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Mohakhali, Dhaka-1212

Daudkandi Upazila Health Complex | Health Bulletin 2014 |
Preface
Upazila Health Complax, Daudkandi (Gouripur), is a distant but well Communicated Upazila of Comilla district. Area of the upazila is 210 sqrare kilometre and its population is 3 Lac 49 thousands, Four hundred and Fifty. it consists of 16 Unions 01 Paurasaba and household number of the upazila is 67 thousands I hundred and thirty nine. All the Unions are not accessible by roads,
Dr.Kazi Shamim Hossain
UH&FPO
Daudkandi Upazila Health Complex

Daudkandi Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaDaudkandi
Name of UHFPO Dr.Kazi Shamim Hossain
Telephone No. 055440
FAX No. 0
Mobile No. 01730324462
Email daudkandi@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.5299 And Long: 90.7829
No. of Unions in the Upazila16
No. of Households in the Upazila 67,240
No. of Population in the Upazila 349,450
Area of Upazila in sq km 210.00

Daudkandi 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 6 0
No. of Union Health and Family Welfare Centres 10 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 23 0
No of Trauma Centres 1 20
No. of MCWCs 0 0
No. of Chest Disease Clinics (TB clinics) 0 0
No. of Private Clinics/Facilities 44 120
No. of NGO Clinics/Facilities 0 0

Daudkandi Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,020


Total No. of children treated under IMCI Program 39,116
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 3.19 per 1,000 live births.

Daudkandi 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: 4347
Total Number of Deliveries: 5554
No. of Maternal Death: 0
Valid TT Coverage: 10.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 0.00 per 100,000 live births.

Daudkandi 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 60,959 20,839 40,120 17,853 14,417 8,579 5,838 1,258
Union Sub-Centres 27,763 11,024 16,739 6,957 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 24,780 11,540 13,240 15,361 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 154,409 52,527 101,882 15,590 0 0 0 0
Trauma Centres 3,520 1,420 2,100 1,230 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 31,059 14,570 16,489 13,265 4,362 2,730 1,632 747
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 333,549 111,920 190,570 70,256 18,779 11,309 7,470 2,890
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 6,184 2,130 4,054 329 11 5 6 0
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 3,109 656 2,453 348 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 9,293 2,786 6,507 677 11 5 6 0

Daudkandi 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 6513
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y00 Assault by blunt object 800 12.28
2 X99 Assault by sharp object 285 4.38
3 A090 Other and unspecified gastroenteritis and colitis of infectious origin 709 10.89
4 O669 Obstructed labour, unspecified 158 2.43
5 V853 Unspecified occupant of special construction vehicle injured in traffic accident 109 1.67
6 J45 Asthma 106 1.63
7 K27 Peptic ulcer, site unspecified 71 1.09
8 N390 Urinary tract infection, site not specified 70 1.07
9 A059 Bacterial foodborne intoxication, unspecified 57 0.88
10 K35 Acute appendicitis 47 0.72

Daudkandi 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 11
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I461 Sudden cardiac death, so described 2 18.18
2 J449 Chronic obstructive pulmonary disease, unspecified 1 9.09
3 G459 Transient cerebral ischaemic attack, unspecified 1 9.09
4 Q246 Congenital heart block 1 9.09
5 G01 Meningitis in bacterial diseases classified elsewhere 1 9.09
6 J189 Pneumonia, unspecified 1 9.09
7 I501 Left ventricular failure 1 9.09
8 J459 Asthma, unspecified 1 9.09
9 I21 Acute myocardial infarction 1 9.09
10 K746 Other and unspecified cirrhosis of liver 1 9.09

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 85.00
Coverage of households having access to sanitary latrines (%) 87.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 277
Bed Occupancy Rates (%) 75.89
Average Length of Hospital Stay (No. of days per patient) 3.80
Hospital Death Rate (%) 0.01


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 314
Minor Surgeries 570

 

Daudkandi 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 4 3 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 12 0 12 0 0.00
Class III 95 51 17 27 28.42
Class IV 20 14 4 2 10.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 10 7 2 1 10.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 5 4 1 10.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 6 2 2 2 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 9 2 1 8.33
Class IV 6 6 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 45 9 24 12 26.67
Class IV 0 0 0 0 0.00

 

Daudkandi 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 25 13 7 5 20.00
Non Doctor 0 0 0 0 0.00
Class II 12 0 12 0 0.00
Class III 162 74 47 41 25.31
Class IV 26 20 4 2 7.69
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

 

Daudkandi 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 16 13 9 7 0 0 3 3
Nurse 0 0 0 0 12 12 0 0 5 8
Medical Assistant 0 0 16 15 2 2 0 0 10 0
Medical Technologist 0 0 6 5 7 7 0 0 0 0
CHCP 45 33 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0
AHI 0 0 0 0 11 10 0 0 0 0
HA 0 0 0 0 58 39 0 0 0 0
CSBA trained*** 0 0 0 0 14 8 0 0 0 0

Daudkandi 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) 1 0 1 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 1 0 1 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 1 0 1 0 0
Autoclave 1 0 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 0 1 0 0
Operating microscope 1 0 1 0 0
Ceiling mounting OT Light 1 0 1 0 0
Portable OT Light 2 0 2 0 0
Fracture table 1 0 1 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 2 0 1 1 0
Sucker machine (electric) 3 0 2 1 0
Ventilator 0 0 0 0 0


Daudkandi 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 3 2 1 0 0
Pulse oximeter 2 2 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


Daudkandi 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) 4 2 1 1 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) 4 4 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


Daudkandi 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 2 1 0 0 1
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 0 1 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


Daudkandi 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) 5 3 2 0 0
Generator
Generator (diesel/petrol) 1 0 0 1 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 3 3 0 0
Laptop 3 2 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 6 3 2 1 0
Scanner 1 1 0 0 0
UPS 0 0 0 0 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 1 1 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 2 1 1 0 0


Daudkandi 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 0 1 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 63 31 25 6 1

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

Important information and necessary issues for Daudkandi Upazila Health Complex |
Upazilla Health Complex, Daudkandi (Gouripur) is one of the busiest center of the district. The victims of RTA from the Dhaka- Chittagong highway and other roads come to this hospital for treatment in large number everyday. Total no of normal vaginal delivery and caesarean section is high among other Upazilla Health Complex of this District. The following steps can be taken to improve the service of our facility :- 1. 50 bed activity should be started soon with all human resources. 2. All doctors and stuff should be trained on Noncommunicable, Communicable, IMCI and EOC related diseases. 3. One 500 MM X-ray machine, one ECG Machine, one generator to OT, one autoclave machine should be needed. 4. One suitable vehicle should be needed for monitoring the whole area, 5. All repairable equipments should be repaired as soon as possible. Finally we would like to thank all the respective authorities for enabling us to express our information for the progress of this health care facilities.