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Doarabazar Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of dowarabazar upazilla. This bulletin contains all the health releated information of 2013. This bulletin is published to disseminate the information of dowarabazar upazilla to other line department and devolopment partners of health.I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazilla. Government health office has many data stord in the fine . This health bulletin will help us to fine constrains and also to see the results and achivements of 2013.The bulletin contains the status of MDG4 & MDG5 which will help to localize the MDG targets. This health bulletin has allso the information on safe drikking water and sanitation satus of the upazilla .All the sanctioned and vaccant posts are published in this health bulletin of 2013. I like to take attention of the higher authority to look into to this issue . Finally iwould like to congratulate the initiator of the health bulletin software for setting us one step ahead twoard digital Bangladesh. Dr A,K,M Zillul Haque UH&FPO(I/C) Dowarabazar,Sunamgonj.
Dr AKM Zillul Haque
UH&FPO
Doarabazar Upazila Health Complex

Doarabazar Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaDoarabazar
Name of UHFPO Dr AKM Zillul Haque
Telephone No. 0872656007
FAX No. 0
Mobile No. 01712297303
Email dowarabazar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.0570 And Long: 91.3831
No. of Unions in the Upazila9
No. of Households in the Upazila 39,871
No. of Population in the Upazila 237,724
Area of Upazila in sq km 261.50

Doarabazar 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 1 0
No. of Union Health and Family Welfare Centres 2 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

Doarabazar Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,805


Total No. of children treated under IMCI Program 30,757
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 10.58 per 1,000 live births.

Doarabazar 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: 916
Total Number of Deliveries: 6998
No. of Maternal Death: 7
Valid TT Coverage: 30.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 102.87 per 100,000 live births.

Doarabazar 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 39,439 17,162 22,277 6,223 3,401 2,241 1,160 663
Union Sub-Centres 2,560 1,235 1,325 452 334 120 214 85
Union Health and Family Welfare Centre (under DGHS) 11,935 5,615 6,320 1,253 2,770 1,230 1,540 852
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 117,021 38,361 78,660 19,105 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 170,955 62,373 108,582 27,033 6,505 3,591 2,914 1,600
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 964 377 587 524 0 0 0 9
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 964 377 587 524 0 0 0 9

Doarabazar 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 1488
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A009 Cholera, unspecified 219 14.72
2 J189 Pneumonia, unspecified 332 22.31
3 X999 Assault by sharp object, unspecified place 146 9.81
4 V011 Pedestrian injured in collision with pedal cycle, traffic accident 13 0.87
5 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation 490 32.93
6 O669 Obstructed labour, unspecified 216 14.52
7 I219 Acute myocardial infarction, unspecified 10 0.67
8 0 0.00
9 0 0.00
10 0 0.00

Doarabazar 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 9
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J189 Pneumonia, unspecified 9 100.00
2 0 0.00
3 0 0.00
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Doarabazar 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 (%) 38.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 2,877
Bed Occupancy Rates (%) 25.42
Average Length of Hospital Stay (No. of days per patient) 1.97
Hospital Death Rate (%) 0.60


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 1315

 

Doarabazar 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 2 3 33.33
Non Doctor 0 0 0 0 0.00
Class II 10 0 6 4 40.00
Class III 73 34 6 33 45.21
Class IV 23 9 4 10 43.48
Union Health & Family Welfare Center (under DGHS)
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 2 0 2 50.00
Class IV 2 1 0 1 50.00
Rural Dispensaries
Class I Doctor 5 0 0 5 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 0 0 6 100.00
Class IV 1 0 0 1 100.00
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 24 14 6 4 16.67
Class IV 0 0 0 0 0.00

 

Doarabazar 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 4 2 10 62.50
Non Doctor 0 0 0 0 0.00
Class II 10 0 6 4 40.00
Class III 73 34 6 33 45.21
Class IV 23 9 4 10 43.48
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

 

Doarabazar 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 0 9 6 0 0 0 0
Nurse 0 0 0 0 11 4 0 0 0 0
Medical Assistant 0 0 7 2 2 1 0 0 0 0
Medical Technologist 0 0 3 0 8 2 0 0 0 0
CHCP 24 16 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 1 0 0 0 0
AHI 0 0 0 0 7 7 0 0 0 0
HA 0 0 0 0 35 27 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Doarabazar 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 1 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 0 0 0 0 0
Anesthesia machine without ventilator 1 0 1 0 0
Autoclave 2 2 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 12 12 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 4 4 0 0 0
Ventilator 0 0 0 0 0


Doarabazar 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 2 2 0 0 0
Pulse oximeter 2 2 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


Doarabazar 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) 2 2 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 2 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 1 0 0 0
Phototherapy unit 0 0 0 0 0


Doarabazar 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 3 2 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 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


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


Doarabazar 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 1 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 68 58 10 0 0

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

Important information and necessary issues for Doarabazar Upazila Health Complex |
 Last year we could not give our maximum efforts improving the health status due to many reasons here,1 The vacant post should be filled immediatly.2 Our doctor,nurs, paramadics and office staff needed more training on computer and IMCI. 3 Number of community clinic and the bed capacity of the health complex should increased. I am very happy to write this health bulletin of 2013. Because this document will help us to compere our progress in up ensuing years. This is very useful document and will help the public to understand health services and to provide us as useful advice for improvement in future. ( Dr A,K,M Zillul Haque) UH&FPO(I/C) Dowarabazar,Sunamgonj.