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Doarabazar Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of dowarabazar upazilla. This bulletin contains all the health releated information of 2014. This bulletin is published to disseminate the information of dowarabazar upazilla to other line department and devolopment partners of health.I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazilla. Government health office has many data stord in the fine . This health bulletin will help us to fine constrains and also to see the results and achivements of 2014.The bulletin contains the status of MDG4 & MDG5 which will help to localize the MDG targets. This health bulletin has allso the information on safe drikking water and sanitation satus of the upazilla .All the sanctioned and vaccant posts are published in this health bulletin of 2014. I like to take attention of the higher authority to look into to this issue . Finally iwould like to congratulate the initiator of the health bulletin software for setting us one step ahead twoard digital Bangladesh. Dr Md Belayet Hossain UH&FPO Dowarabazar,Sunamgonj.
Dr Md Belayet Hossain
UH&FPO
Doarabazar Upazila Health Complex

Doarabazar Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Doarabazar
Organization Code 10002143
Name of UHFPO Dr Md Belayet Hossain
Land Phone No. 1 -0872656007
Land Phone No. 2
FAX No.
Mobile No. 01556774858
Email dowarabazar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.0570 And Long: 91.3831
No. of Unions in the Upazila9
No. of Households in the Upazila 39,871
Population in the Upazila 260,986
Area of Upazila in sq km 261.50

Doarabazar 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 1 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) 3 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 27 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

Doarabazar Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,669


Under 5 Mortality Rate: 42.735 (Per 1,000 live births)
Infant Mortality Rate: 32.988 (Per 1,000 live births)
Neonatal Mortality Rate: 21.143 (Per 1,000 live births)
Still Birth Rate: 8.097 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 33,108
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%

Doarabazar 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: 14
Total No. of Recipients Who Took at least one ANC: 7,211
Total Number of Deliveries: 6,669
Valid TT Coverage: 30.00 %
Maternal Mortality Ratio (MMR) is: 209.93 per 100,000 live births.

Doarabazar 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 4,201 3,398 7,599 20,645 24,603 45,248 52,847 2,201 1,155 3,356 582 201 783 4,139
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) 4,615 6,220 10,835 651 601 1,252 12,087 1,132 942 2,074 230 190 420 2,494
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 46,894 83,502 130,396 10,720 10,008 20,728 151,124 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

Doarabazar 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 396 710 1,106 410 374 784 1,890 3 3 6 8 6 14 20
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

Doarabazar 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 1,890
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A009 Cholera, unspecified I: Certain infectious and parasitic diseases 339 17.94
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 442 23.39
3 X999 Assault by sharp object, unspecified place XX: External causes of morbidity and mortality 271 14.34
4 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 44 2.33
5 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation XI: Diseases of the digestive system 420 22.22
6 O669 Obstructed labour, unspecified XV: Pregnancy, childbirth and the puerperium 230 12.17
7 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 20 1.06
8 0 0.00
9 0 0.00
10 0 0.00

Doarabazar 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 20
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J189 Pneumonia, unspecified X: Diseases of the respiratory system 15 75.00
2 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 1 5.00
3 J459 Asthma, unspecified X: Diseases of the respiratory system 2 10.00
4 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 2 10.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 78.00
Coverage of households having access to sanitary latrines (%) 45.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 3,457
Bed Occupancy Rates (%) 30.55
Average Length of Hospital Stay (No. of days per patient) 1.83
Hospital Death Rate (%) 1.06


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,245

 

Doarabazar 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 4 0 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 10 0 6 4 40.00
Class III 73 36 6 31 42.47
Class IV 23 10 4 9 39.13
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 2 1 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 0 2 50.00
Class IV 2 1 0 1 50.00
Rural Dispensaries
Class I Doctor 1 1 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 0 0 2 100.00
Class IV 1 0 0 1 100.00
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 27 14 6 7 25.93
Class IV 0 0 0 0 0.00

 

Doarabazar 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 7 1 8 50.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 6 4 40.00
Class III 73 36 6 31 42.47
Class IV 23 10 4 9 39.13
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

 

Doarabazar 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 7 4 9 4 0 0 0 0 0
Nurse 0 0 0 0 11 6 0 0 0 0 0
Medical Assistant 0 0 7 2 2 2 0 0 0 0 0
Medical Technologist 0 0 3 0 8 2 0 0 0 0 0
CHCP 27 20 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0 0
AHI 0 0 0 0 7 7 0 0 0 0 0
HA 0 0 0 0 35 26 0 0 0 0 0

Doarabazar 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 0 1 0 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 1 0 1 0 0
Autoclave 2 2 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 0 0 0 0 0
Portable OT Light 12 12 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 4 4 0 0 0
Ventilator 0 0 0 0 0


Doarabazar 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 1 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 4 4 0 0 0
Pulse oximeter 2 2 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


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


Doarabazar 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 3 2 1 0 0
Vehicles
Ambulance 1 1 0 0 0


Doarabazar 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) 2 2 0 0 0
Generator
Generator (diesel/petrol) 2 1 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 2 2 0 0 0
ICT equipment
Computer (desktop) 8 8 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 5 5 0 0 0
Scanner 3 3 0 0 0
UPS 8 6 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Doarabazar 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 81 73 8 0 0

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

Important information and necessary issues for Doarabazar Upazila Health Complex
Last year we could not give our maximum efforts improving the health status due to many reasons here,1 The vacant post should be filled immediatly.2 Our doctor,nurs, paramadics and office staff needed more training on computer and IMCI. 3 Number of community clinic and the bed capacity of the health complex should increased. I am very happy to write this health bulletin of 2015. Because this document will help us to compere our progress in up ensuing years. This is very useful document and will help the public to understand health services and to provide us as useful advice for improvement in future. ( Dr MD. Belayet Hossain) UH&FPO Dowarabazar,Sunamgonj.