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Kachua Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin. This bulletin contains all the health related information of 2013 This bulletin is publish to disseminate the information of kachua upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning in health service of this upazila. This bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG target. I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bangladesh. Dr. Bijoy Krishna Saha UH&FPO Kachua upazila Health Complex,Chandpur.
Dr. Bijoy Krishna Saha
UH&FPO
Kachua Upazila Health Complex

Kachua Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKachua
Name of UHFPO Dr. Bijoy Krishna Saha
Telephone No. 0842556111
FAX No. 0
Mobile No. 01718034151
Email kachua@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 91.0000
No. of Unions in the Upazila12
No. of Households in the Upazila 78,757
No. of Population in the Upazila 428,883
Area of Upazila in sq km 238.00

Kachua 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 8 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 12
No. of NGO Clinics/Facilities 0 0

Kachua Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 8,764


Total No. of children treated under IMCI Program 4,896
Fully Vaccinated Children: 91.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 6.62 per 1,000 live births.

Kachua 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: 3216
Total Number of Deliveries: 8776
No. of Maternal Death: 10
Valid TT Coverage: 91.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 114.10 per 100,000 live births.

Kachua 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 18,919 7,711 11,208 2,393 825 538 287 58
Union Sub-Centres 26,030 11,478 14,552 3,468 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 7,361 2,973 4,388 1,746 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 182,867 49,420 133,447 11,840 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 200 100 100 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 235,577 71,682 163,695 19,447 825 538 287 58
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 4,136 1,948 2,188 510 6 4 2 3
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 300 0 300 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 4,436 1,948 2,488 510 6 4 2 3

Kachua 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 4648
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 K27 Peptic ulcer, site unspecified 348 7.49
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 307 6.60
3 J189 Pneumonia, unspecified 322 6.93
4 A010 Typhoid fever 83 1.79
5 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 18 0.39
6 B349 Viral infection, unspecified 152 3.27
7 D539 Nutritional anaemia, unspecified 33 0.71
8 I11 Hypertensive heart disease 52 1.12
9 J45 Asthma 64 1.38
10 N390 Urinary tract infection, site not specified 28 0.60

Kachua 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 9
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J189 Pneumonia, unspecified 2 22.22
2 T44 Poisoning by drugs primarily affecting the autonomic nervous system 1 11.11
3 J45 Asthma 1 11.11
4 K551 Chronic vascular disorders of intestine 1 11.11
5 I11 Hypertensive heart disease 1 11.11
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 77.00
Coverage of households having access to sanitary latrines (%) 96.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 13,374
Bed Occupancy Rates (%) 73.50
Average Length of Hospital Stay (No. of days per patient) 2.90
Hospital Death Rate (%) 0.19


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 111

 

Kachua 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 1 15 71.43
Non Doctor 0 0 0 0 0.00
Class II 15 1 11 3 20.00
Class III 115 59 32 24 20.87
Class IV 22 8 6 8 36.36
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 2 3 3 37.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 5 3 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 4 3 0 1 25.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 6 0 2 25.00
Class IV 4 4 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 44 15 17 12 27.27
Class IV 0 0 0 0 0.00

 

Kachua 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 33 11 3 19 57.58
Non Doctor 0 0 0 0 0.00
Class II 15 1 11 3 20.00
Class III 175 84 52 39 22.29
Class IV 26 12 6 8 30.77
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

 

Kachua 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 12 8 21 6 0 0 0 0
Nurse 0 0 0 0 15 12 0 0 4 1
Medical Assistant 0 0 12 12 2 2 0 0 5 0
Medical Technologist 0 0 0 0 7 5 0 0 0 0
CHCP 44 32 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 5 4 0 0
AHI 0 0 0 0 0 0 14 13 0 0
HA 0 0 0 0 0 0 69 52 0 0
CSBA trained*** 0 0 0 0 0 0 20 9 0 0

Kachua 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 1 0 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 1 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 1 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 2 0 2 0 0
Portable OT Light 2 1 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 3 2 1 0 0
Sucker machine (electric) 3 3 0 0 0
Ventilator 0 0 0 0 0


Kachua 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 0 0 0 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


Kachua 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) 5 4 1 0 0
Colorimeter 2 1 1 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) 5 2 0 3 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


Kachua 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 0 1 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


Kachua 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) 3 2 1 0 0
Generator
Generator (diesel/petrol) 1 0 0 0 1
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 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 6 5 1 0 0
Scanner 1 1 0 0 0
UPS 6 5 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 0 0 0 0 0
Multimedia 2 1 1 0 0


Kachua 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 64 46 13 3 2

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

Important information and necessary issues for Kachua Upazila Health Complex |
 I like mention some important factors to improve our health status which will help us to achieve good results in future. 1. Our doctors and nurse need more Training on IMCI/ EmOc. 2. All the repairable equipment should be repaired as soon as possible. 4. Field Staff refresher Basic training need as soon as possible, To open EmOc unit as soon as posible. ( Dr Bijoy Krishna Saha ) UH&FPO Kachua, Chandpur.