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Khaliajhuir Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Khaliajuri Upazilla. This bulletin contains all the health related information of 2013.This bulletin is published to disseminate the information of Khaliajuri Upazilla to other line department and development partners of health. I hope all the infomation of this bulletin will help planning and bridging the gaps in health services of this Upazilla. Government health office has many data stored in the file.This health bulletin will help us to find constrains and also see the results and achievements of 2013.The bulletin contains the status of MDG4 and MDG5 which will help to localize the MDG targets.This health bulletin has also the information on safe drinking water and sanitation status of the upazilla. 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 of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Dr. Mir Jainal Ali, Upazilla Health & family Planning Officer, Upazilla health complex, khaliajuri, Netrakona.
DR. MIR JAINAL ALI
UH&FPO
Khaliajhuir Upazila Health Complex

Khaliajhuir Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKhaliajhuir
Name of UHFPO DR. MIR JAINAL ALI
Telephone No. 0952656009
FAX No. 0
Mobile No. 01720324544
Email khaliajuri@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.4120 And Long: 91.0825
No. of Unions in the Upazila6
No. of Households in the Upazila 17,773
No. of Population in the Upazila 92,041
Area of Upazila in sq km 255.75

Khaliajhuir 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 31
No. of Union Sub-Centres 1 0
No. of Union Health and Family Welfare Centres 5 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 3 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 0 0

Khaliajhuir Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,088


Total No. of children treated under IMCI Program 2,526
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 22.99 per 1,000 live births.

Khaliajhuir 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: 110
Total Number of Deliveries: 93
No. of Maternal Death: 4
Valid TT Coverage: 87.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 129.53 per 100,000 live births.

Khaliajhuir 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 29,898 12,232 17,666 12,523 2,059 1,132 927 643
Union Sub-Centres 4,852 2,480 2,372 2,224 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 16,439 8,527 7,912 5,614 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) 92 64 28 1 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 51,281 23,303 27,978 20,362 2,059 1,132 927 643
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 1,418 765 653 203 3 2 1 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 5 3 2 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 1,418 765 653 203 8 5 3 0

Khaliajhuir 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 1621
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 X89 Assault by other specified chemicals and noxious substances 297 18.32
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin 287 17.71
3 J178 Pneumonia in other diseases classified elsewhere 158 9.75
4 K27 Peptic ulcer, site unspecified 137 8.45
5 F910 Conduct disorder confined to the family context 125 7.71
6 J459 Asthma, unspecified 106 6.54
7 A060 Acute amoebic dysentery 92 5.68
8 F812 Specific disorder of arithmetical skills 73 4.50
9 R100 Acute abdomen 64 3.95
10 T37 Poisoning by other systemic anti-infectives and antiparasitics 27 1.67

Khaliajhuir 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 3
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I50 Heart failure 2 66.67
2 G463 Brain stem stroke syndrome 1 33.33
3 0 0.00
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Khaliajhuir 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 (%) 40.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 6,980
Bed Occupancy Rates (%) 61.68
Average Length of Hospital Stay (No. of days per patient) 5.22
Hospital Death Rate (%) 0.04


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 1227

 

Khaliajhuir 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 14 2 0 12 85.71
Non Doctor 0 0 0 0 0.00
Class II 9 0 6 3 33.33
Class III 51 28 8 15 29.41
Class IV 23 12 0 11 47.83
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 1 0 0 1 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 0 1 50.00
Class IV 1 0 0 1 100.00
Rural Dispensaries
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
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 13 3 4 6 46.15
Class IV 0 0 0 0 0.00

 

Khaliajhuir 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 14 2 0 12 85.71
Non Doctor 0 0 0 0 0.00
Class II 9 0 6 3 33.33
Class III 51 28 8 15 29.41
Class IV 23 12 0 11 47.83
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 2 2 0 0 0.00
Class IV 0 0 0 0 0.00

 

Khaliajhuir 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 5 0 9 2 0 0 1 0
Nurse 0 0 0 0 9 6 0 0 1 0
Medical Assistant 0 0 5 3 2 2 0 0 1 0
Medical Technologist 0 0 1 0 8 5 0 0 0 0
CHCP 13 7 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0
AHI 0 0 0 0 5 1 0 0 0 0
HA 0 0 0 0 20 17 0 0 0 0
CSBA trained*** 0 0 0 0 0 4 0 0 0 0

Khaliajhuir 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 0 0 1
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 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 1 1 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 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) 2 1 1 0 0
Ventilator 0 0 0 0 0


Khaliajhuir 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 2 0 0 0
Pulse oximeter 0 0 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


Khaliajhuir 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 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 0 0 0 0 0
Microscope (binocular) 2 1 1 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


Khaliajhuir 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 0 0 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


Khaliajhuir 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) 0 0 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) 6 6 0 0 0
Laptop 3 2 1 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 2 1 1 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 1 1 0 0 0
Multimedia 0 0 0 0 0


Khaliajhuir 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) 2 1 1 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 34 26 7 0 1

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

Important information and necessary issues for Khaliajhuir Upazila Health Complex |
 Last year we could not give our maximum efforts to improve the status due to many reasons. Here I like to mention some important factors which will help us to achieve good results in future. 1. We need adequate manpower. 2. Our Doctor, Nurse,.SACMO & Pharmacist need more training of IMCI and EmOC. 3. Number of Community Clinic and the bed capacity of the health complex should be increased. Only 3(three) Community Clinics are functional out of 13. 4. To improve field activities Health Assistant and other field stuffs need long time training. It is very useful documents and will help the public to understand health services and to provide the useful advice for improvement in future. Edited by Md. Khairul Islam Khan, Office Assistant -Cum- Computer Operator & Statistician(In Charge), Upazila Health Complex, khaliajuri, Netrakona.