Dumuria Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to Publish this Bulletin of Dunuria upazila health Complex. This bulletin Contains all the health Related Information of 2015. This bulletin Is Published to disseminate the information of Dumuria Upazila to other Line Department and Development Partners of health . I hope that all the Information of this this bulletin will help for laning and bridging the gaps in health services of this Upazila .This health bulletin will help us to find constrains and also to see the results and achievements of 2015 The bulletin contains the status of MDG 4&5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the dumuria upaziia. All the sanctioned and vacant posts are published in this bulletin of 2014. I like to take attention of the Higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Health of Bangladesh.
Dr. A.S.M.Maruf Hasan Upzila Health & Family Planning Officer Dumuria, Khulna.
Phone-04025-56029
, Mobile-01711448880
Dumuria Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Dumuria
Organization Code
10001799
Name of UHFPO Dr. A.S.M.Maruf Hasan
Land Phone No. 1
04025-056029
Land Phone No. 2
FAX No.
Mobile No.
01711448880
Email dumuria@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.4860 And
Long:
89.2650
No. of Unions in the Upazila 14
No. of Households in the Upazila 69,688
Population in the Upazila 323,621
Area of Upazila in sq km 454.23
Dumuria 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
0
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
14
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
13
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
40
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
10
50
No. of NGO Clinics/Facilities
2
0
Dumuria Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,599
Under 5 Mortality Rate: 23.701 (Per 1,000 live births)
Infant Mortality Rate: 14.568 (Per 1,000 live births)
Neonatal Mortality Rate: 11.524 (Per 1,000 live births)
Still Birth Rate: 7.610 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 23,576
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):
Dumuria 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:
7
Total No. of Recipients Who Took at least one ANC:
5,567
Total Number of Deliveries:
4,705
Valid TT Coverage: 98.00 %
Maternal Mortality Ratio (MMR) is:
152.21 per 100,000 live births.
Dumuria 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
11,408
25,640
37,048
5,000
7,705
12,705
49,753
1,987
1,312
3,299
223
500
723
4,022
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)
23,980
71,985
95965
1,600
3,040
4,640
100,605
0
0
0
0
0
0
4,640
Community Clinics
53,860
129,120
182,980
3,775
10,000
13,775
196,755
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
760
1,612
2,372
303
820
1,123
3,495
0
0
0
0
0
0
0
NGO Clinics/Facilities
2,798
12,896
15,694
1,021
2,000
3,021
18,715
0
0
0
0
0
0
0
Dumuria 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
1,845
2,645
4,490
200
470
670
5,160
6
15
21
1
0
1
22
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
52
52
0
0
0
52
0
0
0
0
0
0
0
Dumuria 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
5,441
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
770
14.15
2
V87 Traffic accident of specified type but victim's mode of transport unknown
XX: External causes of morbidity and mortality
728
13.38
3
O64 Obstructed labour due to malposition and malpresentation of fetus
XV: Pregnancy, childbirth and the puerperium
210
3.86
4
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
310
5.70
5
T36 Poisoning by systemic antibiotics
XIX: Injury, poisoning and certain other consequences of external causes
248
4.56
6
A75 Typhus fever
I: Certain infectious and parasitic diseases
65
1.19
7
J45 Asthma
X: Diseases of the respiratory system
144
2.65
8
J12 Viral pneumonia, NEC
X: Diseases of the respiratory system
115
2.11
9
I95 Hypotension
IX: Diseases of the circulatory system
72
1.32
10
D60 Acquired pure red cell aplasia [erythroblastopenia]
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
2
0.04
Dumuria 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
25
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I516 Cardiovascular disease, unspecified
IX: Diseases of the circulatory system
8
32.00
2
T363 Macrolides
XIX: Injury, poisoning and certain other consequences of external causes
6
24.00
3
J47 Bronchiectasis
IX: Diseases of the circulatory system
3
12.00
4
A085 Other specified intestinal infections
I: Certain infectious and parasitic diseases
2
8.00
5
I200 Unstable angina
IX: Diseases of the circulatory system
1
4.00
6
A153 Tuberculosis of lung, confirmed by unspecified means
I: Certain infectious and parasitic diseases
1
4.00
7
I95 Hypotension
IX: Diseases of the circulatory system
1
4.00
8
D611 Drug-induced aplastic anaemia
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
1
4.00
9
I23 Certain current complications following acute myocardial infarction
IX: Diseases of the circulatory system
1
4.00
10
D00 Carcinoma in situ of oral cavity, oesophagus and stomach
II: Neoplasms
1
4.00
Dumuria Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
94.00
Coverage of households having access to sanitary latrines (%)
97.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
11,304
Bed Occupancy Rates (%)
99.90
Average Length of Hospital Stay (No. of days per patient)
2.08
Hospital Death Rate (%)
0.46
Dumuria Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
2,096
Dumuria 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
24
11
13
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
12
0
12
0
0.00
Class III
136
58
42
36
26.47
Class IV
19
10
5
4
21.05
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
14
3
11
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
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
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
40
20
20
0
0.00
Class IV
0
0
0
0
0.00
Dumuria 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
10
7
3
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
11
0
11
0
0.00
Class III
136
58
42
36
26.47
Class IV
0
0
0
0
0.00
Other Hospitals & Clinics
Class I
Doctor
14
3
11
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
Dumuria 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
14
14
10
10
0
0
2
2
2
Nurse
0
0
0
0
12
12
0
0
4
4
0
Medical Assistant
0
0
14
14
2
2
0
0
2
6
0
Medical Technologist
0
0
14
14
8
7
0
0
0
0
0
CHCP
40
40
0
0
0
0
0
0
0
0
20
HI
0
0
0
0
6
5
0
0
0
0
20
AHI
0
0
0
0
16
16
0
0
0
0
18
HA
0
0
0
0
80
45
0
0
0
0
18
Dumuria 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
0
0
1
0
X-ray machine (300 mA)
1
0
1
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
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
1
1
0
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
102
102
0
0
0
Dumuria 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
1
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
7
1
6
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Dumuria 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)
7
3
2
1
1
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Dumuria 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
Dumuria 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)
1
1
0
0
0
Generator
Generator (diesel/petrol)
1
0
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
3
2
1
0
0
ICT equipment
Computer (desktop)
8
5
3
0
0
Laptop
42
42
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
6
2
4
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
0
0
0
0
0
Multimedia
0
0
0
0
0
Dumuria 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
192
170
19
2
1
Dumuria Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Dumuria Upazila Health Complex
In this Dumuria Upazila EPI performance:
Target on 0-11month children-5135 and
1. BCG achieve-5024=97.83%
2. Pentaviolen-Ist- 4939= 96.18%
3. Pentaviolen- 2nd-4914 =95.73%
4. Pentaviolent-3rd -4944= 96.28%
5. Measles-5159=100.66%
6. TT1 Target-891,achieve-1261=141%
7. TT2 Target-1052,achieve-1438=137%
8. TT3 Target-2270,achieve-2656=117%
9. TT4 Target-2848,achieve-2829=99%
10.TT5 Target-3116,achieve-3237=104%
11. TB Target-336, achieve-284=84.52%
Dumuria Upazila Arsenicosis Total Patient 52(Male-35,Female-17)
The field level vacant post should be fill-up immediately. Target of MDG 4&5 assure to successfully Doctors, Nurse and Other related Staff need more training of IMCI & EmOC group confirmed. I am very glad to write this health bulletin of 2014, because this information will help us to compare our progress in coming year and others health institute/upazila.This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.
