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    Shantir Dip

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    Jannatul Mawa
    The students visited the Gohira Shantirdip Union Health Centre in Chattogram as part of their RFST program. They observed the facilities and services provided at the basic primary healthcare center, which sees 35-40 patients per day. Key limitations noted were poor environmental conditions, inadequate staffing and lack of emergency and diagnostic services. The visit provided insight into how primary healthcare is delivered at the union level in Bangladesh and the challenges faced.

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    Shantir Dip

    Uploaded by

    Jannatul Mawa
    15 views6 pages
    The students visited the Gohira Shantirdip Union Health Centre in Chattogram as part of their RFST program. They observed the facilities and services provided at the basic primary healthcare center, which sees 35-40 patients per day. Key limitations noted were poor environmental conditions, inadequate staffing and lack of emergency and diagnostic services. The visit provided insight into how primary healthcare is delivered at the union level in Bangladesh and the challenges faced.

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    The students visited the Gohira Shantirdip Union Health Centre in Chattogram as part of their RFST program. They observed the facilities and services provided at the basic primary healthcare center, which sees 35-40 patients per day. Key limitations noted were poor environmental conditions, inadequate staffing and lack of emergency and diagnostic services. The visit provided insight into how primary healthcare is delivered at the union level in Bangladesh and the challenges faced.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    15 views6 pages

    Shantir Dip

    Uploaded by

    Jannatul Mawa
    The students visited the Gohira Shantirdip Union Health Centre in Chattogram as part of their RFST program. They observed the facilities and services provided at the basic primary healthcare center, which sees 35-40 patients per day. Key limitations noted were poor environmental conditions, inadequate staffing and lack of emergency and diagnostic services. The visit provided insight into how primary healthcare is delivered at the union level in Bangladesh and the challenges faced.

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    © All Rights Reserved
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    of 6

    Visit to Gohira Shantirdip Union Health Centre

    Date: 13th September, 2022

    Time: 10.00 AM – 11.00 AM


    Location: Gohira, Raozan, Chattogram

    Assigned Teacher
    Prof. Dr. Sayeed Mahmud
    Dr. Saeeda Raisa

    Picture showing students of RFST group C in front of Gohira Shantirdip Union


    Health Centre, Raozan, Chattogram with our respected teachers and Medical
    Asst. Mrs. Mithali Halder, MLSS Mrs. Jannatul Ferdous.

    Introduction
    Union Health Centre is the union level public health facility for quality primary
    health care services. There are 7 union sub centres . As a part of our RFST program
    we got an opportunity to visit Gohira Shantirdip Union Health Centre in
    Chittagoing with our assigned teachers Dr Sayeed Mahmud & Dr. Saeeda Raisa.
    According to Schedule we reached in the Union health center at 9:45am. We were
    warmly welcomed by medical assistant Mrs. Mithali Halder & MLSS Mrs. Jannatul
    Ferdous. Mrs. Mithali Halder briefed us about the activities & facilities available
    in the center. It remains open from 9am to 3pm (6 days in a week).

    Community based health care (CBHC) and Union Health Centers

    Bangladesh has achieved notable progress on different health parameters during the
    last 2 decades in comparison to the neighboring countries and many other
    developing countries of the globe. Bangladesh has achieved MDG- 4 before the
    stipulated time and are very much in track on MDG-5 in spite of low health budget
    and many other constraints. The country is now in SDG era. In Bangladesh 4th
    HPN Sector Program is on board for a period from January.2017 to JUNE, 2022.
    For the 1ST 5.5 Years of SDG, CBHC will contribute substantially in achieving
    SDG as of MDG and will continue till the achievement of SDG by 2030. Under 4th
    HPN Sector Program the dimension of CBHC has been extended further. In short
    it consists of the activities of union health centers (the flagship program of the
    present government) and ESD (essential health services from Union health centers
    to all health facilities within the Union).

    Types of Organization

    Government Health Center

    Purpose of Visit

    1. To get practical idea of health care Services at the union level.


    2. To learn the organogram of union health center
    3. To observe the strengths of the organization
    4. To know about the special services given by them
    5. To observe the limitation of the organization
    Picture showing Mithali Halder briefing the student about the different Activities
    and services given by Union health center

    Organogram of the organization

    Designation Staff Filled UP Posts

    Medical Officer (MO) Dr Md Jahidullah 1

    Medical Assistant (MA) Mrs. Mithali Halder 1


    (Officer In-charge)
    Pharmacist -- 0

    MLSS Mrs. Jannatul Ferdous 1

    Function of the organization


    1. They provide only out-door services
    2. They give treatment to the patient with fever, common cold, diarrhea (mild)
    etc.
    3. (35-40) patients per day come to the health care for the treatment.
    4. They provide & types of medicine with free of cost.
    5. They give treatment to the patient of mild condition. In severe condition
    they refer the patient to UHC
    6. They provide treatment free of cost
    7. They measure BP & temperature
    Structure:
    • 3 ROOMS
    • One for MA and MLSS
    • one for pharmacist
    • One for MO

    Drugs available:
    1. Paracetamol
    2. Salbutamol
    3. Histacin tablet
    4. Antacid tablet
    5. Albendazole BP 400 mg
    6. Amoxicillin Capsule 500 mg
    7. metronidazole 400 mg
    8. ORS
    9. Vitamin B complex tablet

    Picture showing some of the drugs they provide to the patients


    Environment
    • Poor ventilation
    • Poor Sanitation
    • Insufficient water supply
    • Area is small
    • Total environmental condition is poor.

    Limitations
    • The patients are not admitted.
    • There is no emergency bed available.
    • They are unable to take care of patient in critical condition.
    • No injectable medications are available.
    • Domiciliary health services are not offered.
    • No diagnostic facilities
    • No indoor service is available.
    • Inadequate manpower.
    • There is no pharmacist present, and the MA is in charge.
    • There is no ambulance service for emergencies.
    .

    Observation
    • Poor Environmental condition.
    • No boundary around the organization
    • (35-40) patient come here for the treatment
    • No bed for emergency purpose
    • They register the name of the patients & give the treatment.
    • No poster for health education & creating awareness of people.
    • They provide the treatment with free of cost no need to buy the tickets.
    • They provide service from 9:00am to 3pm.
    • They don't provide the full course of all drugs to the patient except
    antibiotics
    Picture showing registered name of some patients on 11th & 12th September
    2022

    Recommendations
    • All facilities for emergency referral should be available.
    • The environment should be upgraded.
    • They should have at least one emergency bed available.
    • There should be more manpower available.

    Conclusion
    The first and foremost goal of Union Health Centre is to provide primary health
    care to the people of union. To maintain this the staff of the centre are facing many
    obstacles and challenges. Local MP, community and political leaders, people of
    administrative level all are trying to help overcome these challenges.

    We hope that in near future the vacant post of the centre will be filled and its
    activities will run smoothly overcoming the challenges.

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