Dimla Upazila Health Complex | Health Bulletin 2015 |
Preface
It is my previlage to participate and create a health bulletin of Dimla Upazilla Health Complex Nilphamari. This Bulletin contains all the necessary health related informations of the year 2015 of Dimla Upazila Health complex. The bulletin is published to disseminate the information of activities of health sector to other sectors and development partners of health. This will also help us to have a view at a glance about the achievement in the health sector in the year 2015 .So far we have achieved impressive success in the area reducing maternal morality and as well child mortality. Much more success in this field is awaiting in the coming years.
Dimla Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Dimla
Organization Code
10001442
Name of UHFPO Dr Z. A Siddiqui.
Land Phone No. 1
-055225622
Land Phone No. 2
FAX No.
Mobile No.
01715393692
Email dimla@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.0000 And
Long:
89.0000
No. of Unions in the Upazila 10
No. of Households in the Upazila 61,417
Population in the Upazila 331,285
Area of Upazila in sq km 372.00
Dimla 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
4
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
6
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
25
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
0
0
Dimla Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,165
Under 5 Mortality Rate: 38.929 (Per 1,000 live births)
Infant Mortality Rate: 34.225 (Per 1,000 live births)
Neonatal Mortality Rate: 25.629 (Per 1,000 live births)
Still Birth Rate: 34.550 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 11,499
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 0%
Dimla 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:
11
Total No. of Recipients Who Took at least one ANC:
8,094
Total Number of Deliveries:
6,165
Valid TT Coverage: 85.00 %
Maternal Mortality Ratio (MMR) is:
178.43 per 100,000 live births.
Dimla 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
12,822
14,645
27,467
2,099
2,301
4,400
31,867
3,003
3,615
6,618
505
420
925
7,543
Union Sub-Centres
0
0
0
0
0
0
0
18,149
20,140
38,289
0
0
0
38,289
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
95,768
138,683
234,451
0
0
0
234,451
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
Dimla 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
2,925
3,510
6,435
410
320
730
7,165
15
17
32
6
0
6
38
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
Dimla 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
7,543
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
2079
27.56
2
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
1299
17.22
3
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
1188
15.75
4
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
977
12.95
5
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
811
10.75
6
A03 Shigellosis
I: Certain infectious and parasitic diseases
619
8.21
7
O80 Single spontaneous delivery
XV: Pregnancy, childbirth and the puerperium
199
2.64
8
J45 Asthma
X: Diseases of the respiratory system
179
2.37
9
K35 Acute appendicitis
XI: Diseases of the digestive system
125
1.66
10
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X: Diseases of the respiratory system
67
0.89
Dimla 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
38
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
19
50.00
2
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
9
23.68
3
I679 Cerebrovascular disease, unspecified
X: Diseases of the respiratory system
4
10.53
4
O95 Obstetric death of unspecified cause
XV: Pregnancy, childbirth and the puerperium
3
7.89
5
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
3
7.89
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Dimla Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
93.00
Coverage of households having access to sanitary latrines (%)
91.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
17,075
Bed Occupancy Rates (%)
93.56
Average Length of Hospital Stay (No. of days per patient)
2.26
Hospital Death Rate (%)
0.50
Dimla Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
47
Dimla 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
31
16
5
10
32.26
Non Doctor
0
0
0
0
0.00
Class II
15
1
4
10
66.67
Class III
97
57
16
24
24.74
Class IV
27
12
6
9
33.33
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
6
4
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
3
2
1
16.67
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
4
3
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
4
0
4
50.00
Class IV
4
4
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
32
19
10
3
9.38
Class IV
0
0
0
0
0.00
Dimla 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
31
16
5
10
32.26
Non Doctor
0
0
0
0
0.00
Class II
15
1
4
10
66.67
Class III
97
52
21
24
24.74
Class IV
27
12
6
9
33.33
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
Dimla 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
4
4
21
11
0
0
0
0
19
Nurse
0
0
0
0
15
5
0
0
0
0
14
Medical Assistant
0
0
10
8
2
2
0
0
0
0
0
Medical Technologist
0
0
4
1
8
4
0
0
0
0
0
CHCP
32
29
0
0
0
0
0
0
0
0
0
HI
3
1
0
0
0
0
0
0
0
0
0
AHI
9
6
0
0
0
0
0
0
0
0
0
HA
45
35
0
0
0
0
0
0
0
0
0
Dimla 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
0
1
0
0
Ultrasonogram machine
1
1
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
2
2
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
1
1
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)
4
2
0
2
0
Ventilator
6
3
0
3
0
Dimla 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
3
2
1
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
2
1
1
0
0
Pulse oximeter
2
1
0
1
0
Dental equipment
Dental unit
2
1
0
1
0
Dimla 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)
2
1
0
1
0
Colorimeter
2
1
0
1
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
3
2
0
1
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Dimla 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
4
2
1
1
0
Dimla 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)
2
1
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
2
1
1
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
12
6
3
3
0
Laptop
62
31
31
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
2
1
0
1
0
Printer (laser)
6
3
0
3
0
Scanner
2
1
1
0
0
UPS
2
1
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
2
1
1
0
0
Multimedia
0
0
0
0
0
Dimla 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
2
1
1
0
0
PA system (Sound)
0
0
0
0
0
Land phone
2
1
0
1
0
Mobile phone
2
1
1
0
0
Total
131
68
43
20
0
Dimla Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Dimla Upazila Health Complex
