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Dhupchachia Upazila Health Complex | Health Bulletin 2015 |
Preface
I am Very glad to publish this health bulletin of Dhubchanchia Upazila. HPNSDP 2011-2016 of Ministry of Health & Family Welfare has taken initiative to publish data base bulletin of each institution of health sector. In this relation, initiative has been taken to publish health related data of 2014 of Upazila Health Complex, Dhubchanchia, Bogra in the from of a small bulletin. It will help to disseminate health related activities of UHC. Dhubchanchia among the local people. I hope all the information's of this upazila. This health bulletin will help us to find out constrains and also to see the results and achievements of the years 2014. This bulletin contains the status of MDG 4 and 5, which will help us to localize the MDG target. This bulletin has also the information on safe drinking water and sanitation status of this Upazila. All the sanctioned and Vacant post are published in this bulletin of 2015. I want to drawn attention of higher authority to look after this issue. Finally I would like to congratulate the initiator of health bulletin software for setting us one step ahead towards Digital Bangladesh. May Allah help us with thanks & Best regards. Dr. Md. Mohsin Ali Fakir UH&FPO Dhubchanchia, Bogra.
Dr. Md. Mohsin Ali Fakir
UH&FPO
Dhupchachia Upazila Health Complex

Dhupchachia Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Dhupchachia
Organization Code 10001117
Name of UHFPO Dr. Md. Mohsin Ali Fakir
Land Phone No. 1 -0502451024
Land Phone No. 2
FAX No.
Mobile No. 01719535442
Email dhubchanchia@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.8761 And Long: 89.1725
No. of Unions in the Upazila6
No. of Households in the Upazila 45,334
Population in the Upazila 187,242
Area of Upazila in sq km 162.45

Dhupchachia 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 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 24 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 20
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 13 0
No. of NGO Clinics/Facilities 0 0

Dhupchachia Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,766


Under 5 Mortality Rate: 14.870 (Per 1,000 live births)
Infant Mortality Rate: 6.373 (Per 1,000 live births)
Neonatal Mortality Rate: 4.514 (Per 1,000 live births)
Still Birth Rate: 3.186 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 6,960
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 96%

Dhupchachia 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: 4
Total No. of Recipients Who Took at least one ANC: 2,594
Total Number of Deliveries: 3,776
Valid TT Coverage: 28.00 %
Maternal Mortality Ratio (MMR) is: 106.21 per 100,000 live births.

Dhupchachia 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 14,333 34,074 48,407 638 639 1,277 49,684 6,714 7,510 14,224 1,712 1,713 3,425 17,649
Union Sub-Centres 5,381 6,381 11,762 466 504 970 12,732 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) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 84,128 179,188 263,316 11,972 16,020 27,992 291,308 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 14,663 14,663 3,007 0 3,007 17,670 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 1,095 2,229 3,324 110 118 228 3,552 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Dhupchachia 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 2,078 4,462 6,540 590 594 1,184 7,724 11 2 13 0 0 0 13
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

Dhupchachia 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 7,724
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 1966 25.45
2 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 659 8.53
3 J45 Asthma X: Diseases of the respiratory system 399 5.17
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 365 4.73
5 F41 Other anxiety disorders V: Mental and behavioural disorders 252 3.26
6 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 247 3.20
7 X68 Intentional self-poisoning by and exposure to pesticides XX: External causes of morbidity and mortality 194 2.51
8 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 186 2.41
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 161 2.08
10 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 110 1.42

Dhupchachia 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 13
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J45 Asthma X: Diseases of the respiratory system 3 23.08
2 J21 Acute bronchiolitis X: Diseases of the respiratory system 3 23.08
3 I50 Heart failure X: Diseases of the respiratory system 2 15.38
4 I21 Acute myocardial infarction IX: Diseases of the circulatory system 2 15.38
5 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 1 7.69
6 I139 Hypertensive heart and renal disease, unspecified IX: Diseases of the circulatory system 1 7.69
7 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 1 7.69
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 95.00
Coverage of households having access to sanitary latrines (%) 88.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 14,972
Bed Occupancy Rates (%) 82.04
Average Length of Hospital Stay (No. of days per patient) 1.94
Hospital Death Rate (%) 0.17


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,825

 

Dhupchachia 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 9 5 7 33.33
Non Doctor 0 0 0 0 0.00
Class II 15 1 11 3 20.00
Class III 74 55 9 10 13.51
Class IV 22 8 1 13 59.09
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 4 1 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 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 1 0 0.00
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 24 17 7 0 0.00
Class IV 0 0 0 0 0.00

 

Dhupchachia 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 27 14 6 7 25.93
Non Doctor 0 0 0 0 0.00
Class II 15 1 11 3 20.00
Class III 74 56 9 9 12.16
Class IV 22 8 1 13 59.09
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

 

Dhupchachia 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 6 6 21 14 0 0 1 0 0
Nurse 0 0 0 0 15 12 0 0 12 1 0
Medical Assistant 0 0 6 6 2 2 0 0 5 0 0
Medical Technologist 0 0 0 0 7 7 0 0 0 0 0
CHCP 24 24 0 0 0 0 0 0 0 0 2
HI 0 0 0 0 2 2 0 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0 0
HA 0 0 0 0 30 26 0 0 0 0 1

Dhupchachia 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) 1 1 0 0 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 2 2 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 2 2 0 0 0
Portable OT Light 3 3 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 3 1 2 0 0
Sucker machine (electric) 7 5 2 0 0
Ventilator 0 0 0 0 0


Dhupchachia 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 10 10 0 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 0 0 1 0


Dhupchachia 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 1 1 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) 4 2 0 2 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Dhupchachia 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 0 1 0


Dhupchachia 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 4 0 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 1 1 0 0 0
ICT equipment
Computer (desktop) 7 7 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 1 0 0 1 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 6 5 0 1 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


Dhupchachia 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 1 1 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 73 62 5 6 0

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

Important information and necessary issues for Dhupchachia Upazila Health Complex
Important information and necessary issues for Dhubchanchia Upazila Health Complex, Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like mention some important factors which will help us to achieve good results in future. (1) Our Doctor and Nurse`s need more training on IMCI. (2) All the repairable equipment`s should be repaired as soon as possible. Finally I am very happy to published this health bulletin of 2015, because this document will help us to compare our progress upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.