Domar Upazila Health Complex | Health Bulletin 2015 |
Preface
It is a great Pleasure to know that Health Bulletin 2015 going to published on time which contains all the necessary health related informations. this is published to propagate necessary of Domar Upazilla Health Complex other line department & development partners of health. Inspite of many constrains we declain successfully maternal and child mortality rate .I believe this is the high time to making the health bulletin`2015 would boostup our moral inspiration to attain millennium development goal.
We hope this health bulletin report will increase the body of knowledge to improve the design and implementation of health interventions. Togather we can maximize the impact of our programs to attain healthy lives.
Dr.Md.Shariful Islam
UH & FPO
Upazilla Health Complex
Domar, Nilphamari.
Domar Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Domar
Organization Code
10001450
Name of UHFPO Dr..Md.Shariful Islam
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No.
01715030958
Email domar@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
26.0652 And
Long:
88.1490
No. of Unions in the Upazila 10
No. of Households in the Upazila 53,040
Population in the Upazila 264,255
Area of Upazila in sq km 154.96
Domar 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
8
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
2
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
10
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
26
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
3
10
No. of NGO Clinics/Facilities
0
0
Domar Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,076
Under 5 Mortality Rate: 37.431 (Per 1,000 live births)
Infant Mortality Rate: 33.097 (Per 1,000 live births)
Neonatal Mortality Rate: 27.975 (Per 1,000 live births)
Still Birth Rate: 26.793 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 11,184
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 98%%
Domar 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:
7
Total No. of Recipients Who Took at least one ANC:
4,629
Total Number of Deliveries:
5,199
Valid TT Coverage: 35.00 %
Maternal Mortality Ratio (MMR) is:
137.90 per 100,000 live births.
Domar 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
18,652
14,228
32,880
5,083
3,005
8,088
40,968
3,292
2,820
6,112
1,225
955
2,180
8,292
Union Sub-Centres
42,628
36,420
79,048
21,325
17,235
38,560
117,608
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)
24,212
26,470
50682
8,756
9,202
17,958
68,640
0
0
0
0
0
0
17,958
Community Clinics
37,592
64,874
102,466
11,607
7,853
19,460
121,926
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
1,658
2,234
3,892
480
320
800
4,692
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Domar 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
3,188
4,471
7,659
912
456
1,368
9,027
17
12
29
3
2
5
34
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
434
812
1,246
128
156
284
1,530
1
0
1
0
0
0
1
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Domar 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
9,075
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y04 Assault by bodily force
XX: External causes of morbidity and mortality
785
8.65
2
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
656
7.23
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
627
6.91
4
O63 Long labour
XV: Pregnancy, childbirth and the puerperium
512
5.64
5
O669 Obstructed labour, unspecified
XV: Pregnancy, childbirth and the puerperium
410
4.52
6
V333 Occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van, unspecified occupant of three-wheeled motor vehicle, nontraffic accident
XX: External causes of morbidity and mortality
311
3.43
7
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
244
2.69
8
K29 Gastritis and duodenitis
XI: Diseases of the digestive system
235
2.59
9
B349 Viral infection, unspecified
I: Certain infectious and parasitic diseases
227
2.50
10
I11 Hypertensive heart disease
IX: Diseases of the circulatory system
105
1.16
Domar 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
34
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
T609 Pesticide, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
5
14.71
2
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
4
11.76
3
J440 Chronic obstructive pulmonary disease with acute lower respiratory infection
XIX: Injury, poisoning and certain other consequences of external causes
3
8.82
4
J46 Status asthmaticus
X: Diseases of the respiratory system
3
8.82
5
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
2
5.88
6
I11 Hypertensive heart disease
IX: Diseases of the circulatory system
2
5.88
7
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
2
5.88
8
K281 Gastrojejunal ulcer, acute with perforation
XI: Diseases of the digestive system
1
2.94
9
E878 Other disorders of electrolyte and fluid balance, NEC
IV: Endocrine, nutritional and metabolic diseases
1
2.94
10
T754 Effects of electric current
XIX: Injury, poisoning and certain other consequences of external causes
1
2.94
Domar 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 (%)
85.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
13,455
Bed Occupancy Rates (%)
73.73
Average Length of Hospital Stay (No. of days per patient)
1.48
Hospital Death Rate (%)
0.37
Domar Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
34
Domar 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
22
8
4
10
45.45
Non Doctor
0
0
0
0
0.00
Class II
15
0
7
8
53.33
Class III
27
16
5
6
22.22
Class IV
22
14
6
2
9.09
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
2
0
1
1
50.00
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
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
8
4
3
1
12.50
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
16
9
3
4
25.00
Class IV
8
3
1
4
50.00
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
26
12
10
4
15.38
Class IV
0
0
0
0
0.00
Domar 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
32
10
7
15
46.88
Non Doctor
0
0
0
0
0.00
Class II
15
0
7
8
53.33
Class III
97
66
20
11
11.34
Class IV
30
20
7
3
10.00
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
Domar 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
10
7
22
11
0
0
1
0
0
Nurse
0
0
0
0
14
7
0
0
5
0
0
Medical Assistant
0
0
10
9
2
2
0
0
2
0
0
Medical Technologist
0
0
8
2
10
7
0
0
0
0
0
CHCP
26
22
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
3
0
11
AHI
0
0
0
0
8
5
0
0
4
0
0
HA
0
0
0
0
40
31
0
0
31
0
0
Domar 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
2
0
1
0
1
Autoclave
1
0
1
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
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
0
0
0
0
0
Domar 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
1
1
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Domar 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
1
0
0
Colorimeter
3
1
2
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
4
2
2
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Domar 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
0
1
1
0
Domar 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)
2
2
0
0
0
Generator
Generator (diesel/petrol)
1
1
0
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
6
1
0
0
Laptop
39
35
4
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
6
5
1
0
0
Scanner
1
1
0
0
0
UPS
5
5
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
1
1
0
0
0
Multimedia
1
1
0
0
0
Domar 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
0
0
0
0
0
Mobile phone
1
1
0
0
0
Total
88
71
15
1
1
Domar Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Domar Upazila Health Complex
We hope that want to provide standard treatment to our community. Health service is a team work so,we need to fullfil all catagories of health workers. We need Aya, Sweepers, Doctors, Specialists and nurses.We have urgent need to creat emergency medical officers to smooth running of hospitals. We need unintruped electric supply to run hospital smoothly. Repairable equipments should be repaird immediately. Finaly I am delighted to write this helth bulletin of 2014 because this document will helf us to compare our progress in up comming years. This is very useful document and it will help the mass people to understand the ongoining health services. Any information of advises would be highly appreciated regarding health services provided by us.
Thank You.
Dr. Md. Shariful Islam
UH&FPO
Upazila Health Complex
Domar, Nilphamari
