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Chatkhil Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Chatkhil upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of chatkhil 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 files. This health bulletin will help us to find constrains and also to see the result and achievements of 2014 The bulletin contains the status of MDG 4 and MDG 5 which will help 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 draw attention of the higher authority to look into to this issue.
Dr.Md.Khalil Ullah.
UH&FPO
Chatkhil Upazila Health Complex

Chatkhil Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Chatkhil
Organization Code 10001031
Name of UHFPO Dr.Md.Khalil Ullah.
Land Phone No. 1 -0322275028
Land Phone No. 2
FAX No.
Mobile No. 01711423341
Email chatkhil@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 50,263
Population in the Upazila 301,590
Area of Upazila in sq km 134.00

Chatkhil 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 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) 8 8
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 25 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 70
No. of NGO Clinics/Facilities 0 0

Chatkhil Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,149


Under 5 Mortality Rate: 2.454 (Per 1,000 live births)
Infant Mortality Rate: 2.086 (Per 1,000 live births)
Neonatal Mortality Rate: 1.595 (Per 1,000 live births)
Still Birth Rate: 0.614 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 24,461
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months):

Chatkhil 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: 5
Total No. of Recipients Who Took at least one ANC: 8,145
Total Number of Deliveries: 5,726
Valid TT Coverage: 88.00 %
Maternal Mortality Ratio (MMR) is: 61.36 per 100,000 live births.

Chatkhil 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 17,555 21,556 39,111 1,657 2,021 3,678 42,789 2,564 4,974 7,538 1,161 800 1,961 9,499
Union Sub-Centres 2,813 2,119 4,932 960 602 1,562 6,494 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 45,227 84,560 129,787 6,529 7,247 13,776 143,563 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 3,215 4,220 7,435 890 895 1,785 9,220 365 475 840 221 218 439 1,279
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Chatkhil 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 1,671 4,049 5,720 926 598 1,524 7,244 8 4 12 1 0 1 13
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 1,535 1,192 2,727 1,938 816 2,754 5,481 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Chatkhil 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 7,244
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 1409 19.45
2 B349 Viral infection, unspecified I: Certain infectious and parasitic diseases 742 10.24
3 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 663 9.15
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 366 5.05
5 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 225 3.11
6 F064 Organic anxiety disorder V: Mental and behavioural disorders 160 2.21
7 J458 Mixed asthma X: Diseases of the respiratory system 99 1.37
8 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 65 0.90
9 N399 Disorder of urinary system, unspecified XIV: Diseases of the genitourinary system 54 0.75
10 A010 Typhoid fever I: Certain infectious and parasitic diseases 25 0.35

Chatkhil 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 23
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 4 17.39
2 J46 Status asthmaticus X: Diseases of the respiratory system 4 17.39
3 I609 Subarachnoid haemorrhage, unspecified IX: Diseases of the circulatory system 3 13.04
4 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 1 4.35
5 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 1 4.35
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 63.00
Coverage of households having access to sanitary latrines (%) 86.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 16,748
Bed Occupancy Rates (%) 91.77
Average Length of Hospital Stay (No. of days per patient) 2.31
Hospital Death Rate (%) 0.32


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 151
Minor Surgeries 1,541

 

Chatkhil 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 12 2 7 33.33
Non Doctor 0 0 0 0 0.00
Class II 16 0 11 5 31.25
Class III 28 20 0 8 28.57
Class IV 23 16 4 3 13.04
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 5 2 1 12.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 8 0 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 1 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 0 1 50.00
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 28 16 9 3 10.71
Class IV 0 0 0 0 0.00

 

Chatkhil 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 30 18 4 8 26.67
Non Doctor 0 0 0 0 0.00
Class II 16 0 11 5 31.25
Class III 123 77 17 29 23.58
Class IV 24 17 4 3 12.50
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

 

Chatkhil 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 9 8 21 14 0 0 3 4 0
Nurse 0 0 0 0 16 11 0 0 0 3 0
Medical Assistant 0 0 9 9 2 2 0 0 11 0 0
Medical Technologist 0 0 0 0 8 7 0 0 0 0 0
CHCP 28 25 0 0 0 0 0 0 0 0 2
HI 0 0 0 0 0 0 3 3 0 0 0
AHI 0 0 0 0 0 0 9 9 0 0 1
HA 0 0 0 0 0 0 45 28 0 0 6

Chatkhil 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 1 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 3 1 0 0 2
Autoclave 3 3 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 1 1 0 0
Portable OT Light 2 1 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 4 3 1 0 0
Ventilator 0 0 0 0 0


Chatkhil 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 8 6 2 0 0
Pulse oximeter 2 2 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


Chatkhil 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) 2 1 1 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 2 0 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 1 1 0 0 0


Chatkhil 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 1 1 0 0 0
Blood bank refrigerator 1 1 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Chatkhil 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 6 0 0 0
Generator
Generator (diesel/petrol) 1 0 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 2 2 0 0 0
ICT equipment
Computer (desktop) 14 9 0 0 5
Laptop 8 5 3 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 4 0 0 0
Scanner 1 1 0 0 0
UPS 14 9 0 0 5
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


Chatkhil 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 2 0 0 0
Mobile phone 1 1 0 0 0
Total 97 72 13 0 12

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

Important information and necessary issues for Chatkhil Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reasons.Here I like to mention some important factors which will help us to achieve good results in future.1) The vacant post should be filled up as soon as possible.2) Our doctor and nurse need more training on imci .3) Number of community clinic should be increased. 4)All the repairable equipments should be repaired and uninstalled equipments should be installed immidiatly 5) DSF maternal health voucher scheme has been running in this upazila since 2007. 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 document and will help the public to undderstand health services and to provide us the useful advice for improvement in future.