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Directorate General of Health Services (DGHS)
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Mohakhali, Dhaka-1212

Dhupchachia Upazila Health Complex | Health Bulletin 2014 |
Preface
I am Very glad to publish this health bulletin of Dhubchanchia Upazila. HPNSDP 2011-2016 of Ministry of Health & Family Welfare has taken initiative to publish data base bulletin of each institution of health sector. In this relation, initiative has been taken to publish health related data of 2013 of Upazila Health Complex, Dhubchanchia, Bogra in the from of a small bulletin. It will help to disseminate health related activities of UHC. Dhubchanchia among the local people. I hope all the informations of this upazila. This health bulletin will help us to find out constrains and also to see the results and achievements of the years 2013. This bulletin contains the status of MDG 4 and 5, which will help us to localize the MDG target. This bulletin has also the information on safe drinking water and sanitation status of this Upazila. All the sanctioned and Vacant post are published in this bulletin of 2013. I want to drawn attention of higher authority to look after this issue. Finally I would like to congratulate the initiator of health bulletin software for setting us one step ahead towards Digital Bangladesh. May Allah help us with thanks & Best regards. Dr. Ghazi Shaiful Alam Choudhury UH&FPO Dhubchanchia, Bogra.
Dr. Ghazi Shaiful Alam Choudhury.
UH&FPO
Dhupchachia Upazila Health Complex

Dhupchachia Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaDhupchachia
Name of UHFPO Dr. Ghazi Shaiful Alam Choudhury.
Telephone No. 0502451024
FAX No. 0
Mobile No. 01711393227
Email dhubchanchia@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.8761 And Long: 89.1725
No. of Unions in the Upazila6
No. of Households in the Upazila 45,334
No. of Population in the Upazila 187,242
Area of Upazila in sq km 162.45

Dhupchachia 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 6 0
No. of Union Health and Family Welfare Centres 4 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 24 0
No of Trauma Centres 0 0
No. of MCWCs 1 20
No. of Chest Disease Clinics (TB clinics) 0 0
No. of Private Clinics/Facilities 10 0
No. of NGO Clinics/Facilities 0 0

Dhupchachia Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,248


Total No. of children treated under IMCI Program 33,698
Fully Vaccinated Children: 92.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 3.77 per 1,000 live births.

Dhupchachia 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: 1021
Total Number of Deliveries: 4260
No. of Maternal Death: 0
Valid TT Coverage: 24.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 0.00 per 100,000 live births.

Dhupchachia 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 29,510 9,475 20,035 6,168 12,107 6,381 5,726 3,291
Union Sub-Centres 10,964 3,932 7,032 1,103 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 284,639 90,374 194,265 27,403 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 1,259 0 1,259 3,716 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 326,372 103,781 222,591 38,390 12,107 6,381 5,726 3,291
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 6,527 2,611 3,916 957 16 14 2 1
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 6,527 2,611 3,916 957 16 14 2 1

Dhupchachia 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 7573
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1608 21.23
2 K27 Peptic ulcer, site unspecified 576 7.61
3 Y09 Assault by unspecified means 560 7.39
4 A01 Typhoid and paratyphoid fevers 458 6.05
5 J45 Asthma 392 5.18
6 F41 Other anxiety disorders 363 4.79
7 J18 Pneumonia, organism unspecified 308 4.07
8 X68 Intentional self-poisoning by and exposure to pesticides 305 4.03
9 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified 252 3.33
10 I10 Essential (primary) hypertension 206 2.72

Dhupchachia 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 17
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J45 Asthma 4 23.53
2 J21 Acute bronchiolitis 3 17.65
3 I50 Heart failure 3 17.65
4 I21 Acute myocardial infarction 3 17.65
5 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified 2 11.76
6 I139 Hypertensive heart and renal disease, unspecified 1 5.88
7 J18 Pneumonia, organism unspecified 1 5.88
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 95.00
Coverage of households having access to sanitary latrines (%) 86.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 13,728
Bed Occupancy Rates (%) 75.00
Average Length of Hospital Stay (No. of days per patient) 1.56
Hospital Death Rate (%) 0.13


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 1498

 

Dhupchachia 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 20 4 3 13 65.00
Non Doctor 0 0 0 0 0.00
Class II 15 1 12 2 13.33
Class III 74 54 9 11 14.86
Class IV 22 7 3 12 54.55
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 1 0 4 80.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 5 1 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 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 24 17 7 0 0.00
Class IV 0 0 0 0 0.00

 

Dhupchachia 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 26 5 3 18 69.23
Non Doctor 0 0 0 0 0.00
Class II 15 1 12 2 13.33
Class III 98 71 16 11 11.22
Class IV 22 8 1 13 59.09
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

 

Dhupchachia 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 6 1 20 7 0 0 3 0
Nurse 0 0 0 0 15 13 0 0 4 1
Medical Assistant 0 0 6 6 2 2 0 0 5 0
Medical Technologist 0 0 0 0 6 6 0 0 0 0
CHCP 24 24 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0
HA 0 0 0 0 30 27 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Dhupchachia 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) 1 0 0 0 1
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 1 0 0 1 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 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 1 0 0 0 1
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 2 0 0 0 2
Portable OT Light 3 1 0 0 2
Fracture table 1 1 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 3 1 2 0 0
Sucker machine (electric) 6 1 1 0 4
Ventilator 0 0 0 0 0


Dhupchachia 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 2 2 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 4 0 0 0
Pulse oximeter 5 5 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


Dhupchachia 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) 3 1 0 2 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


Dhupchachia 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 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


Dhupchachia 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 0 0 0 0 0
ICT equipment
Computer (desktop) 7 7 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 1 0 0 1 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 6 5 0 1 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 1 1 0 0 0
Multimedia 1 1 0 0 0


Dhupchachia 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 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 70 47 6 7 10

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

Important information and necessary issues for Dhupchachia Upazila Health Complex |
 Important information and necessary issues for Dhubchanchia Upazila Health Complex, Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like mention some important factors which will help us to achieve good results in future. (1) The Vacant post should be filled up immediately. (2) Our Doctor and Nurse`s need more training on IMCI. (3) All the repairable equipment`s should be repaired as soon as possible. Finally I am very happy to published this health bulletin of 2013, because this document will help us to compare our progress upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.