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Kapasia Upazila Health Complex | Health Bulletin 2015 |
Preface
It is indeed a matter of great pleasure & satisfaction to be able to bring out the health bulletin 2015 of Kapasia Upazilla. This Bulletin contains all the health related information of 2014. This Bulletin is published to disseminate health related information & data of Kapasia Upazilla to other departments & development partners of health as well as general viewer.. I hope information in this health Bulletin will help in planning & bridging the gaps in health service in this upazilla. This health Bulletin will help us to find constraints & also to show our performance in 2014. This Bulletin contains information on safe drinking water, sanitation status of the upazilla among others as well as the status of human resource for effective delivery of health service. I would like to draw attention of concerned higher officials to go through the information, focus on areas of interest & act accordingly for better delivery of health service in future.
Dr.Md.Hafiz Uddin
UH&FPO
Kapasia Upazila Health Complex

Kapasia Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Kapasia
Organization Code 10000146
Name of UHFPO Dr.Md.Hafiz Uddin
Land Phone No. 1 -0682452140
Land Phone No. 2 -682452140
FAX No.
Mobile No. 01712205117
Email kapasia@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.1214 And Long: 90.5682
No. of Unions in the Upazila11
No. of Households in the Upazila 71,896
Population in the Upazila 353,160
Area of Upazila in sq km 236.75

Kapasia 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 2 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) 10 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 48 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 10 100
No. of NGO Clinics/Facilities 0 0

Kapasia Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 10,775


Under 5 Mortality Rate: 28.306 (Per 1,000 live births)
Infant Mortality Rate: 24.316 (Per 1,000 live births)
Neonatal Mortality Rate: 13.921 (Per 1,000 live births)
Still Birth Rate: 1.392 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 12,828
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%

Kapasia 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: 15
Total No. of Recipients Who Took at least one ANC: 4,697
Total Number of Deliveries: 10,790
Valid TT Coverage: 42.00 %
Maternal Mortality Ratio (MMR) is: 139.21 per 100,000 live births.

Kapasia 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 31,677 41,464 73,141 4,320 5,460 9,780 82,921 2,881 2,369 5,250 287 400 687 5,937
Union Sub-Centres 14,340 16,220 30,560 2,484 3,236 5,720 36,280 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) 23,945 85,038 108983 1,347 1,643 2,990 111,973 0 0 0 0 0 0 2,990
Community Clinics 79,874 179,389 259,263 19,780 22,324 42,104 301,367 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 345 1,568 1,913 216 245 461 2,374 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kapasia 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 2,055 3,181 5,236 173 244 417 5,653 7 3 10 2 0 2 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 1,268 3,651 4,919 259 378 637 5,556 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kapasia 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 5,653
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y04 Assault by bodily force XX: External causes of morbidity and mortality 1020 18.04
2 A010 Typhoid fever I: Certain infectious and parasitic diseases 715 12.65
3 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 620 10.97
4 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 570 10.08
5 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 502 8.88
6 O80 Single spontaneous delivery XV: Pregnancy, childbirth and the puerperium 293 5.18
7 J45 Asthma X: Diseases of the respiratory system 235 4.16
8 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 190 3.36
9 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 79 1.40
10 J189 Pneumonia, unspecified X: Diseases of the respiratory system 68 1.20

Kapasia 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 12
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 3 25.00
2 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 2 16.67
3 J189 Pneumonia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 2 16.67
4 K746 Other and unspecified cirrhosis of liver XI: Diseases of the digestive system 2 16.67
5 I50 Heart failure IX: Diseases of the circulatory system 2 16.67
6 J45 Asthma X: Diseases of the respiratory system 1 8.33
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Kapasia Upazila Health Complex | 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 (%) 85.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 15,195
Bed Occupancy Rates (%) 83.26
Average Length of Hospital Stay (No. of days per patient) 2.69
Hospital Death Rate (%) 0.21


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 478

 

Kapasia 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 21 15 4 2 9.52
Non Doctor 0 0 0 0 0.00
Class II 18 1 17 0 0.00
Class III 28 20 5 3 10.71
Class IV 22 8 13 1 4.55
Union Health & Family Welfare Center (under DGHS)
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 2 2 0 0.00
Class IV 2 0 2 0 0.00
Rural Dispensaries
Class I Doctor 9 5 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 96 52 40 4 4.17
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 48 16 30 2 4.17
Class IV 0 0 0 0 0.00

 

Kapasia 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 32 19 11 2 6.25
Non Doctor 0 0 0 0 0.00
Class II 18 1 17 0 0.00
Class III 128 74 47 7 5.47
Class IV 24 8 15 1 4.17
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

 

Kapasia 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 11 11 21 19 0 0 2 0 0
Nurse 0 0 0 0 17 17 0 0 2 0 0
Medical Assistant 0 0 11 11 2 2 0 0 13 0 0
Medical Technologist 0 0 2 2 9 9 0 0 0 0 0
CHCP 49 46 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0 0
AHI 0 0 14 14 0 0 0 0 0 0 0
HA 69 65 0 0 0 0 0 0 0 0 0

Kapasia 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) 3 2 1 0 0
X-ray machine (300 mA) 2 1 1 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 6 3 2 1 0
Autoclave 6 3 2 1 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 1 1 0 0
Operating microscope 8 4 3 1 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 4 2 2 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 6 3 2 1 0
Sucker machine (electric) 8 4 3 1 0
Ventilator 0 0 0 0 0


Kapasia 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 10 5 4 1 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 2 1 1 0 0


Kapasia 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) 0 0 0 0 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 0 0 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Kapasia 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 2 0 0 0
Vehicles
Ambulance 2 2 0 0 0


Kapasia 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) 6 3 2 1 0
Generator
Generator (diesel/petrol) 2 1 1 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) 18 9 8 1 0
Laptop 4 2 2 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 10 5 5 0 0
Scanner 2 1 1 0 0
UPS 10 5 5 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 4 2 2 0 0
Multimedia 2 1 1 0 0


Kapasia 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 2 1 1 0 0
Total 125 66 51 8 0

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

Important information and necessary issues for Kapasia Upazila Health Complex
There are scope for improvement which we hope to achieve this year. We did not and still do not have an anesthetist working in this institute. So the number of caesarian deliveries and surgeries were not satisfactory. This health bulletin will help to draw attention of relevant authorities to these problems and address these issues accordingly.