Presentation on theme: "50 BEDED UPAZILA HEALTH COMPLEX Chowgacha, Jessore. Dr. Md Emdadul Haque Chowgacha UHC, Jessore."— 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 Providing Effective and prompt services through improved management system Show respect to the patients Integrated approach of Administration, Community Leaders & Health Management
1.Total population: Total Fertile Couples : Total Pregnant: Total Delivery: Total Live birth: Total death : Total Maternal death: 03 8.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: Health Institutions a. Health Complex : 01 b. H & FWC : 11 (RD- 4 + FWC– 7 ) c. Community clinic: 23 d. Non- Govt. Clinic : 04 Health Profile of Chowgacha Upazila- 2011
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 / 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 10. Mother Taken-ANC1 st : 170% (8935) 11. Chowgacha Mother ANC 1 st : 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: 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 / 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
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 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. 1)ANC-Corner – leaded by female Medical Officer for pregnant mother for effective ANC services who receive TT immunization in the Health Complex 2)Basic EOC service by a Gyne & Obs. trained MO 3)Under 5 corner for under 5 children for their nutritional assessment and treatment by RMO. 4)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 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 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 8 th March Major Killer Disease (diabetes, hypertension, cancer, RTA & poisoning) prevention program starts in 1 st January TQM activates starts in July 2011 by the support of JACA.
Upazila Health Complex CHOWGACHA, JESSORE. Sl No Year Emergency Patients Out door Service Emergency & Out door Service 2005 to 2011
Upazila Health Complex CHOWGACHA, JESSORE. Sl No Year indoor Service No of Bed Bed occupancy rate % % % % % % Indoor Service 2005 to 2011
Upazila Health Complex CHOWGACHA, JESSORE. EOC Activities : (ANC First Visit)
Upazila Health Complex CHOWGACHA, JESSORE. EOC Activities : (Admission in labour ward
Upazila Health Complex CHOWGACHA, JESSORE. Progress Of EOC Activities based on UN Process Indicators SL No Indicators Target of UN Process 01Total Pregnancy Total Hospital delivery Total Caesarian section Maternal death in health Complex % of birth in health Complex.26.5% 38.1 % 52.4%72% >15% 06Met-need for EmOC92.1%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% 08Case Fatality Rate0.44%.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 instituteNVDVacuum Del. V. Breech C. Section Total 01. Chowgacha UHC Ad-din Hospital Jessore Khulna Medical College Hospital bed Hospital, Jessore bed Hospital, Kustia Fatima Hospital Jessore
Upazila Health Complex CHOWGACHA, JESSORE. Under 5 Service ( ). S. No YearAdmission in indoor Outdoor Male Female Total Death Refer