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

Kalkini Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to published this e-health bulletin of kalkini upazila Health Services.This bulletin contains all the health related information of 2013.This bulletin is published to disseminate the information of kalkini upazila to other line department 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.Government health office has many data stored in the fine.This e-health bulletin will help us to find constrains and also to see the results about achievements of 2013.The bulletin contains the status of MDG 4 and MDG 5 which will help to localized the MDG targets.This health bulletin has also the information on safe drinking water and sanitation status of the upazila.All the sanctioned and vacant posts are published in this bulletin of 2013. I Would like to draw an attention of the higher authority to look in to this issue.Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bangladesh. I would also thanks all H.A,AHI,HI,SI and other field Staffs For theiredless Efforts to collect this information.Hope we will be able to serve a better bulletin in the next time.Thanks to MIS DG health and all our health workers for their kind cooperation in printing this matter. DR.MD.ABDUR ROKIB UH&FPO KALKINI, MADARIPUR
DR.MD.ABDUR ROKIB
UH&FPO
Kalkini Upazila Health Complex

Kalkini Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKalkini
Name of UHFPO DR.MD.ABDUR ROKIB
Telephone No. 0662256108
FAX No. 0
Mobile No. 01712132211
Email kalkini@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 90.0000
No. of Unions in the Upazila14
No. of Households in the Upazila 58,568
No. of Population in the Upazila 294,880
Area of Upazila in sq km 281.50

Kalkini 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 4 0
No. of Union Health and Family Welfare Centres 11 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 29 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 1 10
No. of NGO Clinics/Facilities 0 0

Kalkini Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,512


Total No. of children treated under IMCI Program 4,211
Fully Vaccinated Children: 95.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 14.74 per 1,000 live births.

Kalkini 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: 3264
Total Number of Deliveries: 6803
No. of Maternal Death: 7
Valid TT Coverage: 23.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 107.49 per 100,000 live births.

Kalkini 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 28,785 13,049 15,736 10,243 5,243 2,668 2,575 1,954
Union Sub-Centres 40,433 14,662 25,771 4,187 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 39,194 6,541 32,653 9,987 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 195,306 54,384 140,922 29,429 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 303,718 88,636 215,082 53,846 5,243 2,668 2,575 1,954
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 3,407 1,379 2,028 1,201 7 4 3 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 288 11 277 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 3,695 1,390 2,305 1,201 7 4 3 5

Kalkini 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 4608
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A099 Gastroenteritis and colitis of unspecified origin 897 19.47
2 R456 Physical violence 854 18.53
3 R509 Fever, unspecified 572 12.41
4 K319 Disease of stomach and duodenum, unspecified 347 7.53
5 J189 Pneumonia, unspecified 151 3.28
6 V892 Person injured in unspecified motor-vehicle accident, traffic 146 3.17
7 T659 Toxic effect of unspecified substance 88 1.91
8 J449 Chronic obstructive pulmonary disease, unspecified 81 1.76
9 J459 Asthma, unspecified 59 1.28
10 F419 Anxiety disorder, unspecified 57 1.24

Kalkini 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 120
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 R100 Acute abdomen 4 3.33
2 I238 Other current complications following acute myocardial infarction 2 1.67
3 C349 Bronchus or lung, unspecified 2 1.67
4 J459 Asthma, unspecified 1 0.83
5
J4.9 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1 0.83
6 J189 Pneumonia, unspecified 1 0.83
7 I679 Cerebrovascular disease, unspecified 1 0.83
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
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.) 13,915
Bed Occupancy Rates (%) 76.00
Average Length of Hospital Stay (No. of days per patient) 3.02
Hospital Death Rate (%) 0.26


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 280

 

Kalkini 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 24 7 4 13 54.17
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 121 59 33 29 23.97
Class IV 23 8 3 12 52.17
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 11 1 0 10 90.91
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 11 2 1 8 72.73
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 4 0 1 3 75.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 4 2 2 25.00
Class IV 8 2 0 6 75.00
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 36 9 19 8 22.22
Class IV 0 0 0 0 0.00

 

Kalkini 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 24 7 4 13 54.17
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 157 68 52 37 23.57
Class IV 23 8 3 12 52.17
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

 

Kalkini 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 15 2 9 9 0 0 0 0
Nurse 0 0 0 0 10 10 0 0 3 3
Medical Assistant 0 0 26 11 2 2 0 0 7 0
Medical Technologist 0 0 4 2 8 7 0 0 0 0
CHCP 36 28 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0
AHI 0 0 0 0 13 13 0 0 4 0
HA 0 0 0 0 64 51 0 0 49 0
CSBA trained*** 0 0 0 0 0 35 0 0 0 35

Kalkini 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 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) 1 1 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 1 0 1 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 0 0 0 0 0
Autoclave 0 0 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 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 3 2 1 0 0
Ventilator 0 0 0 0 0


Kalkini 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 9 6 3 0 0
Pulse oximeter 2 2 0 0 0
Dental equipment
Dental unit 0 0 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Kalkini 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) 1 1 0 0 0
Colorimeter 1 1 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) 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


Kalkini 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 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


Kalkini 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 3 1 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 2 1 0 1 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 7 1 0 0
Laptop 34 34 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 3 1 2 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 8 7 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 33 33 0 0 0
Multimedia 1 1 0 0 0


Kalkini 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 133 119 13 1 0

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

Important information and necessary issues for Kalkini Upazila Health Complex |
 IMportant information and necessary issues for Kalkini Upazila Health Complex. Last year we could not give our maximum efforts improve the health status of kalkini upazila due to many reasons.Here I would like to mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediately. 2. Our doctors need more training on IMCI & EOC. 3. Also Instruments and furniture are not sufficient in Community clinics which should be increased. Finally I am very happy to write this e-health bulletin of 2013 because this documents will help us to compair our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future. DR.MD.ABDUR ROKIB UH&FPO KALKINI, MADARIPUR