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Damuddya Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this Health Bulletin of Damudiya Upazila. This Bulletin contains all health related information of 2014.This Health Bulletin is published to disseminate the information of Damudiya Upazila under Shariatpur District to other line department and development partners of health. I hope all information of this bulletin will help for planning and achieve MDG gole.On the other hand lacking of health section will remove. Government health office will find many date source in the bulletin. This Health Bulletin will help us to find constrains and also to see the results and achievements of 2014.The bulletin contains the status of MDG 4 and MDG 5. Which will help to reach our MDG targets. This Health bulletin has also the information on safe drinking water and sanitation status of the upazila.All the sanctioned and vacant posts are published in this bulletin of 2014. Dr. Md. Musa Khan UH&FPO Damudiya Upazila Health Complex
Dr. Md. Musa Khan
UH&FPO
Damuddya Upazila Health Complex

Damuddya Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Damuddya
Organization Code 10000544
Name of UHFPO Dr. Md. Musa Khan
Land Phone No. 1 -0602356133
Land Phone No. 2
FAX No.
Mobile No. 01716449283
Email damudiya@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.1378 And Long: 90.4428
No. of Unions in the Upazila8
No. of Households in the Upazila 24,071
Population in the Upazila 118,478
Area of Upazila in sq km 90.49

Damuddya 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) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 4 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 9 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 2 20
No. of NGO Clinics/Facilities 1 0

Damuddya Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,521


Under 5 Mortality Rate: 27.370 (Per 1,000 live births)
Infant Mortality Rate: 6.743 (Per 1,000 live births)
Neonatal Mortality Rate: 3.967 (Per 1,000 live births)
Still Birth Rate: 0.397 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 28,368
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 98%

Damuddya 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: 1
Total No. of Recipients Who Took at least one ANC: 3,256
Total Number of Deliveries: 3,003
Valid TT Coverage: 98.00 %
Maternal Mortality Ratio (MMR) is: 39.67 per 100,000 live births.

Damuddya 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 19,209 21,570 40,779 13,357 16,978 30,335 71,114 1,530 552 2,082 93 64 157 2,239
Union Sub-Centres 1,750 8,800 10,550 365 265 630 11,180 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) 2,150 3,021 5171 4,580 6,210 10,790 15,961 0 0 0 0 0 0 10,790
Community Clinics 3,993 5,029 9,022 16,804 49,440 66,244 75,266 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 204 157 361 752 546 1,298 1,659 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Damuddya 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 1,340 1,630 2,970 505 901 1,406 4,376 10 3 13 8 5 13 26
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 64 376 440 352 259 611 1,051 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Damuddya 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 4,376
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 R10 Abdominal and pelvic pain XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 883 20.18
2 Y00 Assault by blunt object XX: External causes of morbidity and mortality 923 21.09
3 J45 Asthma X: Diseases of the respiratory system 252 5.76
4 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 392 8.96
5 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 331 7.56
6 J189 Pneumonia, unspecified X: Diseases of the respiratory system 276 6.31
7 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 471 10.76
8 I959 Hypotension, unspecified IX: Diseases of the circulatory system 411 9.39
9 R07 Pain in throat and chest XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 226 5.16
10 Y324 Crashing of motor vehicle, undetermined intent, street and highway XX: External causes of morbidity and mortality 211 4.82

Damuddya 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 26
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 5 19.23
2 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 4 15.38
3 T600 Organophosphate and carbamate insecticides X: Diseases of the respiratory system 3 11.54
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 3 11.54
5 I469 Cardiac arrest, unspecified IX: Diseases of the circulatory system 3 11.54
6 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 2 7.69
7 O649 Obstructed labour due to malposition and malpresentation, unspecified XV: Pregnancy, childbirth and the puerperium 1 3.85
8 J46 Status asthmaticus X: Diseases of the respiratory system 1 3.85
9 E101 Insulin-dependent diabetes mellitus with ketoacidosis IV: Endocrine, nutritional and metabolic diseases 1 3.85
10 K721 Chronic hepatic failure XI: Diseases of the digestive system 1 3.85

Damuddya 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 (%) 96.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 8,125
Bed Occupancy Rates (%) 71.81
Average Length of Hospital Stay (No. of days per patient) 2.81
Hospital Death Rate (%) 0.07


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 285

 

Damuddya 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 9 3 2 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 10 2 2 6 60.00
Class III 60 37 16 7 11.67
Class IV 19 10 6 3 15.79
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 4 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 1 1 5 71.43
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 0 1 1 50.00
Class IV 1 1 0 0 0.00
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 15 4 9 2 13.33
Class IV 0 0 0 0 0.00

 

Damuddya 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 17 8 5 4 23.53
Non Doctor 0 0 0 0 0.00
Class II 10 2 2 6 60.00
Class III 84 42 27 15 17.86
Class IV 20 11 6 3 15.00
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

 

Damuddya 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 1 1 9 5 0 0 0 0 0
Nurse 0 0 0 0 10 4 0 0 0 0 0
Medical Assistant 0 0 1 1 2 2 0 0 0 0 0
Medical Technologist 0 0 0 0 6 5 0 0 0 0 0
CHCP 15 13 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 1 0 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0 0
HA 0 0 0 0 30 30 0 0 0 0 0

Damuddya 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 0 1 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


Damuddya 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 1 1 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


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


Damuddya 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


Damuddya 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) 9 9 0 0 0
Laptop 12 12 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 5 4 1 0 0
Scanner 1 1 0 0 0
UPS 8 7 1 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


Damuddya 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 1 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 49 43 6 0 0

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

Important information and necessary issues for Damuddya Upazila Health Complex
Last year we could not give our maximum efforts improve the health status due to many reasons . Here I like mention some important factors which will help us to achieve good result in future. Firstly The vacant post should be filled immediately. Secondly our doctor and nurse need training on IMCI and every HA need CSBA training . Finally I am very to write this health bulletin of 2015. Because this document is help us to compair our progress in upcoming year .