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Dhubaura Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to published this bulletin of Dhobaura.This bulletin contains all the health related of health information of 2013. This bulletin is published to disseminate the information of Dhobaura Upazila to other line Department and development partners of health.I hope all the information of this bulletin will help for planning bridging the gaps in heath services of the Upazila government health office.This health bulletin will help us to find contains and also to see the result and achievements of 2013.This bulletin contains status of MDG-4 and MDG-5 which help to localize the MDG target.This health bulletin has also the information of safe drinking water and sanitation status of the Upazila.All the sanctioned and vacant post are published in this bulletin of 2014.I like to take attention of higher authority to look into the issue.Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead towards digital Bangladesh.Thank you Dr. Md. Ataul Jalil UH&FPO Upazila Health Complex Dhobaura, Mymensingh.
Dr. Md. Ataul Jalil
UH&FPO
Dhubaura Upazila Health Complex

Dhubaura Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaDhubaura
Name of UHFPO Dr. Md. Ataul Jalil
Telephone No. 0903456006
FAX No. 0
Mobile No. 01920607904
Email dhubaura@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.0525 And Long: 90.3048
No. of Unions in the Upazila7
No. of Households in the Upazila 46,243
No. of Population in the Upazila 243,735
Area of Upazila in sq km 252.00

Dhubaura 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 31
No. of Union Sub-Centres 1 0
No. of Union Health and Family Welfare Centres 5 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 17 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 1 0
No. of NGO Clinics/Facilities 0 0

Dhubaura Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,988


Total No. of children treated under IMCI Program 13,230
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 31.68 per 1,000 live births.

Dhubaura 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: 4905
Total Number of Deliveries: 4963
No. of Maternal Death: 8
Valid TT Coverage: 8.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 160.38 per 100,000 live births.

Dhubaura 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 21,138 9,258 11,880 5,736 5,973 2,342 3,631 1,066
Union Sub-Centres 17,005 5,771 11,234 4,356 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 49,150 3,263 45,887 19,250 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 83,122 25,251 57,871 19,143 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 170,415 43,543 126,872 48,485 5,973 2,342 3,631 1,066
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 3,658 1,569 2,089 1,254 16 9 7 15
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 3,658 1,569 2,089 1,254 16 9 7 15

Dhubaura 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 4912
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A009 Cholera, unspecified 552 11.24
2 T009 Multiple superficial injuries, unspecified 462 9.41
3 J108 Influenza with other manifestations, influenza virus identified 311 6.33
4 V892 Person injured in unspecified motor-vehicle accident, traffic 135 2.75
5 J450 Predominantly allergic asthma 116 2.36
6 N390 Urinary tract infection, site not specified 106 2.16
7 I119 Hypertensive heart disease without (congestive) heart failure 77 1.57
8 T629 Noxious substance eaten as food, unspecified 71 1.45
9 A011 Paratyphoid fever A 50 1.02
10 O721 Other immediate postpartum haemorrhage 43 0.88

Dhubaura 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 31
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J188 Other pneumonia, organism unspecified 7 22.58
2 P211 Mild and moderate birth asphyxia 6 19.35
3 J450 Predominantly allergic asthma 4 12.90
4 V890 Person injured in unspecified motor-vehicle accident, nontraffic 3 9.68
5 1 3.23
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
Coverage of households having access to sanitary latrines (%) 93.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 10,568
Bed Occupancy Rates (%) 93.00
Average Length of Hospital Stay (No. of days per patient) 2.00
Hospital Death Rate (%) 0.70


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 589

 

Dhubaura 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 3 2 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 15 0 13 2 13.33
Class III 65 42 11 12 18.46
Class IV 20 12 4 4 20.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 1 2 3 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 6 0 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 0 0 1 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 2 0 0 0.00
Class IV 1 0 0 1 100.00
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 25 18 7 0 0.00
Class IV 0 0 0 0 0.00

 

Dhubaura 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 16 4 4 8 50.00
Non Doctor 0 0 0 0 0.00
Class II 15 0 13 2 13.33
Class III 73 50 11 12 16.44
Class IV 21 12 4 5 23.81
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

 

Dhubaura 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 7 3 9 5 0 0 2 0
Nurse 0 0 0 0 15 13 0 0 6 6
Medical Assistant 0 0 7 7 0 0 0 0 6 0
Medical Technologist 0 0 0 0 5 4 0 0 1 0
CHCP 25 25 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 2 0
AHI 0 0 0 0 7 7 0 0 7 0
HA 0 0 0 0 35 30 0 0 30 0
CSBA trained*** 0 0 0 0 0 3 0 0 3 3

Dhubaura 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 1 0 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 2 1 0 0 1
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 0 0 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 0 0 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Dhubaura 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 1 1 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 2 1 0 0 1
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Dhubaura 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 1 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) 2 2 0 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


Dhubaura 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 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


Dhubaura 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) 2 2 0 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 3 2 1 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) 6 6 0 0 0
Laptop 19 19 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 1 0 0
Printer (laser) 2 2 0 0 0
Scanner 0 0 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 1 1 0 0 0


Dhubaura 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) 1 0 1 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 53 47 4 0 2

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

Important information and necessary issues for Dhubaura Upazila Health Complex |
 Last year we could not give maximum effort to improve the health status due to many reasons.Here I would like to mention some important factors which will help us to achieve progress in future.1. The vacant post should be filled immediately. 2. Our doctors,nurses and SACMOs need more training on IMCI.3.For the uninterupted supply of electricity for the UHC a diesel generator is much need .4.All the repairable Equipments should be repaired as soon as possible. We have 3(three) female HA who need CSBA training .Finally I am very happy to write this Health Bulletin of 2013 because this document will help us to compare our progress in upcoming year's.This is very useful document and will help the the public to understand health services and to provide us the useful advice for improvement in future.