Kishoreganj Upazila Health Complex | Health Bulletin 2015 |
Preface
I am delighted to know that forth time publishing health bulletin by health department of Bangladesh. This health bulletin has been able to show update version and to give modern scientific information and new approaches.I appreciate the bold step of the health bulletin for comprehensive functional and fully integrated response and values of the health status of the people of Bangladesh.The health situation in developing countries is quite different from that in develop countries. I think this health bulletin works towards implementing this integrated approach into the main stream health care system of Bangladesh. This publication does not claim to be definite word but it gives an important contribution to the people of Bangladesh.
I am offering my sincere thanks and congratulations to those who have worked relent- lesly to make the health bulletin up-to-date.
Finally I would like to express my gratitude to MIS health Bangladesh for providing necessary help to publish this health bulletin of forth time in Bangladesh.
DR.Md.Mosharaf Hossion Khan
UH&FPO
kishoreganj upazila health complex
kishoreganj,nilphamari.
Kishoreganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Kishoreganj Sadar
Organization Code
10001459
Name of UHFPO Dr.Md.Mosharaf Hossion Khan
Land Phone No. 1
-0552556012
Land Phone No. 2
FAX No.
Mobile No.
01717727072
Email Kishoreganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
25.5350 And
Long:
89.0040
No. of Unions in the Upazila 9
No. of Households in the Upazila 71,120
Population in the Upazila 298,495
Area of Upazila in sq km 205.00
Kishoreganj 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
2
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
7
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
6
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
32
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
1
0
No. of NGO Clinics/Facilities
0
0
Kishoreganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,410
Under 5 Mortality Rate: 45.102 (Per 1,000 live births)
Infant Mortality Rate: 41.959 (Per 1,000 live births)
Neonatal Mortality Rate: 31.793 (Per 1,000 live births)
Still Birth Rate: 19.409 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 28,712
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 78%
Kishoreganj 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:
12
Total No. of Recipients Who Took at least one ANC:
5,970
Total Number of Deliveries:
5,515
Valid TT Coverage: 58.00 %
Maternal Mortality Ratio (MMR) is:
221.81 per 100,000 live births.
Kishoreganj 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
6,204
6,809
13,013
3,436
3,976
7,412
20,425
2,556
3,636
6,192
1,092
1,260
2,352
8,544
Union Sub-Centres
6,420
6,900
13,320
3,684
4,212
7,896
21,216
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)
3,800
6,809
10609
1,209
1,233
2,442
13,051
0
0
0
0
0
0
2,442
Community Clinics
76,031
190,207
266,238
15,700
20,040
35,740
301,978
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
Kishoreganj 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
1,820
3,272
5,092
1,212
744
1,956
7,048
9
4
13
10
0
10
23
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
Kishoreganj 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
7,048
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
X99 Assault by sharp object
XX: External causes of morbidity and mortality
1428
20.26
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
996
14.13
3
I11 Hypertensive heart disease
IX: Diseases of the circulatory system
544
7.72
4
O649 Obstructed labour due to malposition and malpresentation, unspecified
XV: Pregnancy, childbirth and the puerperium
542
7.69
5
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
540
7.66
6
J459 Asthma, unspecified
X: Diseases of the respiratory system
203
2.88
7
O60 Preterm delivery
XV: Pregnancy, childbirth and the puerperium
194
2.75
8
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
190
2.70
9
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
120
1.70
10
A010 Typhoid fever
I: Certain infectious and parasitic diseases
48
0.68
Kishoreganj 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
27
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
5
18.52
2
I11 Hypertensive heart disease
IX: Diseases of the circulatory system
3
11.11
3
J459 Asthma, unspecified
X: Diseases of the respiratory system
4
14.81
4
G039 Meningitis, unspecified
VI: Diseases of the nervous system
2
7.41
5
V021 Pedestrian injured in collision with two- or three-wheeled motor vehicle, traffic accident
XX: External causes of morbidity and mortality
3
11.11
6
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
3
11.11
7
I119 Hypertensive heart disease without (congestive) heart failure
IX: Diseases of the circulatory system
2
7.41
8
P219 Birth asphyxia, unspecified
XVI: Certain conditions originating in the perinatal period
3
11.11
9
D699 Haemorrhagic condition, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
1
3.70
10
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
1
3.70
Kishoreganj Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
95.00
Coverage of households having access to sanitary latrines (%)
90.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
13,278
Bed Occupancy Rates (%)
72.76
Average Length of Hospital Stay (No. of days per patient)
1.88
Hospital Death Rate (%)
0.38
Kishoreganj Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
25
Kishoreganj 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
3
2
4
44.44
Non Doctor
0
0
0
0
0.00
Class II
11
1
7
3
27.27
Class III
74
55
9
10
13.51
Class IV
20
11
4
5
25.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
7
4
2
1
14.29
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
7
3
4
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
2
1
0
1
50.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
1
1
2
50.00
Class IV
2
1
0
1
50.00
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
33
13
20
0
0.00
Class IV
0
0
0
0
0.00
Kishoreganj 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
18
7
4
7
38.89
Non Doctor
0
0
0
0
0.00
Class II
11
1
7
3
27.27
Class III
85
58
13
14
16.47
Class IV
22
12
4
6
27.27
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
Kishoreganj 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
7
9
5
0
0
2
0
0
Nurse
0
0
0
0
11
9
0
0
5
2
0
Medical Assistant
0
0
9
8
2
2
0
0
4
2
0
Medical Technologist
0
0
2
2
6
6
0
0
0
0
0
CHCP
33
33
0
0
0
0
0
0
0
0
5
HI
0
0
0
0
3
3
0
0
0
0
0
AHI
0
0
0
0
9
9
0
0
0
0
0
HA
0
0
0
0
42
34
0
0
0
0
7
Kishoreganj 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
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
1
0
0
1
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)
0
0
0
0
0
Ventilator
0
0
0
0
0
Kishoreganj 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
0
0
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Kishoreganj 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
0
1
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
1
1
0
0
0
Microscope (binocular)
1
0
1
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Kishoreganj 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
0
1
0
0
Kishoreganj 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)
2
1
1
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
2
1
1
0
0
ICT equipment
Computer (desktop)
7
5
2
0
0
Laptop
36
35
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
1
0
0
Printer (laser)
6
5
1
0
0
Scanner
1
1
0
0
0
UPS
6
5
1
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
Kishoreganj 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
77
63
13
1
0
Kishoreganj Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Kishoreganj Upazila Health Complex
Our mission is to make lasting positive change of the people of Bangladesh likes Food,nutrition,maternal and childhood mortality rate ,untowards belief.We claim that our upazila has to be regrade the under nutrition problem,decline the maternal and childhood mortality rate due to continues processing of the health education under MNCH programme through the health providers.With our shortage of manpower and resources we are trying at level best to make this upazila upto remercable status of the health of people.