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Kalkini Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to published this e-health bulletin of kalkini upazila Health Services.This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of kalkini upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila.Government health office has many data stored in the fine.This e-health bulletin will help us to find constrains and also to see the results about achievements of 2013.The bulletin contains the status of MDG 4 and MDG 5 which will help to localized 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 Would like to draw an attention of the higher authority to look in 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. I would also thanks all H.A,AHI,HI,SI and other field Staffs For theiredless Efforts to collect this information.Hope we will be able to serve a better bulletin in the next time.Thanks to MIS DG health and all our health workers for their kind cooperation in printing this matter. DR.MD.ABDUR ROKIB UH&FPO KALKINI, MADARIPUR
DR.MD.ABDUR RAQUIB
UH&FPO
Kalkini Upazila Health Complex

Kalkini Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Kalkini
Organization Code 10000258
Name of UHFPO DR.MD.ABDUR RAQUIB
Land Phone No. 1 -0662256108
Land Phone No. 2
FAX No.
Mobile No. 01712132211
Email kalkini@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 90.0000
No. of Unions in the Upazila14
No. of Households in the Upazila 58,568
Population in the Upazila 294,880
Area of Upazila in sq km 281.50

Kalkini 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 4 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) 11 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 31 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 2 10
No. of NGO Clinics/Facilities 0 0

Kalkini Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,692


Under 5 Mortality Rate: 19.127 (Per 1,000 live births)
Infant Mortality Rate: 15.989 (Per 1,000 live births)
Neonatal Mortality Rate: 12.253 (Per 1,000 live births)
Still Birth Rate: 21.817 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 4,015
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months):

Kalkini 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: 7,013
Total Number of Deliveries: 6,485
Valid TT Coverage: 25.00 %
Maternal Mortality Ratio (MMR) is: 224.15 per 100,000 live births.

Kalkini 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 17,513 21,429 38,942 7,549 8,930 16,479 55,421 3,057 2,271 5,328 755 887 1,642 6,970
Union Sub-Centres 14,138 27,969 42,107 2,097 3,439 5,536 47,643 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 74,588 192,065 266,653 14,050 15,836 29,886 296,539 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

Kalkini 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 1,744 1,837 3,581 482 576 1,058 4,639 3 4 7 1 3 4 11
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 11 277 288 0 0 0 288 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kalkini 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 4,639
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A099 Gastroenteritis and colitis of unspecified origin I: Certain infectious and parasitic diseases 976 21.04
2 R456 Physical violence XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 871 18.78
3 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 593 12.78
4 K319 Disease of stomach and duodenum, unspecified XI: Diseases of the digestive system 366 7.89
5 J189 Pneumonia, unspecified X: Diseases of the respiratory system 170 3.66
6 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 154 3.32
7 T659 Toxic effect of unspecified substance XIX: Injury, poisoning and certain other consequences of external causes 92 1.98
8 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 88 1.90
9 J459 Asthma, unspecified X: Diseases of the respiratory system 67 1.44
10 F419 Anxiety disorder, unspecified V: Mental and behavioural disorders 62 1.34

Kalkini 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 11
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 3 27.27
2 I238 Other current complications following acute myocardial infarction IX: Diseases of the circulatory system 2 18.18
3 C349 Bronchus or lung, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 2 18.18
4 J459 Asthma, unspecified X: Diseases of the respiratory system 1 9.09
5
J4.9 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1 9.09
6 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1 9.09
7 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 1 9.09
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
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.) 12,967
Bed Occupancy Rates (%) 71.05
Average Length of Hospital Stay (No. of days per patient) 2.80
Hospital Death Rate (%) 0.24


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 266

 

Kalkini 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 2 4 3 33.33
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 103 62 32 9 8.74
Class IV 19 11 5 3 15.79
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 11 5 4 2 18.18
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 11 2 1 8 72.73
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 4 1 1 2 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 3 2 3 37.50
Class IV 4 2 1 1 25.00
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 36 8 19 9 25.00
Class IV 0 0 0 0 0.00

 

Kalkini 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 24 6 11 7 29.17
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 158 75 54 29 18.35
Class IV 23 13 6 4 17.39
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

 

Kalkini 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 15 11 9 6 0 0 1 0 0
Nurse 0 0 0 0 10 10 0 0 3 3 0
Medical Assistant 0 0 4 3 2 2 11 3 3 0 0
Medical Technologist 0 0 4 2 8 7 0 0 0 0 0
CHCP 36 27 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0 0
AHI 0 0 0 0 13 13 0 0 0 0 0
HA 0 0 0 0 64 55 0 0 49 0 0

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


Kalkini 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 9 6 3 0 0
Pulse oximeter 2 2 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Kalkini 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 1 1 0 0 0
Microscope (binocular) 3 1 2 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Kalkini 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 1 1 0 0 0
Vehicles
Ambulance 3 2 0 1 0


Kalkini 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) 4 3 1 0 0
Generator
Generator (diesel/petrol) 2 1 0 1 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) 9 8 1 0 0
Laptop 34 31 3 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 3 0 2 1 0
Printer (laser) 6 6 0 0 0
Scanner 1 1 0 0 0
UPS 8 7 1 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 33 33 0 0 0
Multimedia 1 1 0 0 0


Kalkini 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) 1 1 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 136 119 14 3 0

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

Important information and necessary issues for Kalkini Upazila Health Complex
IMportant information and necessary issues for Kalkini Upazila Health Complex. Last year we could not give our maximum efforts improve the health status of kalkini upazila due to many reasons.Here I would like to mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediately. 2. Our doctors need more training on IMCI & EOC. 3. Also Instruments and furniture are not sufficient in Community clinics which should be increased. Finally I am very happy to write this e-health bulletin of 2014 because this documents will help us to compair our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future. DR.MD.ABDUR RAQUIB UH&FPO KALKINI, MADARIPUR