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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.
Dr.Md.Mosharaf Hossion Khan
UH&FPO
Kishoreganj Upazila Health Complex

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 Upazila9
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.