Derai Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very Glad to Publish this health Bulletin of derai Upazila.This bulletin contains all the health related Information of 2025. This bulletin is published to disseminate the Information of derai upazila to outer line department & development partners of health. I hope all the information of this bulletin will help for Planning and bridging the gaps in health services of this upazila. Government health office has many data stored in the file. This health bulletin will help us to find constrains and also to see results, achievements of 2016.The bulletin contains the status of MDG4, MDG5 & parts of SDGs which will help to localize the MDG & SDGs targets. The health bulletin has also the information of 2015. 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 towards digital Bangladesh.
Dr. Md. Kamrul Alam
MS (Ortho-Surgery)
UH&FPO
Upazila health Complex
Derai, Sunamganj.
Derai Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Deerai
Organization Code
10002136
Name of UHFPO Dr. Md. Kamrul Alam
Land Phone No. 1
87245-0872456016
Land Phone No. 2
FAX No.
Mobile No.
01715074102
Email derai@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.7921 And
Long:
91.4316
No. of Unions in the Upazila 9
No. of Households in the Upazila 43,561
Population in the Upazila 268,038
Area of Upazila in sq km 422.00
Derai 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
2
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)
4
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
25
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
1
0
No. of NGO Clinics/Facilities
1
0
Derai Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,512
Under 5 Mortality Rate: 60.855 (Per 1,000 live births)
Infant Mortality Rate: 39.591 (Per 1,000 live births)
Neonatal Mortality Rate: 17.740 (Per 1,000 live births)
Still Birth Rate: 14.685 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 13,480
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):
Derai 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:
16
Total No. of Recipients Who Took at least one ANC:
12,241
Total Number of Deliveries:
13,483
Valid TT Coverage: 7007.00 %
Maternal Mortality Ratio (MMR) is:
187.97 per 100,000 live births.
Derai 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
13,666
13,696
27,362
931
944
1,875
29,237
8,400
7,782
16,182
1,106
1,014
2,120
18,302
Union Sub-Centres
6,191
3,800
9,991
1,342
1,532
2,874
12,865
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)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Community Clinics
37,084
117,730
154,814
13,456
15,275
28,731
183,545
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
Derai 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
6,010
5,832
11,842
943
857
1,800
13,642
7
8
15
13
8
21
36
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
Derai 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
11,909
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
17
0.14
2
A009 Cholera, unspecified
I: Certain infectious and parasitic diseases
1332
11.18
3
K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation
XI: Diseases of the digestive system
1346
11.30
4
X999 Assault by sharp object, unspecified place
XX: External causes of morbidity and mortality
882
7.41
5
O063 Unspecified abortion, incomplete, with other and unspecified complications
XV: Pregnancy, childbirth and the puerperium
57
0.48
6
V011 Pedestrian injured in collision with pedal cycle, traffic accident
XX: External causes of morbidity and mortality
71
0.60
7
J849 Interstitial pulmonary disease, unspecified
X: Diseases of the respiratory system
0
0.00
8
J459 Asthma, unspecified
X: Diseases of the respiratory system
69
0.58
9
O151 Eclampsia in labour
XV: Pregnancy, childbirth and the puerperium
0
0.00
10
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
0
0.00
Derai 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
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
17
68.00
2
J459 Asthma, unspecified
X: Diseases of the respiratory system
1
4.00
3
J849 Interstitial pulmonary disease, unspecified
X: Diseases of the respiratory system
0
0.00
4
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
1
4.00
5
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
0
0.00
6
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
2
8.00
7
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
0
0.00
8
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
1
4.00
9
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
0
0.00
10
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
0
0.00
Derai Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
98.00
Coverage of households having access to sanitary latrines (%)
95.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
11,909
Bed Occupancy Rates (%)
105.25
Average Length of Hospital Stay (No. of days per patient)
1.00
Hospital Death Rate (%)
0.21
Derai Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
315
Derai 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
11
0
3
8
72.73
Class III
27
6
1
20
74.07
Class IV
23
7
6
10
43.48
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
7
4
1
2
28.57
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
9
1
1
7
77.78
Class IV
2
1
0
1
50.00
Rural Dispensaries
Class I
Doctor
2
1
0
1
50.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
2
0
0
2
100.00
Class IV
2
1
0
1
50.00
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
30
14
12
4
13.33
Class IV
0
0
0
0
0.00
Derai 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
4
3
18.75
Non Doctor
0
0
0
0
0.00
Class II
11
0
3
8
72.73
Class III
121
67
25
29
23.97
Class IV
23
6
5
12
52.17
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
Derai 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
5
9
8
0
0
0
0
0
Nurse
0
0
0
0
10
3
0
0
0
0
6
Medical Assistant
0
0
7
1
2
2
0
0
0
0
0
Medical Technologist
0
0
0
0
6
2
0
0
0
0
0
CHCP
27
26
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
10
10
0
0
0
0
0
HA
0
0
0
0
50
42
0
0
0
0
0
Derai 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
1
1
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
1
1
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
2
1
0
0
1
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)
1
1
0
0
0
Ventilator
0
0
0
0
0
Derai 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
3
2
1
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Derai 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
1
1
0
0
0
Centrifuge machine (electric)
1
1
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
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Derai 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
2
1
0
1
0
Derai 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)
8
4
3
0
1
Generator
Generator (diesel/petrol)
2
2
0
0
0
Generator (gas)
1
0
0
1
0
Solar panel
1
1
0
0
0
IPS
5
4
0
1
0
ICT equipment
Computer (desktop)
7
6
1
0
0
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
1
0
0
0
Printer (laser)
3
2
0
0
1
Scanner
1
1
0
0
0
UPS
5
3
1
0
1
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
2
1
1
0
0
Derai 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
59
42
10
3
4
Derai Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Derai Upazila Health Complex
We give our maximum effort to Improve the health Status of our Upazila. But we Could not achieved almost Result because our many Important and vital post are Vacant for years together. Currently our 25 Community clinic Running. but Twenty Seven CHCP present. So it is very hard to give service up to desire level. Doctors & Nurses need more training on IMCI & Computer.Number of Community clinic and the bed capacity of the health complex should be increased. I am very happy to write this health bulletin of 2015 because this document will help us to compare our progress in up coming years.This is very useful document & will help public to understand health service and to provide us the useful advice for improvement in future.
Dr.Ashutush Das
UH&FPO.
UHC,Derai, Sunamganj
