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Debidwar Upazila Health Complex | Health Bulletin 2015 |
Preface
I am glade to publish this Health Bulletine of Debidwar Upazila .This Health Bulletin contains all Health related information 2014 which disseminate the information of Debidwar Upazila and other Department & Development partner of Health. I would like to congatulation the initiation of the Health Bulletin Software for setting us one step ahead to make digital Bangladesh. i always dream a Such type of bulletin. Its really open a new opporunities regarding Health Service. Lot of thanks to my whole team. Doctors, Nurses, & all the person related with the Health -Bulletin-2014 Dr.Momtaz Begum UH&FPO Debidwar Upazila Health Complex
Dr. MOMTAZ BEGUM
UH&FPO
Debidwar Upazila Health Complex

Debidwar Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Debidwar
Organization Code 10000883
Name of UHFPO Dr. MOMTAZ BEGUM
Land Phone No. 1 -0802453011
Land Phone No. 2
FAX No.
Mobile No. 01719829668
Email debiduar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.6037 And Long: 90.9886
No. of Unions in the Upazila16
No. of Households in the Upazila 89,786
Population in the Upazila 529,771
Area of Upazila in sq km 238.14

Debidwar 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 1 0
No. of Union Sub-Centres 5 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) 11 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 34 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 13 130
No. of NGO Clinics/Facilities 2 0

Debidwar Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 15,610


Under 5 Mortality Rate: 0.512 (Per 1,000 live births)
Infant Mortality Rate: 0.448 (Per 1,000 live births)
Neonatal Mortality Rate: 0.256 (Per 1,000 live births)
Still Birth Rate: 0.512 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 19,973
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months):

Debidwar 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: 0
Total No. of Recipients Who Took at least one ANC: 16,270
Total Number of Deliveries: 15,610
Valid TT Coverage: 67.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Debidwar 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 17,470 33,437 50,907 8,322 7,465 15,787 66,694 4,671 3,091 7,762 1,234 1,152 2,386 10,148
Union Sub-Centres 7,862 15,495 23,357 4,154 3,294 7,448 30,805 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) 65,234 105,000 170234 16,755 10,876 27,631 197,865 0 0 0 0 0 0 27,631
Community Clinics 81,843 184,179 266,022 21,102 16,328 37,430 303,452 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 3,480 5,520 9,000 3,000 2,148 5,148 14,148 0 0 0 0 0 0 0
NGO Clinics/Facilities 3,361 2,490 5,851 2,135 1,870 4,005 9,856 0 0 0 0 0 0 0

Debidwar 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 3,015 3,095 6,110 1,005 900 1,905 8,015 8 13 21 8 0 8 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 353 836 1,189 212 159 371 1,560 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Debidwar 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 8,015
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 X85 Assault by drugs, medicaments and biological substances XX: External causes of morbidity and mortality 10324 128.81
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 676 8.43
3 T609 Pesticide, unspecified XIX: Injury, poisoning and certain other consequences of external causes 582 7.26
4 R39 Other symptoms and signs involving the urinary system XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 479 5.98
5 J189 Pneumonia, unspecified X: Diseases of the respiratory system 393 4.90
6 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 525 6.55
7 V99 Unspecified transport accident XX: External causes of morbidity and mortality 235 2.93
8 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 569 7.10
9 J47 Bronchiectasis X: Diseases of the respiratory system 359 4.48
10 R560 Febrile convulsions XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 184 2.30

Debidwar 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 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 7 24.14
2 J45 Asthma X: Diseases of the respiratory system 4 13.79
3 K27 Peptic ulcer, site unspecified X: Diseases of the respiratory system 4 13.79
4 J84 Other interstitial pulmonary diseases X: Diseases of the respiratory system 2 6.90
5 A15 Respiratory tuberculosis, bacteriologically and histologically confirmed I: Certain infectious and parasitic diseases 1 3.45
6 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 3 10.34
7 V99 Unspecified transport accident XX: External causes of morbidity and mortality 2 6.90
8 P21 Birth asphyxia XVI: Certain conditions originating in the perinatal period 3 10.34
9 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 2 6.90
10 J998 Respiratory disorders in other diseases classified elsewhere X: Diseases of the respiratory system 1 3.45

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 94.00
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.) 17,143
Bed Occupancy Rates (%) 93.93
Average Length of Hospital Stay (No. of days per patient) 2.14
Hospital Death Rate (%) 0.36


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,720

 

Debidwar 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 15 5 1 4.76
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 21 17 4 0 0.00
Class IV 22 18 4 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 11 8 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 11 6 1 4 36.36
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 5 2 1 2 40.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 6 0 4 40.00
Class IV 5 3 2 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 49 21 17 11 22.45
Class IV 0 0 0 0 0.00

 

Debidwar 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 37 24 9 4 10.81
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 213 117 57 39 18.31
Class IV 27 22 5 0 0.00
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

 

Debidwar 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 16 15 21 20 0 0 2 0 0
Nurse 0 0 0 0 15 15 0 0 3 0 0
Medical Assistant 0 0 16 15 2 2 0 0 0 0 0
Medical Technologist 0 0 0 0 7 6 0 0 0 0 0
CHCP 49 38 0 0 0 0 0 4 0 0 3
HI 0 0 0 0 0 0 4 2 0 0 0
AHI 0 0 0 0 0 0 12 12 0 0 0
HA 0 0 0 0 0 0 59 28 0 0 4

Debidwar 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) 2 1 1 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 0 0 1 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 2 0 1 1 0
Portable OT Light 2 0 1 1 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 0 1 0 0
Sucker machine (electric) 5 3 2 0 0
Ventilator 0 0 0 0 0


Debidwar 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 4 1 3 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 0 0 1 0


Debidwar 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) 6 2 4 0 0
Pediatric equipment
Baby incubator 1 0 1 0 0
Phototherapy unit 1 0 1 0 0


Debidwar 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 4 4 0 0 0
Vehicles
Ambulance 3 1 0 2 0


Debidwar 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) 4 2 2 0 0
Generator
Generator (diesel/petrol) 1 0 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 4 2 2 0 0
ICT equipment
Computer (desktop) 7 5 2 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 0 0 2 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 1 1 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 2 1 1 0 0


Debidwar 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 1 0 1 0 0
Mobile phone 1 1 0 0 0
Total 67 35 24 8 0

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

Important information and necessary issues for Debidwar Upazila Health Complex
Continuous electrical power supply is very poor during the period of office hour time & this is major case of unable updating, publish or submitting all kinds of reports on right times via internet. Jr. Consultant (Surgery), Jr. Consultant (Anastasia) need for various surgical procedures. The Electrical wearing of complex old buildings (31 beds) is not good & safe, for that reason, fans, tube-lights, energetic bulbs & other machineries are so disturbed & fused several times. It should be repair. The complex old buildings (31 beds) residence of Doctors & Stuff quarters Trining Room condition is too bad positions & not secure. Residence quarters doors, windows & the wall plasters of building condition are very bad situation & this case will be create any kind of accident anytime. It should be repair.