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Khaliajhuir Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Khaliajuri Upazilla. This bulletin contains all the health related information of 2015.This bulletin is published to disseminate the information of Khaliajuri Upazilla to other line department and development partners of health. I hope all the infomation of this bulletin will help planning and bridging the gaps in health services of this Upazilla. Government health office has many data stored in the file.This health bulletin will help us to find constrains and also see the results and achievements of 2014.The bulletin contains the status of MDG4 and MDG5 which will help to localize the MDG targets.This health bulletin has also the information on safe drinking water and sanitation status of the upazilla. All the sanctioned and vacant posts are published in this bulletin of 2015. I like to take attention of the higher authority to look into this issue. Finally, I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Upazilla Health & family Planning Officer, Upazilla health complex, khaliajuri, Netrakona.
DR Helal uddin
UH&FPO
Khaliajhuir Upazila Health Complex

Khaliajhuir Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Khaliajhuir
Organization Code 10000486
Name of UHFPO DR Helal uddin
Land Phone No. 1 -0952656009
Land Phone No. 2
FAX No.
Mobile No. 01711042351
Email khaliajuri@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.4120 And Long: 91.0825
No. of Unions in the Upazila6
No. of Households in the Upazila 17,773
Population in the Upazila 94,581
Area of Upazila in sq km 254.25

Khaliajhuir 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) 5 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 3 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 0 0
No. of Chest Disease Clinics (TB Clinics) 1 0
No. of Private Clinics/Facilities 0 0
No. of NGO Clinics/Facilities 0 0

Khaliajhuir Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,349


Under 5 Mortality Rate: 54.643 (Per 1,000 live births)
Infant Mortality Rate: 40.311 (Per 1,000 live births)
Neonatal Mortality Rate: 25.978 (Per 1,000 live births)
Still Birth Rate: 29.860 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 3,577
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months): 92%

Khaliajhuir 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: 2,378
Total Number of Deliveries: 2,141
Valid TT Coverage: 36.00 %
Maternal Mortality Ratio (MMR) is: 179.16 per 100,000 live births.

Khaliajhuir 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 15,210 21,630 36,840 5,379 6,034 11,413 48,253 766 1,012 1,778 78 111 189 1,967
Union Sub-Centres 2,640 2,880 5,520 923 1,477 2,400 7,920 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 3,788 3788 1,197 1,658 2,855 6,643 0 0 0 0 0 0 2,855
Community Clinics 9,727 12,089 21,816 761 931 1,692 23,508 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) 46 65 111 1 0 1 112 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

Khaliajhuir 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 931 733 1,664 83 109 192 1,856 1 0 1 3 6 9 10
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

Khaliajhuir 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 1,856
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 397 21.39
2 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 197 10.61
3 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 189 10.18
4 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 145 7.81
5 R10 Abdominal and pelvic pain XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 127 6.84
6 J448 Other specified chronic obstructive pulmonary disease X: Diseases of the respiratory system 123 6.63
7 O80 Single spontaneous delivery XV: Pregnancy, childbirth and the puerperium 98 5.28
8 R10 Abdominal and pelvic pain XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 96 5.17
9 E440 Moderate protein-energy malnutrition IV: Endocrine, nutritional and metabolic diseases 85 4.58
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 47 2.53

Khaliajhuir 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 10
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 P369 Bacterial sepsis of newborn, unspecified XVI: Certain conditions originating in the perinatal period 3 30.00
2 P21 Birth asphyxia XVI: Certain conditions originating in the perinatal period 2 20.00
3 Z371 Single stillbirth XVI: Certain conditions originating in the perinatal period 2 20.00
4 P582 Neonatal jaundice due to infection XVI: Certain conditions originating in the perinatal period 2 20.00
5 I21 Acute myocardial infarction IX: Diseases of the circulatory system 1 10.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 91.00
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.) 6,791
Bed Occupancy Rates (%) 60.02
Average Length of Hospital Stay (No. of days per patient) 3.66
Hospital Death Rate (%) 0.54


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,337

 

Khaliajhuir 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 7 1 1 11.11
Non Doctor 0 0 0 0 0.00
Class II 9 0 5 4 44.44
Class III 51 29 6 16 31.37
Class IV 23 9 0 14 60.87
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 0 0 0 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
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 6 1 0 5 83.33
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 13 3 3 7 53.85
Class IV 0 0 0 0 0.00

 

Khaliajhuir 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 11 1 2 14.29
Non Doctor 0 0 0 0 0.00
Class II 9 0 5 4 44.44
Class III 70 33 9 28 40.00
Class IV 24 9 0 15 62.50
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

 

Khaliajhuir 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 8 0 0 0 0 0
Nurse 0 0 0 0 10 5 0 0 1 0 0
Medical Assistant 0 0 5 1 2 1 0 0 1 0 0
Medical Technologist 0 0 1 0 8 5 0 0 0 0 0
CHCP 13 6 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 5 2 0 0 0 0 1
HA 0 0 0 0 20 16 0 0 0 0 3

Khaliajhuir 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 0 1
Ultrasonogram machine 0 0 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 2 1 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) 2 1 1 0 0
Ventilator 0 0 0 0 0


Khaliajhuir 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 2 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Khaliajhuir 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) 2 1 1 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Khaliajhuir 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 0 0 0 0 0


Khaliajhuir 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) 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) 6 6 0 0 0
Laptop 3 2 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 2 1 1 0 0
UPS 1 1 0 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 0 0 0 0 0


Khaliajhuir 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) 2 1 1 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 35 27 7 0 1

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

Important information and necessary issues for Khaliajhuir Upazila Health Complex
Last year we could not give our maximum efforts to improve the status due to many reasons. Here I like to mention some important factors which will help us to achieve good results in future. 1. We need adequate manpower. 2. Our Doctor, Nurse,.SACMO & Pharmacist need more training of IMCI and EmOC. 3. Number of Community Clinic and the bed capacity of the health complex should be increased. Only 3(three) Community Clinics are functional out of 13. 4. To improve field activeties Health Assistant and other field stuffs need long time training. It is very useful documents and will help the public to understand health services and to provide the useful advice for improvement in future. Edited by Md. Khairul Islam Khan, Accountant & Statistician(In Charge), Upazila Health Complex, khaliajuri, Netrakona.