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Dhubaura Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to published this bulletin of Dhobaura.This bulletin contains all the health related of health information of 2014. This bulletin is published to disseminate the information of Dhobaura Upazila to other line Department and development partners of health.I hope all the information of this bulletin will help for planning bridging the gaps in heath services of the Upazila government health office.This health bulletin will help us to find contains and also to see the result and achievements of 2014.This bulletin contains status of MDG-4 and MDG-5 which help to localize the MDG target.This health bulletin has also the information of safe drinking water and sanitation status of the Upazila.All the sanctioned and vacant post are published in this bulletin of 2015.I like to take attention of higher authority to look into the issue.Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead towards digital Bangladesh.Thank you Dr. Md. Ataul Jalil UH&FPO Upazila Health Complex Dhobaura, Mymensingh.
Dr. Md. Ataul Jalil
UH&FPO
Dhubaura Upazila Health Complex

Dhubaura Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Dhubaura
Organization Code 10000355
Name of UHFPO Dr. Md. Ataul Jalil
Land Phone No. 1 -0903456006
Land Phone No. 2
FAX No.
Mobile No. 01920607904
Email dhubaura@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.0525 And Long: 90.3048
No. of Unions in the Upazila7
No. of Households in the Upazila 46,354
Population in the Upazila 243,735
Area of Upazila in sq km 251.75

Dhubaura 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 31
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 1 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 5 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 19 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 1 0
No. of NGO Clinics/Facilities 0 0

Dhubaura Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,934


Under 5 Mortality Rate: 52.493 (Per 1,000 live births)
Infant Mortality Rate: 42.967 (Per 1,000 live births)
Neonatal Mortality Rate: 33.441 (Per 1,000 live births)
Still Birth Rate: 36.887 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 10,168
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months): 97%

Dhubaura 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: 9
Total No. of Recipients Who Took at least one ANC: 5,340
Total Number of Deliveries: 4,612
Valid TT Coverage: 26.00 %
Maternal Mortality Ratio (MMR) is: 182.41 per 100,000 live births.

Dhubaura 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 8,668 16,253 24,921 3,082 2,669 5,751 30,672 2,490 2,657 5,147 844 459 1,303 6,450
Union Sub-Centres 4,752 12,316 17,068 2,739 3,618 6,357 23,425 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 3,731 36,723 40454 13,531 16,423 29,954 70,408 0 0 0 0 0 0 29,954
Community Clinics 26,690 62,429 89,119 10,990 12,785 23,775 112,894 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

Dhubaura 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 1,921 2,244 4,165 585 462 1,047 5,212 14 7 21 9 4 13 34
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

Dhubaura 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 5,344
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 520 9.73
2 T009 Multiple superficial injuries, unspecified XIX: Injury, poisoning and certain other consequences of external causes 438 8.20
3 J108 Influenza with other manifestations, influenza virus identified X: Diseases of the respiratory system 245 4.58
4 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 122 2.28
5 J450 Predominantly allergic asthma X: Diseases of the respiratory system 90 1.68
6 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 82 1.53
7 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 76 1.42
8 I119 Hypertensive heart disease without (congestive) heart failure IX: Diseases of the circulatory system 69 1.29
9 O721 Other immediate postpartum haemorrhage XV: Pregnancy, childbirth and the puerperium 25 0.47
10 A011 Paratyphoid fever A I: Certain infectious and parasitic diseases 21 0.39

Dhubaura 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 34
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 P211 Mild and moderate birth asphyxia XVI: Certain conditions originating in the perinatal period 14 41.18
2 J110 Influenza with pneumonia, virus not identified X: Diseases of the respiratory system 9 26.47
3 J450 Predominantly allergic asthma XVI: Certain conditions originating in the perinatal period 5 14.71
4 V890 Person injured in unspecified motor-vehicle accident, nontraffic XX: External causes of morbidity and mortality 2 5.88
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
Coverage of households having access to sanitary latrines (%) 93.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 10,702
Bed Occupancy Rates (%) 94.58
Average Length of Hospital Stay (No. of days per patient) 2.00
Hospital Death Rate (%) 0.64


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 489

 

Dhubaura 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 10 3 2 5 50.00
Non Doctor 0 0 0 0 0.00
Class II 15 0 13 2 13.33
Class III 65 42 11 12 18.46
Class IV 20 12 4 4 20.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 4 0 2 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 6 0 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 1 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 0 1 50.00
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 25 18 7 0 0.00
Class IV 0 0 0 0 0.00

 

Dhubaura 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 16 7 2 7 43.75
Non Doctor 0 0 0 0 0.00
Class II 15 0 13 2 13.33
Class III 73 49 11 13 17.81
Class IV 21 12 4 5 23.81
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

 

Dhubaura 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 7 3 9 5 0 0 2 0 0
Nurse 0 0 0 0 15 13 0 0 6 6 0
Medical Assistant 0 0 7 7 2 2 0 0 6 0 0
Medical Technologist 0 0 0 0 5 4 0 0 1 0 0
CHCP 25 25 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 2 0 0
AHI 0 0 0 0 7 7 0 0 7 0 0
HA 0 0 0 0 35 29 0 0 29 0 0

Dhubaura 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) 1 1 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 1 1 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 1 1 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Dhubaura 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 1 1 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 1 1 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 2 1 0 0 1


Dhubaura 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) 1 1 0 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 2 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Dhubaura 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 2 1 1 0 0


Dhubaura 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) 3 2 1 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) 6 6 0 0 0
Laptop 20 20 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 1 0 0
Printer (laser) 2 2 0 0 0
Scanner 0 0 0 0 0
UPS 3 3 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 1 1 0 0 0


Dhubaura 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) 1 0 1 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 54 49 4 0 1

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

Important information and necessary issues for Dhubaura Upazila Health Complex
Last year we could not give maximum effort to improve the health status due to many reasons.Here I would like to mention some important factors which will help us to achieve progress in future.1. The vacant post should be filled immediately. 2. Our doctors,nurses and SACMOs need more training on IMCI.3.For the uninterupted supply of electricity for the UHC a diesel generator is much need .4.All the repairable Equipments should be repaired as soon as possible. We have 3(three) female HA who need CSBA training .Finally I am very happy to write this Health Bulletin of 2015 because this document will help us to compare our progress in upcoming year's.This is very useful document and will help the the public to understand health services and to provide us the useful advice for improvement in future.