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Dighalia Upazila Health Complex | Health Bulletin 2015 |
Preface
Health bulletin is a picture of health status. If contains all health activities including manpower and infrastracture.It also represents public health status.It is published annually in a designed software. So that by analysing the bulletin,we can understand our present health status.It is also healpful for planning to improve our health condition. Fourteen Community clinic are running well.All CHCP are providing health services to people with special attention to child,mother and adolocent girls. Immunization programme is running successfully. Health education specially on personal hygiene,hand washing,sanitary latrine are delivered regularly. Natural disaster are mitigate by medical team.Searching for TB patient is conducted by field staff. Curative medicine at hospital is running well.Special servises are provided from NCD Corner,IMCI Corner,Breast Feeding Corner,ORT Corner & VIA Centre for specific group of patients. I am greatful to all concern person who contribute to develop this bulletin.Last of all I would like to thank Statistician and software designer.
Dr. Bidhan Chandra Ghosh
UH&FPO
Dighalia Upazila Health Complex

Dighalia Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Dighalia
Organization Code 10001797
Name of UHFPO Dr. Bidhan Chandra Ghosh
Land Phone No. 1 -041890015
Land Phone No. 2
FAX No.
Mobile No. 01730324595
Email dighalia@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.8914 And Long: 89.5351
No. of Unions in the Upazila6
No. of Households in the Upazila 33,461
Population in the Upazila 138,359
Area of Upazila in sq km 81.00

Dighalia 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 3 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) 4 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 14 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 4 40
No. of NGO Clinics/Facilities 0 0

Dighalia Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,990


Under 5 Mortality Rate: 14.047 (Per 1,000 live births)
Infant Mortality Rate: 10.368 (Per 1,000 live births)
Neonatal Mortality Rate: 6.689 (Per 1,000 live births)
Still Birth Rate: 4.013 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 13,981
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 98%%

Dighalia 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: 3
Total No. of Recipients Who Took at least one ANC: 3,553
Total Number of Deliveries: 3,002
Valid TT Coverage: 96.00 %
Maternal Mortality Ratio (MMR) is: 100.33 per 100,000 live births.

Dighalia 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 23,610 31,313 54,923 3,428 4,400 7,828 62,751 1,783 1,540 3,323 153 163 316 3,639
Union Sub-Centres 15,958 39,102 55,060 4,015 4,120 8,135 63,195 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) 8,602 34,069 42671 3,402 4,302 7,704 50,375 0 0 0 0 0 0 7,704
Community Clinics 20,958 64,087 85,045 4,069 3,921 7,990 93,035 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 170 547 717 0 0 0 717 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Dighalia 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 1,199 1,563 2,762 67 63 130 2,892 7 4 11 0 1 1 12
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 170 547 717 0 0 0 717 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Dighalia 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 2,892
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 593 20.50
2 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 509 17.60
3 J45 Asthma X: Diseases of the respiratory system 159 5.50
4 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 144 4.98
5 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 71 2.46
6 T50 Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances XIX: Injury, poisoning and certain other consequences of external causes 54 1.87
7 A010 Typhoid fever I: Certain infectious and parasitic diseases 49 1.69
8 J189 Pneumonia, unspecified X: Diseases of the respiratory system 26 0.90
9 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 13 0.45
10 V093 Pedestrian injured in unspecified traffic accident XX: External causes of morbidity and mortality 13 0.45

Dighalia 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 12
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 4 33.33
2 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 4 33.33
3 J45 Asthma IX: Diseases of the circulatory system 2 16.67
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1 8.33
5 I21 Acute myocardial infarction IX: Diseases of the circulatory system 1 8.33
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 83.00
Coverage of households having access to sanitary latrines (%) 92.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 7,035
Bed Occupancy Rates (%) 62.17
Average Length of Hospital Stay (No. of days per patient) 2.43
Hospital Death Rate (%) 0.41


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 380

 

Dighalia 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 10 5 4 1 10.00
Non Doctor 0 0 0 0 0.00
Class II 12 0 7 5 41.67
Class III 59 27 20 12 20.34
Class IV 19 7 4 8 42.11
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 0 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 3 2 1 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 3 1 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 5 1 0 0.00
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 16 2 13 1 6.25
Class IV 0 0 0 0 0.00

 

Dighalia 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 6 9 1 6.25
Non Doctor 0 0 0 0 0.00
Class II 12 0 7 5 41.67
Class III 84 36 35 13 15.48
Class IV 22 9 4 9 40.91
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

 

Dighalia 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 6 6 10 9 0 0 0 0 0
Nurse 0 0 0 0 11 7 0 0 2 0 0
Medical Assistant 0 0 6 6 2 2 0 0 7 0 0
Medical Technologist 0 0 0 0 6 6 0 0 0 0 0
CHCP 16 15 0 0 0 0 0 0 0 0 4
HI 0 0 0 0 2 1 0 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0 0
HA 0 0 0 0 29 21 0 0 0 0 10

Dighalia 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 1 0 0 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 0 1 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 1 1 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 2 2 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 2 1 1 0 0
Ventilator 0 0 0 0 0


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


Dighalia 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) 2 1 1 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Dighalia 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


Dighalia 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) 5 3 1 0 1
Generator
Generator (diesel/petrol) 1 1 0 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) 9 6 2 1 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 7 6 0 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Dighalia 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 54 39 10 3 2

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

Important information and necessary issues for Dighalia Upazila Health Complex
Dighalia Upazila is situted at Khulna city boarder.It consists of six union,two of which are surrunded by Khulna city corporation.Three union are river bounded like an island. One union is situated on the other side of river. Dighalia Upazila Health Complex is declared as 50 beded hospital without allocating budget & manpower.Out of 14 community cllinic one is shiffed to a club due to risk of river erosion & crack of building.Construction of two more community clinic is under proposal. One union subcentre is situated in city corporation area.There is no infrastracture of union health sub centres in four union.There are also incomplete organogram of manpower of above four union sub centres. Emergency deparment of each health complex is a vital & sensitive part of health service.But unfortunatly there is no organogram of manpower for emergency deparment. In both old & new extention building there is no option for store room.