HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Dumuria Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to Publish this Bulletin of Dunuria upazila health Complex. This bulletin Contains all the health Related Information of 2013. This bulletin Is Published to disseminate the information of Dumuria Upazila to other Line Department and Development Partners of health . I hope that all the Information of this this bulletin will help for laning and bridging the gaps in health services of this Upazila .This health bulletin will help us to find constrains and also to see the results and achievements of 2013 The bulletin contains the status of MDG 4&5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the dumuria upaziia. All the sanctioned and vacant posts are published in this bulletin of 2013. I like to take attention of the Higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Health of Bangladesh. Dr. Shikdar Ali Akbar Upzila Health & Family Planning Officer Dumuria, Khulna. Phone-04025-56029 , Mobile-01715-i4431 Dr.Shikdar Ali Akbar UH&FPO Dumuria Upazila Health Complex.
Dr.Shikdar Ali Akbar
UH&FPO
Dumuria Upazila Health Complex

Dumuria Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaDumuria
Name of UHFPO Dr.Shikdar Ali Akbar
Telephone No. 0402556029
FAX No. 0
Mobile No. 01715144631
Email dumuria@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.4860 And Long: 89.2650
No. of Unions in the Upazila14
No. of Households in the Upazila 69,688
No. of Population in the Upazila 323,621
Area of Upazila in sq km 454.23

Dumuria 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 31
No. of Union Sub-Centres 0 0
No. of Union Health and Family Welfare Centres 13 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 38 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 10 50
No. of NGO Clinics/Facilities 2 0

Dumuria Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,840


Total No. of children treated under IMCI Program 24,902
Fully Vaccinated Children: 92.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 6.61 per 1,000 live births.

Dumuria 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: 4514
Total Number of Deliveries: 4705
No. of Maternal Death: 7
Valid TT Coverage: 98.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 144.63 per 100,000 live births.

Dumuria 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 37,048 11,408 25,640 12,705 3,299 1,987 1,312 723
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 95,965 23,980 71,985 4,640 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 182,980 53,860 129,120 13,775 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 2,372 760 1,612 1,123 0 0 0 0
NGO Clinics/Facilities 15,694 2,798 12,896 3,021 0 0 0 0
Total 336,431 92,806 241,253 35,264 3,299 1,987 1,312 723
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 4,490 1,845 2,645 670 21 6 15 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 52 0 52 0 0 0 0 0
Total 4,542 1,845 2,697 670 21 6 15 1

Dumuria 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 5160
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 770 14.92
2 V87 Traffic accident of specified type but victim's mode of transport unknown 728 14.11
3 O64 Obstructed labour due to malposition and malpresentation of fetus 567 10.99
4 K27 Peptic ulcer, site unspecified 310 6.01
5 T36 Poisoning by systemic antibiotics 248 4.81
6 A75 Typhus fever 241 4.67
7 J45 Asthma 144 2.79
8 J12 Viral pneumonia, NEC 115 2.23
9 I95 Hypotension 72 1.40
10 D60 Acquired pure red cell aplasia [erythroblastopenia] 62 1.20

Dumuria 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 22
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I516 Cardiovascular disease, unspecified 6 27.27
2 T363 Macrolides 5 22.73
3 J47 Bronchiectasis 3 13.64
4 A085 Other specified intestinal infections 2 9.09
5 I200 Unstable angina 1 4.55
6 A153 Tuberculosis of lung, confirmed by unspecified means 1 4.55
7 I95 Hypotension 1 4.55
8 D611 Drug-induced aplastic anaemia 1 4.55
9 I23 Certain current complications following acute myocardial infarction 1 4.55
10 D00 Carcinoma in situ of oral cavity, oesophagus and stomach 1 4.55

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 94.00
Coverage of households having access to sanitary latrines (%) 97.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 11,304
Bed Occupancy Rates (%) 93.00
Average Length of Hospital Stay (No. of days per patient) 2.49
Hospital Death Rate (%) 0.43


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 2620

 

Dumuria 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 9 3 2 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 136 58 42 36 26.47
Class IV 19 10 5 4 21.05
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 14 2 0 12 85.71
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 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
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 40 20 20 0 0.00
Class IV 0 0 0 0 0.00

 

Dumuria 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 2 5 2 -5 -250.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 136 58 42 36 26.47
Class IV 0 0 0 0 0.00
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

 

Dumuria 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 14 2 9 5 0 0 2 2
Nurse 0 0 0 0 12 12 0 0 4 4
Medical Assistant 0 0 14 14 2 2 14 14 2 6
Medical Technologist 0 0 0 0 8 7 0 0 0 0
CHCP 40 40 0 0 0 0 0 0 0 0
HI 0 0 0 0 6 6 0 0 0 0
AHI 0 0 0 0 16 16 0 0 0 0
HA 0 0 0 0 80 45 0 0 0 0
CSBA trained*** 0 0 0 0 20 20 18 18 0 0

Dumuria 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 0 0 1 0
X-ray machine (300 mA) 1 0 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 1 0 1 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 1 1 0 0 0
Portable OT Light 1 1 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) 2 2 0 0 0
Ventilator 102 102 0 0 0


Dumuria 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 0 0 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


Dumuria 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 0 0 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) 0 0 0 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


Dumuria 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 0 0 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


Dumuria 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) 0 0 0 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) 0 0 0 0 0
Laptop 0 0 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 0 0 0 0 0
Scanner 0 0 0 0 0
UPS 0 0 0 0 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 0 0 0 0 0


Dumuria 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 109 106 2 1 0

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

Important information and necessary issues for Dumuria Upazila Health Complex |
In this Dumuria Upazila EPI performance: Target on 0-11month children-5135 and 1. BCG achieve-5024=97.83% 2. Pentaviolen-Ist- 4939= 96.18% 3. Pentaviolen- 2nd-4914 =95.73% 4. Pentaviolent-3rd -4944= 96.28% 5. Measles-5159=100.66% 6. TT1 Target-891,achieve-1261=141% 7. TT2 Target-1052,achieve-1438=137% 8. TT3 Target-2270,achieve-2656=117% 9. TT4 Target-2848,achieve-2829=99% 10.TT5 Target-3116,achieve-3237=104% 11. TB Target-336, achieve-284=84.52% Dumuria Upazila Arsenicosis Total Patient 52(Male-35,Female-17) The field level vacant post should be fill-up immediately, as the same time important Doctors vacant post of UHC fill-up emergency. Target of MDG 4&5 assure to successfully Doctors, Nurse and Other related Staff need more training of IMCI & EmOC group confirmed. I am very glad to write this health bulletin of 2013, because this information will help us to compare our progress in coming year and others health institute/upazila.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.