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

Dashmina Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of dasmina upazila. This bulletin contains all the health related information of 2013. It is published to disseminate the information of dasmina upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning,budgetting and bridging the gaps in health services of this upazila. We have many data stored in the file. 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 and MDG 5 .It will help to localize the MDG targets.This health bulletin has also the information on safe drinking water and sanitation a status of the upazila. 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 Bangladesh. Dr.Md.Abul Ahsan UH&FPO Dashmina Upazila Health Complex
Dr Md.Abul Ahsan
UH&FPO
Dashmina Upazila Health Complex

Dashmina Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaDashmina
Name of UHFPO Dr Md.Abul Ahsan
Telephone No. 0442356118
FAX No. 0
Mobile No. 01716516909
Email dasmina@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.2823 And Long: 90.5645
No. of Unions in the Upazila6
No. of Households in the Upazila 28,208
No. of Population in the Upazila 133,407
Area of Upazila in sq km 350.25

Dashmina 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 5 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 15 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 0 0

Dashmina Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,571


Total No. of children treated under IMCI Program 23,138
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 0.56 per 1,000 live births.

Dashmina 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: 1707
Total Number of Deliveries: 3575
No. of Maternal Death: 0
Valid TT Coverage: 12.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 0.00 per 100,000 live births.

Dashmina 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 44,916 17,107 27,809 6,824 1,079 718 361 80
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 31,357 3,712 27,645 7,822 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 74,044 22,620 51,424 8,492 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 150,317 43,439 106,878 23,138 1,079 718 361 80
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 3,812 1,717 2,095 833 13 6 7 2
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 3,812 1,717 2,095 833 13 6 7 2

Dashmina 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 4645
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 F41 Other anxiety disorders 1286 27.69
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 871 18.75
3 Y00 Assault by blunt object 771 16.60
4 A880 Enteroviral exanthematous fever [Boston exanthem] 424 9.13
5 J189 Pneumonia, unspecified 346 7.45
6 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 292 6.29
7 V194 Driver injured in collision with other and unspecified motor vehicles in traffic accident 222 4.78
8 J459 Asthma, unspecified 184 3.96
9 I64 Stroke, not specified as haemorrhage or infarction 117 2.52
10 I50 Heart failure 57 1.23

Dashmina 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 15
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I64 Stroke, not specified as haemorrhage or infarction 5 33.33
2 J459 Asthma, unspecified 3 20.00
3 J22 Unspecified acute lower respiratory infection 2 13.33
4 V194 Driver injured in collision with other and unspecified motor vehicles in traffic accident 1 6.67
5 P21 Birth asphyxia 1 6.67
6 A880 Enteroviral exanthematous fever [Boston exanthem] 1 6.67
7 I50 Heart failure 1 6.67
8 T60 Toxic effect of pesticides 1 6.67
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 77.00
Coverage of households having access to sanitary latrines (%) 83.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 10,964
Bed Occupancy Rates (%) 93.80
Average Length of Hospital Stay (No. of days per patient) 2.50
Hospital Death Rate (%) 0.32


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 537

 

Dashmina 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 2 0 7 77.78
Non Doctor 0 0 0 0 0.00
Class II 9 0 9 0 0.00
Class III 58 27 19 12 20.69
Class IV 20 14 3 3 15.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 1 0 5 83.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 1 0 5 83.33
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 15 12 3 0 0.00
Class IV 0 0 0 0 0.00

 

Dashmina 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 15 3 0 12 80.00
Non Doctor 0 0 0 0 0.00
Class II 9 0 9 0 0.00
Class III 79 40 22 17 21.52
Class IV 20 14 3 3 15.00
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

 

Dashmina 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 6 1 9 2 0 0 0 0
Nurse 0 0 0 0 9 9 0 0 4 1
Medical Assistant 0 0 6 1 2 2 0 0 2 0
Medical Technologist 0 0 0 0 8 6 0 0 0 0
CHCP 15 15 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 2 0
AHI 0 0 0 0 6 5 0 0 5 0
HA 0 0 0 0 30 24 0 0 24 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 4

Dashmina 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 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 1 0 1 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 1 0 0 1 0
Autoclave 2 1 0 1 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 0 0 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 3 2 0 1 0
Sucker machine (electric) 9 2 3 3 1
Ventilator 0 0 0 0 0


Dashmina 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 12 0 3 9 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 0 1 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Dashmina 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) 3 1 0 1 1
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) 2 1 0 1 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


Dashmina 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 0 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


Dashmina 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) 4 3 1 0 0
Air conditioner (window) 0 0 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 0 0 0 0 0
ICT equipment
Computer (desktop) 3 3 0 0 0
Laptop 11 11 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 0 0 0 0 0
UPS 1 0 1 0 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 1 1 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 1 1 0 0 0


Dashmina 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) 24 24 0 0 0
Land phone 1 0 1 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 92 60 11 19 2

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

Important information and necessary issues for Dashmina Upazila Health Complex |
 Important information and necessary issues for dasmina Upazila Health Complex Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like to mention some important issues which will help us to achieve good results in future 1. The vacant post should be filled immediately. 2.Our doctors & nurse need more training on IMCI 3. Number of community clinic & the bed Capacity of the health complex should be increased. 4. All the repairable equipments should be repaired as soon as possible . Finally I am very happy to write this health bulletin of 2013 because this document will help us to compare our progress in upcoming years.This is very useful document & will help the public to understand health services & to provide us the useful advice for improvement in future.