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,
Daudkandi Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Daudkandi
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 Upazila 16
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.