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Dharmapasha Upazila Health Complex | Health Bulletin 2015 |
Preface
Its my pleasure to be a part of this e-health bulletin of dharmapasha upazilla. It comprises all the health related facts of 2014 . This bulletin is published to circulate the information about health related events of this upazilla to the other line department and development partners of health . I hope all the information given to this bulletin will help for future planning and bridging the gaps in health service of this upazilla . It will make bridge between general people and health service of the upazilla . From this health bulletin we will be able to know our achievement in health service in 2014 . This bulletin contains all the parameters of MDG 4 and MDG 5 which will contribute to fulfill MDG target . It should be noted that bulletin also contains the information of arsenic free drinking wanted and sanitation status of this upzilla .Finally I am very much grateful to those who has taken initiative to make the software for making digital Bangladesh and also to the contributor of this UHC,. .
Dr. Md Tazul Islam khan
UH&FPO
Dharmapasha Upazila Health Complex

Dharmapasha Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Dharmapasha
Organization Code 10002138
Name of UHFPO Dr. Md Tazul Islam khan
Land Phone No. 1 0872575-0872575025
Land Phone No. 2 0872575-0872575030
FAX No.
Mobile No. 01711432353
Email dharmapasha@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.0716 And Long: 91.3992
No. of Unions in the Upazila10
No. of Households in the Upazila 45,144
Population in the Upazila 250,618
Area of Upazila in sq km 495.50

Dharmapasha 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 31
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) 6 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 22 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

Dharmapasha Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,088


Under 5 Mortality Rate: 38.657 (Per 1,000 live births)
Infant Mortality Rate: 27.652 (Per 1,000 live births)
Neonatal Mortality Rate: 18.764 (Per 1,000 live births)
Still Birth Rate: 6.208 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 40,488
Fully Vaccinated Children (<= 12 months): 95.00 %
Fully Vaccinated Children (<= 23 months): 95%

Dharmapasha 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: 9
Total No. of Recipients Who Took at least one ANC: 6,397
Total Number of Deliveries: 7,082
Valid TT Coverage: 53.00 %
Maternal Mortality Ratio (MMR) is: 126.98 per 100,000 live births.

Dharmapasha 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 32,723 30,772 63,495 3,423 3,107 6,530 70,025 4,567 3,847 8,414 616 546 1,162 9,576
Union Sub-Centres 15,823 17,991 33,814 2,298 2,090 4,388 38,202 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 88,274 121,243 209,517 8,590 10,203 18,793 228,310 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

Dharmapasha 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 2,330 2,884 5,214 1,153 1,233 2,386 7,600 18 12 30 10 8 18 48
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

Dharmapasha 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 7,626
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A009 Cholera, unspecified I: Certain infectious and parasitic diseases 694 9.10
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 991 13.00
3 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation XI: Diseases of the digestive system 652 8.55
4 A010 Typhoid fever I: Certain infectious and parasitic diseases 817 10.71
5 X999 Assault by sharp object, unspecified place XX: External causes of morbidity and mortality 497 6.52
6 J459 Asthma, unspecified X: Diseases of the respiratory system 134 1.76
7 O063 Unspecified abortion, incomplete, with other and unspecified complications XV: Pregnancy, childbirth and the puerperium 85 1.11
8 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 81 1.06
9 F809 Developmental disorder of speech and language, unspecified V: Mental and behavioural disorders 95 1.25
10 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 42 0.55

Dharmapasha 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 48
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 3 6.25
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 10 20.83
3 J069 Acute upper respiratory infection, unspecified IX: Diseases of the circulatory system 7 14.58
4 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 2 4.17
5 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 2 4.17
6 J459 Asthma, unspecified X: Diseases of the respiratory system 2 4.17
7 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 3 6.25
8 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 9 18.75
9 R579 Shock, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 6 12.50
10 P071 Other low birth weight XVI: Certain conditions originating in the perinatal period 3 6.25

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 68.00
Coverage of households having access to sanitary latrines (%) 44.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 17,431
Bed Occupancy Rates (%) 154.05
Average Length of Hospital Stay (No. of days per patient) 2.29
Hospital Death Rate (%) 0.63


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 2,621

 

Dharmapasha 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 9 3 0 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 10 0 6 4 40.00
Class III 87 49 13 25 28.74
Class IV 21 8 2 11 52.38
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 4 0 1 20.00
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 2 2 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 1 0 3 75.00
Class IV 2 1 0 1 50.00
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 22 10 10 2 9.09
Class IV 0 0 0 0 0.00

 

Dharmapasha 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 14 7 0 7 50.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 6 4 40.00
Class III 113 60 25 28 24.78
Class IV 23 9 2 12 52.17
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

 

Dharmapasha 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 5 4 9 3 0 0 0 0 0
Nurse 0 0 0 0 10 6 0 0 0 0 0
Medical Assistant 0 0 2 1 2 1 0 0 0 0 0
Medical Technologist 0 0 2 0 10 5 0 0 0 0 0
CHCP 22 20 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 9 9 0 0 0 0 0
HA 0 0 0 0 45 37 0 0 0 0 0

Dharmapasha 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 0 0 1 0
Ultrasonogram machine 1 0 0 0 1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 0 1 0 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 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 6 3 2 1 0
Ventilator 0 0 0 0 0


Dharmapasha 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 2 2 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 8 5 2 1 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


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


Dharmapasha 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 2 1 1 0 0
Vehicles
Ambulance 0 0 0 0 0


Dharmapasha 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) 1 0 0 0 1
Generator
Generator (diesel/petrol) 2 1 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 8 6 1 1 0
Laptop 24 24 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 7 5 1 1 0
Scanner 1 1 0 0 0
UPS 8 5 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 23 23 0 0 0
Multimedia 1 1 0 0 0


Dharmapasha 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 2 1 1 0 0
Mobile phone 1 1 0 0 0
Total 106 84 13 7 2

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

Important information and necessary issues for Dharmapasha Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status of this upazila due to many reasons . Following important factors which will help us to achieve good results in future . 1. The vacant post should be filled immediately . 2. Our doctors and Nurse need more training on IMCI and EOC 3. All the repairable equipment and community clinic should be repaired as soon as possible .4.Internet speed and coverage must be upgraded to the rural area (at least upazila level) for the digitization of health information and quick response . 5.Ambulance should be supplied as soon as possible for the patients.The health bulletin of 2015 will help us to compare our progress in up coming year. This is very useful document and will help the public to understand health and to provide us the useful for improvement in future.