Feedback
HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Daulatkhan Upazila Health Complex- Bhola | Health Bulletin 2015 |
Preface
I am very glad to publish the health bulletin of daulatkhan upazila. The bulletin contains all the health related information of 2014. I hope all the information of this bulletin will help for planning and bridging in health services of this upazila.there are two hard to reach union in this upazila. I request to sanction three post of the health assistant each hard to reach union. Dr.Md Mohibullah UH&FPO Daulatkhan,Bhola.
DR Md Mohibullah
UH&FPO
Daulatkhan Upazila Health Complex- Bhola

Daulatkhan Upazila Health Complex- Bhola | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Daulatkhan
Organization Code 10002008
Name of UHFPO DR Md Mohibullah
Land Phone No. 1 -0492456115
Land Phone No. 2
FAX No.
Mobile No. 01712526049
Email daulatkhan@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 35,926
Population in the Upazila 194,791
Area of Upazila in sq km 401.49

Daulatkhan Upazila Health Complex- Bhola | 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 1 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 6 0
No. of Rural/Urban/Thana Health Centers 1 0
No. of Community Clinics 21 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

Daulatkhan Upazila Health Complex- Bhola | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,451


Under 5 Mortality Rate: 31.229 (Per 1,000 live births)
Infant Mortality Rate: 16.401 (Per 1,000 live births)
Neonatal Mortality Rate: 9.211 (Per 1,000 live births)
Still Birth Rate: 2.471 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 14,134
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%

Daulatkhan Upazila Health Complex- Bhola | 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: 3
Total No. of Recipients Who Took at least one ANC: 4,462
Total Number of Deliveries: 4,462
Valid TT Coverage: 63.00 %
Maternal Mortality Ratio (MMR) is: 67.40 per 100,000 live births.

Daulatkhan Upazila Health Complex- Bhola | 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 16,393 19,607 36,000 3,907 4,259 8,166 44,166 564 352 916 73 54 127 1,043
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) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 72,545 172,422 244,967 13,628 15,211 28,839 273,806 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

Daulatkhan Upazila Health Complex- Bhola | 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 1,407 1,928 3,335 1,140 699 1,839 5,174 10 8 18 6 7 13 31
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

Daulatkhan Upazila Health Complex- Bhola | 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 5,174
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 1403 27.12
2 Y009 Assault by blunt object, unspecified place XX: External causes of morbidity and mortality 722 13.95
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 471 9.10
4 A93 Other arthropod-borne viral fevers, NEC I: Certain infectious and parasitic diseases 150 2.90
5 J45 Asthma X: Diseases of the respiratory system 140 2.71
6 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 118 2.28
7 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 112 2.16
8 O06 Unspecified abortion XV: Pregnancy, childbirth and the puerperium 97 1.87
9 V99 Unspecified transport accident XX: External causes of morbidity and mortality 62 1.20
10 K29 Gastritis and duodenitis XI: Diseases of the digestive system 60 1.16

Daulatkhan Upazila Health Complex- Bhola | 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 26
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J189 Pneumonia, unspecified X: Diseases of the respiratory system 4 15.38
2 J450 Predominantly allergic asthma X: Diseases of the respiratory system 4 15.38
3 I509 Heart failure, unspecified X: Diseases of the respiratory system 3 11.54
4 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 3 11.54
5 G04 Encephalitis, myelitis and encephalomyelitis VI: Diseases of the nervous system 2 7.69
6 J969 Respiratory failure, unspecified X: Diseases of the respiratory system 2 7.69
7 X63 Intentional self-poisoning by and exposure to other drugs acting on the autonomic nervous system XX: External causes of morbidity and mortality 2 7.69
8 V87 Traffic accident of specified type but victim's mode of transport unknown XX: External causes of morbidity and mortality 1 3.85
9 V870 Person injured in collision between car and two- or three-wheeled motor vehicle (traffic) XX: External causes of morbidity and mortality 1 3.85
10 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 3.85

Daulatkhan Upazila Health Complex- Bhola | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 99.00
Coverage of households having access to sanitary latrines (%) 90.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,904
Bed Occupancy Rates (%) 70.71
Average Length of Hospital Stay (No. of days per patient) 2.49
Hospital Death Rate (%) 0.50


Daulatkhan Upazila Health Complex- Bhola | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 132

 

Daulatkhan Upazila Health Complex- Bhola | Health Bulletin 2015 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 22 3 1 18 81.82
Non Doctor 0 0 0 0 0.00
Class II 16 0 9 7 43.75
Class III 70 54 12 4 5.71
Class IV 22 16 3 3 13.64
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 1 0 0 1 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 0 1 50.00
Class IV 1 1 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 28 10 10 8 28.57
Class IV 0 0 0 0 0.00

 

Daulatkhan Upazila Health Complex- Bhola | 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 33 9 1 23 69.70
Non Doctor 0 0 0 0 0.00
Class II 20 0 11 9 45.00
Class III 112 67 22 23 20.54
Class IV 33 24 3 6 18.18
Other Hospitals & Clinics
Class I Doctor 10 6 0 4 40.00
Non Doctor 0 0 0 0 0.00
Class II 4 0 2 2 50.00
Class III 12 1 0 11 91.67
Class IV 10 7 0 3 30.00

 

Daulatkhan Upazila Health Complex- Bhola | 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 1 0 22 4 10 1 4 1 0
Nurse 0 0 4 2 16 9 0 0 4 2 3
Medical Assistant 0 0 1 1 2 1 8 1 3 0 0
Medical Technologist 0 0 3 0 10 3 0 0 0 0 0
CHCP 28 20 0 0 0 0 0 0 20 0 3
HI 0 0 0 0 0 0 2 2 0 0 0
AHI 0 0 0 0 0 0 7 7 0 0 0
HA 0 0 0 0 0 0 35 31 0 0 0

Daulatkhan Upazila Health Complex- Bhola | 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 0 1 0
X-ray machine (300 mA) 0 0 0 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 0 0 0 0 0
Autoclave 1 1 0 0 0
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 2 2 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Daulatkhan Upazila Health Complex- Bhola | 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 6 1 5 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Daulatkhan Upazila Health Complex- Bhola | 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) 0 0 0 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Daulatkhan Upazila Health Complex- Bhola | 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 1 1 0 0 0
Vehicles
Ambulance 2 1 0 1 0


Daulatkhan Upazila Health Complex- Bhola | 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 0 3 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 0 0 0 0 0
ICT equipment
Computer (desktop) 8 6 2 0 0
Laptop 4 4 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 3 2 0 0
Scanner 0 0 0 0 0
UPS 7 5 2 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 0 0 0 0 0
Multimedia 1 0 1 0 0


Daulatkhan Upazila Health Complex- Bhola | 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 0 1 0 0
Mobile phone 1 1 0 0 0
Total 56 38 16 2 0

Daulatkhan Upazila Health Complex- Bhola | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Daulatkhan Upazila Health Complex- Bhola
Last year we could not give our maximum efforts improve the health status to many reasons.Here I mention some important factors which will help us to achieve good result in future.(1) the vacant post should be filed immediately (2) All the repairable equipments should be repaired as soon as possible. I am very happy to write this health bulletin of 2015. Because the 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. Dr.Md Mohibullah UH&FPO Daulatkhan,Bhola.