Kapasia Upazila Health Complex | Health Bulletin 2014 |
Preface
It is indeed a great pleasure to bring out again the health bulletin 2014 of Kapasia Upazilla. This Bulletin contains all the health related information of 2013. This Bulletin is published to disseminate health related information of Kapasia Upazilla to other line departments & development partners of health. I hope information in this health Bulletin will help in planning & bridging the gaps in health service in this upazilla. This health Bulletin will help us to find constraints & also to see the results & achievements of 2013. This Bulletin contains information on safe drinking water, sanitation status of the upazilla among others as well as the status of human resource in this upazilla for delivery of health service. I would like to draw attention of concerned higher officials to go through the information & act accordingly.
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Kapasia
Name of UHFPO Dr.Md.Abdul Khaleque
Telephone No. 0682452140
FAX No. 0
Mobile No. 01711242990
Email kapasia@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.1214 And Long: 90.5682
No. of Unions in the Upazila 11
No. of Households in the Upazila 74,520
No. of Population in the Upazila 349,851
Area of Upazila in sq km 237.50
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex
1
50
No. of Union Sub-Centres
2
0
No. of Union Health and Family Welfare Centres
10
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
48
0
No of Trauma Centres
0
0
No. of MCWCs
0
0
No. of Chest Disease Clinics (TB clinics)
0
0
No. of Private Clinics/Facilities
8
90
No. of NGO Clinics/Facilities
1
6
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 10,006
Total No. of children treated under IMCI Program 12,228
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 22.99 per 1,000 live births.
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 4
Legends
R.P.W-
Registered Pregnanat Woman
1st ANC-
No. of 1st ANC recipients
R.P.W-
No. of 4th ANC recipients
C. Preg-
No. of complicated pregnancies
N. deli-
No. of normal deliveries
V. deli-
No. of vaginal deliveries
C. deli-
No. of cesarean deliveries
PNC-
No. of PNC services provided to mother in the Upazila
Maternal health and MDG-5 (No.) (January-December, 2013)
All ANC Receiptients: 3022
Total Number of Deliveries: 10024
No. of Maternal Death: 12
Valid TT Coverage: 29.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
119.93 per 100,000 live births.
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 5
No. of OPD & Emergency visits & Deaths at UHC
Health Facility
OPD
Emergency
T (M+F)
M
F
Child (U-5)
T (M+F)
M
F
Child (U-5)
Upazila Health Complex
55,164
23,700
31,464
8,652
4,385
2,420
1,965
580
Union Sub-Centres
26,260
11,549
14,711
4,982
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
101,095
20,750
80,345
22,064
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
332,315
161,625
170,690
42,603
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB clinics)
0
0
0
0
0
0
0
0
Private Clinics/Facilities
19,544
8,220
11,324
3,673
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
553,922
225,844
308,534
81,974
4,385
2,420
1,965
580
No. of Admissions & Deaths at UHC
Health Facility
Admission
Death
T (M+F)
M
F
Child (U-5)
T (M+F)
M
F
Child (U-5)
Upazila Health Complex
4,501
1,741
2,760
307
13
10
3
2
Union Sub-Centres
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
0
0
0
0
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
0
0
0
0
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB clinics)
0
0
0
0
0
0
0
0
Private Clinics/Facilities
4,543
1,020
3,523
520
3
2
1
1
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
9,044
2,761
6,283
827
16
12
4
3
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 6
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
4808
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Y04 Assault by bodily force
916
19.05
2
R50 Fever of unknown origin
645
13.42
3
D50 Iron deficiency anaemia
580
12.06
4
A09 Diarrhoea and gastroenteritis of presumed infectious origin
509
10.59
5
R10 Abdominal and pelvic pain
485
10.09
6
O80 Single spontaneous delivery
262
5.45
7
J45 Asthma
206
4.28
8
T629 Noxious substance eaten as food, unspecified
178
3.70
9
V892 Person injured in unspecified motor-vehicle accident, traffic
72
1.50
10
J18 Pneumonia, organism unspecified
70
1.46
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 7
Top 10 diseases according to the number of deaths among admitted patients in the UHC during the reporting period
Total number of Deaths during the reporting period
15
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
D50 Iron deficiency anaemia
4
26.67
2
T629 Noxious substance eaten as food, unspecified
3
20.00
3
J18 Pneumonia, organism unspecified
3
20.00
4
K746 Other and unspecified cirrhosis of liver
2
13.33
5
I50 Heart failure
2
13.33
6
J45 Asthma
1
6.67
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
99.00
Coverage of households having access to sanitary latrines (%)
84.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
13,109
Bed Occupancy Rates (%)
71.85
Average Length of Hospital Stay (No. of days per patient)
2.86
Hospital Death Rate (%)
0.31
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
325
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
UHC
Class I
Doctor
21
13
6
2
9.52
Non Doctor
0
0
0
0
0.00
Class II
17
2
15
0
0.00
Class III
41
30
10
1
2.44
Class IV
22
7
13
2
9.09
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I
Doctor
2
2
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
3
1
0
0.00
Class IV
2
1
1
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
49
17
30
2
4.08
Class IV
0
0
0
0
0.00
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 11
Status of Human Resources (Class wise)
Class
Sanctioned (No.)
Filled-up (No.)
Vacant (No.)
Vacancy %
M
F
Upazila Total
Class I
Doctor
32
21
9
2
6.25
Non Doctor
0
0
0
0
0.00
Class II
16
1
15
0
0.00
Class III
128
69
36
23
17.97
Class IV
24
8
14
2
8.33
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
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 12
Status of Human Resources (No.) (Category wise)
Manpower
Community Clinic
USC/UHFWC/RD
UHC
Others
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Physician
0
0
11
11
21
19
0
0
2
0
Nurse
0
0
0
0
17
17
0
0
2
0
Medical Assistant
0
0
11
11
2
2
0
0
13
0
Medical Technologist
0
0
2
2
9
9
0
0
0
0
CHCP
49
47
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
4
0
0
0
0
AHI
0
0
14
14
0
0
0
0
0
0
HA
69
47
0
0
0
0
0
0
0
0
CSBA trained***
0
1
0
0
0
0
0
0
0
0
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 13
Existing equipments 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
X-ray machine (500 mA)
0
0
0
0
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
0
0
0
0
0
Dental X-ray unit
0
0
0
0
0
Spiral CT Scan
0
0
0
0
0
C-arm
0
0
0
0
0
Mamogram machine
0
0
0
0
0
Dehumidifier
0
0
0
0
0
MRI machine
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
3
2
1
0
0
Autoclave
3
2
1
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
4
3
1
0
0
Ceiling mounting OT Light
0
0
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
3
2
1
0
0
Sucker machine (electric)
4
3
1
0
0
Ventilator
0
0
0
0
0
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 14
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine
0
0
0
0
0
Debrililator
0
0
0
0
0
ECG machine
2
2
0
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
5
4
1
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 15
Existing equipments 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)
1
1
0
0
0
Colorimeter
2
1
1
0
0
Electrolyte analyzer
0
0
0
0
0
ELISA machine
0
0
0
0
0
Gas analyzer
0
0
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
1
1
0
0
0
Microscope (binocular)
2
2
0
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
0
0
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 16
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge
0
0
0
0
0
Laminar flow hood
0
0
0
0
0
pH meter
0
0
0
0
0
Hemoglobin photometer
0
0
0
0
0
Blood bank refrigerator
0
0
0
0
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
0
0
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
0
0
0
0
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
0
0
0
0
0
Urology equipment
Cystoscopic machine
0
0
0
0
0
Vehicles
Ambulance
3
2
1
0
0
Bus
0
0
0
0
0
Jeep
0
0
0
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 17
Existing equipments 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)
1
1
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)
9
8
1
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
5
5
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
2
2
0
0
0
Multimedia
1
1
0
0
0
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 18
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
OHP
PA system (Sound)
0
0
0
0
0
Land phone
0
0
0
0
0
Mobile phone
1
1
0
0
0
Photocopier machine
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
66
57
9
0
0
Kapasia Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Kapasia Upazila Health Complex |
There are scope for improvement which we hope to achieve this year. We did not and still do not have an anesthetist working in this institute. So the number of caesarian deliveries and surgeries were not satisfactory. This health bulletin will help to draw attention of relevant authorities to these problems and address these issues accordingly.