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Dewanganj Upazila Health Complex | Health Bulletin 2014 |
Preface
Dewanganj upazilla Health Complex is Situated on North end of jamalpur District. Two Union of this Upazilla are with Indian Border. The whole upazilla are divided by the Jammuna and Bramhaputra river.Peoples living in char are separated from main land by river. there are too many char in Jamuna & bramhaputra river. Peoples living in char are in poor & their literacy rate is low.
Dr. Md. Nurul Amin
UH&FPO
Dewanganj Upazila Health Complex

Dewanganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaDewanganj
Name of UHFPO Dr. Md. Nurul Amin
Telephone No. 092375002
FAX No. 0
Mobile No. 01720212252
Email dewanganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.1618 And Long: 89.7585
No. of Unions in the Upazila8
No. of Households in the Upazila 63,414
No. of Population in the Upazila 272,935
Area of Upazila in sq km 267.00

Dewanganj 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 0 0
No. of Union Health and Family Welfare Centres 4 0
No. of Rural/Urban/Thana Dispensaries 2 0
No. of Community Clinics 27 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 0 0
No. of NGO Clinics/Facilities 2 0

Dewanganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,152


Total No. of children treated under IMCI Program 9,855
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 19.83 per 1,000 live births.

Dewanganj 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: 2602
Total Number of Deliveries: 6279
No. of Maternal Death: 10
Valid TT Coverage: 88.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 162.55 per 100,000 live births.

Dewanganj 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 24,118 11,296 12,822 8,653 7,123 3,548 3,575 1,872
Union Sub-Centres 10,250 5,258 4,992 1,785 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 217,719 88,965 128,754 15,875 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 252,087 105,519 146,568 26,313 7,123 3,548 3,575 1,872
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 3,350 1,513 1,837 936 16 11 5 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 3,350 1,513 1,837 936 16 11 5 3

Dewanganj 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 4286
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y09 Assault by unspecified means 1098 25.62
2 O75 Other complications of labour and delivery, NEC 398 9.29
3 V09 Pedestrian injured in other and unspecified transport accidents 327 7.63
4 J129 Viral pneumonia, unspecified 325 7.58
5 A009 Cholera, unspecified 325 7.58
6 A99 Unspecified viral haemorrhagic fever 210 4.90
7 K352 Acute appendicitis with generalized peritonitis 187 4.36
8 J458 Mixed asthma 185 4.32
9 A527 Other symptomatic late syphilis 134 3.13
10 I15 Secondary hypertension 37 0.86

Dewanganj 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 19
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I516 Cardiovascular disease, unspecified 8 42.11
2 J129 Viral pneumonia, unspecified 2 10.53
3 P21 Birth asphyxia 1 5.26
4 J45 Asthma 2 10.53
5 I21 Acute myocardial infarction 2 10.53
6 S099 Unspecified injury of head 1 5.26
7 O669 Obstructed labour, unspecified 1 5.26
8 R579 Shock, unspecified 1 5.26
9 I110 Hypertensive heart disease with (congestive) heart failure 1 5.26
10 E14 Unspecified diabetes mellitus 1 5.26

Dewanganj Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 95.00
Coverage of households having access to sanitary latrines (%) 85.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 17,832
Bed Occupancy Rates (%) 97.00
Average Length of Hospital Stay (No. of days per patient) 4.00
Hospital Death Rate (%) 0.44


Dewanganj Upazila Health Complex | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 1820

 

Dewanganj 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 9 2 2 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 10 0 7 3 30.00
Class III 82 58 19 5 6.10
Class IV 21 13 4 4 19.05
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 8 4 3 1 12.50
Class IV 8 4 3 1 12.50
Rural Dispensaries
Class I Doctor 8 0 0 8 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 7 1 2 20.00
Class IV 2 0 1 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 31 10 20 1 3.23
Class IV 0 0 0 0 0.00

 

Dewanganj 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 17 2 2 13 76.47
Non Doctor 0 0 0 0 0.00
Class II 10 0 7 3 30.00
Class III 131 79 43 9 6.87
Class IV 31 17 8 6 19.35
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

 

Dewanganj 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 8 0 9 4 0 0 1 2
Nurse 0 0 0 0 11 7 0 0 4 1
Medical Assistant 0 0 8 8 2 2 0 0 8 0
Medical Technologist 0 0 2 2 7 7 0 0 1 1
CHCP 31 30 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0
AHI 0 0 0 0 8 8 0 0 0 0
HA 0 0 0 0 40 31 0 0 0 0
CSBA trained*** 0 0 0 0 0 10 0 0 0 0

Dewanganj 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) 0 0 0 0 0
X-ray machine (300 mA) 1 0 1 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 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 6 5 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 2 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 1 0 1 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 2 0 0 0
Ventilator 0 0 0 0 0


Dewanganj 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 0 0 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 0 0 1 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Dewanganj 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) 0 0 0 0 0
Colorimeter 0 0 0 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 1 0 0 0
Obstetric equipment
Fetal Monitor 1 0 1 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


Dewanganj 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 1 1 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 2 1 1 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


Dewanganj 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) 3 3 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 1 1 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 8 7 1 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 4 4 0 0 0
Scanner 0 0 0 0 0
UPS 5 5 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Dewanganj 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 1 0 1 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 58 50 7 1 0

Dewanganj Upazila Health Complex | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Dewanganj Upazila Health Complex |
1. Shortage of Manpower mainly Doctor . 2. Shortage of Sweeper. 3. X-ray machine is dis-functioning. 4. This Upazilla EmOC upazilla pair are available, operation started.