Karimganj Upazila Health Complex | Health Bulletin 2014 |
Preface
Health Bulletin is the store house of health services. Through this bulletin we can disseminate information about the health facilities, health care providers and service recipients, diseases demography neonatal and maternal mortality, having access to safer drinking water sanitation etc to the people. I am very much glad to publish the health bulletin of Karimganj health complex which contains all the relevant information for the years 2013. I am grateful to MIS DGHS Dhaka for the support they have provided me to publish this bulletin.
Karimganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Karimganj
Name of UHFPO Dr. Md.Khairul Alam
Telephone No. 0942756107
FAX No. 0
Mobile No. 01711279111
Email karimganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila 11
No. of Households in the Upazila 66,160
No. of Population in the Upazila 328,696
Area of Upazila in sq km 200.53
Karimganj 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
1
0
No. of Union Health and Family Welfare Centres
8
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
33
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
0
0
No. of NGO Clinics/Facilities
0
0
Karimganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 8,350
Total No. of children treated under IMCI Program 18,667
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 23.47 per 1,000 live births.
Karimganj 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: 3847
Total Number of Deliveries: 8319
No. of Maternal Death: 12
Valid TT Coverage: 10.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
143.71 per 100,000 live births.
Karimganj 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
32,995
10,568
22,427
16,375
15,027
8,433
6,594
4,938
Union Sub-Centres
7,421
3,123
4,298
767
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
186,942
49,311
137,631
30,069
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
227,358
63,002
164,356
47,211
15,027
8,433
6,594
4,938
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
4,870
2,285
2,585
1,083
15
10
5
0
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
4,870
2,285
2,585
1,083
15
10
5
0
Karimganj 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
5953
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
1279
21.48
2
T07 Unspecified multiple injuries
797
13.39
3
K27 Peptic ulcer, site unspecified
367
6.16
4
R509 Fever, unspecified
258
4.33
5
J46 Status asthmaticus
250
4.20
6
J21 Acute bronchiolitis
205
3.44
7
J18 Pneumonia, organism unspecified
200
3.36
8
V041 Pedestrian injured in collision with heavy transport vehicle or bus, traffic accident
124
2.08
9
F99 Mental disorder, not otherwise specified
118
1.98
10
A010 Typhoid fever
75
1.26
Karimganj 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
J46 Status asthmaticus
3
20.00
2
R10 Abdominal and pelvic pain
3
20.00
3
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
2
13.33
4
D022 Bronchus and lung
1
6.67
5
V041 Pedestrian injured in collision with heavy transport vehicle or bus, traffic accident
1
6.67
6
K27 Peptic ulcer, site unspecified
1
6.67
7
I10 Essential (primary) hypertension
1
6.67
8
R509 Fever, unspecified
1
6.67
9
R042 Haemoptysis
1
6.67
10
R560 Febrile convulsions
1
6.67
Karimganj Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
90.00
Coverage of households having access to sanitary latrines (%)
89.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
11,369
Bed Occupancy Rates (%)
68.00
Average Length of Hospital Stay (No. of days per patient)
2.10
Hospital Death Rate (%)
0.30
Karimganj Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
2054
Karimganj 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
8
2
11
52.38
Non Doctor
0
0
0
0
0.00
Class II
17
0
16
1
5.88
Class III
94
45
20
29
30.85
Class IV
27
16
6
5
18.52
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
0
0
0
0
0.00
Non Doctor
1
1
0
0
0.00
Class II
1
0
1
0
0.00
Class III
8
8
0
0
0.00
Class IV
3
1
2
0
0.00
Rural Dispensaries
Class I
Doctor
11
2
0
9
81.82
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
11
2
5
4
36.36
Class IV
1
1
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
35
12
21
2
5.71
Class IV
0
0
0
0
0.00
Karimganj 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
9
2
21
65.63
Non Doctor
0
0
0
0
0.00
Class II
17
0
16
1
5.88
Class III
97
47
25
25
25.77
Class IV
28
17
6
5
17.86
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
Karimganj 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
2
21
9
0
0
0
1
Nurse
0
0
0
0
16
16
0
0
1
1
Medical Assistant
0
0
11
7
2
0
0
0
3
0
Medical Technologist
0
0
1
0
10
6
0
0
0
0
CHCP
35
33
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
AHI
0
0
0
0
9
9
0
0
0
0
HA
0
0
0
0
45
35
0
0
0
0
CSBA trained***
0
0
0
0
0
9
0
0
0
0
Karimganj 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)
0
0
0
0
0
X-ray machine (300 mA)
1
0
1
0
0
X-ray machine (500 mA)
1
1
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
2
2
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
3
3
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
1
0
0
0
Portable OT Light
5
5
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
3
3
0
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Karimganj 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
3
3
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
5
0
0
0
Pulse oximeter
2
2
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
Karimganj 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)
2
2
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
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
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Karimganj 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
2
2
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
Karimganj 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)
6
6
0
0
0
Air conditioner (window)
1
1
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
0
0
0
0
0
ICT equipment
Computer (desktop)
8
6
1
1
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
7
5
2
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
1
1
0
0
0
Multimedia
1
1
0
0
0
Karimganj 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
78
72
5
1
0
Karimganj Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Karimganj Upazila Health Complex |
Important information and necessary issues for karimganj Upazila Health Complex I would like to mention here some important factors which will help us to achieve good result for health service in future. 1. Vacant posts should be filled immediately. 2. doctors nures, sacmos need more training on IMCI. 3. Necessary action should be taken to start functioning OT service.In the addition there should be steady supply of fuel for the generator . Finally I feel proud to publish the Health Bulletin, because this document will help us compare our progress in up coming year. Health Bulletin is an annual progress report which contains all health statistics which we have achieved last year.