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Kaharol Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to see that we are publishing HEALTH BULLETIN 2015 of Kaharole Upazila Health Complex, Dinajpur for the 4th time. Health is the right of people. In this bulletin we are stating all about our services,limitations and demands. We are trying our level best to give the health service to the people. But there are some limitations e.g. shortage of manpower etc. If we can overcome our limitations we will be able to give better services. I think the readers of this bulletin will give us their valuable sugesstions which will help us to improve our services. I also hope they will bridge to fulfill our demands from their positions. I would like to congratulate our colleagues who worked to prepare the bulletin & also MIS of DGHS to give us support to publish this bulletin.
Dr.Shamim Ara Nazneen
UH&FPO
Kaharol Upazila Health Complex

Kaharol Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Kaharol
Organization Code 10001227
Name of UHFPO Dr.Shamim Ara Nazneen
Land Phone No. 1 -0533556011
Land Phone No. 2
FAX No.
Mobile No. 01715249642
Email kaharole@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.4737 And Long: 88.3628
No. of Unions in the Upazila6
No. of Households in the Upazila 33,975
Population in the Upazila 154,574
Area of Upazila in sq km 205.54

Kaharol 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 0 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 17 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 0 0

Kaharol Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,648


Under 5 Mortality Rate: 8.224 (Per 1,000 live births)
Infant Mortality Rate: 7.127 (Per 1,000 live births)
Neonatal Mortality Rate: 4.660 (Per 1,000 live births)
Still Birth Rate: 0.822 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 13,118
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 0%

Kaharol 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: 4
Total No. of Recipients Who Took at least one ANC: 3,675
Total Number of Deliveries: 3,651
Valid TT Coverage: 62.00 %
Maternal Mortality Ratio (MMR) is: 109.65 per 100,000 live births.

Kaharol 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 30,226 34,665 64,891 3,844 3,590 7,434 72,325 2,945 2,443 5,388 261 217 478 5,866
Union Sub-Centres 0 0 0 0 0 0 0 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) 21,675 26,142 47817 4,130 5,624 9,754 57,571 0 0 0 0 0 0 9,754
Community Clinics 41,281 88,562 129,843 5,861 5,909 11,770 141,613 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

Kaharol 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 1,134 1,332 2,466 136 116 252 2,718 7 2 9 0 1 1 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

Kaharol 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 2,718
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y03 Assault by crashing of motor vehicle XX: External causes of morbidity and mortality 489 17.99
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 331 12.18
3 B34 Viral infection of unspecified site I: Certain infectious and parasitic diseases 290 10.67
4 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 271 9.97
5 J459 Asthma, unspecified X: Diseases of the respiratory system 145 5.33
6 A010 Typhoid fever I: Certain infectious and parasitic diseases 121 4.45
7 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 113 4.16
8 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 91 3.35
9 F419 Anxiety disorder, unspecified V: Mental and behavioural disorders 79 2.91
10 J189 Pneumonia, unspecified X: Diseases of the respiratory system 73 2.69

Kaharol 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 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 4 40.00
2 J459 Asthma, unspecified X: Diseases of the respiratory system 2 20.00
3 J189 Pneumonia, unspecified IX: Diseases of the circulatory system 1 10.00
4 A18 Tuberculosis of other organs I: Certain infectious and parasitic diseases 1 10.00
5 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 1 10.00
6 R571 Hypovolaemic shock XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 10.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 75.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 8,694
Bed Occupancy Rates (%) 76.84
Average Length of Hospital Stay (No. of days per patient) 3.18
Hospital Death Rate (%) 0.36


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 672

 

Kaharol 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 10 1 3 6 60.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 7 4 36.36
Class III 53 36 11 6 11.32
Class IV 19 14 5 0 0.00
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 6 3 2 1 16.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 5 1 0 0.00
Class IV 0 0 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 17 7 10 0 0.00
Class IV 0 0 0 0 0.00

 

Kaharol 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 16 4 5 7 43.75
Non Doctor 0 0 0 0 0.00
Class II 11 0 7 4 36.36
Class III 59 41 12 6 10.17
Class IV 19 14 5 0 0.00
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 17 7 10 0 0.00
Class IV 0 0 0 0 0.00

 

Kaharol 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 6 5 10 4 0 0 0 1 0
Nurse 0 0 0 0 12 7 0 0 3 2 0
Medical Assistant 0 0 6 6 2 2 0 0 6 0 0
Medical Technologist 0 0 0 0 5 4 0 0 0 0 0
CHCP 17 17 0 0 0 0 0 0 0 0 1
HI 0 0 0 0 2 1 0 0 0 0 0
AHI 0 0 0 0 5 5 0 0 0 0 0
HA 0 0 0 0 25 24 0 0 0 0 2

Kaharol 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 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 1 1 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 2 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 0 0 1 0
Portable OT Light 7 5 0 2 0
Fracture table 1 1 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 3 2 0 0 1
Ventilator 0 0 0 0 0


Kaharol 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 4 2 2 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


Kaharol 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 2 0 0 0
Colorimeter 2 1 1 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 4 2 2 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Kaharol 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 1 1 0 0 0


Kaharol 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) 1 0 0 1 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 8 4 1 1 2
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 4 1 1 1
Scanner 1 1 0 0 0
UPS 8 4 1 1 2
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


Kaharol 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 66 43 10 7 6

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

Important information and necessary issues for Kaharol Upazila Health Complex
Kaharol Upazila Health Complex is in need of manpower.All the vaccant posts should be fulfilled including doctors. A new ambulance is needed.Some sanction of posts like MLSS, Security Guard, Ward Boy, Aya, Sweeper, Driver, SACMO, Emergency medical officer should be increased at least double of present sanctioned posts. One store room and one 100 seated conference room is needed. The office space should be extended. I think fulfilling these demands will improve the health service of Kaharol UHC. Kaharole Upazila Health Complex is also need to repair it`s building,boundary including officers & Staffs Qtrs.