Kuliarchar Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of kuliarchar Upazila.This bulletin contains all the health related information of 2015.This bulletin is published to disseminate the information of kuliarchar Upazila to other line department and development partners of health.I hope all the information of this bulletin will help for planing and briding the gaps in health services of this Upazila.Government health office has many data stored in the fine.This health bulletin will help us to fined constrains and also to see the results and Achivements of 2015.The health bulletin Contrains the status of MDG4 and MDG5 Which will kelp to localize the MDG targets.This health bulletin has also the information on safe drinking water and sanitation 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 steep ahead toward digital Bangladesh.
Kuliarchar Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Kuliarchar
Organization Code
10000246
Name of UHFPO Dr.Tapan Kumer datta
Land Phone No. 1
-0942956009
Land Phone No. 2
FAX No.
Mobile No.
01712072191
Email kuliarchar@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
28.0000 And
Long:
87.0000
No. of Unions in the Upazila 6
No. of Households in the Upazila 40,449
Population in the Upazila 198,219
Area of Upazila in sq km 104.50
Kuliarchar 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)
0
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
4
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
16
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
Kuliarchar Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,697
Under 5 Mortality Rate: 15.329 (Per 1,000 live births)
Infant Mortality Rate: 9.368 (Per 1,000 live births)
Neonatal Mortality Rate: 5.748 (Per 1,000 live births)
Still Birth Rate: 2.555 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 10,935
Fully Vaccinated Children (<= 12 months): 95.00 %
Fully Vaccinated Children (<= 23 months): 0%
Kuliarchar 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:
6
Total No. of Recipients Who Took at least one ANC:
4,606
Total Number of Deliveries:
4,739
Valid TT Coverage: 68.00 %
Maternal Mortality Ratio (MMR) is:
127.74 per 100,000 live births.
Kuliarchar 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
31,135
38,740
69,875
7,420
8,248
15,668
85,543
2,530
2,193
4,723
105
171
276
4,999
Union Sub-Centres
3,337
12,403
15,740
810
1,016
1,826
17,566
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)
13,270
18,520
31790
45,550
5,640
51,190
82,980
0
0
0
0
0
0
51,190
Community Clinics
37,945
91,099
129,044
13,995
16,375
30,370
159,414
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
Kuliarchar 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
1,393
1,351
2,744
326
269
595
3,339
5
0
5
0
1
1
6
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
Kuliarchar 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
3,339
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
628
18.81
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
706
21.14
3
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
503
15.06
4
J45 Asthma
X: Diseases of the respiratory system
206
6.17
5
J44 Other chronic obstructive pulmonary disease
X: Diseases of the respiratory system
108
3.23
6
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
65
1.95
7
T44 Poisoning by drugs primarily affecting the autonomic nervous system
XIX: Injury, poisoning and certain other consequences of external causes
14
0.42
8
V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified
XX: External causes of morbidity and mortality
80
2.40
9
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
10
0.30
10
T07 Unspecified multiple injuries
XIX: Injury, poisoning and certain other consequences of external causes
8
0.24
Kuliarchar 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
6
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
2
33.33
2
D561 Beta thalassaemia
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
1
16.67
3
I50 Heart failure
X: Diseases of the respiratory system
1
16.67
4
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
1
16.67
5
G03 Meningitis due to other and unspecified causes
VI: Diseases of the nervous system
1
16.67
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Kuliarchar Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
95.00
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.)
8,375
Bed Occupancy Rates (%)
74.02
Average Length of Hospital Stay (No. of days per patient)
2.51
Hospital Death Rate (%)
0.18
Kuliarchar Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
620
Kuliarchar 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
4
1
10.00
Non Doctor
0
0
0
0
0.00
Class II
12
0
11
1
8.33
Class III
65
40
19
6
9.23
Class IV
19
15
3
1
5.26
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
4
3
1
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
6
2
4
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
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
19
9
9
1
5.26
Class IV
0
0
0
0
0.00
Kuliarchar 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
8
1
6.25
Non Doctor
0
0
0
0
0.00
Class II
12
0
11
1
8.33
Class III
65
40
19
6
9.23
Class IV
20
15
3
2
10.00
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
Kuliarchar 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
6
10
9
0
0
1
0
0
Nurse
0
0
0
0
12
11
0
0
2
0
0
Medical Assistant
0
0
6
6
2
2
0
0
4
0
0
Medical Technologist
0
0
1
0
5
5
0
0
0
0
0
CHCP
19
18
0
0
0
0
0
0
0
0
1
HI
0
0
0
0
2
2
0
0
0
0
0
AHI
0
0
0
0
6
6
0
0
0
0
0
HA
0
0
0
0
30
27
0
0
0
0
10
Kuliarchar 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
1
1
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
0
0
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
4
2
0
0
2
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
4
4
0
0
0
Ventilator
0
0
0
0
0
Kuliarchar 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
3
3
0
0
0
Pulse oximeter
2
1
0
0
1
Dental equipment
Dental unit
2
1
0
1
0
Kuliarchar 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
Kuliarchar 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
1
1
0
0
0
Kuliarchar 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)
0
0
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)
10
8
0
2
0
Laptop
3
2
0
1
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
5
0
0
0
Scanner
1
1
0
0
0
UPS
11
8
3
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
Kuliarchar 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
1
1
0
0
0
Mobile phone
1
1
0
0
0
Total
57
47
3
4
3
Kuliarchar Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Kuliarchar Upazila Health Complex
Last year we can give our maximum efforts improve the health status due many reasons.Here I like mention some important factors which will help us to achieve good results in future.1.The vacant post should be Fillaup immediately.2.our doctors and nurse need more training on IMCI.3.Namber of community clinic and the bed capacity of the health complex should be increased.4.All the repairable equipment should be repaird as soon as possible.Finaly 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 docoment and will help the public to understand health services and to provide us the useful advice for improvement in future.
