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Durgapur Upazila Health Complex, Netrakona | Health Bulletin 2015 |
Preface
I am very glad for having the opportunity to publish this health bulletin of Durgapur upazila. This bulletin contains all the health related Information of 2014. This bulletin is published to disseminate the information of Durgapur upazila .All information are online. So any body can see the data by using internet. This health bulletin will help us to find out constrains and also to see the result and achievements of 2014. The bulletin contains the status of MDG-5 which will help us to localize the MDG target. I am very grateful to our most respected ADG (Planning & Development) & Line Director MIS for helping me and also giving me the opportunity in preparing and publishing the health bulletin.
Dr. Jayanta Kumar Ghose
UH&FPO
Durgapur Upazila Health Complex, Netrakona

Durgapur Upazila Health Complex, Netrakona | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Durgapur
Organization Code 10002304
Name of UHFPO Dr. Jayanta Kumar Ghose
Land Phone No. 1 09525-056012
Land Phone No. 2
FAX No.
Mobile No. 01712034607
Email durgapurn@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: N/A
No. of Unions in the Upazila7
No. of Households in the Upazila 50,655
Population in the Upazila 231,232
Area of Upazila in sq km 278.28

Durgapur Upazila Health Complex, Netrakona | 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 1 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) 5 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 27 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 0 0
No. of Chest Disease Clinics (TB Clinics) 1 0
No. of Private Clinics/Facilities 0 0
No. of NGO Clinics/Facilities 2 22

Durgapur Upazila Health Complex, Netrakona | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,087


Under 5 Mortality Rate: 38.935 (Per 1,000 live births)
Infant Mortality Rate: 34.335 (Per 1,000 live births)
Neonatal Mortality Rate: 26.450 (Per 1,000 live births)
Still Birth Rate: 22.507 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 11,783
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 98%

Durgapur Upazila Health Complex, Netrakona | 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: 19
Total No. of Recipients Who Took at least one ANC: 7,482
Total Number of Deliveries: 5,937
Valid TT Coverage: 75.00 %
Maternal Mortality Ratio (MMR) is: 312.14 per 100,000 live births.

Durgapur Upazila Health Complex, Netrakona | 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 20,368 30,016 50,384 4,070 3,793 7,863 58,247 2,917 2,694 5,611 634 416 1,050 6,661
Union Sub-Centres 8,388 12,432 20,820 1,587 1,615 3,202 24,022 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) 6,247 19,336 25583 5,474 1,706 7,180 32,763 0 0 0 0 0 0 7,180
Community Clinics 46,105 106,992 153,097 8,257 9,299 17,556 170,653 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) 90 54 144 0 0 0 144 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 3,045 11,685 14,730 1,658 1,842 3,500 18,230 0 0 0 0 0 0 0

Durgapur Upazila Health Complex, Netrakona | 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 2,121 2,355 4,476 510 376 886 5,362 29 20 49 17 8 25 74
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 123 1,050 1,173 49 42 91 1,264 1 2 3 4 3 7 10

Durgapur Upazila Health Complex, Netrakona | 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 5,362
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y08 Assault by other specified means XX: External causes of morbidity and mortality 638 11.90
2 A059 Bacterial foodborne intoxication, unspecified I: Certain infectious and parasitic diseases 585 10.91
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 573 10.69
4 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 483 9.01
5 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 174 3.25
6 J46 Status asthmaticus X: Diseases of the respiratory system 173 3.23
7 B769 Hookworm disease, unspecified I: Certain infectious and parasitic diseases 130 2.42
8 X68 Intentional self-poisoning by and exposure to pesticides XX: External causes of morbidity and mortality 121 2.26
9 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 119 2.22
10 A010 Typhoid fever I: Certain infectious and parasitic diseases 101 1.88

Durgapur Upazila Health Complex, Netrakona | 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 74
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 R651 Systemic Inflammatory Response Syndrome of infectious origin with organ failure XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 14 18.92
2 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 10 13.51
3 Y18 Poisoning by and exposure to pesticides, undetermined intent XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 7 9.46
4 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 6 8.11
5 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 6 8.11
6 I21 Acute myocardial infarction IX: Diseases of the circulatory system 5 6.76
7 J15 Bacterial pneumonia, NEC X: Diseases of the respiratory system 4 5.41
8 R579 Shock, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 3 4.05
9 J46 Status asthmaticus X: Diseases of the respiratory system 2 2.70
10 J069 Acute upper respiratory infection, unspecified X: Diseases of the respiratory system 2 2.70

Durgapur Upazila Health Complex, Netrakona | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 87.00
Coverage of households having access to sanitary latrines (%) 65.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 11,255
Bed Occupancy Rates (%) 61.67
Average Length of Hospital Stay (No. of days per patient) 2.13
Hospital Death Rate (%) 1.51


Durgapur Upazila Health Complex, Netrakona | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,076

 

Durgapur Upazila Health Complex, Netrakona | Health Bulletin 2015 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 10 6 1 3 30.00
Non Doctor 0 0 0 0 0.00
Class II 15 0 12 3 20.00
Class III 73 49 15 9 12.33
Class IV 17 6 6 5 29.41
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 3 2 2 28.57
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 4 1 3 37.50
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 27 15 10 2 7.41
Class IV 0 0 0 0 0.00

 

Durgapur Upazila Health Complex, Netrakona | 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 17 9 3 5 29.41
Non Doctor 0 0 0 0 0.00
Class II 15 0 12 3 20.00
Class III 105 69 26 10 9.52
Class IV 18 6 6 6 33.33
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

 

Durgapur Upazila Health Complex, Netrakona | 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 10 7 0 0 2 0 0
Nurse 0 0 0 0 16 12 0 0 0 0 0
Medical Assistant 0 0 7 5 2 2 0 0 4 0 0
Medical Technologist 0 0 1 0 8 8 0 0 0 0 0
CHCP 27 25 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 8 6 0 0 0 0 0
HA 0 0 0 0 40 40 0 0 0 0 17

Durgapur Upazila Health Complex, Netrakona | 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 1 0 0
X-ray machine (300 mA) 0 0 0 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 1 1 0 0 0
Autoclave 1 1 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 2 2 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 5 5 0 0 0
Ventilator 0 0 0 0 0


Durgapur Upazila Health Complex, Netrakona | 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 3 0 3 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Durgapur Upazila Health Complex, Netrakona | 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) 2 2 0 0 0
Colorimeter 2 1 1 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


Durgapur Upazila Health Complex, Netrakona | 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 1 0 0


Durgapur Upazila Health Complex, Netrakona | 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) 2 2 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 0 0 0 0 0
ICT equipment
Computer (desktop) 7 4 0 2 1
Laptop 29 27 1 1 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 4 3 0 1 0
Scanner 2 1 0 0 1
UPS 7 2 0 4 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 1 1 0 0 0


Durgapur Upazila Health Complex, Netrakona | 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 83 62 8 10 3

Durgapur Upazila Health Complex, Netrakona | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Durgapur Upazila Health Complex, Netrakona
Last year we could not give our maximum health services to inprove the health status due to many reason. Here I like to mention some important factors which will help us to achieve good result in future. (1) The vacant post of doctors should be filled immediately. (2) Doctors & nurse need more training. (3) Indoor, outdoor & emergency staff need based training provide. (4) ICT related training provide . (5) Program wise training provide for CHCP, HA, AHI. HI (6) All the repairable equipments should be repair as soon as possible. Finally I am very happy to publish this health bulletin of 2014 because this bulletin will help us to compare our progress the next year. Thanks to All