Dacope Upazila Health Complex | Health Bulletin 2015 |
Preface
I am Very glad to published the health bulletin of Dacope Upazila health complex, Khulna.The Statistics of different activities done here in health sector from January to December, 2014 have been reported in the health bulletin. Dacope is situated at the coastal area and is a hard to rich as well as a remote upazila about 35 km away from khulna headquarter. As a coastal area, main communication is river based transport. Yet, We are in better position to achieve MDG 4 & MDG 5 and our achievement in other indicators are satisfactory as well. I also hope that the reports of health services in the Bulletin will level gaps between the health officials and the common public in our society. So I, Dr Md Abdur Raquib, personally thanks all officials concerned to the health services for such achievement. At the same time I heartily thank Prof. Dr. Deen Mohammad Nurul Haque Hon'ble DG(Health), DR. Abul Kalam Azad (ADG-Planning & Development, Director-MIS) and every one associated with the publication of this Health Bulletin, who give me directives and technical support in this assignment which will ultimately guide us to build a digital Bangladesh
Dr. Nd. Abdur Raquib
Upazila Health & Family Planing Officer
Dacope, Khulna.
Dacope Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Dacope
Organization Code
10001794
Name of UHFPO Dr. Md Abdur Raquib
Land Phone No. 1
04023-056004
Land Phone No. 2 04023-56004
FAX No.
Mobile No.
01711109417
Email dacope@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.0000 And
Long:
89.0000
No. of Unions in the Upazila 9
No. of Households in the Upazila 37,177
Population in the Upazila 158,908
Area of Upazila in sq km 266.00
Dacope 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
0
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
9
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
7
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
19
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
0
0
No. of NGO Clinics/Facilities
1
0
Dacope Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,031
Under 5 Mortality Rate: 19.202 (Per 1,000 live births)
Infant Mortality Rate: 13.294 (Per 1,000 live births)
Neonatal Mortality Rate: 8.370 (Per 1,000 live births)
Still Birth Rate: 11.817 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 4,949
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 85%
Dacope 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:
1
Total No. of Recipients Who Took at least one ANC:
2,733
Total Number of Deliveries:
2,029
Valid TT Coverage: 91.00 %
Maternal Mortality Ratio (MMR) is:
49.24 per 100,000 live births.
Dacope 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
9,490
13,486
22,976
2,909
4,204
7,113
30,089
1,439
1,124
2,563
394
482
876
3,439
Union Sub-Centres
0
0
0
0
0
0
0
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)
6,543
8,548
15091
1,169
1,837
3,006
18,097
0
0
0
0
0
0
3,006
Community Clinics
44,817
57,184
102,001
4,468
3,025
7,493
109,494
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
Dacope 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
1,569
2,793
4,362
532
864
1,396
5,758
22
15
37
6
9
15
52
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
Dacope 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
5,758
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J12 Viral pneumonia, NEC
X: Diseases of the respiratory system
639
11.10
2
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
593
10.30
3
K358 Acute appendicitis, other and unspecified
XI: Diseases of the digestive system
534
9.27
4
Y08 Assault by other specified means
XX: External causes of morbidity and mortality
378
6.56
5
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
189
3.28
6
T478 Other agents primarily affecting the gastrointestinal system
XIX: Injury, poisoning and certain other consequences of external causes
125
2.17
7
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
121
2.10
8
A070 Balantidiasis
I: Certain infectious and parasitic diseases
119
2.07
9
J459 Asthma, unspecified
X: Diseases of the respiratory system
98
1.70
10
V899 Person injured in unspecified vehicle accident
XX: External causes of morbidity and mortality
75
1.30
Dacope 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
52
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I678 Other specified cerebrovascular diseases
IX: Diseases of the circulatory system
10
19.23
2
J12 Viral pneumonia, NEC
X: Diseases of the respiratory system
8
15.38
3
J449 Chronic obstructive pulmonary disease, unspecified
IX: Diseases of the circulatory system
5
9.62
4
Z824 Family history of ischaemic heart disease and other diseases of the circulatory system
XXI: External causes of morbidity and mortality
4
7.69
5
I509 Heart failure, unspecified
IX: Diseases of the circulatory system
4
7.69
6
J459 Asthma, unspecified
X: Diseases of the respiratory system
3
5.77
7
J22 Unspecified acute lower respiratory infection
X: Diseases of the respiratory system
3
5.77
8
B43 Chromomycosis and phaeomycotic abscess
I: Certain infectious and parasitic diseases
2
3.85
9
P210 Severe birth asphyxia
XVI: Certain conditions originating in the perinatal period
2
3.85
10
Y34 Unspecified event, undetermined intent
XX: External causes of morbidity and mortality
2
3.85
Dacope Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
72.00
Coverage of households having access to sanitary latrines (%)
69.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
34,092
Bed Occupancy Rates (%)
186.81
Average Length of Hospital Stay (No. of days per patient)
5.90
Hospital Death Rate (%)
0.02
Dacope Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
975
Minor Surgeries
1,160
Dacope 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
16
4
2
9.09
Non Doctor
0
0
0
0
0.00
Class II
17
1
11
5
29.41
Class III
82
36
22
24
29.27
Class IV
26
8
4
14
53.85
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I
Doctor
9
7
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
9
5
4
0
0.00
Class IV
0
0
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
19
8
11
0
0.00
Class IV
0
0
0
0
0.00
Dacope 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
23
6
2
6.45
Non Doctor
0
0
0
0
0.00
Class II
17
1
11
5
29.41
Class III
110
49
37
24
21.82
Class IV
26
8
4
14
53.85
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
Dacope 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
9
9
22
20
0
0
5
1
0
Nurse
0
0
0
0
17
11
0
0
0
0
0
Medical Assistant
0
0
9
9
2
2
0
0
0
0
0
Medical Technologist
0
0
0
0
8
3
0
0
0
0
0
CHCP
19
19
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
1
0
0
0
0
0
AHI
0
0
0
0
8
4
0
0
0
0
0
HA
0
0
0
0
44
42
0
0
0
0
0
Dacope 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
1
0
1
0
0
Autoclave
1
0
0
0
1
Electric cautery machine
0
0
0
0
0
Diathermy machine
2
1
1
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
0
1
0
0
Portable OT Light
3
1
1
1
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
0
1
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
3
2
1
0
0
Ventilator
1
0
0
1
0
Dacope 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
0
0
0
1
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
3
2
1
0
0
Pulse oximeter
1
0
1
0
0
Dental equipment
Dental unit
0
0
0
0
0
Dacope 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)
0
0
0
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
3
1
1
1
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Dacope 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
Dacope 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
1
1
1
0
Generator
Generator (diesel/petrol)
1
1
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
2
2
0
0
0
IPS
1
0
0
1
0
ICT equipment
Computer (desktop)
11
7
2
2
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
9
5
2
2
0
Scanner
2
2
0
0
0
UPS
9
6
2
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
Dacope 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
0
1
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
71
42
16
11
2
Dacope Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Dacope Upazila Health Complex
The EPI activities is satisfactory. I would like to mention some important issue which will help us to achieve better result in future.
1) Infrastructure of this hospital should be modernized.
2) Number of CC should be increased.
3) All the repairable instrument & furniture should be repaired as soon as possible .
4) All the vacant post(specially MT(lab) & jr Mechanics) should be filled up with short time.
5) Activities of Health , FP & NGO should be reported combined in a consolidated
prescribed forms.
I am very happy to develop this Health Bulletin of 2014. Because these documents will help us to compare our progress in upcoming years. This will helps the public to understand health service and provide us the useful advice for improvement of future activities.
Dr. Md Abdur Raquib
Upazila Health & Family Planing Officer
Dacope. Khulna
