Kalai Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Kalai Upazila Health Complex. This bulletin contains all the health related informations of 2014. This bulletin is published to disseminate the information of Kalai Upazila Health Complex to other department and development partners of health sector. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of Bangladesh. This health bulletin will help to find constrains and also to see the results 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 would like to draw attention of the higher authority 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. MD.HABIBUL AHSAN TALUKDER.
UH&FPO
Upazila Health Complex, Kalai, Jaypurhat
Kalai Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Kalai
Organization Code
10001301
Name of UHFPO DR. MD. HABIBUL AHSAN TALUKDER.
Land Phone No. 1
-0572556013
Land Phone No. 2
FAX No.
Mobile No.
01725014556
Email Kalai@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
25.0626 And
Long:
89.1648
No. of Unions in the Upazila 5
No. of Households in the Upazila 36,876
Population in the Upazila 143,197
Area of Upazila in sq km 16,629.00
Kalai 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
3
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)
3
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
Kalai Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,035
Under 5 Mortality Rate: 30.643 (Per 1,000 live births)
Infant Mortality Rate: 27.018 (Per 1,000 live births)
Neonatal Mortality Rate: 20.758 (Per 1,000 live births)
Still Birth Rate: 15.157 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 16,308
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 0%
Kalai 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:
3,105
Total Number of Deliveries:
3,035
Valid TT Coverage: 9.00 %
Maternal Mortality Ratio (MMR) is:
164.74 per 100,000 live births.
Kalai 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
20,742
44,659
65,401
6,581
6,727
13,308
78,709
6,628
6,215
12,843
1,559
1,223
2,782
15,625
Union Sub-Centres
19,585
45,105
64,690
1,005
1,078
2,083
66,773
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
53,328
136,673
190,001
7,342
8,208
15,550
205,551
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
Kalai 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
1,780
3,253
5,033
335
405
740
5,773
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
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
Kalai 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
5,773
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
1052
18.22
2
Y099 Assault by unspecified means, unspecified place
XX: External causes of morbidity and mortality
533
9.23
3
J459 Asthma, unspecified
X: Diseases of the respiratory system
342
5.92
4
J110 Influenza with pneumonia, virus not identified
X: Diseases of the respiratory system
341
5.91
5
T609 Pesticide, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
206
3.57
6
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
166
2.88
7
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
101
1.75
8
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
XI: Diseases of the digestive system
55
0.95
9
K358 Acute appendicitis, other and unspecified
XI: Diseases of the digestive system
51
0.88
10
D500 Iron deficiency anaemia secondary to blood loss (chronic)
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
40
0.69
Kalai 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
13
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
5
38.46
2
I210 Acute transmural myocardial infarction of anterior wall
IX: Diseases of the circulatory system
2
15.38
3
I611 Intracerebral haemorrhage in hemisphere, cortical
X: Diseases of the respiratory system
2
15.38
4
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
1
7.69
5
I110 Hypertensive heart disease with (congestive) heart failure
IX: Diseases of the circulatory system
1
7.69
6
R049 Haemorrhage from respiratory passages, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
7.69
7
C250 Head of pancreas
II: Neoplasms
1
7.69
8
0
0.00
9
0
0.00
10
0
0.00
Kalai 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 (%)
81.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
17,053
Bed Occupancy Rates (%)
93.44
Average Length of Hospital Stay (No. of days per patient)
2.95
Hospital Death Rate (%)
0.23
Kalai Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
99
Minor Surgeries
1,914
Kalai 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
10
1
10
47.62
Non Doctor
0
0
0
0
0.00
Class II
15
0
14
1
6.67
Class III
58
36
15
7
12.07
Class IV
22
12
7
3
13.64
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
2
3
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
5
2
1
12.50
Class IV
3
3
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
6
9
2
11.76
Class IV
0
0
0
0
0.00
Kalai 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
26
12
4
10
38.46
Non Doctor
0
0
0
0
0.00
Class II
15
0
14
1
6.67
Class III
83
47
26
10
12.05
Class IV
25
15
7
3
12.00
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
Kalai 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
5
21
11
0
0
2
0
0
Nurse
0
0
0
0
16
15
0
0
4
0
0
Medical Assistant
0
0
5
5
2
2
0
0
3
0
0
Medical Technologist
0
0
3
3
10
9
0
0
0
0
0
CHCP
17
15
0
0
0
0
0
0
0
0
4
HI
0
0
0
0
1
1
0
0
0
0
0
AHI
0
0
0
0
5
4
0
0
0
0
0
HA
0
0
0
0
24
22
0
0
0
0
10
Kalai 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
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
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
3
3
0
0
0
Ventilator
4
4
0
0
0
Kalai 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
3
2
0
0
1
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
13
8
0
0
5
Pulse oximeter
3
2
0
0
1
Dental equipment
Dental unit
1
1
0
0
0
Kalai 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
1
1
0
0
0
Centrifuge machine (electric)
1
1
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
Kalai 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
1
1
0
0
0
Refrigerator
0
0
0
0
0
Vehicles
Ambulance
2
1
0
1
0
Kalai 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)
3
3
0
0
0
Generator
Generator (diesel/petrol)
1
0
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
3
3
0
0
0
ICT equipment
Computer (desktop)
7
7
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
6
6
0
0
0
Scanner
1
1
0
0
0
UPS
7
7
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
Kalai 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
80
70
2
1
7
Kalai Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Kalai Upazila Health Complex
Now a days we could not give our maximum efforts to improve the health service due to some reasons.Here,I would like to mention some important recommendations that would be helpful to improve the health service facilities in our UHC. These are- 1. All types of vacant post should be filled immediately. 2. Doctors and nurses need training in different fields like, Anesthesia, Emoc, IMCI and NCD.. 3. All non functioning equipments should repair immediately. 4. UH&FPO should provide a vehicle to supervise every sector of his activities. 5. Store facilities in UHC is very poor and backdated. A modern digital store room of at least 3000 - 5000 sq.ft. is urgently needed to prevent damage of MSR and logistics. 6. A well-equipped conference room of at least 100 sets should be constructed immediately for training program and meeting. 7. The UHFPO should have financial power and budget allocation to solve the emergency need of MSR of UHC. 8. UHFPO should be powered to spend at least 50% of local revenue collection of UHC to solve the emergency needs of UHC. 9. Manpower mobilization/transfer by the higher authority should be done with prior concern of local authority.
