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Domar Upazila Health Complex | Health Bulletin 2014 |
Preface
It is my previlege to publish the Health Bulletin of 2014 of Domar Upazilla Health Complex. The Second one was published last year.This bulletin contains all the necessary health related information of 2013.This is published to propagate necessary informations of Domar upazilla Health complex to other line department & development partners of health.This will help us to have a bird view about the results and achievements in the health sector of 2014. Inspite of many constrains we are successful to limite the maternal and child mortality rate.I believe this would boost-up our moral inspiration to attain millennium development goal. Dr.Md.Mostakur Rahman Khan UH & FPO Upazilla Health Complex Domar, Nilphamari.
Dr..Md.Mostakur Rahman Khan
UH&FPO
Domar Upazila Health Complex

Domar Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaDomar
Name of UHFPO Dr..Md.Mostakur Rahman Khan
Telephone No. 00
FAX No. 0
Mobile No. 01913860314
Email domar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 26.0652 And Long: 88.1490
No. of Unions in the Upazila10
No. of Households in the Upazila 53,040
No. of Population in the Upazila 264,255
Area of Upazila in sq km 154.96

Domar 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 10 0
No. of Union Health and Family Welfare Centres 10 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 10
No. of NGO Clinics/Facilities 0 0

Domar Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,030


Total No. of children treated under IMCI Program 15,256
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 27.63 per 1,000 live births.

Domar 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: 4224
Total Number of Deliveries: 5263
No. of Maternal Death: 9
Valid TT Coverage: 13.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 178.93 per 100,000 live births.

Domar 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 25,517 8,503 17,014 6,366 4,416 1,365 3,051 1,198
Union Sub-Centres 102,500 49,735 52,765 13,716 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 48,750 10,180 38,570 6,455 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 122,015 51,410 70,605 7,643 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 2,406 1,068 1,338 342 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 303,594 120,896 180,292 34,522 4,416 1,365 3,051 1,198
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 8,061 3,066 4,995 912 38 17 21 7
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 1,766 728 1,038 202 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 9,827 3,794 6,033 1,114 38 17 21 7

Domar 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 8061
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 878 10.89
2 Y04 Assault by bodily force 766 9.50
3 J189 Pneumonia, unspecified 628 7.79
4 O63 Long labour 522 6.48
5 O669 Obstructed labour, unspecified 400 4.96
6 V333 Occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van, unspecified occupant of three-wheeled motor vehicle, nontraffic accident 318 3.94
7 J449 Chronic obstructive pulmonary disease, unspecified 202 2.51
8 K29 Gastritis and duodenitis 235 2.92
9 B349 Viral infection, unspecified 212 2.63
10 I11 Hypertensive heart disease 110 1.36

Domar 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 45
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J189 Pneumonia, unspecified 6 13.33
2 T609 Pesticide, unspecified 5 11.11
3 I612 Intracerebral haemorrhage in hemisphere, unspecified 4 8.89
4 I21 Acute myocardial infarction 3 6.67
5 J46 Status asthmaticus 3 6.67
6 I11 Hypertensive heart disease 2 4.44
7 O72 Postpartum haemorrhage 2 4.44
8 V333 Occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van, unspecified occupant of three-wheeled motor vehicle, nontraffic accident 1 2.22
9 V90 Accident to watercraft causing drowning and submersion 1 2.22
10 T319 Burns involving 90% or more of body surface 1 2.22

Domar 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 (%) 85.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 13,217
Bed Occupancy Rates (%) 72.00
Average Length of Hospital Stay (No. of days per patient) 2.00
Hospital Death Rate (%) 0.55


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 45

 

Domar 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 6 4 11 52.38
Non Doctor 0 0 0 0 0.00
Class II 15 0 13 2 13.33
Class III 27 16 5 6 22.22
Class IV 20 13 5 2 10.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 2 0 0 2 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 1 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 8 0 1 7 87.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 16 11 2 3 18.75
Class IV 8 5 1 2 25.00
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 26 13 10 3 11.54
Class IV 0 0 0 0 0.00

 

Domar 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 6 5 20 64.52
Non Doctor 0 0 0 0 0.00
Class II 15 0 13 2 13.33
Class III 97 66 20 11 11.34
Class IV 30 20 7 3 10.00
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

 

Domar 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 10 1 21 10 0 0 1 0
Nurse 0 0 0 0 14 13 0 0 5 0
Medical Assistant 0 0 0 0 2 2 0 0 2 0
Medical Technologist 0 0 0 0 10 7 0 0 0 0
CHCP 26 23 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 3 0
AHI 0 0 0 0 8 5 0 0 4 0
HA 0 0 0 0 40 31 0 0 31 0
CSBA trained*** 0 0 0 0 0 11 0 0 11 0

Domar 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 2 0 1 0 1
Autoclave 1 0 1 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 2 0 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 2 2 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Domar 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 1 1 0 0 0
Pulse oximeter 0 0 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


Domar 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 3 1 2 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 2 2 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


Domar 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 2 1 1 0 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


Domar 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) 2 2 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 7 6 1 0 0
Laptop 36 34 2 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 2 1 0 1
Scanner 1 1 0 0 0
UPS 6 2 0 0 4
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


Domar 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 0 0 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 83 64 13 0 6

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

Important information and necessary issues for Domar Upazila Health Complex |
 We want to standard treatment to our increasing population. But we do not have adequate manpower to fulfil our purpose.we need doctors, specialists, dentists and nurse.We need uninterrupted electric supply to run the hospital smoothly. Repairable equipments should be repaird immediately. we need pathological reagent to do necessary pathological test which may boost up our service quality. Finaly I am delighted to write this health bulletin of 2013 because this document will help us to compare our progress in up coming years.Theis is very useful document and it will help the mass people to understand the ongoing health services. Any informatiom of advises would be highly appreciated regarding health services provided by us. Thank you. Dr. Md. Mostakur Rahman Khan UH&FPO Upazilla Health Comple Domar, Nilphamari.