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Kotwalipara Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish Health Bulletin of Kotalipar Upazila Health Complex. This Bulletin contains all the Health related information of 2012 . This Bulletin is publish to disseminate to inform of Kotalipara Upazilla to other line department and development partner of Health .I hope all the information of the Bulletin will help for planning bridging the gaps in the Health service of the Upazilla. Government Health office has many data stored in the field . This Health Bulletin will help us to fond constrains and also to see the results & achievement of 2012. This Bulletin contains the status of M.D.G 5 which will help to localize the M. D.G Target . This Health Bulletin has also the information save drinking & Sanitation status of the Upazilla . All the sanctioned and vacant are published in the Bulletin 2012. I like to take attention of the higher authority to look into the issue finally. I would like to congratulate initiator of the Health Bulletin software for setting us one step ahead toward digital Bangladesh .
Dr. Jadu Nath Majumder
UH&FPO
Kotwalipara Upazila Health Complex

Kotwalipara Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKotwalipara
Name of UHFPO Dr. Jadu Nath Majumder
Telephone No. 06651217
FAX No. 0
Mobile No. 01813985292
Email kotalipara@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila12
No. of Households in the Upazila 46,848
No. of Population in the Upazila 232,229
Area of Upazila in sq km 367.00

Kotwalipara 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 11 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 34 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 72
No. of NGO Clinics/Facilities 2 0

Kotwalipara Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,117


Total No. of children treated under IMCI Program 13,266
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 7.70 per 1,000 live births.

Kotwalipara 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: 1735
Total Number of Deliveries: 4196
No. of Maternal Death: 4
Valid TT Coverage: 29.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 128.33 per 100,000 live births.

Kotwalipara 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 33,753 13,170 20,583 10,187 5,306 2,241 3,065 808
Union Sub-Centres 31,205 14,683 16,522 476 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 69,622 14,291 55,331 28,784 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 132,804 41,113 91,691 18,013 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 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 267,384 83,257 184,127 57,460 5,306 2,241 3,065 808
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 4,691 1,893 2,798 636 38 15 23 5
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 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 4,691 1,893 2,798 636 38 15 23 5

Kotwalipara 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 4691
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y00 Assault by blunt object 1169 24.92
2 R50 Fever of unknown origin 424 9.04
3 A09 Diarrhoea and gastroenteritis of presumed infectious origin 328 6.99
4 T60 Toxic effect of pesticides 257 5.48
5 J17 Pneumonia in diseases classified elsewhere 216 4.60
6 J45 Asthma 196 4.18
7 I10 Essential (primary) hypertension 132 2.81
8 I63 Cerebral infarction 119 2.54
9 K29 Gastritis and duodenitis 68 1.45
10 D50 Iron deficiency anaemia 51 1.09

Kotwalipara 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 45
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I60 Subarachnoid haemorrhage 11 24.44
2 P21 Birth asphyxia 11 24.44
3 T604 Rodenticides 4 8.89
4 I63 Cerebral infarction 4 8.89
5 J45 Asthma 2 4.44
6 I21 Acute myocardial infarction 2 4.44
7 I50 Heart failure 1 2.22
8 D50 Iron deficiency anaemia 1 2.22
9 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 1 2.22
10 K92 Other diseases of digestive system 1 2.22

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 80.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 12,510
Bed Occupancy Rates (%) 68.00
Average Length of Hospital Stay (No. of days per patient) 3.00
Hospital Death Rate (%) 43.00


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 421
Minor Surgeries 1469

 

Kotwalipara 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 5 2 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 15 1 14 0 0.00
Class III 98 45 33 20 20.41
Class IV 21 11 6 4 19.05
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 11 0 0 11 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 47 16 11 20 42.55
Class IV 25 8 13 4 16.00
Rural Dispensaries
Class I Doctor 10 3 0 7 70.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 6 3 3 25.00
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 34 14 19 1 2.94
Class IV 0 0 0 0 0.00

 

Kotwalipara 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 31 10 2 19 61.29
Non Doctor 0 0 0 0 0.00
Class II 15 1 14 0 0.00
Class III 98 45 33 20 20.41
Class IV 21 11 6 4 19.05
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

 

Kotwalipara 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 21 3 9 7 0 0 2 2
Nurse 0 0 0 0 15 15 0 0 5 3
Medical Assistant 0 0 21 11 2 2 0 0 8 0
Medical Technologist 0 0 13 4 10 8 0 0 0 0
CHCP 34 33 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 3 3 0 0
AHI 0 0 0 0 0 0 10 7 0 0
HA 0 0 0 0 0 0 50 48 0 0
CSBA trained*** 19 0 0 0 0 0 22 22 0 0

Kotwalipara 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) 1 1 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 0 0 0 0 0
Anesthesia machine without ventilator 1 1 0 0 0
Autoclave 3 3 0 0 0
Electric cautery machine 1 1 0 0 0
Diathermy machine 2 2 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 1 1 0 0 0
Sterilizer 2 1 0 0 1
Sucker machine (electric) 4 4 0 0 0
Ventilator 0 0 0 0 0


Kotwalipara 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 0 0 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 2 1 1 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 0 0 1
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Kotwalipara 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 2 1 1 0 0
Centrifuge machine (electric) 0 0 0 0 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 1 0 0 0 1
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) 3 1 2 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


Kotwalipara 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 1 0 1 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 3 2 1 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


Kotwalipara 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 2 2 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 2 1 0 0 1
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 2 0 2 5
Laptop 27 25 2 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 3 2 1 0 0
Scanner 0 0 0 0 0
UPS 7 1 0 2 4
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 1 1 0 0 0


Kotwalipara 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 91 61 13 4 13

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

Important information and necessary issues for Kotwalipara Upazila Health Complex |
 Important information and necessary issues for Kotwalipara Upazila Health Complex .Last year We could not give out maximum efforts to improve the Health status due to many reasons .Here I like to mention some important factors which will help us to achieve good results in future .1. The vacant posts should be filled up immediately.2. Our Doctors & Nurses need more training on I M C I.3. All the repairable equipments should be repaired as soon as possible.4. a hall room is mostly needed for training& monthly meeting. 5. Finally I am very happy to write this this health bulletin of 2014 because the document will help us to compare Our progress for upcoming years. This is very useful document and will help the public to understand health service and to provide us the useful to improve the future.