HPNSDP
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Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Dacope Upazila Health Complex | Health Bulletin 2014 |
Preface
I am Very glad to published the health bulletin of Dacope Upazila health complex, Khulna.The Statistics of different activities done here in health sector from January to December, 2013 have been reported in the health bulletin. Dacope is situated at the coastal area and is a hard to rich as well as a remote upazila about 35 km away from khulna headquarter. As a coastal area, main communication is river based transport. Yet, We are in better position to achieve MDG 4 & MDG 5 and our achievement in other indicators are satisfactory as well. I also hope that the reports of health services in the Bulletin will level gaps between the health officials and the common public in our society. So I, Dr Md Abdur Raquib, personally thanks all officials concerned to the health services for such achievement. At the same time I heartily thank Prof. Dr. Deen Mohammad Nurul Haque Hon'ble DG(Health), DR. Abul Kalam Azad (ADG-Planning & Development, Director-MIS) and every one associated with the publication of this Health Bulletin, who give me directives and technical support in this assignment which will ultimately guide us to build a digital Bangladesh Dr. Nd. Abdur Raquib Upazila Health & Family Planing Officer Dacope, Khulna.
Dr. Md Abdur Raquib
UH&FPO
Dacope Upazila Health Complex

Dacope Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaDacope
Name of UHFPO Dr. Md Abdur Raquib
Telephone No. 0402356004
FAX No. 0
Mobile No. 01711109417
Email dacope@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.0000 And Long: 89.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 37,177
No. of Population in the Upazila 158,908
Area of Upazila in sq km 266.00

Dacope 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 0 0
No. of Union Health and Family Welfare Centres 0 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 19 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 0 0
No. of NGO Clinics/Facilities 1 0

Dacope Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 1,996


Total No. of children treated under IMCI Program 5,073
Fully Vaccinated Children: 90.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 13.53 per 1,000 live births.

Dacope 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: 1761
Total Number of Deliveries: 2020
No. of Maternal Death: 1
Valid TT Coverage: 84.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 50.10 per 100,000 live births.

Dacope 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 27,430 10,477 16,953 6,851 2,582 1,424 1,158 894
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 116,986 49,448 67,538 6,044 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 144,416 59,925 84,491 12,895 2,582 1,424 1,158 894
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 5,106 2,052 3,054 1,213 58 32 26 20
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 5,106 2,052 3,054 1,213 58 32 26 20

Dacope 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 5107
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 K358 Acute appendicitis, other and unspecified 500 9.79
2 Y09 Assault by unspecified means 427 8.36
3 A090 Other and unspecified gastroenteritis and colitis of infectious origin 403 7.89
4 J12 Viral pneumonia, NEC 340 6.66
5 T60 Toxic effect of pesticides 148 2.90
6 I10 Essential (primary) hypertension 111 2.17
7 I64 Stroke, not specified as haemorrhage or infarction 106 2.08
8 J45 Asthma 77 1.51
9 D50 Iron deficiency anaemia 62 1.21
10 J22 Unspecified acute lower respiratory infection 51 1.00

Dacope 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 56
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I694 Sequelae of stroke, not specified as haemorrhage or infarction 8 14.29
2 I11 Hypertensive heart disease 7 12.50
3 J12 Viral pneumonia, NEC 6 10.71
4 I219 Acute myocardial infarction, unspecified 5 8.93
5 I64 Stroke, not specified as haemorrhage or infarction 5 8.93
6 I501 Left ventricular failure 5 8.93
7 R99 Other ill-defined and unspecified causes of mortality 3 5.36
8 T60 Toxic effect of pesticides 3 5.36
9 I249 Acute ischaemic heart disease, unspecified 3 5.36
10 Q248 Other specified congenital malformations of heart 2 3.57

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 70.00
Coverage of households having access to sanitary latrines (%) 80.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 30,955
Bed Occupancy Rates (%) 171.69
Average Length of Hospital Stay (No. of days per patient) 6.04
Hospital Death Rate (%) 1.09


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 890
Minor Surgeries 1026

 

Dacope 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 8 1 12 57.14
Non Doctor 0 0 0 0 0.00
Class II 16 1 15 0 0.00
Class III 82 34 22 26 31.71
Class IV 26 8 4 14 53.85
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I Doctor 9 3 1 5 55.56
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
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 19 8 11 0 0.00
Class IV 0 0 0 0 0.00

 

Dacope 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 30 11 2 17 56.67
Non Doctor 0 0 0 0 0.00
Class II 16 1 15 0 0.00
Class III 110 49 39 22 20.00
Class IV 26 8 4 14 53.85
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

 

Dacope 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 9 4 21 9 0 0 4 1
Nurse 0 0 0 0 16 16 0 0 4 4
Medical Assistant 0 0 9 9 2 2 0 0 5 0
Medical Technologist 0 0 0 0 0 0 0 0 0 0
CHCP 19 19 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 1 0 0 0 0
AHI 0 0 0 0 8 4 0 0 0 0
HA 0 0 0 0 44 43 0 0 0 0
CSBA trained*** 0 0 0 0 0 15 0 0 0 0

Dacope 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 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 1 0 0 0
Anesthesia machine without ventilator 1 0 1 0 0
Autoclave 1 0 0 0 1
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 1 1 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 0 1 0 0
Portable OT Light 4 2 2 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 0 1 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 3 2 1 0 0
Ventilator 0 0 0 0 0


Dacope 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 3 2 1 0 0
Pulse oximeter 2 0 2 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


Dacope 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) 0 0 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 1 1 0 0 0
Blood cell counter 1 1 0 0 0
Microscope (binocular) 3 2 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


Dacope 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 1 1 0 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


Dacope 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 0 1 1 0
Generator
Generator (diesel/petrol) 2 1 0 1 0
Generator (gas) 0 0 0 0 0
Solar panel 2 2 0 0 0
IPS 1 0 0 1 0
ICT equipment
Computer (desktop) 6 3 2 1 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 7 4 2 1 0
Scanner 2 2 0 0 0
UPS 4 2 1 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 1 1 0 0 0


Dacope 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 0 0 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 60 34 18 7 1

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

Important information and necessary issues for Dacope Upazila Health Complex |
 The EPI activities is satisfactory. I would like to mention some important issue which will help us to achieve better result in future. 1) Infrastructure of this hospital should be modernized. 2) Number of CC should be increased. 3) All the repairable instrument & furniture should be repaired as soon as possible . 4) All the vacant post(specially MT(lab) & jr Mechanics) should be filled up with short time. 5) Activities of Health , FP & NGO should be reported combined in a consolidated prescribed forms. I am very happy to develop this Health Bulletin of 2013. Because these documents will help us to compare our progress in upcoming years. This will helps the public to understand health service and provide us the useful advice for improvement of future activities. Dr. Md Abdur Raquib Upazila Health & Family Planing Officer Dacope. Khulna .