Dohar Upazila Health Complex | Health Bulletin 2014 |
Preface
It is matter of great pleasure that Dohar Upazila Health Complex is going to publish its first Health Bulletin. I express my thanks and gratefulness to all concerned who are directly or indirectly involved with it. The Bangladesh Government is very much committed to ensure better health for all. To establish this commitment the Ministry of Health and Family Welfare has introduced a developmental program under the heading HPNSDP 2011-2016. There are 32 operational plan under this development program. One of these Operational plan is health information system and E-health. The Health Billeting is a part of this plan. This Health Bulletin is the expression of total service system of Dohar Upazila with its performance of 2013 (Janu- Dec)
Dr. Md. Zakir Hossain Khan
UH&FPO
Dohar Upozila Health Complex
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Dohar
Name of UHFPO Dr. Md. Zakir Hossain Khan
Telephone No. 027768188
FAX No. 0
Mobile No. 01732338860
Email dohar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila 9
No. of Households in the Upazila 46,638
No. of Population in the Upazila 268,029
Area of Upazila in sq km 12,075.00
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex
1
50
No. of Union Sub-Centres
2
0
No. of Union Health and Family Welfare Centres
6
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
10
0
No of Trauma Centres
0
0
No. of MCWCs
0
0
No. of Chest Disease Clinics (TB clinics)
0
0
No. of Private Clinics/Facilities
11
82
No. of NGO Clinics/Facilities
0
0
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,468
Total No. of children treated under IMCI Program 69,011
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 14.53 per 1,000 live births.
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 4
Legends
R.P.W-
Registered Pregnanat Woman
1st ANC-
No. of 1st ANC recipients
R.P.W-
No. of 4th ANC recipients
C. Preg-
No. of complicated pregnancies
N. deli-
No. of normal deliveries
V. deli-
No. of vaginal deliveries
C. deli-
No. of cesarean deliveries
PNC-
No. of PNC services provided to mother in the Upazila
Maternal health and MDG-5 (No.) (January-December, 2013)
All ANC Receiptients: 894
Total Number of Deliveries: 3444
No. of Maternal Death: 7
Valid TT Coverage: 100.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
108.23 per 100,000 live births.
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 5
No. of OPD & Emergency visits & Deaths at UHC
Health Facility
OPD
Emergency
T (M+F)
M
F
Child (U-5)
T (M+F)
M
F
Child (U-5)
Upazila Health Complex
49,519
15,411
34,108
26,028
8,301
4,161
4,140
1,169
Union Sub-Centres
17,906
8,686
9,220
2,460
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
47,464
11,297
36,167
24,897
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
76,835
27,066
49,769
14,137
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB clinics)
0
0
0
0
0
0
0
0
Private Clinics/Facilities
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
191,724
62,460
129,264
67,522
8,301
4,161
4,140
1,169
No. of Admissions & Deaths at UHC
Health Facility
Admission
Death
T (M+F)
M
F
Child (U-5)
T (M+F)
M
F
Child (U-5)
Upazila Health Complex
4,142
1,701
2,441
642
20
11
9
3
Union Sub-Centres
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
0
0
0
0
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
0
0
0
0
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB clinics)
0
0
0
0
0
0
0
0
Private Clinics/Facilities
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
4,142
1,701
2,441
642
20
11
9
3
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 6
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
0
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A009 Cholera, unspecified
171
0.00
2
J189 Pneumonia, unspecified
236
0.00
3
X999 Assault by sharp object, unspecified place
493
0.00
4
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
29
0.00
5
J459 Asthma, unspecified
96
0.00
6
V011 Pedestrian injured in collision with pedal cycle, traffic accident
119
0.00
7
K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation
460
0.00
8
O063 Unspecified abortion, incomplete, with other and unspecified complications
17
0.00
9
A010 Typhoid fever
204
0.00
10
I219 Acute myocardial infarction, unspecified
27
0.00
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 7
Top 10 diseases according to the number of deaths among admitted patients in the UHC during the reporting period
Total number of Deaths during the reporting period
0
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I20 Angina pectoris
5
0.00
2
I60 Subarachnoid haemorrhage
4
0.00
3
I95 Hypotension
4
0.00
4
N19 Unspecified renal failure
1
0.00
5
J40 Bronchitis, not specified as acute or chronic
2
0.00
6
J189 Pneumonia, unspecified
1
0.00
7
P10 Intracranial laceration and haemorrhage due to birth injury
1
0.00
8
A30 Leprosy [Hansen's disease]
2
0.00
9
E10 Insulin-dependent diabetes mellitus
2
0.00
10
K90 Intestinal malabsorption
1
0.00
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
100.00
Coverage of households having access to sanitary latrines (%)
100.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
5,370
Bed Occupancy Rates (%)
84.51
Average Length of Hospital Stay (No. of days per patient)
2.23
Hospital Death Rate (%)
0.40
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
119
Minor Surgeries
2201
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
UHC
Class I
Doctor
21
19
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
15
0
13
2
13.33
Class III
28
18
0
10
35.71
Class IV
25
7
3
15
60.00
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
2
2
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
4
0
0
0.00
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
16
8
8
0
0.00
Class IV
0
0
0
0
0.00
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 11
Status of Human Resources (Class wise)
Class
Sanctioned (No.)
Filled-up (No.)
Vacant (No.)
Vacancy %
M
F
Upazila Total
Class I
Doctor
30
23
7
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
15
0
13
2
13.33
Class III
99
51
29
19
19.19
Class IV
28
7
3
18
64.29
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
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 12
Status of Human Resources (No.) (Category wise)
Manpower
Community Clinic
USC/UHFWC/RD
UHC
Others
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Physician
0
0
9
9
21
20
0
0
2
0
Nurse
0
0
0
0
15
13
0
0
0
0
Medical Assistant
0
0
9
9
2
2
0
0
11
0
Medical Technologist
0
0
0
0
12
11
0
0
0
0
CHCP
26
16
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
2
0
0
0
0
AHI
0
0
0
0
7
7
0
0
0
0
HA
0
0
0
0
35
27
0
0
0
0
CSBA trained***
0
0
0
0
0
0
0
0
0
0
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 13
Existing equipments 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
X-ray machine (500 mA)
0
0
0
0
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
0
0
0
0
0
Dental X-ray unit
0
0
0
0
0
Spiral CT Scan
0
0
0
0
0
C-arm
0
0
0
0
0
Mamogram machine
0
0
0
0
0
Dehumidifier
0
0
0
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
2
1
1
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
2
2
0
0
0
Autoclave
2
1
0
1
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
2
1
1
0
0
Operating microscope
1
1
0
0
0
Ceiling mounting OT Light
2
1
0
1
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
1
0
0
1
0
Sucker machine (electric)
3
2
0
1
0
Ventilator
0
0
0
0
0
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 14
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine
0
0
0
0
0
Debrililator
0
0
0
0
0
ECG machine
1
1
0
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
2
2
0
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 15
Existing equipments 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)
1
1
0
0
0
Colorimeter
1
0
1
0
0
Electrolyte analyzer
0
0
0
0
0
ELISA machine
0
0
0
0
0
Gas analyzer
0
0
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
0
0
0
0
0
Microscope (binocular)
1
0
1
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
0
0
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 16
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge
0
0
0
0
0
Laminar flow hood
0
0
0
0
0
pH meter
0
0
0
0
0
Hemoglobin photometer
0
0
0
0
0
Blood bank refrigerator
0
0
0
0
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
0
0
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
0
0
0
0
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
0
0
0
0
0
Urology equipment
Cystoscopic machine
0
0
0
0
0
Vehicles
Ambulance
1
1
0
0
0
Bus
0
0
0
0
0
Jeep
0
0
0
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 17
Existing equipments 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
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
7
0
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
4
2
2
0
0
Printer (laser)
0
0
0
0
0
Scanner
0
0
0
0
0
UPS
0
0
0
0
0
Fax
1
0
0
1
0
Intercom
0
0
0
0
0
Internet fixed line
1
1
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
0
0
0
0
0
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 18
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
OHP
PA system (Sound)
0
0
0
0
0
Land phone
1
1
0
0
0
Mobile phone
1
1
0
0
0
Photocopier machine
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
45
33
7
5
0
Dohar Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Dohar Upazila Health Complex |
Important information and necessary issues for Dohar Upazila Health Complex:
Despite of many constrains we achieved a reasonable success in many fields like EOC service, IMCI service, EPI performance and filed activities. Our bed occupancy rate is always above 80%. Community clinic performance is satisfactory. Instead of our cordial efforts we could not achieve satisfactory success in few subjects due to shortage of manpower. As for example we could not perform EYE and ENT Surgery due to lacking of Eye and ENT Surgeons. Though consultant of General Surgery is posted here major Gen. Surgery could not be performed due to lacking of proper OT arrangement, instrumental availability and appropriate skilled manpower. Vacant post of third and fourth class employees should be filled up urgently. Three posts of sweeper are still vacant. A 200ma digital X-ray machine is necessary to improve the standard of service. Still then, all existing manpower work here as a team to deliver the maximum and satisfactory service to the patients. Hence we are approaching towards the achievement of MDG.