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

Derai Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very Glad to Publish this health Bulletin of derai Upazila.This bulletin contains all the health related Information of 2013. This bulletin is published to disseminate the Information of derai upazila to outer line department & development partners of health. I hope all the information of this bulletin will help for Planning and bridging the gaps in health services of this upazila. Government health office has many data stored in the file. This health bulletin will help us to find constrains and also to see results, achievements of 2013. The bulletin contains the status of MDG4, MDG5 which will help to localize the MDG targets. The health bulletin has also the information 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 towards digital Bangladesh. Dr. Ashutush Das UH&FPO Upazila health Complex Derai, Sunamganj.
Dr. Ashutush Das.
UH&FPO
Derai Upazila Health Complex

Derai Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaDeerai
Name of UHFPO Dr. Ashutush Das.
Telephone No. 0872456016
FAX No. 0
Mobile No. 01753516207
Email Derai@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.7921 And Long: 91.4316
No. of Unions in the Upazila9
No. of Households in the Upazila 43,561
No. of Population in the Upazila 257,626
Area of Upazila in sq km 421.00

Derai 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 2 0
No. of Union Health and Family Welfare Centres 7 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 24 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

Derai Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 7,369


Total No. of children treated under IMCI Program 6,736
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 21.31 per 1,000 live births.

Derai 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: 566
Total Number of Deliveries: 7381
No. of Maternal Death: 12
Valid TT Coverage: 65.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 162.84 per 100,000 live births.

Derai 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 15,476 7,078 8,398 1,650 12,782 7,000 5,782 1,206
Union Sub-Centres 6,863 3,997 2,866 1,860 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 145,047 52,841 92,206 30,260 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 167,386 63,916 103,470 33,770 12,782 7,000 5,782 1,206
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 6,500 2,804 3,696 1,051 8 7 1 30
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 6,500 2,804 3,696 1,051 8 7 1 30

Derai 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 2678
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J189 Pneumonia, unspecified 2060 76.92
2 A009 Cholera, unspecified 1428 53.32
3 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation 1267 47.31
4 X999 Assault by sharp object, unspecified place 1088 40.63
5 O063 Unspecified abortion, incomplete, with other and unspecified complications 108 4.03
6 V011 Pedestrian injured in collision with pedal cycle, traffic accident 75 2.80
7 J849 Interstitial pulmonary disease, unspecified 53 1.98
8 J459 Asthma, unspecified 16 0.60
9 O151 Eclampsia in labour 8 0.30
10 A090 Other and unspecified gastroenteritis and colitis of infectious origin 2 0.07

Derai 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 26
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J189 Pneumonia, unspecified 21 80.77
2 J459 Asthma, unspecified 3 11.54
3 J849 Interstitial pulmonary disease, unspecified 1 3.85
4 I219 Acute myocardial infarction, unspecified 1 3.85
5 A09 Diarrhoea and gastroenteritis of presumed infectious origin 0 0.00
6 A09 Diarrhoea and gastroenteritis of presumed infectious origin 0 0.00
7 A09 Diarrhoea and gastroenteritis of presumed infectious origin 0 0.00
8 A09 Diarrhoea and gastroenteritis of presumed infectious origin 0 0.00
9 A09 Diarrhoea and gastroenteritis of presumed infectious origin 0 0.00
10 A09 Diarrhoea and gastroenteritis of presumed infectious origin 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 75.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 9,783
Bed Occupancy Rates (%) 66.73
Average Length of Hospital Stay (No. of days per patient) 1.49
Hospital Death Rate (%) 0.59


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 300

 

Derai 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 4 3 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 10 0 6 4 40.00
Class III 118 61 22 35 29.66
Class IV 23 5 6 12 52.17
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 0 0 7 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 1 0 3 75.00
Class IV 2 1 0 1 50.00
Rural Dispensaries
Class I Doctor 2 1 0 1 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 1 0 3 75.00
Class IV 2 1 0 1 50.00
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 27 14 13 0 0.00
Class IV 0 0 0 0 0.00

 

Derai 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 16 5 3 8 50.00
Non Doctor 0 0 0 0 0.00
Class II 9 0 6 3 33.33
Class III 91 48 15 28 30.77
Class IV 20 4 3 13 65.00
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

 

Derai 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 7 1 9 6 0 0 0 0
Nurse 0 0 0 0 9 6 0 0 0 0
Medical Assistant 0 0 7 1 2 2 0 0 0 0
Medical Technologist 0 0 0 0 6 2 0 0 0 0
CHCP 27 27 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 3 3 0 0
AHI 0 0 0 0 10 10 10 10 0 0
HA 0 0 0 0 50 42 50 42 0 0
CSBA trained*** 0 6 0 0 0 0 0 0 0 0

Derai 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 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 1 1 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 0 0 0 1
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) 1 0 0 0 1
Ventilator 0 0 0 0 0


Derai 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 3 2 1 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 1 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Derai 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) 1 1 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) 1 1 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 1 0 0 0 1
Phototherapy unit 1 0 0 0 1


Derai 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


Derai 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) 1 0 0 0 1
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 1 0 0 1 0
ICT equipment
Computer (desktop) 7 6 1 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 3 2 0 0 1
Scanner 1 1 0 0 0
UPS 5 3 1 0 1
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


Derai 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 1 0 0 1 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 44 28 6 3 7

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

Important information and necessary issues for Derai Upazila Health Complex |
We give our maximum effort to Improve the health Status of our Upazila. But we Could not achieved almost Result because our many Important and vital post are Vacant for years together. Currently our 25 Community clinic Running. but Twenty Seven CHCP present. So it is very hard to give service up to desire level. Doctors & Nurses need more training on IMCI & Computer.Number of Community clinic and the bed capacity of the health complex should be increased. I am very happy to write this health bulletin of 2013 because this document will help us to compare our progress in up coming years.This is very useful document & will help public to understand health service and to provide us the useful advice for improvement in future. Dr.Ashutush Das UH&FPO UHC,Derai, Sunamganj