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Kaliganj Upazila Health Complex- Jhinaidaha | Health Bulletin 2015 |
Preface
I am very pleased to have the opportunity to publish this health bulletin of this Upazila. This bulletin is enriched with all the health related informations of the year- 2014. This bulletin will help to share all the informations about our performance and activities with other departments. This is a great pleasure for us that we were awarded nationally from honorable Health Minister for EOC activities. We arrange scientific seminar here every fortnightly regarding recent update management of different health related problems. This health bulletin also contains informations on safe drinking water & sanitation status of the upazila. All the sanctioned and vacant posts are mentioned here. I would like to draw the kind attention of the higher authorities to look into this issue. Finally I would like to congratulate the initiators of the health bulletin software for setting us one step ahead towards digital Bangladesh.
Dr. Md. Altaf Hossain
UH&FPO
Kaliganj Upazila Health Complex- Jhinaidaha

Kaliganj Upazila Health Complex- Jhinaidaha | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Kaliganj
Organization Code 10002213
Name of UHFPO Dr. Md. Altaf Hossain
Land Phone No. 1 -0452356222
Land Phone No. 2
FAX No.
Mobile No. 01730324589
Email kaliganjj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.4400 And Long: 89.1400
No. of Unions in the Upazila11
No. of Households in the Upazila 61,674
Population in the Upazila 283,282
Area of Upazila in sq km 310.16

Kaliganj Upazila Health Complex- Jhinaidaha | 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) 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 27 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 14 140
No. of NGO Clinics/Facilities 0 0

Kaliganj Upazila Health Complex- Jhinaidaha | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,256


Under 5 Mortality Rate: 16.553 (Per 1,000 live births)
Infant Mortality Rate: 12.177 (Per 1,000 live births)
Neonatal Mortality Rate: 10.084 (Per 1,000 live births)
Still Birth Rate: 1.332 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 30,258
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months):

Kaliganj Upazila Health Complex- Jhinaidaha | 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: 2
Total No. of Recipients Who Took at least one ANC: 4,961
Total Number of Deliveries: 5,254
Valid TT Coverage: 95.00 %
Maternal Mortality Ratio (MMR) is: 38.05 per 100,000 live births.

Kaliganj Upazila Health Complex- Jhinaidaha | 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 19,831 39,407 59,238 5,768 5,165 10,933 70,171 2,123 1,263 3,386 387 352 739 4,125
Union Sub-Centres 1,060 2,015 3,075 7,066 14,146 21,212 24,287 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 73,347 164,671 238,018 11,936 12,249 24,185 262,203 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

Kaliganj Upazila Health Complex- Jhinaidaha | 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 3,102 3,894 6,996 1,381 870 2,251 9,247 23 19 42 2 2 4 46
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 2,831 2,831 2,831 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kaliganj Upazila Health Complex- Jhinaidaha | 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 9,247
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 1517 16.41
2 J153 Pneumonia due to streptococcus, group B X: Diseases of the respiratory system 853 9.22
3 T441 Other parasympathomimetics [cholinergics] XIX: Injury, poisoning and certain other consequences of external causes 460 4.97
4 Y068 By other specified persons XX: External causes of morbidity and mortality 445 4.81
5 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 304 3.29
6 V021 Pedestrian injured in collision with two- or three-wheeled motor vehicle, traffic accident XX: External causes of morbidity and mortality 290 3.14
7 F412 Mixed anxiety and depressive disorder V: Mental and behavioural disorders 176 1.90
8 I611 Intracerebral haemorrhage in hemisphere, cortical IX: Diseases of the circulatory system 136 1.47
9 D500 Iron deficiency anaemia secondary to blood loss (chronic) III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 129 1.40
10 J450 Predominantly allergic asthma X: Diseases of the respiratory system 127 1.37

Kaliganj Upazila Health Complex- Jhinaidaha | 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 46
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I611 Intracerebral haemorrhage in hemisphere, cortical IX: Diseases of the circulatory system 10 21.74
2 J450 Predominantly allergic asthma X: Diseases of the respiratory system 8 17.39
3 T441 Other parasympathomimetics [cholinergics] IX: Diseases of the circulatory system 3 6.52
4 I211 Acute transmural myocardial infarction of inferior wall IX: Diseases of the circulatory system 2 4.35
5 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 2 4.35
6 V736 Bus occupant injured in collision with car, pick-up truck or van, passenger, traffic accident XX: External causes of morbidity and mortality 2 4.35
7 D500 Iron deficiency anaemia secondary to blood loss (chronic) III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 2 4.35
8 A010 Typhoid fever I: Certain infectious and parasitic diseases 2 4.35
9 P071 Other low birth weight XVI: Certain conditions originating in the perinatal period 2 4.35
10 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1 2.17

Kaliganj Upazila Health Complex- Jhinaidaha | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 95.00
Coverage of households having access to sanitary latrines (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 17,137
Bed Occupancy Rates (%) 93.90
Average Length of Hospital Stay (No. of days per patient) 1.85
Hospital Death Rate (%) 0.50


Kaliganj Upazila Health Complex- Jhinaidaha | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 1
Minor Surgeries 898

 

Kaliganj Upazila Health Complex- Jhinaidaha | 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 5 7 33.33
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 77 48 11 18 23.38
Class IV 22 11 6 5 22.73
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 7 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 7 2 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 0 1 1 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 1 1 25.00
Class IV 2 1 0 1 50.00
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 28 17 10 1 3.57
Class IV 0 0 0 0 0.00

 

Kaliganj Upazila Health Complex- Jhinaidaha | 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 32 16 8 8 25.00
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 118 74 24 20 16.95
Class IV 24 12 6 6 25.00
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

 

Kaliganj Upazila Health Complex- Jhinaidaha | 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 11 10 21 15 0 0 3 0 0
Nurse 0 0 0 0 16 16 0 0 0 0 0
Medical Assistant 0 0 11 11 2 2 0 0 10 0 0
Medical Technologist 0 0 0 0 8 7 0 0 0 0 0
CHCP 28 27 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 2 2 0 0 0
AHI 0 0 0 0 0 0 8 8 0 0 0
HA 0 0 0 0 0 0 39 26 0 0 3

Kaliganj Upazila Health Complex- Jhinaidaha | 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 1 1 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 1 1 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 0 0 0 1
Operating microscope 1 1 0 0 0
Ceiling mounting OT Light 3 3 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 3 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 4 2 2 0 0
Ventilator 0 0 0 0 0


Kaliganj Upazila Health Complex- Jhinaidaha | 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 6 3 3 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 2 1 0 1 0


Kaliganj Upazila Health Complex- Jhinaidaha | 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 1 0 2 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Kaliganj Upazila Health Complex- Jhinaidaha | 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 1 1 0 0 0
Blood bank refrigerator 1 1 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Kaliganj Upazila Health Complex- Jhinaidaha | 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) 3 3 0 0 0
Generator
Generator (diesel/petrol) 1 0 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 8 0 0 0
Laptop 31 31 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 5 5 0 0 0
Scanner 0 0 0 0 0
UPS 9 7 1 1 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


Kaliganj Upazila Health Complex- Jhinaidaha | 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 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 102 87 9 5 1

Kaliganj Upazila Health Complex- Jhinaidaha | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Kaliganj Upazila Health Complex- Jhinaidaha
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, Scan er 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. Md. Altaf Hossain UH&FPO Kaliganj, Jheanidah.