Kalapara Upazila Health complex, Patuakhali. | Health Bulletin 2015 |
Preface
I am Very glad to publish this health bulletin of Kalapara Upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Kalapara Upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. Government health office has many data stored in the file. This health bulletin will help us 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.
Kalapara Upazila Health complex, Patuakhali. | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Kalapara
Organization Code
10002042
Name of UHFPO Dr.Mohammad.Loqueman Hakim
Land Phone No. 1
-0442556333
Land Phone No. 2 -0442556259
FAX No.
Mobile No.
01716298225
Email kalapara@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.0000 And
Long:
90.0000
No. of Unions in the Upazila 12
No. of Households in the Upazila 48,482
Population in the Upazila 212,835
Area of Upazila in sq km 493.10
Kalapara Upazila Health complex, Patuakhali. | 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
1
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)
7
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
30
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
10
No. of NGO Clinics/Facilities
0
0
Kalapara Upazila Health complex, Patuakhali. | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,465
Under 5 Mortality Rate: 5.878 (Per 1,000 live births)
Infant Mortality Rate: 3.558 (Per 1,000 live births)
Neonatal Mortality Rate: 1.856 (Per 1,000 live births)
Still Birth Rate: 6.961 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 36,872
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 22%
Kalapara Upazila Health complex, Patuakhali. | 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:
2,416
Total Number of Deliveries:
6,490
Valid TT Coverage: 6.00 %
Maternal Mortality Ratio (MMR) is:
61.87 per 100,000 live births.
Kalapara Upazila Health complex, Patuakhali. | 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
11,088
16,462
27,550
3,045
2,525
5,570
33,120
663
200
863
11
8
19
882
Union Sub-Centres
3,524
4,618
8,142
778
892
1,670
9,812
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)
3,730
31,855
35585
3,018
2,826
5,844
41,429
0
0
0
0
0
0
5,844
Community Clinics
54,628
106,866
161,494
10,583
12,546
23,129
184,623
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
Kalapara Upazila Health complex, Patuakhali. | 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
2,682
4,463
7,145
1,048
629
1,677
8,822
13
15
28
1
1
2
30
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
47
47
0
0
0
47
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Kalapara Upazila Health complex, Patuakhali. | 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
8,822
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
1253
14.20
2
T14 Injury of unspecified body region
XIX: Injury, poisoning and certain other consequences of external causes
1057
11.98
3
J069 Acute upper respiratory infection, unspecified
X: Diseases of the respiratory system
523
5.93
4
R50 Fever of unknown origin
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
456
5.17
5
F920 Depressive conduct disorder
V: Mental and behavioural disorders
277
3.14
6
O06 Unspecified abortion
XV: Pregnancy, childbirth and the puerperium
254
2.88
7
O639 Long labour, unspecified
XV: Pregnancy, childbirth and the puerperium
229
2.60
8
V194 Driver injured in collision with other and unspecified motor vehicles in traffic accident
XX: External causes of morbidity and mortality
197
2.23
9
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
181
2.05
10
D509 Iron deficiency anaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
163
1.85
Kalapara Upazila Health complex, Patuakhali. | 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
30
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
11
36.67
2
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
3
10.00
3
I40 Acute myocarditis
IX: Diseases of the circulatory system
3
10.00
4
R50 Fever of unknown origin
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
3
10.00
5
C220 Liver cell carcinoma
II: Neoplasms
2
6.67
6
O750 Maternal distress during labour and delivery
XV: Pregnancy, childbirth and the puerperium
1
3.33
7
I249 Acute ischaemic heart disease, unspecified
IX: Diseases of the circulatory system
1
3.33
8
D509 Iron deficiency anaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
1
3.33
9
G01 Meningitis in bacterial diseases classified elsewhere
VI: Diseases of the nervous system
1
3.33
10
C71 Malignant neoplasm of brain
II: Neoplasms
1
3.33
Kalapara Upazila Health complex, Patuakhali. | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
90.00
Coverage of households having access to sanitary latrines (%)
87.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
22,551
Bed Occupancy Rates (%)
123.57
Average Length of Hospital Stay (No. of days per patient)
2.56
Hospital Death Rate (%)
0.34
Kalapara Upazila Health complex, Patuakhali. | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
403
Minor Surgeries
1,279
Kalapara Upazila Health complex, Patuakhali. | Health Bulletin 2015 | Page# 11
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
UHC
Class I
Doctor
21
9
4
8
38.10
Non Doctor
0
0
0
0
0.00
Class II
16
1
14
1
6.25
Class III
78
38
26
14
17.95
Class IV
26
14
10
2
7.69
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
8
5
1
2
25.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
2
1
5
62.50
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
1
1
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
2
1
1
0
0.00
Class IV
1
1
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
37
12
20
5
13.51
Class IV
0
0
0
0
0.00
Kalapara Upazila Health complex, Patuakhali. | 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
30
15
5
10
33.33
Non Doctor
0
0
0
0
0.00
Class II
16
1
14
1
6.25
Class III
125
53
48
24
19.20
Class IV
27
13
9
5
18.52
Other Hospitals & Clinics
Class I
Doctor
6
0
1
5
83.33
Non Doctor
0
0
0
0
0.00
Class II
5
0
1
4
80.00
Class III
4
1
0
3
75.00
Class IV
8
3
0
5
62.50
Kalapara Upazila Health complex, Patuakhali. | 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
21
13
6
1
1
0
0
Nurse
0
0
0
0
16
15
5
1
7
6
0
Medical Assistant
0
0
9
4
2
2
0
0
6
0
0
Medical Technologist
0
0
1
1
10
6
2
0
0
0
0
CHCP
37
32
0
0
0
0
0
0
32
0
2
HI
0
0
0
0
3
3
0
0
3
0
0
AHI
0
0
0
0
8
8
0
0
8
0
3
HA
0
0
0
0
39
30
0
0
30
0
12
Kalapara Upazila Health complex, Patuakhali. | 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)
1
1
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
1
1
0
0
0
Autoclave
2
1
0
1
0
Electric cautery machine
1
0
0
1
0
Diathermy machine
2
1
1
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
1
0
0
0
Portable OT Light
3
1
2
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
1
1
0
0
Sterilizer
4
2
2
0
0
Sucker machine (electric)
9
3
6
0
0
Ventilator
0
0
0
0
0
Kalapara Upazila Health complex, Patuakhali. | 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
2
2
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
15
10
5
0
0
Pulse oximeter
2
2
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Kalapara Upazila Health complex, Patuakhali. | 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)
0
0
0
0
0
Colorimeter
0
0
0
0
0
Electrolyte analyzer
2
0
2
0
0
Microscope (binocular)
2
1
1
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
1
1
0
0
0
Kalapara Upazila Health complex, Patuakhali. | 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
1
0
0
Kalapara Upazila Health complex, Patuakhali. | 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)
5
3
2
0
0
Generator
Generator (diesel/petrol)
4
1
2
0
1
Generator (gas)
0
0
0
0
0
Solar panel
3
2
0
0
1
IPS
3
2
1
0
0
ICT equipment
Computer (desktop)
18
10
3
0
5
Laptop
32
30
2
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
7
5
2
0
0
Scanner
2
1
1
0
0
UPS
8
6
2
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
Kalapara Upazila Health complex, Patuakhali. | 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)
1
1
0
0
0
Land phone
2
2
0
0
0
Mobile phone
1
1
0
0
0
Total
143
97
37
2
7
Kalapara Upazila Health complex, Patuakhali. | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Kalapara Upazila Health complex, Patuakhali.
Important information and necessary issues for Kalapara Upazila Health Complex In the year 2014, Our limitations made it difficult to ensure satisfactory heath service to the people. I would like to mention that some aspects which could enable us to ensure proper health service and these are as below. 1. The vacant posts should be filled up immediately. 2. Doctors, Nurses needed to be trained on IMCI. 3. Repairable equipments should be repaired quickly. 4. More female HA&CHCP should be trained on CSBA. 5. More Doctors, Nurses & female SACMO should be included in EOC training. 6. One photocopy machine & Fax machine are essential here. In conclusion I would like to say that we are to serve the humanity and let us believe that we can perform this noble duty with full satisfaction. Ours is a poor country and our sincerity and devotion towards people can build up a happy and healthy nation. With Thanks , Dr.Mohammad Loqueman Hakim, UH&FPO Kalapara, Patuakhali
