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Dohar Upazila Health Complex | Health Bulletin 2015 |
Preface
It is matter of great pleasure that Dohar Upazila Health Complex is going to publish its first Health Bulletin. I express my thanks and gratefulness to all concerned who are directly or indirectly involved with it. The Bangladesh Government is very much committed to ensure better health for all. To establish this commitment the Ministry of Health and Family Welfare has introduced a developmental program under the heading HPNSDP 2011-2016. There are 32 operational plan under this development program. One of these Operational plan is health information system and E-health. The Health Billeting is a part of this plan. This Health Bulletin is the expression of total service system of Dohar Upazila with its performance of 2014 (Janu- Dec) Dr. Md. Jasim Uddin UH&FPO Dohar Upozila Health Complex
Dr. Md. Jasim Uddin
UH&FPO
Dohar Upazila Health Complex

Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Dohar
Organization Code 10000069
Name of UHFPO Dr. Md. Jasim Uddin
Land Phone No. 1 -027768188
Land Phone No. 2
FAX No.
Mobile No. 01711016542
Email dohar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 46,530
Population in the Upazila 272,328
Area of Upazila in sq km 12,072.00

Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 50
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 2 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 6 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 0 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 13 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 0 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 10 82
No. of NGO Clinics/Facilities 0 0

Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,977


Under 5 Mortality Rate: 28.777 (Per 1,000 live births)
Infant Mortality Rate: 23.590 (Per 1,000 live births)
Neonatal Mortality Rate: 18.237 (Per 1,000 live births)
Still Birth Rate: 2.510 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 77,513
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%

Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 4
Maternal health and MDG-5 (Whole Upazila) (Jan-Dec, 2014)
R.P.W.: Registered Pregnant Women; 1st ANC: No. of 1st ANC recipients; 4th ANC: No. of 4th ANC recipients; C. Preg.: No. of complicated pregnancy; N.V. deli.: No. of normal deliveries; C. deli.: No. of cesarean deliveries; O. deli.: No. of other deliveries; PNC: No. of PNC services provided to the mothers;



No. of Maternal Deaths: 6
Total No. of Recipients Who Took at least one ANC: 12,873
Total Number of Deliveries: 3,443
Valid TT Coverage: 86.00 %
Maternal Mortality Ratio (MMR) is: 100.38 per 100,000 live births.

Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 5

No. of OPD & Emergency visits at Upazila
Health Facility
OPD
Emergency
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
Upazila Health Complex 28,795 46,588 75,383 13,075 15,100 28,175 103,558 4,125 4,539 8,664 798 895 1,693 10,357
Union Sub-Centres 8,977 10,319 19,296 1,295 1,384 2,679 21,975 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 11,998 38,801 50,799 13,290 13,508 26,798 77,597 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 34,555 55,890 90,445 9,169 10,701 19,870 110,315 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 6

No. of Admissions & Deaths at Upazila
Health Facility
Admission
Death
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
Upazila Health Complex 2,009 3,228 5,237 667 728 1,395 6,632 11 11 22 2 5 7 29
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 7

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 6,632
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A009 Cholera, unspecified I: Certain infectious and parasitic diseases 181 2.73
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 245 3.69
3 X999 Assault by sharp object, unspecified place XX: External causes of morbidity and mortality 502 7.57
4 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 38 0.57
5 J459 Asthma, unspecified X: Diseases of the respiratory system 102 1.54
6 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 116 1.75
7 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation XI: Diseases of the digestive system 399 6.02
8 O063 Unspecified abortion, incomplete, with other and unspecified complications XV: Pregnancy, childbirth and the puerperium 19 0.29
9 A010 Typhoid fever I: Certain infectious and parasitic diseases 226 3.41
10 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 24 0.36

Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 8

Top 10 Causes of diseases according to the number of deaths among admitted patients in the UHC
Total number of Deaths during the reporting period 29
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 6 20.69
2 D699 Haemorrhagic condition, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 1 3.45
3 R99 Other ill-defined and unspecified causes of mortality IX: Diseases of the circulatory system 2 6.90
4 P369 Bacterial sepsis of newborn, unspecified XVI: Certain conditions originating in the perinatal period 4 13.79
5 T509 Other and unspecified drugs, medicaments and biological substances XIX: Injury, poisoning and certain other consequences of external causes 1 3.45
6 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 4 13.79
7 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 4 13.79
8 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 3 10.34
9 E148 Unspecified diabetes mellitus with unspecified complications IV: Endocrine, nutritional and metabolic diseases 2 6.90
10 G809 Infantile cerebral palsy, unspecified VI: Diseases of the nervous system 2 6.90

Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 9

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


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 16,187
Bed Occupancy Rates (%) 88.70
Average Length of Hospital Stay (No. of days per patient) 2.44
Hospital Death Rate (%) 0.44


Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 44
Minor Surgeries 2,347

 

Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 21 16 4 1 4.76
Non Doctor 0 0 0 0 0.00
Class II 15 0 12 3 20.00
Class III 28 18 0 10 35.71
Class IV 25 7 3 15 60.00
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I Doctor 2 2 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 4 0 0 0.00
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 16 8 8 0 0.00
Class IV 0 0 0 0 0.00

 

Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 12

Status of Human Resources (Class wise)
Class Sanctioned (No.) Filled-up (No.) Vacant (No.) Vacancy %
M F
Upazila Total
Class I Doctor 30 21 7 2 6.67
Non Doctor 0 0 0 0 0.00
Class II 15 0 12 3 20.00
Class III 99 51 29 19 19.19
Class IV 28 7 3 18 64.29
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

 

Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 13

Status of Human Resources (No.) (Category wise)
Manpower Community Clinic USC/UHFWC/RD UHC Others IMCI trained Basic EOC trained CSBA trained
Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up
Physician 0 0 0 0 0 0 0 0 0 0 0
Nurse 0 0 0 0 0 0 0 0 0 0 0
Medical Assistant 0 0 0 0 0 0 0 0 0 0 0
Medical Technologist 0 0 0 0 0 0 0 0 0 0 0
CHCP 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 0 0 0 0 0
AHI 0 0 0 0 0 0 0 0 0 0 0
HA 0 0 0 0 0 0 0 0 0 0 0

Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 14

Existing equipment 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) 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 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 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) 0 0 0 0 0
Ventilator 0 0 0 0 0


Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 15

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
ECG machine 0 0 0 0 0
Ecocardiogram machine 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


Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 16

Existing equipment 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
Microscope (binocular) 0 0 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 17

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 0 0 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 0 0 0 0 0


Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 18

Existing equipment 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


Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 19

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
OHP 0 0 0 0 0
PA system (Sound) 0 0 0 0 0
Land phone 0 0 0 0 0
Mobile phone 0 0 0 0 0
Total 0 0 0 0 0

Dohar Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Dohar Upazila Health Complex