Debiganj Upazila Health Complex | Health Bulletin 2014 |
Preface
This is a very good news that a Health Bulletin/2014 from upazila level is going to be published which consists of most of the health related information of the upazila.To provide our best,we need multisectoral approch.I hope this bulletin will be able to carry our various informations among other sectors.From this,people will be informed about our plannings, implementations and evaluations.It will help us in monitoring the health related activities.It can be helpful in disease surveillance.Our achievment are mentioned here.DSF maternal health voucher scheme and MNH project running in this upazila.We have given our staff position by which our manpower shortage can be marked.If we get more manpower, our ability will be increased.Finally I congratulate the initiator of this software which will take us closer to Digital Bangladesh.
Dr.Md.Ekramuk Hoque
UH&FPO
Debiganj,Panchagarh.
Debiganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Debiganj
Name of UHFPO Dr.Md.Ekramul Hoque
Telephone No. 0565456020
FAX No. 0
Mobile No. 01712782076
Email debiganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 26.0658 And Long: 88.4521
No. of Unions in the Upazila 10
No. of Households in the Upazila 48,960
No. of Population in the Upazila 215,960
Area of Upazila in sq km 309.60
Debiganj 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
9
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
30
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
3
20
No. of NGO Clinics/Facilities
1
0
Debiganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,273
Total No. of children treated under IMCI Program 1,167
Fully Vaccinated Children: 85.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 20.13 per 1,000 live births.
Debiganj 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: 699
Total Number of Deliveries: 4314
No. of Maternal Death: 8
Valid TT Coverage: 13.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
187.22 per 100,000 live births.
Debiganj 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
38,755
17,106
21,649
1,860
1,475
1,069
406
138
Union Sub-Centres
24,008
9,906
14,102
2,251
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
87,881
18,936
68,945
14,334
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
245,436
80,545
164,891
25,178
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
16,041
1,744
14,297
1,806
0
0
0
0
Total
412,121
128,237
283,884
45,429
1,475
1,069
406
138
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
4,313
1,375
2,938
283
22
13
9
3
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
202
57
145
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
4,515
1,432
3,083
283
22
13
9
3
Debiganj 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
4596
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
X990 Assault by sharp object, home
899
19.56
2
A090 Other and unspecified gastroenteritis and colitis of infectious origin
330
7.18
3
B33 Other viral diseases, NEC
156
3.39
4
V447 Car occupant injured in collision with heavy transport vehicle or bus, person on outside of vehicle, traffic accident
150
3.26
5
O64 Obstructed labour due to malposition and malpresentation of fetus
145
3.15
6
T600 Organophosphate and carbamate insecticides
126
2.74
7
O044 Medical abortion, incomplete, without complication
83
1.81
8
J159 Bacterial pneumonia, unspecified
73
1.59
9
N518 Other disorders of male genital organs in diseases classified elsewhere
68
1.48
10
J458 Mixed asthma
43
0.94
Debiganj 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
25
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I219 Acute myocardial infarction, unspecified
4
16.00
2
J458 Mixed asthma
4
16.00
3
I501 Left ventricular failure
2
8.00
4
T600 Organophosphate and carbamate insecticides
2
8.00
5
J159 Bacterial pneumonia, unspecified
2
8.00
6
N179 Acute renal failure, unspecified
1
4.00
7
K261 Duodenal ulcer, acute with perforation
1
4.00
8
N18 Chronic renal failure
1
4.00
9
J440 Chronic obstructive pulmonary disease with acute lower respiratory infection
1
4.00
10
I461 Sudden cardiac death, so described
1
4.00
Debiganj Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
96.00
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.)
13,334
Bed Occupancy Rates (%)
73.00
Average Length of Hospital Stay (No. of days per patient)
2.89
Hospital Death Rate (%)
0.55
Debiganj Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
60
Minor Surgeries
84
Debiganj 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
1
1
19
90.48
Non Doctor
0
0
0
0
0.00
Class II
16
1
11
4
25.00
Class III
65
41
16
8
12.31
Class IV
22
12
5
5
22.73
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
6
0
0
6
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
3
0
3
50.00
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
3
2
3
37.50
Class IV
4
2
1
1
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
29
14
15
0
0.00
Class IV
0
0
0
0
0.00
Debiganj 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
2
1
28
90.32
Non Doctor
0
0
0
0
0.00
Class II
16
1
11
4
25.00
Class III
108
61
32
15
13.89
Class IV
26
14
6
6
23.08
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
Debiganj 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
2
0
0
0
1
Nurse
0
0
0
0
15
12
0
0
4
2
Medical Assistant
0
0
10
7
2
1
0
0
2
0
Medical Technologist
0
0
0
0
8
6
0
0
0
0
CHCP
29
29
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
5
0
0
0
0
HA
0
0
0
0
30
28
0
0
0
0
CSBA trained***
0
0
0
0
13
13
0
0
0
0
Debiganj 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)
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
4
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
4
2
0
0
2
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
1
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
3
3
0
0
0
Sucker machine (electric)
3
3
0
0
0
Ventilator
6
6
0
0
0
Debiganj 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
2
1
1
0
Pulse oximeter
4
1
3
0
0
Dental equipment
Dental unit
2
1
1
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Debiganj 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
2
0
0
0
Colorimeter
2
2
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)
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
1
1
0
0
0
Phototherapy unit
1
1
0
0
0
Debiganj 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
1
1
0
0
0
Blood bank refrigerator
1
1
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
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
Debiganj 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)
3
3
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
1
0
1
0
0
ICT equipment
Computer (desktop)
8
8
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
6
4
2
0
0
Scanner
2
2
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
Debiganj 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
88
72
12
2
2
Debiganj Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Debiganj Upazila Health Complex |
This Health Bulletin mentioned some important factors which will help us to achive good results in future.
(1) The vaccant post of doctors should be filled up.
(2) All the repairable equipments should be repaired as soon as possible.
Finally I am very happy to were this Health Bulletin of 2014, because it`s doccument will help us to compair our progess in up-comming years.This is very useful doccuments and will help the public to understand health services and to provide us the useful advice for improvement in future.