Debhata Upazila Health Complex, Satkhira | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Debhata upazila. This bulletin contains all the health related information of 2015. This bulletin is published to disseminate the information of Debhata upazila to other line department 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. Government health office has many data stored in the fine. This health bulletin will help us to find constrains and also to see the results and achievements of 2015. The bulleting contains the status of MDG 4 and MDG 5 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 2015. I like to take attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Debhata Upazila Health Complex, Satkhira | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Debhatta
Organization Code
10001917
Name of UHFPO Dr. Sk. Aksedur Rahaman
Land Phone No. 1
-0473272236
Land Phone No. 2
FAX No.
Mobile No.
01710744623
Email debhata@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
23.0000 And
Long:
89.0000
No. of Unions in the Upazila 5
No. of Households in the Upazila 26,825
Population in the Upazila 128,069
Area of Upazila in sq km 122.25
Debhata Upazila Health Complex, Satkhira | 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
2
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)
0
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
14
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
5
0
No. of NGO Clinics/Facilities
0
0
Debhata Upazila Health Complex, Satkhira | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,923
Under 5 Mortality Rate: 6.158 (Per 1,000 live births)
Infant Mortality Rate: 3.763 (Per 1,000 live births)
Neonatal Mortality Rate: 2.737 (Per 1,000 live births)
Still Birth Rate: 1.711 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 7,526
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 97%
Debhata Upazila Health Complex, Satkhira | 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:
2
Total No. of Recipients Who Took at least one ANC:
3,060
Total Number of Deliveries:
2,923
Valid TT Coverage: 88.00 %
Maternal Mortality Ratio (MMR) is:
68.42 per 100,000 live births.
Debhata Upazila Health Complex, Satkhira | 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
10,091
20,632
30,723
3,977
2,602
6,579
37,302
1,620
1,828
3,448
394
485
879
4,327
Union Sub-Centres
11,634
8,552
20,186
3,294
1,736
5,030
25,216
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
0
0
0
0
0
0
0
5,071
7,277
12,348
1,364
1,515
2,879
15,227
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
32,989
61,167
94,156
4,115
4,801
8,916
103,072
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
Debhata Upazila Health Complex, Satkhira | 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
1,023
2,535
3,558
78
54
132
3,690
8
4
12
0
0
0
12
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
Debhata Upazila Health Complex, Satkhira | 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
3,558
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
173
4.86
2
J15 Bacterial pneumonia, NEC
X: Diseases of the respiratory system
21
0.59
3
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
276
7.76
4
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
127
3.57
5
B86 Scabies
I: Certain infectious and parasitic diseases
47
1.32
6
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
31
0.87
7
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
49
1.38
8
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
39
1.10
9
V011 Pedestrian injured in collision with pedal cycle, traffic accident
XX: External causes of morbidity and mortality
229
6.44
10
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
213
5.99
Debhata Upazila Health Complex, Satkhira | 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
12
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
2
16.67
2
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
3
25.00
3
I50 Heart failure
X: Diseases of the respiratory system
6
50.00
4
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
0
0.00
5
J15 Bacterial pneumonia, NEC
X: Diseases of the respiratory system
1
8.33
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Debhata Upazila Health Complex, Satkhira | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
98.00
Coverage of households having access to sanitary latrines (%)
95.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
15,947
Bed Occupancy Rates (%)
87.38
Average Length of Hospital Stay (No. of days per patient)
4.48
Hospital Death Rate (%)
0.34
Debhata Upazila Health Complex, Satkhira | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
1,148
Minor Surgeries
4,392
Debhata Upazila Health Complex, Satkhira | Health Bulletin 2015 | Page# 11
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
UHC
Class I
Doctor
10
5
1
4
40.00
Non Doctor
0
0
0
0
0.00
Class II
11
0
11
0
0.00
Class III
45
32
11
2
4.44
Class IV
19
12
6
1
5.26
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
5
1
1
3
60.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
7
6
0
1
14.29
Class IV
2
2
0
0
0.00
Rural Dispensaries
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
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
15
12
3
0
0.00
Class IV
0
0
0
0
0.00
Debhata Upazila Health Complex, Satkhira | 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
15
8
3
4
26.67
Non Doctor
0
0
0
0
0.00
Class II
11
0
11
0
0.00
Class III
52
38
8
6
11.54
Class IV
21
12
6
3
14.29
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
Debhata Upazila Health Complex, Satkhira | 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
5
2
9
4
0
0
1
0
0
Nurse
0
0
0
0
11
11
0
0
0
2
0
Medical Assistant
0
0
5
5
2
2
0
0
6
0
0
Medical Technologist
0
0
0
0
6
5
0
0
0
0
0
CHCP
15
15
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
1
0
0
0
0
0
6
AHI
0
0
0
0
4
4
0
0
0
0
0
HA
0
0
0
0
20
19
0
0
0
0
0
Debhata Upazila Health Complex, Satkhira | 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)
2
1
1
0
0
X-ray machine (300 mA)
2
1
0
1
0
Ultrasonogram machine
2
1
0
1
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
2
1
1
0
0
Autoclave
10
5
4
1
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
4
2
2
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
4
2
2
0
0
Portable OT Light
4
2
2
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
4
2
2
0
0
Sterilizer
4
2
2
0
0
Sucker machine (electric)
14
7
6
1
0
Ventilator
0
0
0
0
0
Debhata Upazila Health Complex, Satkhira | 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
3
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
6
3
3
0
0
Pulse oximeter
2
1
1
0
0
Dental equipment
Dental unit
2
1
1
0
0
Debhata Upazila Health Complex, Satkhira | 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
6
3
3
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
8
4
3
1
0
Pediatric equipment
Baby incubator
2
1
1
0
0
Phototherapy unit
0
0
0
0
0
Debhata Upazila Health Complex, Satkhira | 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
2
1
1
0
0
Refrigerator
2
1
1
0
0
Vehicles
Ambulance
2
1
1
0
0
Debhata Upazila Health Complex, Satkhira | 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
0
0
0
0
0
IPS
4
2
2
0
0
ICT equipment
Computer (desktop)
7
4
3
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
2
1
1
0
0
Printer (laser)
5
3
2
0
0
Scanner
3
2
1
0
0
UPS
3
2
1
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
Debhata Upazila Health Complex, Satkhira | 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
2
1
0
1
0
Mobile phone
2
1
1
0
0
Total
125
70
49
6
0
Debhata Upazila Health Complex, Satkhira | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Debhata Upazila Health Complex, Satkhira
Last year we could not give our maximum efforts improve the health status due to many reasons. Here I like mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediately. 2. Our doctor and nurse need more training on IMCI 3. Number of community clinic and the bed capacity of the health complex should be increased 4. All the repairable equipment’s should be repaired as soon as possible 5. Finally I am very happy to write this health bulletin of 2015 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.
