Kachua Upazilla Health Complex | Health Bulletin 2015 |
Preface
It is a great pleasure for me to publish the Health Bulletin of Kachua Upazila, Bagerhat for the year 2015. It will highlight the activities of the last year 2014 regarding the indicators of health status, demographic and infrastructural development. It will create an opportunity to disseminate all the informations to other government and non-government sectors so that they will be able to evaluate the health sector activities of Kachua Upazila. This bulletin will inspire me to work hard in the coming days. It will help me for future planning, monitoring and supervision. Personally I like to offer my thanks and gratitude to Prof. Abul Kalam Azad ,Director, MIS for his innovative ideas for the improvement of health sector management information system. I am grateful to honorable MP Adv. Mir Showkat Ali Badsha,Upazila chairman S.M.Mahfuzur Rahaman,UNO Md Majibur Rahman, Upazila vice chairman, all union Perished chairman, all government and non government sector officials and people of Kachua for their kind co-operation and support. I like to express my gratitude to our Civil surgeon Dr Md Bakir Hossain for his administrative and logistic support along with guidelines. I like to thank Dr. Taposh Kumar Das, RMO ( in charge ) for performing various types of major and minor surgeries in Kachua Upazila health complex. I like to thank Roy Kumud Ranjan, Statistician for his sincere efforts to publish the Health Bulletin 2015. I believe that we shall be able to continue our efforts for the betterment of the people of Kachua through the mutual support and co-operation of all sectors. Thanks.
Dr A.T.M. Abdullahel Kafi
Upazilla Health & family Planning officer
Kachua ,Bagerhat
Kachua Upazilla Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Kachua
Organization Code
10002206
Name of UHFPO Dr A.T.M. Abdullahel Kafi
Land Phone No. 1
-0465456102
Land Phone No. 2
FAX No.
Mobile No.
01712253851
Email kachuab@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.6624 And
Long:
89.7935
No. of Unions in the Upazila 7
No. of Households in the Upazila 22,686
Population in the Upazila 95,635
Area of Upazila in sq km 123.00
Kachua Upazilla 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)
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
11
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
0
0
Kachua Upazilla Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 1,881
Under 5 Mortality Rate: 28.177 (Per 1,000 live births)
Infant Mortality Rate: 24.455 (Per 1,000 live births)
Neonatal Mortality Rate: 19.670 (Per 1,000 live births)
Still Birth Rate: 24.455 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 14,987
Fully Vaccinated Children (<= 12 months): 94.00 %
Fully Vaccinated Children (<= 23 months):
Kachua Upazilla 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:
7
Total No. of Recipients Who Took at least one ANC:
1,837
Total Number of Deliveries:
1,754
Valid TT Coverage: 32.00 %
Maternal Mortality Ratio (MMR) is:
372.14 per 100,000 live births.
Kachua Upazilla 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
13,723
29,682
43,405
9,244
13,867
23,111
66,516
1,723
2,134
3,857
191
237
428
4,285
Union Sub-Centres
4,790
14,666
19,456
1,861
2,792
4,653
24,109
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)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Community Clinics
21,552
50,783
72,335
5,388
12,695
18,083
90,418
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
Kachua Upazilla 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
1,256
1,890
3,146
140
209
349
3,495
10
4
14
0
0
0
14
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
Kachua Upazilla 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
3,495
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
673
19.26
2
Y04 Assault by bodily force
XX: External causes of morbidity and mortality
420
12.02
3
A92 Other mosquito-borne viral fevers
I: Certain infectious and parasitic diseases
241
6.90
4
K35 Acute appendicitis
XI: Diseases of the digestive system
192
5.49
5
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
183
5.24
6
A86 Unspecified viral encephalitis
I: Certain infectious and parasitic diseases
176
5.04
7
V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified
XX: External causes of morbidity and mortality
118
3.38
8
J45 Asthma
X: Diseases of the respiratory system
108
3.09
9
T62 Toxic effect of other noxious substances eaten as food
XIX: Injury, poisoning and certain other consequences of external causes
99
2.83
10
J20 Acute bronchitis
X: Diseases of the respiratory system
96
2.75
Kachua Upazilla 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
14
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J44 Other chronic obstructive pulmonary disease
X: Diseases of the respiratory system
5
35.71
2
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
3
21.43
3
I46 Cardiac arrest
X: Diseases of the respiratory system
2
14.29
4
T96 Sequelae of poisoning by drugs, medicaments and biological substances
XIX: Injury, poisoning and certain other consequences of external causes
2
14.29
5
I73 Other peripheral vascular diseases
IX: Diseases of the circulatory system
2
14.29
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Kachua Upazilla Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
76.00
Coverage of households having access to sanitary latrines (%)
99.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
16,794
Bed Occupancy Rates (%)
92.02
Average Length of Hospital Stay (No. of days per patient)
4.81
Hospital Death Rate (%)
0.40
Kachua Upazilla Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
208
Minor Surgeries
1,606
Kachua Upazilla 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
22
11
1
10
45.45
Non Doctor
0
0
0
0
0.00
Class II
15
0
15
0
0.00
Class III
60
37
6
17
28.33
Class IV
22
13
9
0
0.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
5
0
1
4
80.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
5
3
2
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
2
1
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
1
3
0
0.00
Class IV
2
2
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
14
5
7
2
14.29
Class IV
0
0
0
0
0.00
Kachua Upazilla 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
29
12
3
14
48.28
Non Doctor
0
0
0
0
0.00
Class II
15
0
15
0
0.00
Class III
83
46
18
19
22.89
Class IV
24
15
9
0
0.00
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
Kachua Upazilla 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
7
3
22
10
0
0
3
0
0
Nurse
0
0
0
0
16
16
0
0
3
4
4
Medical Assistant
0
0
7
7
2
2
0
0
6
0
0
Medical Technologist
0
0
0
0
8
4
0
0
0
0
0
CHCP
14
12
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
1
0
0
0
0
1
AHI
0
0
0
0
5
5
0
0
0
0
0
HA
0
0
0
0
25
16
0
0
0
0
0
Kachua Upazilla 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
0
1
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
1
0
1
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
3
1
2
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
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
3
0
3
0
0
Sucker machine (electric)
5
3
2
0
0
Ventilator
0
0
0
0
0
Kachua Upazilla 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
2
2
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
8
6
2
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Kachua Upazilla 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)
1
1
0
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
3
0
0
3
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Kachua Upazilla 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
1
0
1
0
0
Refrigerator
0
0
0
0
0
Vehicles
Ambulance
3
1
1
1
0
Kachua Upazilla 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
2
0
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
1
1
0
0
0
ICT equipment
Computer (desktop)
8
6
2
0
0
Laptop
15
13
2
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
6
4
2
0
0
Scanner
1
1
0
0
0
UPS
7
5
1
1
0
Fax
0
0
0
0
0
Intercom
10
0
0
10
0
Internet fixed line
0
0
0
0
0
Internet wireless line
15
15
0
0
0
Multimedia
1
1
0
0
0
Kachua Upazilla 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
0
0
1
0
PA system (Sound)
0
0
0
0
0
Land phone
1
1
0
0
0
Mobile phone
1
1
0
0
0
Total
106
69
21
16
0
Kachua Upazilla Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Kachua Upazilla Health Complex
1. For proper service delivery 9 consultant posts,3 medical technologist ( lab) posts should be filled up immediately. X-ray Machine is out of order, which should be repaired or new X-ray machine should be supplied immediately. Microscope in the pathology laboratory should be supplied very soon. Repair of old building & the inner road of the UHC campus should be done as soon as possible .
2. Recognizing the contribution of CHCPs to the CC program can bring positive effects in the health care delivery of the rural people. I recommend putting the CHCPs under government revenue budget for better results .
