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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.
Dr. Md. Nurul Amin
UH&FPO
Dewanganj Upazila Health Complex

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 Upazila8
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