Dhamairhat Upazila Health Complex | Health Bulletin 2015 |
Preface
I am Very glad to Publish this health bulletin of Dhamoirhat Upazila. This bulletin contains all the health related information of 2014. This bulletin is published to dessemenate the information of Dhamoirhat Upazila to other line departments and development partners of health.I hope all the information of this bulletin will help for Planning and bridging the gaps in health services of this Upazila. This health bulletin will help us to find constrains and also to see the results and achievments of 2014. This bulletin contains the Status of MDG4 and MDG5 which will help to localize the 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. I like to take attention of the higher authority to look into this Issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr.Gangagobinda paul
UH&FPO
Dhamoirhat Upazila Health Complex
Dhamairhat Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Dhamairhat
Organization Code
10001374
Name of UHFPO Dr.Gangagobinda paul
Land Phone No. 1
-0742456010
Land Phone No. 2
FAX No.
Mobile No.
01715937442
Email dhamoirhat@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
25.1508 And
Long:
88.8513
No. of Unions in the Upazila 8
No. of Households in the Upazila 48,497
Population in the Upazila 185,131
Area of Upazila in sq km 297.00
Dhamairhat 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
3
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
21
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
0
No. of NGO Clinics/Facilities
1
0
Dhamairhat Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,863
Under 5 Mortality Rate: 14.670 (Per 1,000 live births)
Infant Mortality Rate: 10.129 (Per 1,000 live births)
Neonatal Mortality Rate: 8.732 (Per 1,000 live births)
Still Birth Rate: 5.239 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 29,325
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%
Dhamairhat 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:
3
Total No. of Recipients Who Took at least one ANC:
2,810
Total Number of Deliveries:
2,878
Valid TT Coverage: 75.00 %
Maternal Mortality Ratio (MMR) is:
104.79 per 100,000 live births.
Dhamairhat 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
12,952
17,479
30,431
3,381
4,865
8,246
38,677
1,347
563
1,910
104
151
255
2,165
Union Sub-Centres
9,183
13,340
22,523
2,599
3,740
6,339
28,862
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)
10,753
19,858
30611
2,675
4,065
6,740
37,351
0
0
0
0
0
0
6,740
Community Clinics
64,723
145,257
209,980
8,866
12,758
21,624
231,604
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
Dhamairhat 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
1,406
1,605
3,011
178
257
435
3,446
6
7
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
Dhamairhat 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
3,446
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
625
18.14
2
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
563
16.34
3
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
215
6.24
4
T449 Other and unspecified drugs primarily affecting the autonomic nervous system
XIX: Injury, poisoning and certain other consequences of external causes
99
2.87
5
T44 Poisoning by drugs primarily affecting the autonomic nervous system
XIX: Injury, poisoning and certain other consequences of external causes
79
2.29
6
T670 Heatstroke and sunstroke
XIX: Injury, poisoning and certain other consequences of external causes
71
2.06
7
J17 Pneumonia in diseases classified elsewhere
X: Diseases of the respiratory system
65
1.89
8
A060 Acute amoebic dysentery
I: Certain infectious and parasitic diseases
52
1.51
9
T20 Burn and corrosion of head and neck
XIX: Injury, poisoning and certain other consequences of external causes
26
0.75
10
O862 Urinary tract infection following delivery
XV: Pregnancy, childbirth and the puerperium
11
0.32
Dhamairhat 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
R570 Cardiogenic shock
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
7
53.85
2
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
4
30.77
3
T44 Poisoning by drugs primarily affecting the autonomic nervous system
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
7.69
4
A010 Typhoid fever
I: Certain infectious and parasitic diseases
1
7.69
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Dhamairhat 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 (%)
80.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
8,268
Bed Occupancy Rates (%)
45.30
Average Length of Hospital Stay (No. of days per patient)
2.00
Hospital Death Rate (%)
0.44
Dhamairhat Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
77
Minor Surgeries
1,200
Dhamairhat 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
8
1
12
57.14
Non Doctor
0
0
0
0
0.00
Class II
15
0
13
2
13.33
Class III
69
37
11
21
30.43
Class IV
22
5
6
11
50.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
1
0
0
1
100.00
Non Doctor
1
1
0
0
0.00
Class II
2
0
1
1
50.00
Class III
12
3
9
0
0.00
Class IV
12
4
6
2
16.67
Rural Dispensaries
Class I
Doctor
8
3
1
4
50.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
11
9
2
0
0.00
Class IV
3
0
0
3
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
21
8
12
1
4.76
Class IV
0
0
0
0
0.00
Dhamairhat 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
11
2
17
56.67
Non Doctor
1
1
0
0
0.00
Class II
16
0
13
3
18.75
Class III
113
58
32
23
20.35
Class IV
35
9
12
14
40.00
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
Dhamairhat 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
8
4
21
8
0
0
2
0
0
Nurse
0
0
0
0
15
13
0
0
0
0
0
Medical Assistant
0
0
8
8
2
2
0
0
0
0
0
Medical Technologist
0
0
3
3
10
9
0
0
0
0
0
CHCP
21
20
0
0
0
0
0
0
0
0
1
HI
0
0
0
0
2
1
0
0
0
0
0
AHI
0
0
0
0
6
5
0
0
0
0
0
HA
0
0
0
0
30
22
0
0
0
0
4
Dhamairhat 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
1
1
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
1
1
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
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
0
0
0
0
0
Dhamairhat 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
4
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Dhamairhat 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
Dhamairhat 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
1
1
0
0
0
Dhamairhat 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)
3
3
0
0
0
Generator
Generator (diesel/petrol)
1
1
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
7
6
1
0
0
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
5
0
0
0
Scanner
1
1
0
0
0
UPS
8
6
2
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
Dhamairhat 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
1
0
0
0
Mobile phone
1
1
0
0
0
Total
50
46
4
0
0
Dhamairhat Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Dhamairhat Upazila Health Complex
For Better delivery of health Service ,It is necessary for Posting of Mo,s And Consultant Doctors, Nurses,4 Class Employees ass soon ass possible . Thanks.