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Dhunat Upazila Health Complex | Health Bulletin 2015 |
Preface
By the grace of Almighty Allah we are going to publish our " Local Health Bulletin"-2015 of upazila health complex,Dhunat, Bogra supported by MIS,DGHS, Mohakhali,Dhaka.I am very greatful to Prof.Dr. Abul Kalam Azad ADG.Planning and devlopment and Line Director, MIS,DGHS, Mohakhali, Dhaka who is always working hard to do develop information system of health sector.Every one can see our activities and achievement of our health complex by this bulletin. All the doctors and staff are very happy to know about this bulletin.All doctors and staff specially head assistant and statistician helped me to prepare this bulletin. I hope that the natural out come of these endeavor will be a much better opportunity of getting health information. There are many statistical data in this bulletin.In future we shall try best for our bulletin.
Dr.Md.Rafiqul Islam
UH&FPO
Dhunat Upazila Health Complex

Dhunat Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Dhunat
Organization Code 10001115
Name of UHFPO Dr.Md.Rafiqul Islam
Land Phone No. 1 05023-056126
Land Phone No. 2
FAX No.
Mobile No. 01711578203
Email dhunot@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.6916 And Long: 89.5359
No. of Unions in the Upazila10
No. of Households in the Upazila 76,481
Population in the Upazila 324,069
Area of Upazila in sq km 244.75

Dhunat 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 4 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) 5 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 32 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 0 0

Dhunat Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,084


Under 5 Mortality Rate: 17.140 (Per 1,000 live births)
Infant Mortality Rate: 11.753 (Per 1,000 live births)
Neonatal Mortality Rate: 8.570 (Per 1,000 live births)
Still Birth Rate: 3.673 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 33,321
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 80%

Dhunat 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: 4
Total No. of Recipients Who Took at least one ANC: 4,097
Total Number of Deliveries: 4,095
Valid TT Coverage: 30.00 %
Maternal Mortality Ratio (MMR) is: 97.94 per 100,000 live births.

Dhunat 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 32,221 38,450 70,671 3,662 5,440 9,102 79,773 4,441 7,320 11,761 2,832 3,052 5,884 17,645
Union Sub-Centres 44,310 46,552 90,862 3,851 6,262 10,113 100,975 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 28,410 29,321 57,731 2,652 27,457 30,109 87,840 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 86,352 98,653 185,005 14,221 19,875 34,096 219,101 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

Dhunat 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 1,908 2,474 4,382 303 614 917 5,299 3 2 5 2 1 3 8
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

Dhunat 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 5,191
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 631 12.16
2 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 501 9.65
3 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 363 6.99
4 A03 Shigellosis I: Certain infectious and parasitic diseases 214 4.12
5 X68 Intentional self-poisoning by and exposure to pesticides XX: External causes of morbidity and mortality 211 4.06
6 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 198 3.81
7 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 87 1.68
8 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 77 1.48
9 N39 Other disorders of urinary system XIV: Diseases of the genitourinary system 60 1.16
10 J35 Chronic diseases of tonsils and adenoids X: Diseases of the respiratory system 46 0.89

Dhunat 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 8
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 4 50.00
2 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 2 25.00
3 J45 Asthma X: Diseases of the respiratory system 2 25.00
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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 92.00
Coverage of households having access to sanitary latrines (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 13,580
Bed Occupancy Rates (%) 74.41
Average Length of Hospital Stay (No. of days per patient) 2.62
Hospital Death Rate (%) 0.15


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 602

 

Dhunat 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 21 7 4 10 47.62
Non Doctor 0 0 0 0 0.00
Class II 16 1 11 4 25.00
Class III 87 62 25 0 0.00
Class IV 25 21 4 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 5 1 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 4 2 0 2 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 4 3 1 12.50
Class IV 4 3 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 32 19 13 0 0.00
Class IV 0 0 0 0 0.00

 

Dhunat 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 31 23 5 3 9.68
Non Doctor 0 0 0 0 0.00
Class II 16 1 11 4 25.00
Class III 108 65 29 14 12.96
Class IV 23 11 9 3 13.04
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

 

Dhunat 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 10 8 21 13 0 0 2 0 0
Nurse 0 0 0 0 16 12 0 0 2 3 0
Medical Assistant 0 0 10 10 2 2 0 0 4 0 0
Medical Technologist 0 0 0 0 8 8 0 0 0 0 0
CHCP 32 32 0 0 0 0 0 0 0 0 3
HI 0 0 0 0 0 0 3 3 0 0 0
AHI 0 0 0 0 0 0 10 10 0 0 0
HA 0 0 0 0 0 0 50 41 0 0 6

Dhunat 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 1 1 0 0 0
Autoclave 2 2 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 1 1 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 2 2 0 0 0


Dhunat 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 2 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Dhunat 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 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 1 1 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Dhunat 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 1 1 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 2 1 0 1 0


Dhunat 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 0 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) 7 6 0 1 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 0 0 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Dhunat 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 41 36 3 2 0

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

Important information and necessary issues for Dhunat Upazila Health Complex
Important information and necessary issues of Dhunat Upazila Health Complex is Mobile Phone Health Service. We are going health service through Mobile Phone number- 01730324621. The phone always handing by a duty doctor. It is easy for a patient to take health service from anywhere and any time.