Damuddya Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of damudiya U pa-zila. This bulletin contain s all the health related information of 2014I hope all the information of this bulletin well help for planning and bridging the gaps in health of this upa-zila. Government health office has many date stored in the fine. This health will help us to find constrains and also to see the results and achievements of 2014 he bulleting contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This Health bulletin has also the information on safe drinking water and sanitation status of the upazila. Dr Sayed Anowar Hossain UH & FPO Damudya Health Complex.
Dr. Syad Anowar Hossain
UH & FPO
Damuddya Upazila Health Complex
Damuddya Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Damuddya
Name of UHFPO Dr. A K M Eanamul Haq
Telephone No. 0602356133
FAX No. 0
Mobile No. 01717189913
Email damudiya@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.1378 And Long: 90.4428
No. of Unions in the Upazila 8
No. of Households in the Upazila 23,771
No. of Population in the Upazila 118,078
Area of Upazila in sq km 91.74
Damuddya 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
4
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
9
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
10
No. of NGO Clinics/Facilities
1
0
Damuddya Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,695
Total No. of children treated under IMCI Program 28,570
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 30.43 per 1,000 live births.
Damuddya 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: 1979
Total Number of Deliveries: 907
No. of Maternal Death: 4
Valid TT Coverage: 96.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
148.42 per 100,000 live births.
Damuddya 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
37,934
16,608
21,326
13,675
2,071
1,319
752
193
Union Sub-Centres
10,194
2,576
7,618
831
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
35,778
5,670
30,108
3,901
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
68,722
17,401
51,321
17,988
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
629
216
413
92
400
82
318
26
NGO Clinics/Facilities
7,138
4,319
2,819
1,703
0
0
0
0
Total
161,024
46,790
113,605
38,190
2,471
1,401
1,070
511
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
3,189
1,393
1,796
692
26
18
8
2
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
400
82
318
26
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
3,589
1,475
2,114
718
26
18
8
2
Damuddya 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
3881
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
R10 Abdominal and pelvic pain
420
10.82
2
Y04 Assault by bodily force
470
12.11
3
J45 Asthma
110
2.83
4
A09 Diarrhoea and gastroenteritis of presumed infectious origin
230
5.93
5
I64 Stroke, not specified as haemorrhage or infarction
185
4.77
6
J14 Pneumonia due to Haemophilus influenzae
155
3.99
7
R50 Fever of unknown origin
300
7.73
8
I95 Hypotension
240
6.18
9
R07 Pain in throat and chest
130
3.35
10
X82 Intentional self-harm by crashing of motor vehicle
95
2.45
Damuddya 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
24
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I64 Stroke, not specified as haemorrhage or infarction
2
8.33
2
J45 Asthma
2
8.33
3
J45 Asthma
2
8.33
4
0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
5
20.83
5
T36 Poisoning by systemic antibiotics
2
8.33
6
J14 Pneumonia due to Haemophilus influenzae
0
0.00
7
I64 Stroke, not specified as haemorrhage or infarction
0
0.00
8
R10 Abdominal and pelvic pain
0
0.00
9
J14 Pneumonia due to Haemophilus influenzae
0
0.00
10
J45 Asthma
0
0.00
Damuddya Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
90.00
Coverage of households having access to sanitary latrines (%)
94.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
3,881
Bed Occupancy Rates (%)
80.57
Average Length of Hospital Stay (No. of days per patient)
2.81
Hospital Death Rate (%)
0.62
Damuddya Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
285
Damuddya 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
6
1
2
22.22
Non Doctor
0
0
0
0
0.00
Class II
9
3
2
4
44.44
Class III
60
30
12
18
30.00
Class IV
19
11
7
1
5.26
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
8
0
0
8
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
9
0
1
8
88.89
Class IV
1
1
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
15
4
9
2
13.33
Class IV
0
0
0
0
0.00
Damuddya 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
6
1
10
58.82
Non Doctor
0
0
0
0
0.00
Class II
9
3
2
4
44.44
Class III
84
34
22
28
33.33
Class IV
20
12
7
1
5.00
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
Damuddya 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
1
0
9
7
0
0
0
0
Nurse
0
0
0
0
9
5
0
0
0
0
Medical Assistant
0
0
8
1
2
1
0
0
0
0
Medical Technologist
0
0
0
0
8
6
0
0
0
0
CHCP
15
13
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
1
0
0
0
0
AHI
0
0
0
0
6
6
0
0
0
0
HA
0
0
0
0
30
21
0
0
0
0
CSBA trained***
0
0
0
0
0
0
0
0
0
0
Damuddya 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)
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
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
0
0
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
0
0
0
0
0
Sucker machine (electric)
0
0
0
0
0
Ventilator
0
0
0
0
0
Damuddya 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
0
0
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Damuddya 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)
0
0
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
Damuddya 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
0
0
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
Damuddya 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)
0
0
0
0
0
Generator
Generator (diesel/petrol)
0
0
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)
0
0
0
0
0
Laptop
0
0
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
0
0
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
0
0
0
0
0
Damuddya 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
0
0
0
0
0
Mobile phone
0
0
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
0
0
0
0
0
Damuddya Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Damuddya Upazila Health Complex |