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Debiganj Upazila Health Complex | Health Bulletin 2015 |
Preface
This is a very good news that a Health Bulletin/2015 from upazila level is going to be published which consists of most of the health related information of the upazila.To provide our best,we need multisectoral approch.I hope this bulletin will be able to carry our various informations among other sectors.From this,people will be informed about our plannings, implementations and evaluations.It will help us in monitoring the health related activities.It can be helpful in disease surveillance.Our achievment are mentioned here.DSF maternal health voucher scheme and MNH project running in this upazila.We have given our staff position by which our manpower shortage can be marked.If we get more manpower, our ability will be increased.Finally I congratulate the initiator of this software which will take us closer to Digital Bangladesh. Dr.Rangit Kumar Barman UH&FPO Debiganj,Panchagarh.
Dr.Rangit Kumar Barman
UH&FPO
Debiganj Upazila Health Complex

Debiganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Debiganj
Organization Code 10001506
Name of UHFPO Dr.Rangit Kumar Barman
Land Phone No. 1 -0565456020
Land Phone No. 2
FAX No.
Mobile No. 01716170424
Email debiganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 26.0658 And Long: 88.4521
No. of Unions in the Upazila10
No. of Households in the Upazila 48,960
Population in the Upazila 215,960
Area of Upazila in sq km 309.60

Debiganj 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 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) 9 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 30 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 20
No. of NGO Clinics/Facilities 1 0

Debiganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,330


Under 5 Mortality Rate: 36.490 (Per 1,000 live births)
Infant Mortality Rate: 33.025 (Per 1,000 live births)
Neonatal Mortality Rate: 29.099 (Per 1,000 live births)
Still Birth Rate: 26.559 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 26,920
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months):

Debiganj 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: 7,231
Total Number of Deliveries: 4,437
Valid TT Coverage: 29.00 %
Maternal Mortality Ratio (MMR) is: 254.04 per 100,000 live births.

Debiganj 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 21,326 21,040 42,366 856 861 1,717 44,083 1,155 419 1,574 65 36 101 1,675
Union Sub-Centres 16,123 18,069 34,192 744 911 1,655 35,847 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) 18,339 51,841 70180 1,406 1,594 3,000 73,180 0 0 0 0 0 0 3,000
Community Clinics 88,670 207,341 296,011 12,619 11,997 24,616 320,627 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 2,730 11,916 14,646 1,804 1,701 3,505 18,151 0 0 0 0 0 0 0

Debiganj 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 1,372 3,439 4,811 324 177 501 5,312 24 13 37 4 6 10 47
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 93 235 328 0 0 0 328 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Debiganj 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 5,312
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 X990 Assault by sharp object, home XX: External causes of morbidity and mortality 850 16.00
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 497 9.36
3 B33 Other viral diseases, NEC I: Certain infectious and parasitic diseases 201 3.78
4 J458 Mixed asthma X: Diseases of the respiratory system 161 3.03
5 V447 Car occupant injured in collision with heavy transport vehicle or bus, person on outside of vehicle, traffic accident XX: External causes of morbidity and mortality 160 3.01
6 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 142 2.67
7 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 120 2.26
8 O64 Obstructed labour due to malposition and malpresentation of fetus XV: Pregnancy, childbirth and the puerperium 85 1.60
9 O044 Medical abortion, incomplete, without complication XV: Pregnancy, childbirth and the puerperium 81 1.52
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 53 1.00

Debiganj 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 47
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 9 19.15
2 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 4 8.51
3 T600 Organophosphate and carbamate insecticides IX: Diseases of the circulatory system 4 8.51
4 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 4 8.51
5 G463 Brain stem stroke syndrome VI: Diseases of the nervous system 3 6.38
6 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 2 4.26
7 J46 Status asthmaticus X: Diseases of the respiratory system 2 4.26
8 N189 Chronic renal failure, unspecified XIV: Diseases of the genitourinary system 1 2.13
9 I443 Other and unspecified atrioventricular block IX: Diseases of the circulatory system 1 2.13
10 A150 Tuberculosis of lung, confirmed by sputum microscopy with or without culture I: Certain infectious and parasitic diseases 1 2.13

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 96.00
Coverage of households having access to sanitary latrines (%) 86.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 13,033
Bed Occupancy Rates (%) 71.41
Average Length of Hospital Stay (No. of days per patient) 2.45
Hospital Death Rate (%) 0.88


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 174
Minor Surgeries 24

 

Debiganj 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 2 11 52.38
Non Doctor 0 0 0 0 0.00
Class II 16 1 9 6 37.50
Class III 65 41 18 6 9.23
Class IV 22 14 6 2 9.09
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 5 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 2 0 4 66.67
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 4 0 0 4 100.00
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 3 1 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 30 14 15 1 3.33
Class IV 0 0 0 0 0.00

 

Debiganj 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 13 3 15 48.39
Non Doctor 0 0 0 0 0.00
Class II 16 1 9 6 37.50
Class III 109 62 32 15 13.76
Class IV 26 17 7 2 7.69
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

 

Debiganj 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 5 21 9 0 0 0 0 0
Nurse 0 0 0 0 16 10 0 0 4 2 0
Medical Assistant 0 0 10 5 2 2 0 0 4 0 0
Medical Technologist 0 0 0 0 8 6 0 0 0 0 0
CHCP 30 29 0 0 0 0 0 0 0 0 14
HI 0 0 0 0 2 2 0 0 0 0 14
AHI 0 0 0 0 6 5 0 0 0 0 0
HA 0 0 0 0 30 29 0 0 0 0 0

Debiganj 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 0 1 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 4 4 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 4 2 0 0 2
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 3 3 0 0 0
Sucker machine (electric) 3 3 0 0 0
Ventilator 6 6 0 0 0


Debiganj 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 4 1 3 0 0
Dental equipment
Dental unit 2 1 1 0 0


Debiganj 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 2 0 0 0
Colorimeter 2 2 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 1 1 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 1 1 0 0 0


Debiganj 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 1 1 0 0 0
Blood bank refrigerator 1 1 0 0 0
Refrigerator 1 1 0 0 0
Vehicles
Ambulance 2 0 1 1 0


Debiganj 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) 3 2 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 0 1 0 0
ICT equipment
Computer (desktop) 8 8 0 0 0
Laptop 3 2 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 4 2 0 0
Scanner 2 2 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Debiganj 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 89 68 17 2 2

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

Important information and necessary issues for Debiganj Upazila Health Complex
This Health Bulletin mentioned some important factors which will help us to achive good results in future. (1) The vaccant post of Jr.Consultant should be filled up. (2) The Ambulance is not functioning.So,a new Ambulance must necessary. (3) All the repairable equipments should be repaired as soon as possible. Finally I am very happy to were this Health Bulletin of 2015, because it`s doccument will help us to compair our progess in up-comming years.This is very useful doccuments and will help the public to understand health services and to provide us the useful advice for improvement in future.