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Kawkhali Upazila Health Complex, Pirojpur | Health Bulletin 2015 |
Preface
Health is a social and fundamental human right.So health service should be up to the mark relationship between the health service provider and the people should be improved. Laps and gaps of the health service should be removed.Our service has opened the door of progress.Our achievement in health sector is praiseworthy. We have a good achievement in EPI,IMR,MMR,IMCI,Emoc,Diarrhea Control.Through the Health Bulletin everybody can know about our achievement.We feel proud to express our activities and steps taken in last year,2014 through our Health Bulletin.
Dr. Md. Siddiqur Rahman
UH&FPO
Kawkhali Upazila Health Complex, Pirojpur

Kawkhali Upazila Health Complex, Pirojpur | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Kaukhali
Organization Code 10002056
Name of UHFPO Dr. Md. Siddiqur Rahman
Land Phone No. 1 -0462456107
Land Phone No. 2
FAX No.
Mobile No. 01717285721
Email kaukhali@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.0000 And Long: 90.0000
No. of Unions in the Upazila5
No. of Households in the Upazila 15,699
Population in the Upazila 73,006
Area of Upazila in sq km 80.00

Kawkhali Upazila Health Complex, Pirojpur | Health Bulletin 2015 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 31
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) 5 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 10 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 2 16
No. of NGO Clinics/Facilities 0 0

Kawkhali Upazila Health Complex, Pirojpur | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 1,505


Under 5 Mortality Rate: 15.282 (Per 1,000 live births)
Infant Mortality Rate: 11.296 (Per 1,000 live births)
Neonatal Mortality Rate: 7.973 (Per 1,000 live births)
Still Birth Rate: 2.658 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 7,233
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%

Kawkhali Upazila Health Complex, Pirojpur | 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: 1,274
Total Number of Deliveries: 1,505
Valid TT Coverage: 9.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Kawkhali Upazila Health Complex, Pirojpur | 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 12,747 19,325 32,072 2,836 2,334 5,170 37,242 615 269 884 37 25 62 946
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) 6,624 22,308 28932 1,050 1,025 2,075 31,007 0 0 0 0 0 0 2,075
Community Clinics 17,113 31,911 49,024 2,849 3,090 5,939 54,963 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

Kawkhali Upazila Health Complex, Pirojpur | 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 759 992 1,751 110 64 174 1,925 4 5 9 2 0 2 11
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 4 26 30 0 0 0 30 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kawkhali Upazila Health Complex, Pirojpur | 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 1,925
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 T149 Injury, unspecified XIX: Injury, poisoning and certain other consequences of external causes 360 18.70
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 342 17.77
3 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 92 4.78
4 J459 Asthma, unspecified X: Diseases of the respiratory system 83 4.31
5 K277 Peptic ulcer, site unspecified, chronic without haemorrhage or perforation XI: Diseases of the digestive system 67 3.48
6 Y180 Poisoning by and exposure to pesticides, undetermined intent, home XX: External causes of morbidity and mortality 50 2.60
7 J189 Pneumonia, unspecified X: Diseases of the respiratory system 37 1.92
8 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 33 1.71
9 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 32 1.66
10 K353 Acute appendicitis with localized peritonitis XI: Diseases of the digestive system 17 0.88

Kawkhali Upazila Health Complex, Pirojpur | 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 11
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 2 18.18
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 2 18.18
3 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 2 18.18
4 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 1 9.09
5 I500 Congestive heart failure IX: Diseases of the circulatory system 1 9.09
6 K74 Fibrosis and cirrhosis of liver XI: Diseases of the digestive system 1 9.09
7 J459 Asthma, unspecified X: Diseases of the respiratory system 1 9.09
8 I501 Left ventricular failure IX: Diseases of the circulatory system 1 9.09
9 0 0.00
10 0 0.00

Kawkhali Upazila Health Complex, Pirojpur | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 96.00
Coverage of households having access to sanitary latrines (%) 94.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 6,479
Bed Occupancy Rates (%) 57.26
Average Length of Hospital Stay (No. of days per patient) 3.37
Hospital Death Rate (%) 0.57


Kawkhali Upazila Health Complex, Pirojpur | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 132

 

Kawkhali Upazila Health Complex, Pirojpur | 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 0 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 9 0 9 0 0.00
Class III 47 27 12 8 17.02
Class IV 19 10 8 1 5.26
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 1 1 3 60.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 5 0 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
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
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 13 6 7 0 0.00
Class IV 0 0 0 0 0.00

 

Kawkhali Upazila Health Complex, Pirojpur | 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 14 4 1 9 64.29
Non Doctor 0 0 0 0 0.00
Class II 9 0 9 0 0.00
Class III 52 32 12 8 15.38
Class IV 19 10 8 1 5.26
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

 

Kawkhali Upazila Health Complex, Pirojpur | 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 2 9 3 0 0 1 0 0
Nurse 0 0 0 0 10 9 0 0 6 2 0
Medical Assistant 0 0 5 5 2 2 0 0 7 0 0
Medical Technologist 0 0 0 0 8 6 0 0 0 0 0
CHCP 13 13 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 1 1 0 0 0 0 0
AHI 0 0 0 0 4 4 0 0 0 0 0
HA 0 0 0 0 20 17 0 0 0 0 0

Kawkhali Upazila Health Complex, Pirojpur | 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) 0 0 0 0 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 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 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 4 0 0 4 0
Sucker machine (electric) 2 1 0 1 0
Ventilator 0 0 0 0 0


Kawkhali Upazila Health Complex, Pirojpur | 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 0 0 0 2
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 5 4 0 1 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Kawkhali Upazila Health Complex, Pirojpur | 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) 5 2 1 2 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Kawkhali Upazila Health Complex, Pirojpur | 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 2 2 0 0 0


Kawkhali Upazila Health Complex, Pirojpur | 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) 1 0 0 0 1
Generator
Generator (diesel/petrol) 0 0 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) 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) 5 5 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 0 1 0 0


Kawkhali Upazila Health Complex, Pirojpur | 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) 1 0 1 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 55 41 3 8 3

Kawkhali Upazila Health Complex, Pirojpur | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Kawkhali Upazila Health Complex, Pirojpur
Health Bulletin is the mirror of our activities and progress of the previous year.It shows our deficits and improvement. It can guide us for the next year.Our activities should be guided according to our need. We can achieve our National Goal if we take measure with great emphasis against the following things. 1. Vacant posts of field staff and officers should be filled up as early as possible. 2. Improvement of the diagnostic facilities. 3. Qualitative improvement of the field staff through proper training in their attitude & skillness. 4. Need base supply of the MSR. 5. Periodic supervision of the field staff by higher authority. 6. Provision of remuneration for the best workers. 7. Networking system should be upgraded.