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Kalihati Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Kalihati Upazila. This bulletin contains all the health related intormation of 2014. This bulletin is published to disseminate the information of kalihati upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging gaps in health Services of this Upazila. Government health office has many data stored in the fine. This health bulletin will help us to find constrains and also to see the results and achievement of 2014. The bulletin contains the status of MDG-4 & MDG-5 which will help localizes 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 the 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 step ahead toward Digital Bangladesh.
Dr. Saleha Khatun
UH&FPO
Kalihati Upazila Health Complex

Kalihati Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Kalihati
Organization Code 10000613
Name of UHFPO Dr. Saleha Khatun
Land Phone No. 1 0922-0774012
Land Phone No. 2
FAX No.
Mobile No. 01712034594
Email Kalihati@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.2634 And Long: 89.9174
No. of Unions in the Upazila15
No. of Households in the Upazila 89,889
Population in the Upazila 424,892
Area of Upazila in sq km 301.23

Kalihati 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 8 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 54 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 7 90
No. of NGO Clinics/Facilities 3 0

Kalihati Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 9,411


Under 5 Mortality Rate: 12.432 (Per 1,000 live births)
Infant Mortality Rate: 9.670 (Per 1,000 live births)
Neonatal Mortality Rate: 6.801 (Per 1,000 live births)
Still Birth Rate: 0.850 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 66,734
Fully Vaccinated Children (<= 12 months): 94.00 %
Fully Vaccinated Children (<= 23 months): 0%

Kalihati 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: 10,809
Total Number of Deliveries: 9,411
Valid TT Coverage: 21.00 %
Maternal Mortality Ratio (MMR) is: 63.76 per 100,000 live births.

Kalihati 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 13,994 18,940 32,934 2,954 3,458 6,412 39,346 7,864 5,739 13,603 1,006 967 1,973 15,576
Union Sub-Centres 40,151 52,976 93,127 9,038 8,723 17,761 110,888 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) 12,555 90,573 103128 11,824 12,308 24,132 127,260 0 0 0 0 0 0 24,132
Community Clinics 118,960 255,548 374,508 20,590 23,245 43,835 418,343 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 6,223 10,542 16,765 644 593 1,237 18,002 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kalihati 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 2,096 2,764 4,860 435 416 851 5,711 12 7 19 0 0 0 19
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 596 1,711 2,307 61 52 113 2,420 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kalihati 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 5,711
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 879 15.39
2 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 727 12.73
3 Y00 Assault by blunt object XX: External causes of morbidity and mortality 652 11.42
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 447 7.83
5 J45 Asthma X: Diseases of the respiratory system 419 7.34
6 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 387 6.78
7 Y03 Assault by crashing of motor vehicle XX: External causes of morbidity and mortality 201 3.52
8 T95 Sequelae of burns, corrosions and frostbite XIX: Injury, poisoning and certain other consequences of external causes 172 3.01
9 C689 Urinary organ, unspecified II: Neoplasms 161 2.82
10 T47 Poisoning by agents primarily affecting the gastrointestinal system XIX: Injury, poisoning and certain other consequences of external causes 149 2.61

Kalihati 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 19
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J45 Asthma X: Diseases of the respiratory system 9 47.37
2 N18 Chronic renal failure XIV: Diseases of the genitourinary system 4 21.05
3 V87 Traffic accident of specified type but victim's mode of transport unknown X: Diseases of the respiratory system 3 15.79
4 I509 Heart failure, unspecified IX: Diseases of the circulatory system 2 10.53
5 T48 Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory system XIX: Injury, poisoning and certain other consequences of external causes 1 5.26
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 94.00
Coverage of households having access to sanitary latrines (%) 83.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 17,423
Bed Occupancy Rates (%) 95.47
Average Length of Hospital Stay (No. of days per patient) 3.05
Hospital Death Rate (%) 0.33


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 21
Minor Surgeries 1,269

 

Kalihati 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 5 10 6 28.57
Non Doctor 0 0 0 0 0.00
Class II 16 2 13 1 6.25
Class III 118 71 37 10 8.47
Class IV 22 17 4 1 4.55
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 12 8 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 20 17 3 0 0.00
Class IV 8 8 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 54 25 27 2 3.70
Class IV 0 0 0 0 0.00

 

Kalihati 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 33 13 14 6 18.18
Non Doctor 0 0 0 0 0.00
Class II 16 2 13 1 6.25
Class III 192 113 67 12 6.25
Class IV 30 25 4 1 3.33
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

 

Kalihati 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 12 12 21 15 0 0 1 0 0
Nurse 0 0 0 0 16 15 0 0 3 0 0
Medical Assistant 0 0 12 12 2 2 0 0 7 0 0
Medical Technologist 0 0 0 0 10 10 0 0 0 0 0
CHCP 54 52 0 0 0 0 0 0 0 0 5
HI 0 0 0 0 5 5 0 0 0 0 0
AHI 0 0 0 0 14 14 0 0 0 0 0
HA 0 0 0 0 72 66 0 0 0 0 6

Kalihati 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 1 0 0 0
X-ray machine (300 mA) 0 0 0 0 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 1 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 1 0 1 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 3 3 0 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Kalihati 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 4 4 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Kalihati 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) 4 4 0 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 1 1 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Kalihati 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 2 1 1 0 0


Kalihati 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) 1 1 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) 8 7 1 0 0
Laptop 62 62 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 4 1 0 0
Scanner 1 1 0 0 0
UPS 6 6 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 1 1 0 0 0


Kalihati 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 115 110 5 0 0

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

Important information and necessary issues for Kalihati Upazila Health Complex
Here I like to mentioned some important factors which will help us to achieve good result in future. 1. Our doctors, nurse and SACMO need more training on IMCI & EOC. 2. USC, UH&FWC and Community Clinic facility should be increased. 3. We have some female HA & CHCP who need CSBA training. Finally I am very happy to write this health bulletin of 2015 because this document will help us to compare our progress in upcoming years. This is very useful document and help the public to understand health service and to provide us the useful advice for improvement in future.