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Daganbhuiya Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this Bulletin of upazila.This bulletin contains all the health releated information of 2014. This bulletin is published to disseminate the information of upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. Government health office has many datd stored in file. This bulletin will help us to find constrains and also to see the result and achievement of 2014.The bulletin contains the status of MDG4 and MDG5 which will help to localize the MDG target. This bulletin has also the information on safe drinking water and sanitation status of this upazila.All the sanctioned and vacant posts are published in this bulletin of 2014 I like to draw attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bangladesh.Dr, Ali KarimUH&FPO Daganbhuiyan upazila Health Complex.
Dr. Ali Karim
UH&FPO
Daganbhuiya Upazila Health Complex

Daganbhuiya Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Daganbhuiya
Organization Code 10000946
Name of UHFPO Dr. Ali Karim
Land Phone No. 1 03323-0332379022
Land Phone No. 2
FAX No.
Mobile No. 01711064451
Email daganbhuiyan@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.9380 And Long: 91.3105
No. of Unions in the Upazila8
No. of Households in the Upazila 48,592
Population in the Upazila 273,313
Area of Upazila in sq km 134.00

Daganbhuiya 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 31
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 2 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 8 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 26 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 6 80
No. of NGO Clinics/Facilities 0 0

Daganbhuiya Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,197


Under 5 Mortality Rate: 30.499 (Per 1,000 live births)
Infant Mortality Rate: 18.543 (Per 1,000 live births)
Neonatal Mortality Rate: 12.810 (Per 1,000 live births)
Still Birth Rate: 1.098 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 14,164
Fully Vaccinated Children (<= 12 months): 92.00 %
Fully Vaccinated Children (<= 23 months):

Daganbhuiya 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: 1
Total No. of Recipients Who Took at least one ANC: 5,694
Total Number of Deliveries: 8,201
Valid TT Coverage: 26.00 %
Maternal Mortality Ratio (MMR) is: 12.20 per 100,000 live births.

Daganbhuiya 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 11,693 33,346 45,039 10,428 9,910 20,338 65,377 1,438 3,045 4,483 589 772 1,361 5,844
Union Sub-Centres 15,227 24,871 40,098 4,213 3,900 8,113 48,211 0 0 0 0 0 0 0
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 57,460 116,796 174,256 14,875 15,531 30,406 204,662 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

Daganbhuiya 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 1,612 2,428 4,040 413 428 841 4,881 6 3 9 0 0 0 9
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

Daganbhuiya 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 4,331
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 1381 31.89
2 J06 Acute upper respiratory infections of multiple and unspecified sites X: Diseases of the respiratory system 531 12.26
3 J45 Asthma X: Diseases of the respiratory system 503 11.61
4 X85 Assault by drugs, medicaments and biological substances XX: External causes of morbidity and mortality 152 3.51
5 F09 Unspecified organic or symptomatic mental disorder V: Mental and behavioural disorders 134 3.09
6 K20 Oesophagitis XI: Diseases of the digestive system 95 2.19
7 T37 Poisoning by other systemic anti-infectives and antiparasitics XIX: Injury, poisoning and certain other consequences of external causes 89 2.05
8 V87 Traffic accident of specified type but victim's mode of transport unknown XX: External causes of morbidity and mortality 87 2.01
9 N30 Cystitis XIV: Diseases of the genitourinary system 52 1.20
10 J21 Acute bronchiolitis X: Diseases of the respiratory system 37 0.85

Daganbhuiya 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 9
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J450 Predominantly allergic asthma X: Diseases of the respiratory system 4 44.44
2 J40 Bronchitis, not specified as acute or chronic X: Diseases of the respiratory system 3 33.33
3 I460 Cardiac arrest with successful resuscitation X: Diseases of the respiratory system 2 22.22
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Daganbhuiya Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 85.00
Coverage of households having access to sanitary latrines (%) 91.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 11,503
Bed Occupancy Rates (%) 101.66
Average Length of Hospital Stay (No. of days per patient) 3.50
Hospital Death Rate (%) 0.20


Daganbhuiya Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 513

 

Daganbhuiya 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 3 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 11 0 7 4 36.36
Class III 72 43 8 21 29.17
Class IV 19 5 2 12 63.16
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 3 2 1 16.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 2 4 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 1 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 3 0 1 25.00
Class IV 2 2 0 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 26 12 13 1 3.85
Class IV 0 0 0 0 0.00

 

Daganbhuiya 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 6 3 17.65
Non Doctor 0 0 0 0 0.00
Class II 11 0 7 4 36.36
Class III 108 60 25 23 21.30
Class IV 21 7 2 12 57.14
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

 

Daganbhuiya 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 7 9 7 0 0 0 1 0
Nurse 0 0 0 0 12 7 0 0 0 0 0
Medical Assistant 0 0 8 8 2 2 0 0 8 0 0
Medical Technologist 0 0 0 0 6 4 0 0 0 0 0
CHCP 26 25 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0 6
AHI 0 0 0 0 8 8 0 0 0 0 0
HA 0 0 0 0 39 25 0 0 0 0 0

Daganbhuiya 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) 2 0 1 1 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 0 0 0 0 0
Anesthesia machine without ventilator 2 1 1 0 0
Autoclave 1 1 0 0 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 0 0 0 0 0
Portable OT Light 1 0 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Daganbhuiya 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 1 1 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Daganbhuiya 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 1 1 0 0 0
Centrifuge machine (electric) 2 1 1 0 0
Colorimeter 3 3 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 2 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Daganbhuiya 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 0 0 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Daganbhuiya 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) 1 0 1 0 0
Generator
Generator (diesel/petrol) 2 1 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 4 3 1 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 1 0 0
Printer (laser) 5 3 2 0 0
Scanner 1 1 0 0 0
UPS 2 0 2 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Daganbhuiya 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 1 1 0 0 0
PA system (Sound) 0 0 0 0 0
Land phone 2 0 2 0 0
Mobile phone 1 1 0 0 0
Total 44 27 16 1 0

Daganbhuiya Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Daganbhuiya Upazila Health Complex
Last year we had been working with all our strength and limitations to improve the health status of our population. This year we are committed to provide even better services despite persistence of limitation,the provision of better services could be facilited by, 1.filling-up the vacant post as soon as possible,2. continuous medical education and training of our doctors and nurses,3.Repair and preventive maintenance of all equipments.I am very happy to write this bulletin of 2015.