HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Kassiani Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of kasiani upazila.This bulletin contains all avilable health related information of m2013.We do not have any statistician for last 4 years.Our head astt do the duty of statistician beside his duties.So in some our information or data may be incomplete,This bullletin is publised to disseminate the information of kasiani upazila to other line depertment and development partners of health.I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila.Goverment health office has many data stored in the file.This health bulletin eill help us to find constrains and also to see the results and achievments of 2013.The bulletin contains the status of MDG 4 and MDG 5 which will help to locatze the MDG targets.This health bulletin has also the information on safe e drinking water and sanitation status of this upazila.All the sactioned and vacent posts are publised in this bulletin of 2013.I would like to take attention of the higher authority to look in to this issue.Finaly i would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bnagladesh.all usc have 1 laptop & cc have 1 laptop,they will send their data by this system within this month> Dr.Abual khair md rafiqual hyder UH&FPO Kasiani upazila health complex
Dr. Md.Monoyer hossan
UH&FPO
Kassiani Upazila Health Complex

Kassiani Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKassiani
Name of UHFPO Dr. Md.Monoyer hossan
Telephone No. 0665256214
FAX No. 0
Mobile No. 01712285410
Email kasiani@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 94.0000
No. of Unions in the Upazila14
No. of Households in the Upazila 44,342
No. of Population in the Upazila 215,236
Area of Upazila in sq km 29,713.75

Kassiani 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 31
No. of Union Sub-Centres 8 0
No. of Union Health and Family Welfare Centres 6 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 29 0
No of Trauma Centres 0 0
No. of MCWCs 1 0
No. of Chest Disease Clinics (TB clinics) 0 0
No. of Private Clinics/Facilities 8 60
No. of NGO Clinics/Facilities 1 0

Kassiani Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,705


Total No. of children treated under IMCI Program 25,132
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 1.93 per 1,000 live births.

Kassiani 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: 2604
Total Number of Deliveries: 5714
No. of Maternal Death: 5
Valid TT Coverage: 32.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 87.64 per 100,000 live births.

Kassiani 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 24,411 9,950 14,461 5,033 2,251 1,113 1,138 282
Union Sub-Centres 43,371 14,936 28,435 7,011 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 20,917 4,581 16,336 556 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 169,629 53,039 116,590 25,015 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 5,860 510 5,350 810 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 264,188 83,016 181,172 38,425 2,251 1,113 1,138 282
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 3,012 1,234 1,778 680 9 7 2 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 1,523 204 1,319 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 4,535 1,438 3,097 680 9 7 2 2

Kassiani 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 3282
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y04 Assault by bodily force 454 13.83
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 410 12.49
3 R509 Fever, unspecified 226 6.89
4 V099 Pedestrian injured in unspecified transport accident 151 4.60
5 T600 Organophosphate and carbamate insecticides 148 4.51
6 R100 Acute abdomen 76 2.32
7 I64 Stroke, not specified as haemorrhage or infarction 72 2.19
8 J18 Pneumonia, organism unspecified 68 2.07
9 A03 Shigellosis 58 1.77
10 I159 Secondary hypertension, unspecified 52 1.58

Kassiani 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 11
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I469 Cardiac arrest, unspecified 5 45.45
2 E105 Insulin-dependent diabetes mellitus with peripheral circulatory complications 1 9.09
3 T600 Organophosphate and carbamate insecticides 1 9.09
4 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1 9.09
5 A060 Acute amoebic dysentery 1 9.09
6 I60 Subarachnoid haemorrhage 1 9.09
7 C34 Malignant neoplasm of bronchus and lung 1 9.09
8 0 0.00
9 0 0.00
10 0 0.00

Kassiani Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 96.00
Coverage of households having access to sanitary latrines (%) 100.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 9,131
Bed Occupancy Rates (%) 61.30
Average Length of Hospital Stay (No. of days per patient) 25.01
Hospital Death Rate (%) 0.16


Kassiani Upazila Health Complex | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 665

 

Kassiani 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 9 3 2 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 88 56 21 11 12.50
Class IV 19 14 4 1 5.26
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 0 0 6 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 4 2 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 8 1 0 7 87.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 16 9 2 5 31.25
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 38 19 14 5 13.16
Class IV 0 0 0 0 0.00

 

Kassiani 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 23 4 2 17 73.91
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 148 80 39 29 19.59
Class IV 27 21 4 2 7.41
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

 

Kassiani 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 14 1 9 5 0 0 0 0
Nurse 0 0 0 0 10 10 0 0 0 0
Medical Assistant 0 0 14 14 0 0 0 0 7 0
Medical Technologist 0 0 8 3 7 5 0 0 0 0
CHCP 38 33 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 3 0 0 0 0
AHI 0 0 0 0 11 9 0 0 0 0
HA 0 0 0 0 55 53 0 0 0 0
CSBA trained*** 19 4 14 6 2 1 15 15 11 2

Kassiani 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 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 1 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 2 1 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 2 1 1 0 0
Ventilator 0 0 0 0 0


Kassiani 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 1 1 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 4 3 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


Kassiani 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 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
ELISA machine 0 0 0 0 0
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 0 0 0 0 0
Microscope (binocular) 0 0 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


Kassiani 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 1 1 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 1 1 0 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


Kassiani 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) 4 4 0 0 0
Air conditioner (window) 1 1 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 3 2 1 0 0
ICT equipment
Computer (desktop) 7 7 0 0 0
Laptop 39 39 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 1 0 0
Printer (laser) 5 5 0 0 0
Scanner 0 0 0 0 0
UPS 7 6 1 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 39 39 0 0 0
Multimedia 1 1 0 0 0


Kassiani 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 1 1 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 127 121 6 0 0

Kassiani Upazila Health Complex | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Kassiani Upazila Health Complex |
 We are trying to improve the health status of kasiani upazila. We improved our data system from various dept of our hospital & field levels.We3 also trying to collect data from pryvet clinincs.But we cant do our job 100% due to vaccent posts.Specialy our statician post is vacent for this reason we cant upload our data regularly.All CHCP & HA UHC have got laptop & tab ,so we will give our maximum efforts from july 2014. We hope that we will do better in 2014.