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Kawkhali Upazila Health Complex | Health Bulletin 2015 |
Preface
Like previous year we are going to publish the health bulletin of kawkhali Upazila this year 2015 . This bulletin contains all health related information of 2014. This bulletin is published to spread the information about health related events of kawkhali Upazila to other line department partners of health. I hope all the inpormation of this bulletin will healp for planning and bugzeding the gaps in health service of this Upazila. Dr .Mortuza Rashid UH&FPO kawkhali Upazila Health Complex ,Rangamati.
Dr.Md. Syed Kamrul Islam
UH&FPO
Kawkhali Upazila Health Complex

Kawkhali Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Kawkhali
Organization Code 10001077
Name of UHFPO Dr.Md. Syed Kamrul Islam
Land Phone No. 1 -035131011
Land Phone No. 2
FAX No.
Mobile No. 01716148888
Email kawkhali@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 92.0000
No. of Unions in the Upazila4
No. of Households in the Upazila 11,530
Population in the Upazila 63,071
Area of Upazila in sq km 339.00

Kawkhali 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 10
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) 3 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 1 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 4 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 1 0

Kawkhali Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 1,604


Under 5 Mortality Rate: 3.117 (Per 1,000 live births)
Infant Mortality Rate: 0.000 (Per 1,000 live births)
Neonatal Mortality Rate: 3.117 (Per 1,000 live births)
Still Birth Rate: 1.247 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 2,353
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 96%

Kawkhali 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: 1
Total No. of Recipients Who Took at least one ANC: 1,581
Total Number of Deliveries: 1,624
Valid TT Coverage: 1050.00 %
Maternal Mortality Ratio (MMR) is: 62.34 per 100,000 live births.

Kawkhali 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 13,520 15,663 29,183 1,201 1,210 2,411 31,594 287 135 422 13 9 22 444
Union Sub-Centres 0 0 0 0 0 0 0 1,182 2,462 3,644 185 262 447 4,091
Union Health and Family Welfare Centre (belongs to DGHS) 0 0 0 0 0 0 0 963 3,382 4,345 376 376 752 5,097
Union Health and Family Welfare Centre (belongs to DGFP) 0 0 0 0 0 0 0 947 4,743 5,690 561 701 1,262 1,262
Community Clinics 3,371 8,064 11,435 1,102 954 2,056 13,491 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

Kawkhali 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 499 598 1,097 179 158 337 1,434 2 0 2 0 0 0 2
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

Kawkhali 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 1,440
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 261 18.13
2 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 212 14.72
3 T88 Other complications of surgical and medical care, NEC XIX: Injury, poisoning and certain other consequences of external causes 106 7.36
4 J45 Asthma X: Diseases of the respiratory system 53 3.68
5 B50 Plasmodium falciparum malaria I: Certain infectious and parasitic diseases 48 3.33
6 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 48 3.33
7 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 29 2.01
8 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 23 1.60
9 N39 Other disorders of urinary system XIV: Diseases of the genitourinary system 22 1.53
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 10 0.69

Kawkhali 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 2
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J45 Asthma X: Diseases of the respiratory system 1 50.00
2 I21 Acute myocardial infarction IX: Diseases of the circulatory system 1 50.00
3 X: Diseases of the respiratory system 0 0.00
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 38.00
Coverage of households having access to sanitary latrines (%) 41.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 2,354
Bed Occupancy Rates (%) 64.49
Average Length of Hospital Stay (No. of days per patient) 1.63
Hospital Death Rate (%) 0.14


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 51

 

Kawkhali 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 4 1 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 8 0 8 0 0.00
Class III 46 30 16 0 0.00
Class IV 22 14 8 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 2 0 1 33.33
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 0 0 1 100.00
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 0 1 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 8 2 6 0 0.00
Class IV 0 0 0 0 0.00

 

Kawkhali 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 13 8 1 4 30.77
Non Doctor 0 0 0 0 0.00
Class II 8 0 8 0 0.00
Class III 44 30 10 4 9.09
Class IV 20 12 7 1 5.00
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

 

Kawkhali 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 4 3 9 5 0 0 0 0 1
Nurse 0 0 0 0 9 9 0 0 0 0 1
Medical Assistant 0 0 4 3 2 2 2 2 2 0 0
Medical Technologist 0 0 1 0 6 5 0 0 0 0 0
CHCP 12 8 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 1 1 0 0 0 0 0
AHI 0 0 0 0 3 3 0 0 0 0 0
HA 0 0 0 0 15 14 0 0 0 0 0

Kawkhali 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) 0 0 0 0 0
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 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 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) 1 1 0 0 0
Ventilator 0 0 0 0 0


Kawkhali 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 1 1 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


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


Kawkhali 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


Kawkhali 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) 7 7 0 0 0
Laptop 7 6 0 0 1
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 6 0 0 1
Scanner 0 0 0 0 0
UPS 2 1 0 0 1
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 6 5 0 0 1
Multimedia 1 1 0 0 0


Kawkhali 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 40 34 2 0 4

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

Important information and necessary issues for Kawkhali Upazila Health Complex
Last year we could not give maximum input about health service due to many reasons. To day I like to Mention some important factors by which we can achive good resultin all respects . 1. The vacant post should be filled urgently . 2. Our doctors ,nurses & Field staffs need more & proper training. 3. Number of community clinic, bed capacity of health complex should be increased .4.Financial support & sufficient logistic for field work should be increased urgently. Because the success of MDG 4 & MDG 5 depends on field work greatly that will help us to have proper information & to delivery better health services .