Dewanganj Upazila Health Complex | Health Bulletin 2015 |
Preface
Dewanganj upazilla Health Complex is Situated on North end of jamalpur District. Two
Union of this Upazilla are with Indian Border. The whole upazilla are divided by the Jammuna and Bramhaputra river.Peoples living in char are separated from main land by river. there are too many char in Jamuna & bramhaputra river. Peoples living in char are in poor & their literacy rate is low.
Dewanganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Dewanganj
Organization Code
10000191
Name of UHFPO Dr. Md. Nurul Amin
Land Phone No. 1
-092375002
Land Phone No. 2
FAX No.
Mobile No.
01720212252
Email dewanganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
25.1618 And
Long:
89.7585
No. of Unions in the Upazila 8
No. of Households in the Upazila 63,414
Population in the Upazila 273,435
Area of Upazila in sq km 267.00
Dewanganj 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
0
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
4
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
0
0
No. of Rural/Urban/Thana Health Centers
2
0
No. of Community Clinics
27
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
0
0
No. of NGO Clinics/Facilities
2
0
Dewanganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,271
Under 5 Mortality Rate: 62.988 (Per 1,000 live births)
Infant Mortality Rate: 45.926 (Per 1,000 live births)
Neonatal Mortality Rate: 23.122 (Per 1,000 live births)
Still Birth Rate: 26.312 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 11,574
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%
Dewanganj 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:
11
Total No. of Recipients Who Took at least one ANC:
8,872
Total Number of Deliveries:
6,271
Valid TT Coverage: 43.00 %
Maternal Mortality Ratio (MMR) is:
175.41 per 100,000 live births.
Dewanganj 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
11,285
15,543
26,828
2,560
2,730
5,290
32,118
3,727
3,714
7,441
570
857
1,427
8,868
Union Sub-Centres
0
0
0
0
0
0
0
6,216
7,906
14,122
1,260
1,619
2,879
17,001
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)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Community Clinics
89,912
149,065
238,977
8,115
8,274
16,389
255,366
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
Dewanganj 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
2,147
2,630
4,777
362
330
692
5,469
6
5
11
3
2
5
16
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
Dewanganj 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
4,307
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
1380
32.04
2
O75 Other complications of labour and delivery, NEC
XV: Pregnancy, childbirth and the puerperium
489
11.35
3
V09 Pedestrian injured in other and unspecified transport accidents
XX: External causes of morbidity and mortality
455
10.56
4
J129 Viral pneumonia, unspecified
X: Diseases of the respiratory system
470
10.91
5
A009 Cholera, unspecified
I: Certain infectious and parasitic diseases
307
7.13
6
A99 Unspecified viral haemorrhagic fever
I: Certain infectious and parasitic diseases
310
7.20
7
K352 Acute appendicitis with generalized peritonitis
XI: Diseases of the digestive system
270
6.27
8
J458 Mixed asthma
X: Diseases of the respiratory system
210
4.88
9
A527 Other symptomatic late syphilis
I: Certain infectious and parasitic diseases
98
2.28
10
I15 Secondary hypertension
IX: Diseases of the circulatory system
120
2.79
Dewanganj 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
15
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I516 Cardiovascular disease, unspecified
IX: Diseases of the circulatory system
5
33.33
2
J129 Viral pneumonia, unspecified
X: Diseases of the respiratory system
2
13.33
3
P21 Birth asphyxia
IX: Diseases of the circulatory system
2
13.33
4
J45 Asthma
X: Diseases of the respiratory system
1
6.67
5
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
1
6.67
6
S099 Unspecified injury of head
XIX: Injury, poisoning and certain other consequences of external causes
2
13.33
7
O669 Obstructed labour, unspecified
XV: Pregnancy, childbirth and the puerperium
1
6.67
8
R579 Shock, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
0
0.00
9
I110 Hypertensive heart disease with (congestive) heart failure
IX: Diseases of the circulatory system
1
6.67
10
E14 Unspecified diabetes mellitus
IV: Endocrine, nutritional and metabolic diseases
0
0.00
Dewanganj Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
97.00
Coverage of households having access to sanitary latrines (%)
92.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
17,467
Bed Occupancy Rates (%)
95.71
Average Length of Hospital Stay (No. of days per patient)
4.06
Hospital Death Rate (%)
0.35
Dewanganj Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
20
Minor Surgeries
1,820
Dewanganj 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
9
4
2
3
33.33
Non Doctor
0
0
0
0
0.00
Class II
10
0
6
4
40.00
Class III
73
46
20
7
9.59
Class IV
19
12
3
4
21.05
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I
Doctor
8
4
0
4
50.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
10
9
1
0
0.00
Class IV
2
1
1
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
30
10
20
0
0.00
Class IV
0
0
0
0
0.00
Dewanganj 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
17
8
2
7
41.18
Non Doctor
0
0
0
0
0.00
Class II
10
0
6
4
40.00
Class III
114
65
40
9
7.89
Class IV
21
13
4
4
19.05
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
Dewanganj 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
8
4
9
4
0
0
1
2
0
Nurse
0
0
0
0
10
6
0
0
6
6
0
Medical Assistant
0
0
8
8
2
2
0
0
8
8
0
Medical Technologist
0
0
2
1
7
6
0
0
6
6
0
CHCP
31
30
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
0
AHI
0
0
0
0
8
8
0
0
0
0
0
HA
0
0
0
0
40
38
0
0
0
0
10
Dewanganj 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
2
1
1
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
2
1
0
1
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
4
2
1
1
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
2
0
2
0
0
Sucker machine (electric)
2
1
1
0
0
Ventilator
0
0
0
0
0
Dewanganj 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
2
1
1
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Dewanganj 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)
1
1
0
0
0
Colorimeter
0
0
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
4
2
0
2
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Dewanganj 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
4
2
1
1
0
Vehicles
Ambulance
4
2
1
1
0
Dewanganj 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)
8
4
2
2
0
Generator
Generator (diesel/petrol)
4
2
1
1
0
Generator (gas)
0
0
0
0
0
Solar panel
3
1
1
1
0
IPS
2
2
0
0
0
ICT equipment
Computer (desktop)
14
7
5
1
1
Laptop
68
34
34
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
2
1
0
1
0
Printer (laser)
8
4
3
1
0
Scanner
1
1
0
0
0
UPS
10
5
5
0
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
68
34
34
0
0
Multimedia
2
1
1
0
0
Dewanganj 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
2
1
1
0
0
PA system (Sound)
0
0
0
0
0
Land phone
2
1
1
0
0
Mobile phone
2
1
1
0
0
Total
226
116
96
13
1
Dewanganj Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Dewanganj Upazila Health Complex