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Damurhuda Upazila Health Complex | Health Bulletin 2015 |
Preface
Dr. Md.Abu Hasanuzzaman UH&FPO Perface. I am very glad in publist this health bulletin of damurhuda upazila.this bulletin contains all the health releted information of 2014.this bulletin is published to diseminate the information of damurhuda upazila to other the department and development partners of health. i hope all the information of this bulletin with help for planning and bridging the gaps in health services of this upazia
Dr. Md. Abu Hasanuzzaman
UH&FPO
Damurhuda Upazila Health Complex

Damurhuda Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Damurhuda
Organization Code 10001731
Name of UHFPO Dr. Md. Abu Hasanuzzaman
Land Phone No. 1 0-0762356140
Land Phone No. 2
FAX No.
Mobile No. 01711385218
Email damurhuda@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 88.0000
No. of Unions in the Upazila7
No. of Households in the Upazila 69,995
Population in the Upazila 299,171
Area of Upazila in sq km 309.25

Damurhuda 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 7 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 7 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 0 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 28 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 8 80
No. of NGO Clinics/Facilities 0 0

Damurhuda Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,310


Under 5 Mortality Rate: 9.605 (Per 1,000 live births)
Infant Mortality Rate: 8.286 (Per 1,000 live births)
Neonatal Mortality Rate: 5.838 (Per 1,000 live births)
Still Birth Rate: 4.143 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 7,120
Fully Vaccinated Children (<= 12 months): 95.00 %
Fully Vaccinated Children (<= 23 months): 95%

Damurhuda 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: 2
Total No. of Recipients Who Took at least one ANC: 5,528
Total Number of Deliveries: 5,310
Valid TT Coverage: 97.00 %
Maternal Mortality Ratio (MMR) is: 37.66 per 100,000 live births.

Damurhuda 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 17,582 27,589 45,171 6,948 9,870 16,818 61,989 1,820 2,890 4,710 970 1,280 2,250 6,960
Union Sub-Centres 38,240 58,970 97,210 15,978 18,220 34,198 131,408 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 7,120 49,279 56,399 15,288 21,240 36,528 92,927 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 31,258 96,140 127,398 18,520 22,240 40,760 168,158 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 63 587 650 44 37 81 731
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Damurhuda 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 1,633 2,288 3,921 285 498 783 4,704 4 2 6 0 0 0 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 199 701 900 45 50 95 995 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Damurhuda 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 4,704
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 1120 23.81
2 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 712 15.14
3 Y00 Assault by blunt object XX: External causes of morbidity and mortality 510 10.84
4 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 422 8.97
5 J45 Asthma X: Diseases of the respiratory system 302 6.42
6 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 277 5.89
7 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 110 2.34
8 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 85 1.81
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 78 1.66
10 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 72 1.53

Damurhuda 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
Poisoning T62.9 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
4 66.67
2 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 2 33.33
3 0 0.00
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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 90.00
Coverage of households having access to sanitary latrines (%) 80.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 8,994
Bed Occupancy Rates (%) 79.49
Average Length of Hospital Stay (No. of days per patient) 2.11
Hospital Death Rate (%) 0.13


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 587
Minor Surgeries 1,723

 

Damurhuda 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 5 3 1 11.11
Non Doctor 0 0 0 0 0.00
Class II 9 0 9 0 0.00
Class III 78 52 12 14 17.95
Class IV 19 12 7 0 0.00
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 7 4 2 1 14.29
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 14 8 0 6 42.86
Class IV 7 4 1 2 28.57
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 28 18 9 1 3.57
Class IV 0 0 0 0 0.00

 

Damurhuda 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 16 9 5 2 12.50
Non Doctor 0 0 0 0 0.00
Class II 9 0 9 0 0.00
Class III 120 79 21 20 16.67
Class IV 26 16 8 2 7.69
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

 

Damurhuda 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 7 6 9 8 0 0 3 2 0
Nurse 0 0 0 0 9 9 0 0 0 2 0
Medical Assistant 0 0 7 7 2 2 0 0 4 0 0
Medical Technologist 0 0 0 0 0 0 0 0 0 0 0
CHCP 28 27 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 9 9 0 0 0 0 0
HA 0 0 0 0 44 34 0 0 0 0 12

Damurhuda 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 0 0 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 1 0 1 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 1 0 0 1 0


Damurhuda 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 0 0 1 0


Damurhuda 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) 0 0 0 0 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 1 1 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Damurhuda 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 0 0 1 0


Damurhuda 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 1 1 0 0 0
ICT equipment
Computer (desktop) 8 8 0 0 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 3 3 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 0 0 0 0 0


Damurhuda 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 32 27 2 3 0

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

Important information and necessary issues for Damurhuda Upazila Health Complex
Important Information and necessary Issues for Damurhuda Upazila Health Complex.Inspite of Difficultes we tried out level best to render maximum service to the people. We are sure that Satisfactory service can be given if more doctors are posted here. Particularly Consultants which are Lacking should be provided with community clinic should be repared and upgrade so that maximum service can be given at the grass root level. we are to serve the humanity and let us believe that we can perform this noble duty with full satisfaction.