Khoksha Upazila Health Complex | Health Bulletin 2015 |
Preface
"Service to mankind is service to GOD" and health service is the front liner. Long felt necessity to disseminate our annual performance is now becomes a reality by publishing this Local Health Bulletin 2015, which is an act of great pleasure for me. This bulletin contains all the health related information of 2014. I hope this health bulletin as a document can help the central and local managers, the line departments and field level staffs to analyze the situation of our upazila for planning, reviewing & undertaking necessary steps for qualitative & quantitative improvement of health services. The bulletin contains the status of MDG 4 and MDG 5 which will help to indicate the MDG targets. This health bulletin has also the information of safe drinking water and sanitation status of the upazila. Also have information of EPI status and the condition of community clinics, both of which are the most popular & people- friendly initiative of health services. All the sanctioned and vacant posts are published in this bulletin 2014. I like to draw attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead towards Digital Bangladesh.
DR. MD. ABDUS SALAM
UH&FPO
Upazila Health Complex, Khoksa, Kushtia.
Khoksha Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Khoksha
Organization Code
10001842
Name of UHFPO DR. MD. ABDUS SALAM
Land Phone No. 1
-0702456324
Land Phone No. 2
FAX No.
Mobile No.
01714341156
Email khoksha@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
23.4864 And
Long:
89.1720
No. of Unions in the Upazila 9
No. of Households in the Upazila 31,742
Population in the Upazila 146,698
Area of Upazila in sq km 102.00
Khoksha 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
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)
4
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
16
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
3
30
No. of NGO Clinics/Facilities
0
0
Khoksha Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,272
Under 5 Mortality Rate: 19.560 (Per 1,000 live births)
Infant Mortality Rate: 12.836 (Per 1,000 live births)
Neonatal Mortality Rate: 9.474 (Per 1,000 live births)
Still Birth Rate: 10.697 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 24,356
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 99%
Khoksha 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:
0
Total No. of Recipients Who Took at least one ANC:
3,513
Total Number of Deliveries:
3,307
Valid TT Coverage: 72.00 %
Maternal Mortality Ratio (MMR) is:
0.00 per 100,000 live births.
Khoksha 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
9,115
13,001
22,116
2,003
1,997
4,000
26,116
1,914
1,222
3,136
502
329
831
3,967
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)
11,819
21,913
33732
7,148
7,547
14,695
48,427
0
0
0
0
0
0
14,695
Community Clinics
25,931
76,460
102,391
7,841
8,042
15,883
118,274
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
Khoksha 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
2,256
2,121
4,377
1,014
986
2,000
6,377
18
9
27
5
4
9
36
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
298
304
602
19
72
91
693
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Khoksha 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
6,377
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
985
15.45
2
K270 Peptic ulcer, site unspecified, acute with haemorrhage
XI: Diseases of the digestive system
671
10.52
3
A010 Typhoid fever
I: Certain infectious and parasitic diseases
529
8.30
4
Y040 Assault by bodily force, home
XX: External causes of morbidity and mortality
484
7.59
5
J180 Bronchopneumonia, unspecified
X: Diseases of the respiratory system
448
7.03
6
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
304
4.77
7
J45 Asthma
X: Diseases of the respiratory system
230
3.61
8
D50 Iron deficiency anaemia
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
216
3.39
9
V392 Unspecified occupant of three-wheeled motor vehicle injured in collision with other and unspecified motor vehicles in nontraffic accident
XX: External causes of morbidity and mortality
198
3.10
10
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
147
2.31
Khoksha 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
36
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
6
16.67
2
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
5
13.89
3
J458 Mixed asthma
IX: Diseases of the circulatory system
4
11.11
4
I50 Heart failure
IX: Diseases of the circulatory system
4
11.11
5
T36 Poisoning by systemic antibiotics
XIX: Injury, poisoning and certain other consequences of external causes
3
8.33
6
R10 Abdominal and pelvic pain
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
3
8.33
7
V392 Unspecified occupant of three-wheeled motor vehicle injured in collision with other and unspecified motor vehicles in nontraffic accident
XX: External causes of morbidity and mortality
3
8.33
8
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
3
8.33
9
J16 Pneumonia due to other infectious organisms, NEC
X: Diseases of the respiratory system
3
8.33
10
D56 Thalassaemia
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
2
5.56
Khoksha Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
93.00
Coverage of households having access to sanitary latrines (%)
84.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
20,139
Bed Occupancy Rates (%)
110.35
Average Length of Hospital Stay (No. of days per patient)
2.20
Hospital Death Rate (%)
0.51
Khoksha Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
2,774
Khoksha 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
3
2
22.22
Non Doctor
0
0
0
0
0.00
Class II
11
0
11
0
0.00
Class III
54
28
17
9
16.67
Class IV
19
10
2
7
36.84
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
9
4
4
1
11.11
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
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
16
9
7
0
0.00
Class IV
0
0
0
0
0.00
Khoksha 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
9
7
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
11
0
11
0
0.00
Class III
70
37
24
9
12.86
Class IV
19
10
2
7
36.84
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
Khoksha 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
8
9
6
0
0
0
0
0
Nurse
0
0
0
0
11
11
0
0
0
0
1
Medical Assistant
0
0
9
9
2
2
0
0
3
0
0
Medical Technologist
0
0
0
0
7
6
0
0
0
0
0
CHCP
16
16
0
0
0
0
0
0
0
0
1
HI
0
0
0
0
0
0
0
0
0
0
0
AHI
0
0
0
0
4
4
0
0
0
0
1
HA
0
0
0
0
20
16
0
0
0
0
6
Khoksha 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)
2
1
0
1
0
Ultrasonogram machine
1
1
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
2
1
0
1
0
Anesthesia machine without ventilator
2
1
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
1
1
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)
11
6
0
5
0
Ventilator
0
0
0
0
0
Khoksha 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
Khoksha 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)
2
2
0
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
4
3
0
1
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Khoksha 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
Khoksha 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)
6
5
0
1
0
Generator
Generator (diesel/petrol)
1
1
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)
3
3
0
0
0
Laptop
4
4
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
3
3
0
0
0
Scanner
1
1
0
0
0
UPS
5
5
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
0
0
0
0
0
Khoksha 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
1
1
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
57
47
0
10
0
Khoksha Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Khoksha Upazila Health Complex
Last year we could not give our maximum effort to improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediately. 2. our doctors and nurses need more training on IMCI. 3. All the repairable equipments should be repaired as soon as possible. Finally we are very happy to prepare this Health Bulletin of 2014 because this document will help us to compare our progress in up coming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future
