Progress Of EOC Activities based on UN Process Indicators SL No Indicators 2005 2007 2008 2009 2010 2011 Target of UN Process 01 Total Pregnancy 5270 5489 5793 5595 5208 5264 - 02 Total Hospital delivery 1293 1899 2682 3489 3755 4413 03 Total Caesarian section 310 473 567 842 962 1007 04 Maternal death in health Complex. 3 05 % of birth in health Complex. 26.5% 38.1% 52.4% 72% 84.8 98.6 >15% 06 Met-need for EmOC 92.1% 107% 175 % 232% 267% 263% 100% 07 Caesarian section of all births 6.3% 9.7% 11% 17.3% 21.7% 22.5%* 5-15% 08 Case Fatality Rate 0.44% .13% 0.20% 0.0% .0% 0.38% <1% * Among the total delivery of Chowgacha Upazilla, the CS rate is 12.8% but CS 9.7% is increased due to complicated delivery from outside this upazilla.

Upazila Health Complex CHOWGACHA , JESSORE. Comparative Data of Delivery of best performing EOC center of Khulna Division in 2011 SL No Name of institute NVD Vacuum Del. V. Breech C. Section Total 01. Chowgacha UHC 3346 34 26 1007 4413 02. Ad-din Hospital Jessore. 1124 1864 3492 03. Khulna Medical College Hospital 1581 58 18 1356 3013 04. 250 bed Hospital, Jessore 1327 2 25 1498 2852 05. 250 bed Hospital, Kustia 1728 915 2677 06. Fatima Hospital Jessore. 519 6 1061 1586

Upazila Health Complex CHOWGACHA , JESSORE. Under 5 Service (2009-2011). S. No Year Admission in indoor Outdoor Male Female Total Death Refer 1 2009 1416 855 2271 20 55 24776 2 2010 1733 1124 2897 8 66 20919 3 2011 1458 1013 2471 11 73 21312

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Thank you