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Kulaura Upazila Health Complex | Health Bulletin 2015 |
Preface
Welcome everyone to view our LHB. We are using a few methods to improve our service delivery. Amongst them are: Internal Survey, monthly MIS, Malaria, EPI,& other related meetings. Thereby we are trying to improve our status. Please recommend us about the other methods needed for further improvement. Thanks to all.
DR. MD. Shajan kabir Chowdhuary.
UH&FPO
Kulaura Upazila Health Complex

Kulaura Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Kulaura
Organization Code 10002106
Name of UHFPO DR. MD. Shajan kabir Chowdhuary.
Land Phone No. 1 -0862456044
Land Phone No. 2
FAX No.
Mobile No. 01715207208
Email kulaura@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 92.0000
No. of Unions in the Upazila13
No. of Households in the Upazila 59,946
Population in the Upazila 358,597
Area of Upazila in sq km 544.75

Kulaura 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 5 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 8 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 0 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 35 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 20
No. of NGO Clinics/Facilities 2 20

Kulaura Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 9,960


Under 5 Mortality Rate: 27.610 (Per 1,000 live births)
Infant Mortality Rate: 23.293 (Per 1,000 live births)
Neonatal Mortality Rate: 14.659 (Per 1,000 live births)
Still Birth Rate: 13.153 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 32,411
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 99%%

Kulaura 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: 22
Total No. of Recipients Who Took at least one ANC: 9,411
Total Number of Deliveries: 10,091
Valid TT Coverage: 82.00 %
Maternal Mortality Ratio (MMR) is: 220.88 per 100,000 live births.

Kulaura 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 27,352 41,214 68,566 40,764 5,932 46,696 115,262 16,874 10,124 26,998 2,318 2,209 4,527 31,525
Union Sub-Centres 0 0 0 0 0 0 0 33,512 51,333 84,845 11,954 13,186 25,140 109,985
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) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 0 0 0 0 0 0 0 92,882 154,233 247,115 4,396 5,651 10,047 257,162
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

Kulaura 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 4,923 5,213 10,136 289 298 587 10,723 2 4 6 2 2 4 10
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 5 4 9 9
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 7 6 13 13

Kulaura 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 10,481
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 2025 19.32
2 E530 Riboflavin deficiency IV: Endocrine, nutritional and metabolic diseases 1267 12.09
3 T000 Superficial injuries involving head with neck XIX: Injury, poisoning and certain other consequences of external causes 1058 10.09
4 K270 Peptic ulcer, site unspecified, acute with haemorrhage XI: Diseases of the digestive system 683 6.52
5 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 713 6.80
6 J120 Adenoviral pneumonia X: Diseases of the respiratory system 489 4.67
7 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection X: Diseases of the respiratory system 311 2.97
8 J450 Predominantly allergic asthma X: Diseases of the respiratory system 117 1.12
9 I150 Renovascular hypertension IX: Diseases of the circulatory system 109 1.04
10 N050 Unspecified nephritic syndrome, minor glomerular abnormality XIV: Diseases of the genitourinary system 97 0.93

Kulaura 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 11
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I609 Subarachnoid haemorrhage, unspecified IX: Diseases of the circulatory system 2 18.18
2 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection X: Diseases of the respiratory system 2 18.18
3 J450 Predominantly allergic asthma IX: Diseases of the circulatory system 1 9.09
4 I210 Acute transmural myocardial infarction of anterior wall IX: Diseases of the circulatory system 1 9.09
5 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 1 9.09
6 I150 Renovascular hypertension IX: Diseases of the circulatory system 0 0.00
7 I500 Congestive heart failure IX: Diseases of the circulatory system 1 9.09
8 A410 Septicaemia due to Staphylococcus aureus I: Certain infectious and parasitic diseases 1 9.09
9 E112 Non-insulin-dependent diabetes mellitus with renal complications IV: Endocrine, nutritional and metabolic diseases 1 9.09
10 B150 Hepatitis A with hepatic coma I: Certain infectious and parasitic diseases 1 9.09

Kulaura 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 (%) 79.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 14,306
Bed Occupancy Rates (%) 78.39
Average Length of Hospital Stay (No. of days per patient) 1.36
Hospital Death Rate (%) 0.10


Kulaura Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 679

 

Kulaura 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 21 15 2 4 19.05
Non Doctor 0 0 0 0 0.00
Class II 16 2 7 7 43.75
Class III 28 15 1 12 42.86
Class IV 23 13 6 4 17.39
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 12 5 5 2 16.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 73 44 26 3 4.11
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 5 3 1 1 20.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 5 1 0 0.00
Class IV 5 5 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 41 20 17 4 9.76
Class IV 0 0 0 0 0.00

 

Kulaura 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 38 23 8 7 18.42
Non Doctor 0 0 0 0 0.00
Class II 16 2 7 7 43.75
Class III 149 84 45 20 13.42
Class IV 28 18 6 4 14.29
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

 

Kulaura 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 17 15 21 17 0 0 1 0 0
Nurse 0 0 0 0 15 9 0 0 2 3 0
Medical Assistant 0 0 17 11 2 2 0 0 2 0 0
Medical Technologist 0 0 5 1 8 4 0 0 0 0 0
CHCP 41 37 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 3 0 0 0 0 10
AHI 0 0 0 0 12 12 0 0 0 0 0
HA 0 0 0 0 61 58 0 0 0 0 0

Kulaura 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) 0 0 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 2 1 0 0 1
Autoclave 2 1 0 0 1
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 2 2 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 3 3 0 0 0
Ventilator 0 0 0 0 0


Kulaura 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 0 0 0 1
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 3 3 0 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Kulaura 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 0 0 0 0 0
Centrifuge machine (electric) 0 0 0 0 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 0 0 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Kulaura 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 0 0 0 0 0


Kulaura 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) 0 0 0 0 0
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) 0 0 0 0 0
Laptop 0 0 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 0 0 0 0 0
Scanner 0 0 0 0 0
UPS 0 0 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 0 0 0 0 0
Multimedia 0 0 0 0 0


Kulaura 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 0 0 0 0 0
Mobile phone 0 0 0 0 0
Total 20 17 0 0 3

Kulaura Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Kulaura Upazila Health Complex