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Dighinala Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to know that health bulletin 2015 for Dighinala upazila is going to be published .The health bulletin contains all the health related informations of the year 2015 .I hope the informations of this Bulletin will help for planning and bridging the gape in health services of this upazila and it also help us to find constrains and also to see the results and achievement 0f 2014. It is mentioned here that infrastructure has not yet been constructed for this UHC .it is only 10 indoor beds Hospitol. For this reasons the health services hampering too much .
Dr.Shamsul Garper
UH&FPO
Dighinala Upazila Health Complex

Dighinala Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Dighinala
Organization Code 10000973
Name of UHFPO Dr.Shamsul Garper
Land Phone No. 1 0-037181004
Land Phone No. 2
FAX No.
Mobile No. 01711031722
Email dighinala@ufpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila5
No. of Households in the Upazila 20,192
Population in the Upazila 111,160
Area of Upazila in sq km 590.00

Dighinala 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 10
No. of OPD at Sadar Upazila Health Facility 1 0
No. of Union Sub-Centres 3 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 1 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 3 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 13 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

Dighinala Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 972


Under 5 Mortality Rate: 1.029 (Per 1,000 live births)
Infant Mortality Rate: 1.029 (Per 1,000 live births)
Neonatal Mortality Rate: 0.000 (Per 1,000 live births)
Still Birth Rate: 1.029 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 9,180
Fully Vaccinated Children (<= 12 months): 85.00 %
Fully Vaccinated Children (<= 23 months): 99%%

Dighinala 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: 0
Total No. of Recipients Who Took at least one ANC: 653
Total Number of Deliveries: 260
Valid TT Coverage: 100.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Dighinala 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 12,314 10,196 22,510 476 6,094 6,570 29,080 1,712 1,020 2,732 1,337 1,142 2,479 5,211
Union Sub-Centres 7,444 17,719 25,163 1,845 2,939 4,784 29,947 7,444 17,719 25,163 1,845 2,939 4,784 29,947
Union Health and Family Welfare Centre (belongs to DGHS) 712 1,176 1,888 564 612 1,176 3,064 712 1,176 1,888 564 612 1,176 3,064
Union Health and Family Welfare Centre (belongs to DGFP) 3,245 3,529 6774 1,644 1,855 3,499 10,273 3,245 3,529 6,774 1,644 1,855 3,499 6,998
Community Clinics 16,813 21,608 38,421 2,698 2,914 5,612 44,033 16,813 21,608 38,421 2,698 2,914 5,612 44,033
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 1,130 1,576 2,706 1,125 1,342 2,467 5,173 1,130 1,576 2,706 1,125 1,342 2,467 5,173

Dighinala 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 1,226 1,452 2,678 1,311 1,062 2,373 5,051 3 2 5 1 0 1 6
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

Dighinala 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 1,679
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 532 31.69
2 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 231 13.76
3 J101 Influenza with other respiratory manifestations, influenza virus identified X: Diseases of the respiratory system 277 16.50
4 J459 Asthma, unspecified X: Diseases of the respiratory system 201 11.97
5 D509 Iron deficiency anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 45 2.68
6 A050 Foodborne staphylococcal intoxication I: Certain infectious and parasitic diseases 57 3.39
7 T407 Cannabis (derivatives) XIX: Injury, poisoning and certain other consequences of external causes 104 6.19
8 R730 Abnormal glucose tolerance test XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 65 3.87
9 I150 Renovascular hypertension IX: Diseases of the circulatory system 89 5.30
10 A010 Typhoid fever I: Certain infectious and parasitic diseases 78 4.65

Dighinala 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 6
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I639 Cerebral infarction, unspecified IX: Diseases of the circulatory system 2 33.33
2 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 1 16.67
3 J101 Influenza with other respiratory manifestations, influenza virus identified IX: Diseases of the circulatory system 1 16.67
4 A150 Tuberculosis of lung, confirmed by sputum microscopy with or without culture I: Certain infectious and parasitic diseases 1 16.67
5 J459 Asthma, unspecified X: Diseases of the respiratory system 1 16.67
6 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 75.00
Coverage of households having access to sanitary latrines (%) 50.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 5,051
Bed Occupancy Rates (%) 138.38
Average Length of Hospital Stay (No. of days per patient) 3.01
Hospital Death Rate (%) 0.36


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 730

 

Dighinala 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 14 9 1 4 28.57
Non Doctor 0 0 0 0 0.00
Class II 10 0 9 1 10.00
Class III 63 39 23 1 1.59
Class IV 21 12 7 2 9.52
Union Health & Family Welfare Center (under DGHS)
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 2 1 0 1 50.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 3 2 0 1 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 4 1 1 16.67
Class IV 3 2 0 1 33.33
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 13 5 5 3 23.08
Class IV 0 0 0 0 0.00

 

Dighinala 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 14 9 1 4 28.57
Non Doctor 0 0 0 0 0.00
Class II 10 0 9 1 10.00
Class III 70 45 25 0 0.00
Class IV 24 14 9 1 4.17
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

 

Dighinala 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 0 0 0 0 0 0 0 0 0
Nurse 0 0 0 0 10 9 0 0 2 0 0
Medical Assistant 0 0 3 3 2 2 0 0 1 0 0
Medical Technologist 0 0 0 0 7 7 0 0 0 0 0
CHCP 13 9 0 0 0 0 0 0 0 0 5
HI 0 0 0 0 2 0 0 0 0 0 0
AHI 0 0 0 0 7 7 0 0 0 0 0
HA 0 0 0 0 35 35 0 0 0 0 0

Dighinala 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) 0 0 0 0 0
X-ray machine (300 mA) 1 0 1 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 0 0 0 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 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 4 2 2 0 0
Sucker machine (electric) 8 3 5 0 0
Ventilator 0 0 0 0 0


Dighinala 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 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 4 3 1 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Dighinala 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) 2 2 0 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 5 1 0 4 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Dighinala 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 1 1 0 0 0


Dighinala 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) 0 0 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 6 0 0 6 0
ICT equipment
Computer (desktop) 1 1 0 0 0
Laptop 15 13 2 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 2 2 0 0 0
Scanner 1 1 0 0 0
UPS 7 7 0 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 0 0 0 0 0
Multimedia 0 0 0 0 0


Dighinala 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 0 0 0 0 0
PA system (Sound) 0 0 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 62 41 11 10 0

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

Important information and necessary issues for Dighinala Upazila Health Complex
Dighinala Upazila Health Complex is one of the most vital and upazila in khagrachari hilt tracts . It is not only for its huge population but for its strategic location.communication with two more upazila of Rangamati is very good. They also creates burden for Dighinala U.H.C.So for huge population facility of Dighinala U.H.C.is insufficient and inadequate .our only 10 indoor beds.our bed occupancy Rate is higher. So number of bed should be increased sufficiently. frequent load voltage problem and internet problem is other major problems for U.H.C.because of non functioning of X-ray machine due to low voltage. but among them own infrastructure for U.H.C is needed in very short time.