Dimla Upazila Health Complex | Health Bulletin 2014 |
Preface
It is my previlage to participate and create a health bulletin of Dimla Upazilla Health Complex Nilphamari. This Bulletin contains all the necessary health related informations of the year 2013 of Dimla Upazila Health complex. The bulletin is published to disseminate the information of activities of health sector to other sectors and development partners of health. This will also help us to have a view at a glance about the achievement in the health sector in the year 2013 .So far we have achieved impressive success in the area reducing maternal morality and as well child mortality. Much more succes in this field is awaiting in the coming years.
Dimla Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Dimla
Name of UHFPO Dr Md. Sultan Mahbub
Telephone No. 0552256222
FAX No. 0
Mobile No. 01719985535
Email dimla@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 89.0000
No. of Unions in the Upazila 10
No. of Households in the Upazila 68,990
No. of Population in the Upazila 331,031
Area of Upazila in sq km 372.00
Dimla 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
4
0
No. of Union Health and Family Welfare Centres
6
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
25
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
2
0
No. of NGO Clinics/Facilities
0
0
Dimla Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,206
Total No. of children treated under IMCI Program 2,425
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Dimla 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: 5827
Total Number of Deliveries: 5887
No. of Maternal Death: 14
Valid TT Coverage: 33.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Dimla 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
19,170
8,570
10,600
2,206
5,193
2,303
2,890
1,200
Union Sub-Centres
27,040
11,350
15,690
6,399
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
25,520
11,790
13,730
5,530
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
288,595
112,743
175,852
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
360,325
144,453
215,872
14,135
5,193
2,303
2,890
1,200
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
7,376
3,306
4,070
1,376
0
0
0
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
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
7,376
3,306
4,070
1,376
0
0
0
0
Dimla 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
0
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Y009 Assault by bluntobject, unspecified place Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2379
0.00
2
K27 Peptic ulcer, site unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1033
0.00
3
J18 Pneumonia, organism unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
939
0.00
4
A09 Diarrhoea and gastroenteritis of presumed infectious origin Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
524
0.00
5
A01 Typhoid and paratyphoid fevers Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
451
0.00
6
A03 Shigellosis delivery Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
422
0.00
7
O80 Single spontaneous Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
421
0.00
8
J45 Asthma Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
349
0.00
9
K35 Acute appendictis Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
327
0.00
10
J441 Chronic obstructive pulmonary disease with acute eaxacerbation,unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
228
0.00
Dimla 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
47
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J18 Pneumonia,organism unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
20
42.55
2
T600 Organophosphate and carbamate insecticdes Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
9
19.15
3
I679 Cerebrovascular disease, unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
6
12.77
4
O95 Obstetric death of unpecified cause Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
5
10.64
5
A09 Diarrhoea and gastroenteritis of presumed infectious origin Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
4
8.51
6
W854 Exposure to electric transmission lines, street and highway Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
3
6.38
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Dimla 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 (%)
88.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
12,780
Bed Occupancy Rates (%)
70.02
Average Length of Hospital Stay (No. of days per patient)
2.13
Hospital Death Rate (%)
0.25
Dimla Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
47
Dimla 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
31
3
2
26
83.87
Non Doctor
0
0
0
0
0.00
Class II
15
1
11
3
20.00
Class III
96
53
18
25
26.04
Class IV
28
20
4
4
14.29
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
10
1
0
9
90.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
14
6
0
8
57.14
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
4
1
0
3
75.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
5
0
3
37.50
Class IV
4
4
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
30
19
10
1
3.33
Class IV
0
0
0
0
0.00
Dimla 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
31
3
2
26
83.87
Non Doctor
0
0
0
0
0.00
Class II
15
1
11
3
20.00
Class III
96
53
18
25
26.04
Class IV
28
20
4
4
14.29
Other Hospitals & Clinics
Class I
Doctor
2
1
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
5
3
2
0
0.00
Class IV
0
0
0
0
0.00
Dimla 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
0
0
21
2
2
0
0
0
Nurse
0
0
4
1
0
0
0
0
0
0
Medical Assistant
0
0
10
9
0
0
0
0
0
0
Medical Technologist
0
0
0
0
0
0
0
0
0
0
CHCP
30
29
0
0
0
0
0
0
0
0
HI
3
3
0
0
0
0
0
0
0
0
AHI
90
9
0
0
0
0
0
0
0
0
HA
45
34
0
0
0
0
0
0
0
0
CSBA trained***
15
15
0
0
0
0
0
0
0
0
Dimla 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
1
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
1
1
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
4
2
2
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
4
2
2
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)
8
4
0
4
0
Ventilator
6
3
3
0
0
Dimla 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
2
1
0
1
0
Pulse oximeter
2
1
0
1
0
Dental equipment
Dental unit
2
1
0
1
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Dimla 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)
2
1
1
0
0
Colorimeter
2
1
1
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)
2
1
1
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
Dimla 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
4
2
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
Dimla 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)
2
1
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
2
1
1
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
14
7
7
0
0
Laptop
62
31
31
0
0
Printer (dot matrix)
6
3
3
0
0
Printer (inkjet)
2
1
0
1
0
Printer (laser)
4
2
2
0
0
Scanner
2
1
1
0
0
UPS
2
1
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
2
1
1
0
0
Multimedia
2
1
1
0
0
Dimla 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
2
1
1
0
0
Mobile phone
2
1
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
145
74
61
10
0
Dimla Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Dimla Upazila Health Complex |
