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Dacope Upazila Health Complex | Health Bulletin 2015 |
Preface
I am Very glad to published the health bulletin of Dacope Upazila health complex, Khulna.The Statistics of different activities done here in health sector from January to December, 2014 have been reported in the health bulletin. Dacope is situated at the coastal area and is a hard to rich as well as a remote upazila about 35 km away from khulna headquarter. As a coastal area, main communication is river based transport. Yet, We are in better position to achieve MDG 4 & MDG 5 and our achievement in other indicators are satisfactory as well. I also hope that the reports of health services in the Bulletin will level gaps between the health officials and the common public in our society. So I, Dr Md Abdur Raquib, personally thanks all officials concerned to the health services for such achievement. At the same time I heartily thank Prof. Dr. Deen Mohammad Nurul Haque Hon'ble DG(Health), DR. Abul Kalam Azad (ADG-Planning & Development, Director-MIS) and every one associated with the publication of this Health Bulletin, who give me directives and technical support in this assignment which will ultimately guide us to build a digital Bangladesh Dr. Nd. Abdur Raquib Upazila Health & Family Planing Officer Dacope, Khulna.
Dr. Md Abdur Raquib
UH&FPO
Dacope Upazila Health Complex

Dacope Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Dacope
Organization Code 10001794
Name of UHFPO Dr. Md Abdur Raquib
Land Phone No. 1 04023-056004
Land Phone No. 2 04023-56004
FAX No.
Mobile No. 01711109417
Email dacope@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.0000 And Long: 89.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 37,177
Population in the Upazila 158,908
Area of Upazila in sq km 266.00

Dacope 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) 9 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 7 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 19 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 1 0

Dacope Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,031


Under 5 Mortality Rate: 19.202 (Per 1,000 live births)
Infant Mortality Rate: 13.294 (Per 1,000 live births)
Neonatal Mortality Rate: 8.370 (Per 1,000 live births)
Still Birth Rate: 11.817 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 4,949
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 85%

Dacope 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: 2,733
Total Number of Deliveries: 2,029
Valid TT Coverage: 91.00 %
Maternal Mortality Ratio (MMR) is: 49.24 per 100,000 live births.

Dacope 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 9,490 13,486 22,976 2,909 4,204 7,113 30,089 1,439 1,124 2,563 394 482 876 3,439
Union Sub-Centres 0 0 0 0 0 0 0 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) 6,543 8,548 15091 1,169 1,837 3,006 18,097 0 0 0 0 0 0 3,006
Community Clinics 44,817 57,184 102,001 4,468 3,025 7,493 109,494 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

Dacope 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 1,569 2,793 4,362 532 864 1,396 5,758 22 15 37 6 9 15 52
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

Dacope 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 5,758
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J12 Viral pneumonia, NEC X: Diseases of the respiratory system 639 11.10
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 593 10.30
3 K358 Acute appendicitis, other and unspecified XI: Diseases of the digestive system 534 9.27
4 Y08 Assault by other specified means XX: External causes of morbidity and mortality 378 6.56
5 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 189 3.28
6 T478 Other agents primarily affecting the gastrointestinal system XIX: Injury, poisoning and certain other consequences of external causes 125 2.17
7 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 121 2.10
8 A070 Balantidiasis I: Certain infectious and parasitic diseases 119 2.07
9 J459 Asthma, unspecified X: Diseases of the respiratory system 98 1.70
10 V899 Person injured in unspecified vehicle accident XX: External causes of morbidity and mortality 75 1.30

Dacope 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 52
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I678 Other specified cerebrovascular diseases IX: Diseases of the circulatory system 10 19.23
2 J12 Viral pneumonia, NEC X: Diseases of the respiratory system 8 15.38
3 J449 Chronic obstructive pulmonary disease, unspecified IX: Diseases of the circulatory system 5 9.62
4 Z824 Family history of ischaemic heart disease and other diseases of the circulatory system XXI: External causes of morbidity and mortality 4 7.69
5 I509 Heart failure, unspecified IX: Diseases of the circulatory system 4 7.69
6 J459 Asthma, unspecified X: Diseases of the respiratory system 3 5.77
7 J22 Unspecified acute lower respiratory infection X: Diseases of the respiratory system 3 5.77
8 B43 Chromomycosis and phaeomycotic abscess I: Certain infectious and parasitic diseases 2 3.85
9 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 2 3.85
10 Y34 Unspecified event, undetermined intent XX: External causes of morbidity and mortality 2 3.85

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 72.00
Coverage of households having access to sanitary latrines (%) 69.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 34,092
Bed Occupancy Rates (%) 186.81
Average Length of Hospital Stay (No. of days per patient) 5.90
Hospital Death Rate (%) 0.02


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 975
Minor Surgeries 1,160

 

Dacope 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 22 16 4 2 9.09
Non Doctor 0 0 0 0 0.00
Class II 17 1 11 5 29.41
Class III 82 36 22 24 29.27
Class IV 26 8 4 14 53.85
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 9 7 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 5 4 0 0.00
Class IV 0 0 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 19 8 11 0 0.00
Class IV 0 0 0 0 0.00

 

Dacope 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 6 2 6.45
Non Doctor 0 0 0 0 0.00
Class II 17 1 11 5 29.41
Class III 110 49 37 24 21.82
Class IV 26 8 4 14 53.85
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

 

Dacope 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 9 9 22 20 0 0 5 1 0
Nurse 0 0 0 0 17 11 0 0 0 0 0
Medical Assistant 0 0 9 9 2 2 0 0 0 0 0
Medical Technologist 0 0 0 0 8 3 0 0 0 0 0
CHCP 19 19 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 1 0 0 0 0 0
AHI 0 0 0 0 8 4 0 0 0 0 0
HA 0 0 0 0 44 42 0 0 0 0 0

Dacope 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 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 1 0 0 0
Anesthesia machine without ventilator 1 0 1 0 0
Autoclave 1 0 0 0 1
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 1 1 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 0 1 0 0
Portable OT Light 3 1 1 1 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) 3 2 1 0 0
Ventilator 1 0 0 1 0


Dacope 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 0 0 0 1
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 3 2 1 0 0
Pulse oximeter 1 0 1 0 0
Dental equipment
Dental unit 0 0 0 0 0


Dacope 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 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 3 1 1 1 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Dacope 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


Dacope 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) 3 1 1 1 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 2 2 0 0 0
IPS 1 0 0 1 0
ICT equipment
Computer (desktop) 11 7 2 2 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 9 5 2 2 0
Scanner 2 2 0 0 0
UPS 9 6 2 1 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


Dacope 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 0 1 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 71 42 16 11 2

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

Important information and necessary issues for Dacope Upazila Health Complex
The EPI activities is satisfactory. I would like to mention some important issue which will help us to achieve better result in future. 1) Infrastructure of this hospital should be modernized. 2) Number of CC should be increased. 3) All the repairable instrument & furniture should be repaired as soon as possible . 4) All the vacant post(specially MT(lab) & jr Mechanics) should be filled up with short time. 5) Activities of Health , FP & NGO should be reported combined in a consolidated prescribed forms. I am very happy to develop this Health Bulletin of 2014. Because these documents will help us to compare our progress in upcoming years. This will helps the public to understand health service and provide us the useful advice for improvement of future activities. Dr. Md Abdur Raquib Upazila Health & Family Planing Officer Dacope. Khulna