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

Dharmapasha Upazila Health Complex | Health Bulletin 2014 |
Preface
Its my pleasure to be a part of this e-health bulletin of dharmapasha upazilla. It comprises all the health related facts of 2013 . This bulletin is published to circulate the information about health related events of this upazilla to the other line department and development partners of health . I hope all the information given to this bulletin will help for future planning and bridging the gaps in health service of this upazilla . It will make bridge between general people and health service of the upazilla . From this health bulletin we will be able to know our achievement in health service in 2013 . This bulletin contains all the parameters of MDG 4 and MDG 5 which will contribute to fulfill MDG target . It should be noted that bulletin also contains the information of arsenic free drinking wanted and sanitation status of this upzilla .Finally I am very much grateful to those who has taken initiative to make the software for making digital Bangladesh and also to the contributor of this UHC,. .
Dr. Jhontu Sarkar
UH&FPO
Dharmapasha Upazila Health Complex

Dharmapasha Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaDharmapasha
Name of UHFPO Dr. Jhontu Sarkar
Telephone No. 0872575025
FAX No. 0
Mobile No. 01711703250
Email dharmapasha@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.0716 And Long: 91.3992
No. of Unions in the Upazila10
No. of Households in the Upazila 45,144
No. of Population in the Upazila 235,552
Area of Upazila in sq km 496.00

Dharmapasha 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 0 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 22 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

Dharmapasha Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 7,310


Total No. of children treated under IMCI Program 28,262
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 10.94 per 1,000 live births.

Dharmapasha 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: 1215
Total Number of Deliveries: 7310
No. of Maternal Death: 6
Valid TT Coverage: 20.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 82.08 per 100,000 live births.

Dharmapasha 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 53,446 26,575 26,871 6,480 6,827 3,668 3,159 629
Union Sub-Centres 25,687 11,299 14,388 7,391 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 144,578 65,623 78,955 25,095 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 223,711 103,497 120,214 38,966 6,827 3,668 3,159 629
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 4,633 2,398 2,235 1,512 32 15 17 13
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 4,633 2,398 2,235 1,512 32 15 17 13

Dharmapasha 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 6145
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A009 Cholera, unspecified 816 13.28
2 J189 Pneumonia, unspecified 748 12.17
3 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation 664 10.81
4 A010 Typhoid fever 629 10.24
5 X999 Assault by sharp object, unspecified place 515 8.38
6 J459 Asthma, unspecified 147 2.39
7 O063 Unspecified abortion, incomplete, with other and unspecified complications 128 2.08
8 V011 Pedestrian injured in collision with pedal cycle, traffic accident 81 1.32
9 F809 Developmental disorder of speech and language, unspecified 46 0.75
10 I219 Acute myocardial infarction, unspecified 38 0.62

Dharmapasha 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 45
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I219 Acute myocardial infarction, unspecified 8 17.78
2 J189 Pneumonia, unspecified 7 15.56
3 J069 Acute upper respiratory infection, unspecified 5 11.11
4 I110 Hypertensive heart disease with (congestive) heart failure 4 8.89
5 V011 Pedestrian injured in collision with pedal cycle, traffic accident 3 6.67
6 J459 Asthma, unspecified 3 6.67
7 J449 Chronic obstructive pulmonary disease, unspecified 2 4.44
8 P219 Birth asphyxia, unspecified 2 4.44
9 R579 Shock, unspecified 2 4.44
10 P071 Other low birth weight 6 13.33

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 68.00
Coverage of households having access to sanitary latrines (%) 43.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 12,186
Bed Occupancy Rates (%) 102.00
Average Length of Hospital Stay (No. of days per patient) 1.74
Hospital Death Rate (%) 0.73


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 2539

 

Dharmapasha 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 0 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 10 0 7 3 30.00
Class III 87 49 13 25 28.74
Class IV 21 8 2 11 52.38
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 0 0 3 100.00
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 2 0 0 2 100.00
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
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 22 10 12 0 0.00
Class IV 0 0 0 0 0.00

 

Dharmapasha 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 14 3 0 11 78.57
Non Doctor 0 0 0 0 0.00
Class II 10 0 7 3 30.00
Class III 113 60 25 28 24.78
Class IV 23 9 2 12 52.17
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

 

Dharmapasha 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 5 0 9 3 0 0 0 0
Nurse 0 0 0 0 10 7 0 0 0 0
Medical Assistant 0 0 2 1 2 1 0 0 0 0
Medical Technologist 0 0 2 0 10 5 0 0 0 0
CHCP 22 22 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0
AHI 0 0 0 0 9 9 0 0 0 0
HA 0 0 0 0 45 38 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Dharmapasha 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 0 1 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 0 0 0 1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 0 1 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 0 0 0 0 0
Portable OT Light 0 0 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 1 1 0 0
Ventilator 0 0 0 0 0


Dharmapasha 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 2 0 0 0 2
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 5 2 2 1 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


Dharmapasha 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 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 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 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Dharmapasha 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 2 1 1 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


Dharmapasha 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) 1 1 0 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 2 1 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 8 6 1 1 0
Laptop 24 24 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 8 6 1 1 0
Scanner 1 1 0 0 0
UPS 9 6 2 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 23 23 0 0 0
Multimedia 1 1 0 0 0


Dharmapasha 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 2 2 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 100 81 11 5 3

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

Important information and necessary issues for Dharmapasha Upazila Health Complex |
 Last year we could not give our maximum efforts to improve the health status of this upazila due to many reasons . Following important factors which will help us to achieve good results in future . 1. The vacant post should be filled immediately . 2. Our doctors and Nurse need more training on IMCI and EOC . 3.Number of community clinic and the capacity of the health complex should increased . 4. All the repairable equipment should be repaired as soon as possible . The health bulletin of 2014 will help us to compare our progress in up coming year. This is very useful document and will help the public to understand health and to provide us the useful for improvement in future.