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Kendua Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this Local Health Bulletin-2014 of Kendua Upazila. This bulletin contains all the health related information of 2013.This bulletin is published to disseminate the information of kendua 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 file.This health bulletin will help us to find contains and also to see the results and achievements of 2013. The bulleting contains the status of MDG4 and MDG5 which will help to locate the MDG targets. The health bulletin has also the information on safe drinking water & sanitation status of the upazila. All the sanctioned & vacnt posts are published in this bulletin of 2014. Kendua upazila is grater upazila of netrakona district. It is 30 km south from Netrakona Headquarters. It has 13 Unions with 262 Villages & 63325 Households. The upazila health complex is located in the center of the upazila. It is a 50 beded CEmOC Hospital but no cesar because there is no Junior Consultant(Surgery) & EmOC Pair nurse. Only normal delivery regularly done. Due to shortage of Doctor & Nurse it is very difficult to manage roster.We are hopeful that Honourable DG Sir will provide some Doctor & Nurse this year.Too mention that all Officers & Staffs of UHC & RD/USC are to much happy to write this local health bulletin 2014 because this document of health bulletin will help us to compare our progress in coming up years.It is very useful documents and will help the public to understand health services & to provide is the useful advice for improvement in future. I like to take attention of the higher Authority to lock into this issue. Finally I would like to congratulate of the health bulletin software for 3rd times setting us one step ahead toward Digital Bangladesh. Dr Tania Islam, UHC, Upazila Health Complex, Kendua, Netrakona.
Dr. Tania Islam
UH&FPO
Kendua Upazila Health Complex

Kendua Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKendua
Name of UHFPO Dr. Tania Islam
Telephone No. 0952856010
FAX No. 0
Mobile No. 01670091989
Email kendua@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.3913 And Long: 90.4928
No. of Unions in the Upazila13
No. of Households in the Upazila 63,325
No. of Population in the Upazila 307,497
Area of Upazila in sq km 304.00

Kendua 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 4 0
No. of Rural/Urban/Thana Dispensaries 11 0
No. of Community Clinics 35 0
No of Trauma Centres 0 0
No. of MCWCs 0 0
No. of Chest Disease Clinics (TB clinics) 1 0
No. of Private Clinics/Facilities 0 0
No. of NGO Clinics/Facilities 4 0

Kendua Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 11,737


Total No. of children treated under IMCI Program 4,148
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 12.78 per 1,000 live births.

Kendua 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: 2999
Total Number of Deliveries: 11485
No. of Maternal Death: 12
Valid TT Coverage: 15.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 102.24 per 100,000 live births.

Kendua 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 27,195 11,968 15,227 7,000 726 491 235 231
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 63,567 26,419 37,148 18,963 0 0 0 0
Community Clinics 274,205 94,836 179,369 27,392 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) 331 218 113 9 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 365,298 133,441 231,857 53,364 726 491 235 231
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 3,919 1,625 2,294 1,228 21 9 12 20
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 3,919 1,625 2,294 1,228 21 9 12 20

Kendua 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 5147
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 K27 Peptic ulcer, site unspecified 965 18.75
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin 823 15.99
3 F912 Socialized conduct disorder 766 14.88
4 X87 Assault by pesticides 514 9.99
5 A759 Typhus fever, unspecified 350 6.80
6 E46 Unspecified protein-energy malnutrition 268 5.21
7 J458 Mixed asthma 243 4.72
8 K766 Portal hypertension 106 2.06
9 V892 Person injured in unspecified motor-vehicle accident, traffic 87 1.69
10 T375 Antiviral drugs 82 1.59

Kendua 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 41
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A403 Septicaemia due to Streptococcus pneumoniae 13 31.71
2 J459 Asthma, unspecified 7 17.07
3 E44 Protein-energy malnutrition of moderate and mild degree 4 9.76
4 P21 Birth asphyxia 3 7.32
5 D62 Acute posthaemorrhagic anaemia 2 4.88
6 Y913 Very severe alcohol intoxication 2 4.88
7 G932 Benign intracranial hypertension 2 4.88
8 I429 Cardiomyopathy, unspecified 2 4.88
9 P599 Neonatal jaundice, unspecified 1 2.44
10 V892 Person injured in unspecified motor-vehicle accident, traffic 1 2.44

Kendua 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 (%) 78.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 13,718
Bed Occupancy Rates (%) 75.00
Average Length of Hospital Stay (No. of days per patient) 3.00
Hospital Death Rate (%) 1.00


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 5400

 

Kendua 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 5 2 14 66.67
Non Doctor 0 0 0 0 0.00
Class II 15 0 8 7 46.67
Class III 102 51 33 18 17.65
Class IV 25 14 2 9 36.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 2 1 0 1 50.00
Non Doctor 1 0 0 1 100.00
Class II 2 1 0 1 50.00
Class III 8 3 5 0 0.00
Class IV 8 4 4 0 0.00
Rural Dispensaries
Class I Doctor 13 4 1 8 61.54
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 24 9 1 14 58.33
Class IV 11 7 0 4 36.36
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 18 16 4 10.53
Class IV 0 0 0 0 0.00

 

Kendua 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 34 9 3 22 64.71
Non Doctor 0 0 0 0 0.00
Class II 15 0 8 7 46.67
Class III 164 78 50 36 21.95
Class IV 36 21 2 13 36.11
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

 

Kendua 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 13 5 21 7 0 0 0 1
Nurse 0 0 0 0 16 8 0 0 2 1
Medical Assistant 0 0 13 6 2 2 0 0 8 0
Medical Technologist 0 0 11 4 10 8 0 0 0 0
CHCP 38 35 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 10 0 0 0 0
HA 0 0 0 0 60 50 0 0 0 0
CSBA trained*** 0 0 0 0 20 12 0 0 0 0

Kendua 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) 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 1 0 0 0
Anesthesia machine without ventilator 1 1 0 0 0
Autoclave 1 1 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 3 0 1 2 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 1 0 0 1
Sterilizer 1 1 0 0 0
Sucker machine (electric) 2 1 0 0 1
Ventilator 0 0 0 0 0


Kendua 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 2 1 1 0 0
Pulse oximeter 1 1 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


Kendua 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) 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 1 1 0 0 0
Phototherapy unit 2 1 0 0 1


Kendua 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 4 2 0 0 2
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 1 1 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


Kendua 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) 2 1 0 0 1
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 0 0 0 0 0
ICT equipment
Computer (desktop) 2 2 0 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 1 1 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 0 0 0 0 0


Kendua 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 48 36 4 2 6

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

Important information and necessary issues for Kendua Upazila Health Complex |
 Important Information and Necessary Issues for Kendua Upazila Health Complex : Last year we could not give our maximum efforts improve the health status due to many reasons. Here I like mention some important factors which will help us to achieve good results in future. The X-Ray machine is out of order for about 4(four) years. So the X-Ray Machine is repairable. Our doctor, Nurse,SACMO, Pharmacist & Statistician need more training on Nutrition, Computer, IMCI & EmOC. Our Statistician need Basic Computer training of 28 days. Number of the Bed & Furniture capacity of the health complex should be increased. Field activeties for too develop need to Health Assistant (HA) long time training such as CHCP. Thanks to All. Edited by S.M.A.Baset Chowdhury, Statistician, Upazila Health Complex, Kendua, Netrakona.