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Debidwar Upazila Health Complex | Health Bulletin 2014 |
Preface
i am glade to publish this Health Bulletine of Debidwar Upazila .This Health Bulletin contains all Health related information 2013 which disseminate the informition of Debidwar Upazila and other Depertment & Devolapment partner of Health. I would like to congratulatane initiation of the Health Bullatin Softwar for setting us one step ahead to make digital Bangladesh. i always dream a Such type of bulletin. Its really open a new opporunities regarding Health Service. Lot of thanks to my whole team. Doctors, Nurses, & all the person related with the Health -Bulletin-2013 Dr.Md. Belayet Hossain UH&FPO Debidwar Upazila Health Complex
Dr. MD. BELAYET HOSSAIN
UH&FPO
Debidwar Upazila Health Complex

Debidwar Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaDebidwar
Name of UHFPO Dr. MD. BELAYET HOSSAIN
Telephone No. 0802453011
FAX No. 0
Mobile No. 01556774858
Email debiduar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.6037 And Long: 90.9886
No. of Unions in the Upazila16
No. of Households in the Upazila 88,975
No. of Population in the Upazila 514,161
Area of Upazila in sq km 238.14

Debidwar 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 5 0
No. of Union Health and Family Welfare Centres 11 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 33 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 10 100
No. of NGO Clinics/Facilities 2 0

Debidwar Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 13,275


Total No. of children treated under IMCI Program 19,585
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 0.30 per 1,000 live births.

Debidwar 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: 12320
Total Number of Deliveries: 288
No. of Maternal Death: 0
Valid TT Coverage: 8.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 0.00 per 100,000 live births.

Debidwar 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 48,460 19,570 28,890 17,350 10,676 5,780 4,896 3,460
Union Sub-Centres 27,550 9,820 17,730 8,435 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 265,895 91,950 173,945 45,680 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 9,000 3,480 5,520 3,000 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 359,905 124,820 226,085 74,465 10,676 5,780 4,896 3,460
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 6,256 3,170 3,086 1,612 25 12 13 11
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 6,256 3,170 3,086 1,612 25 12 13 11

Debidwar 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 5750
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 X85 Assault by drugs, medicaments and biological substances 999 17.37
2 J189 Pneumonia, unspecified 533 9.27
3 T609 Pesticide, unspecified 489 8.50
4 R39 Other symptoms and signs involving the urinary system 465 8.09
5 J189 Pneumonia, unspecified 370 6.43
6 A09 Diarrhoea and gastroenteritis of presumed infectious origin 400 6.96
7 V99 Unspecified transport accident 200 3.48
8 J449 Chronic obstructive pulmonary disease, unspecified 512 8.90
9 J47 Bronchiectasis 293 5.10
10 R560 Febrile convulsions 117 2.03

Debidwar 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 21
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J18 Pneumonia, organism unspecified 3 14.29
2 J45 Asthma 2 9.52
3 K27 Peptic ulcer, site unspecified 3 14.29
4 J84 Other interstitial pulmonary diseases 2 9.52
5 A15 Respiratory tuberculosis, bacteriologically and histologically confirmed 2 9.52
6 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3 14.29
7 V99 Unspecified transport accident 2 9.52
8 P21 Birth asphyxia 1 4.76
9 I219 Acute myocardial infarction, unspecified 1 4.76
10 J998 Respiratory disorders in other diseases classified elsewhere 2 9.52

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 89.00
Coverage of households having access to sanitary latrines (%) 91.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 17,545
Bed Occupancy Rates (%) 101.16
Average Length of Hospital Stay (No. of days per patient) 2.28
Hospital Death Rate (%) 0.27


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 4975

 

Debidwar 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 21 12 4 5 23.81
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 21 13 3 5 23.81
Class IV 22 18 4 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 11 8 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 11 5 4 2 18.18
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 5 2 2 1 20.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 7 0 3 30.00
Class IV 5 3 2 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 49 21 17 11 22.45
Class IV 0 0 0 0 0.00

 

Debidwar 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 37 21 9 7 18.92
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 175 96 40 39 22.29
Class IV 27 22 5 0 0.00
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

 

Debidwar 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 15 22 21 0 0 2 0
Nurse 0 0 0 0 15 15 0 0 3 0
Medical Assistant 0 0 16 15 2 2 0 0 0 0
Medical Technologist 0 0 0 0 7 6 0 0 0 0
CHCP 49 38 0 0 0 0 0 4 0 0
HI 0 0 0 0 0 0 4 4 0 0
AHI 0 0 0 0 0 0 12 12 0 0
HA 0 0 0 0 0 0 59 32 0 0
CSBA trained*** 0 0 0 0 0 0 0 4 0 0

Debidwar 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) 2 1 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 0 0 0 0 0
Autoclave 1 0 0 1 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 2 2 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 0 0 1 0
Sucker machine (electric) 5 3 0 2 0
Ventilator 0 0 0 0 0


Debidwar 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 1 1 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 4 3 1 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


Debidwar 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) 6 2 4 0 0
Obstetric equipment
Fetal Monitor 0 0 0 0 0
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 1 1 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Debidwar 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) 4 4 0 0 0
Refrigerator 3 3 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 3 1 1 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


Debidwar 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) 4 2 2 0 0
Generator
Generator (diesel/petrol) 1 0 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 0 0 1 0
ICT equipment
Computer (desktop) 3 2 0 1 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 0 0 2 0
Printer (laser) 2 2 0 0 0
Scanner 1 1 0 0 0
UPS 1 1 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 2 1 1 0 0


Debidwar 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 0 1 0 0
Photocopier machine 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 59 37 12 10 0

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

Important information and necessary issues for Debidwar Upazila Health Complex |
 Continuous electrical power supply is very poor during the period of office hour time & this is major case of unable updating, publish or submitting all kinds of reports on right times via internet. Jr. Consultant (Surgery), Jr. Consultant (Anastasia) need for various surgical procedures. The Electrical wearing of complex old buildings (31 beds) is not good & safe, for that reason, fans, tube-lights, energetic bulbs & other machineries are so disturbed & fused several times. It should be repair. The complex old buildings (31 beds) residence of Doctors & Stuff quarters condition is too bad positions & not secure. Residence quarters doors, windows & the wall plasters of building condition are very bad situation & this case will be create any kind of accident anytime. It should be repair.