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Kalmakanda Upazila Health Complex | Health Bulletin 2014 |
Preface
Ihis bulletin is published to disseminate the information of kalmakanda 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. Govemment health office has many data stored in the file. This health bulletin will help us to find constrains and also to see the results and achievements of 2013. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG target. This health bulletin has 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 like to take attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator to the health bulletin software to set us on step ahead to digital Bangladesh. (Dr. Mohammed al mamun ) R.M.O Kalmakanda,Netrakona.
Dr. Mohammed al mamun (R.M.O)
UH&FPO
Kalmakanda Upazila Health Complex

Kalmakanda Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKalmakanda
Name of UHFPO Dr. Mohammed al mamun (R.M.O)
Telephone No. 0952756058
FAX No. 0
Mobile No. 01714448313
Email kalmakanda@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila8
No. of Households in the Upazila 58,498
No. of Population in the Upazila 284,538
Area of Upazila in sq km 377.41

Kalmakanda 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 6 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 31 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

Kalmakanda Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 8,242


Total No. of children treated under IMCI Program 12,499
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 16.02 per 1,000 live births.

Kalmakanda 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: 3453
Total Number of Deliveries: 614
No. of Maternal Death: 9
Valid TT Coverage: 60.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 109.20 per 100,000 live births.

Kalmakanda 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 17,790 7,055 10,735 4,216 4,688 2,674 2,014 1,545
Union Sub-Centres 20,238 6,301 13,937 2,537 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 151,343 54,000 97,343 37,514 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 980 350 630 110 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 191,331 67,706 122,645 44,377 4,688 2,674 2,014 1,545
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 4,269 2,067 2,202 1,192 8 5 3 13
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 106 20 86 20 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 4,375 2,087 2,288 1,212 8 5 3 13

Kalmakanda 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 0
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 R50 Fever of unknown origin 1495 0.00
2 T14 Injury of unspecified body region 1171 0.00
3 A09 Diarrhoea and gastroenteritis of presumed infectious origin 966 0.00
4 R10 Abdominal and pelvic pain 595 0.00
5 J06 Acute upper respiratory infections of multiple and unspecified sites 346 0.00
6 S96 Injury of muscle and tendon at ankle and foot level 170 0.00
7 R07 Pain in throat and chest 62 0.00
8 P21 Birth asphyxia 24 0.00
9 T20 Burn and corrosion of head and neck 12 0.00
10 D63 Anaemia in chronic diseases classified elsewhere 7 0.00

Kalmakanda 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 0
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J06 Acute upper respiratory infections of multiple and unspecified sites 5 0.00
2 R07 Pain in throat and chest 3 0.00
3 P21 Birth asphyxia 3 0.00
4 R50 Fever of unknown origin 3 0.00
5 D63 Anaemia in chronic diseases classified elsewhere 1 0.00
6 R10 Abdominal and pelvic pain 1 0.00
7 J40 Bronchitis, not specified as acute or chronic 1 0.00
8 I11 Hypertensive heart disease 1 0.00
9 A41 Other septicaemia 1 0.00
10 I50 Heart failure 1 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 89.00
Coverage of households having access to sanitary latrines (%) 67.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 16,024
Bed Occupancy Rates (%) 87.80
Average Length of Hospital Stay (No. of days per patient) 2.88
Hospital Death Rate (%) 0.38


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 203

 

Kalmakanda 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 29 9 0 20 68.97
Non Doctor 0 0 0 0 0.00
Class II 14 0 12 2 14.29
Class III 97 51 19 27 27.84
Class IV 26 9 2 15 57.69
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 12 1 6 5 41.67
Class IV 6 0 1 5 83.33
Rural Dispensaries
Class I Doctor 2 0 0 2 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 0 2 50.00
Class IV 2 1 0 1 50.00
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 31 19 12 0 0.00
Class IV 0 0 0 0 0.00

 

Kalmakanda 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 29 8 1 20 68.97
Non Doctor 0 0 0 0 0.00
Class II 14 0 12 2 14.29
Class III 97 51 19 27 27.84
Class IV 26 9 2 15 57.69
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

 

Kalmakanda 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 0 21 9 0 0 4 0
Nurse 0 0 0 0 14 6 0 0 2 1
Medical Assistant 0 0 14 6 2 2 0 0 3 0
Medical Technologist 0 0 0 0 12 8 0 0 0 0
CHCP 31 30 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0
AHI 0 0 0 0 10 2 0 0 0 0
HA 0 0 0 0 50 44 0 0 0 0
CSBA trained*** 0 0 0 0 0 12 0 0 0 0

Kalmakanda 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 0 1 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 1 0 0 0 1
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 0 0 0 1
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 0 0 0 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) 10 5 2 0 3
Ventilator 0 0 0 0 0


Kalmakanda 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 3 2 1 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 0 1 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Kalmakanda 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 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 0 0 0 0 0
Microscope (binocular) 8 5 3 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 1 1 0 0 0


Kalmakanda 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 1 1 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 1 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 2 0 1 1 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


Kalmakanda 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) 5 5 0 0 0
Generator
Generator (diesel/petrol) 2 0 1 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) 4 3 1 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 5 3 2 0 0
Printer (laser) 1 1 0 0 0
Scanner 1 1 0 0 0
UPS 0 0 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Kalmakanda 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 0 1 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 56 35 14 2 5

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

Important information and necessary issues for Kalmakanda Upazila Health Complex |
 Last year we could not give our maximum efforts to improve the health status due to many reasons. Here 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 doctor and nurse need more training on IMCI. 3. Our hospital requires repair /supply of a new ambulance immediate. 4. All the repairable equipment’s should be repaired as soon as possible. 5. We have 4 female HA who need CSBA training . 6. Our hospital requires /supply of a new 100 MA x-ray machine. I am very happy to write this health bulletin of 2013 because this document will help us to compare our progress in up coming years. This is very use full document and will help the public to understand health services and to provide us the use full advice for improvement in future.