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Dashmina Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Dasmina Upazila. This bulletin contains all the health related information of 2014. It is published to disseminate the information of Dasmina Upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning,budgetting and bridging the gaps in health services of this Upazila. We have many data stored in the file. This health bulletin will help us to find constrains and also to see the results and achievements of 2014.The bulletin contains the status of MDG 4 and MDG 5 .It will help to localize the MDG targets.This health bulletin has also the information on safe drinking water and sanitation a status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2014. 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. Dr.Mrinal Kanti Ray UH&FPO Dashmina Upazila Health Complex
Dr Mrinal Kanti Ray
UH&FPO
Dashmina Upazila Health Complex

Dashmina Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Dashmina
Organization Code 10002034
Name of UHFPO Dr Mrinal Kanti Ray
Land Phone No. 1 -0442356118
Land Phone No. 2
FAX No.
Mobile No. 01711387628
Email dasmina@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.2823 And Long: 90.5645
No. of Unions in the Upazila6
No. of Households in the Upazila 28,208
Population in the Upazila 133,407
Area of Upazila in sq km 351.75

Dashmina 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) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 5 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 15 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 0 0

Dashmina Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,544


Under 5 Mortality Rate: 7.336 (Per 1,000 live births)
Infant Mortality Rate: 3.950 (Per 1,000 live births)
Neonatal Mortality Rate: 2.257 (Per 1,000 live births)
Still Birth Rate: 1.129 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 26,545
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):

Dashmina 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: 3,548
Total Number of Deliveries: 3,547
Valid TT Coverage: 16.00 %
Maternal Mortality Ratio (MMR) is: 28.22 per 100,000 live births.

Dashmina 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 13,576 23,638 37,214 3,452 2,914 6,366 43,580 600 276 876 23 22 45 921
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) 7,063 26,327 33390 3,715 3,829 7,544 40,934 0 0 0 0 0 0 7,544
Community Clinics 25,302 59,099 84,401 5,778 5,953 11,731 96,132 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

Dashmina 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 1,769 2,305 4,074 980 0 980 5,054 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

Dashmina 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 5,692
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 F41 Other anxiety disorders V: Mental and behavioural disorders 894 15.71
2 Y00 Assault by blunt object XX: External causes of morbidity and mortality 893 15.69
3 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 888 15.60
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 886 15.57
5 A880 Enteroviral exanthematous fever [Boston exanthem] I: Certain infectious and parasitic diseases 548 9.63
6 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 408 7.17
7 V194 Driver injured in collision with other and unspecified motor vehicles in traffic accident XX: External causes of morbidity and mortality 218 3.83
8 J459 Asthma, unspecified X: Diseases of the respiratory system 201 3.53
9 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 47 0.83
10 I50 Heart failure IX: Diseases of the circulatory system 35 0.61

Dashmina 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 24
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J459 Asthma, unspecified X: Diseases of the respiratory system 8 33.33
2 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 5 20.83
3 D649 Anaemia, unspecified X: Diseases of the respiratory system 2 8.33
4 R074 Chest pain, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 2 8.33
5 P21 Birth asphyxia XVI: Certain conditions originating in the perinatal period 2 8.33
6 I50 Heart failure IX: Diseases of the circulatory system 2 8.33
7 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 4.17
8 W17 Other fall from one level to another XX: External causes of morbidity and mortality 1 4.17
9 V199 Pedal cyclist [any] injured in unspecified traffic accident XX: External causes of morbidity and mortality 1 4.17
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 79.00
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.) 13,266
Bed Occupancy Rates (%) 72.69
Average Length of Hospital Stay (No. of days per patient) 2.60
Hospital Death Rate (%) 0.42


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 526

 

Dashmina 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 10 5 0 5 50.00
Non Doctor 0 0 0 0 0.00
Class II 9 0 9 0 0.00
Class III 58 27 18 13 22.41
Class IV 20 12 3 5 25.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 4 0 2 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 0 0 6 100.00
Class IV 0 0 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

 

Dashmina 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 16 9 0 7 43.75
Non Doctor 0 0 0 0 0.00
Class II 9 0 9 0 0.00
Class III 79 39 21 19 24.05
Class IV 20 12 3 5 25.00
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

 

Dashmina 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 6 4 10 5 0 0 0 0 0
Nurse 0 0 0 0 9 9 0 0 4 1 0
Medical Assistant 0 0 6 0 2 2 0 0 2 0 0
Medical Technologist 0 0 0 0 8 3 0 0 0 0 0
CHCP 15 15 0 0 0 0 0 0 15 0 1
HI 0 0 0 0 2 2 0 0 2 0 0
AHI 0 0 0 0 6 6 0 0 6 0 0
HA 0 0 0 0 30 22 0 0 22 0 6

Dashmina 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) 1 1 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 1 0 0 1 0
Autoclave 2 1 0 1 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 0 0 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 3 2 0 1 0
Sucker machine (electric) 9 2 3 4 0
Ventilator 0 0 0 0 0


Dashmina 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 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 12 0 3 9 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 0 1 0


Dashmina 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) 3 1 0 1 1
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 1 0 1 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Dashmina 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 1 1 0 0


Dashmina 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) 0 0 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 0 0 0 0 0
ICT equipment
Computer (desktop) 8 7 1 0 0
Laptop 17 14 2 1 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 6 0 0 0
Scanner 0 0 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Dashmina 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 1 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 78 47 10 20 1

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

Important information and necessary issues for Dashmina Upazila Health Complex
Important Information and necessary issues for Dasmina Upazila Health Complex-Last year we could not give our maximum efforts to improve the health status due to many reasons,Here I like to mention some important issues which will help us to achieve good results in future 1.The vacant post should be filled immediately . 2 .Our Doctors & Nurse need more training on IMCI 3.Number of Community Clinic & the bed Capacity of the health complex should be increased. 4.All the repairable equipments should be repaired as soon as possible.Finally I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years. This is very useful document & will help the public to understand health services & to provide us the useful advice for improvement in future.