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Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Chatkhil Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Chatkhil upazila. This bulletin contains all the health related information of 2013. This bulletin is published to disseminate the information of chatkhil 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 files. This health bulletin will help us to find constrains and also to see the result and achievements of 2013 The bulletin contains the status of MDG 4 and MDG 5 which will help to localize 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 like to draw attention of the higher authority to look into to this issue.
Dr.Md.Khalil Ullah.
UH&FPO
Chatkhil Upazila Health Complex

Chatkhil Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaChatkhil
Name of UHFPO Dr.Md.Khalil Ullah.
Telephone No. 0322275028
FAX No. 0
Mobile No. 01711423341
Email chatkhil@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 42,536
No. of Population in the Upazila 301,000
Area of Upazila in sq km 134.00

Chatkhil 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 1 0
No. of Union Health and Family Welfare Centres 8 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 25 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 7 70
No. of NGO Clinics/Facilities 0 0

Chatkhil Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 8,412


Total No. of children treated under IMCI Program 13,405
Fully Vaccinated Children: 95.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 0.24 per 1,000 live births.

Chatkhil 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: 1562
Total Number of Deliveries: 6162
No. of Maternal Death: 4
Valid TT Coverage: 94.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 47.55 per 100,000 live births.

Chatkhil 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 29,564 13,618 15,946 6,934 6,503 2,502 4,001 1,620
Union Sub-Centres 4,961 2,771 2,190 955 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 116,732 39,301 77,431 13,405 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 7,385 3,175 4,210 898 806 355 451 218
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 166,027 58,865 99,777 22,192 7,309 2,857 4,452 2,071
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 5,064 1,814 3,250 1,220 20 10 10 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 2,687 1,502 1,185 1,940 1 0 1 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 7,751 3,316 4,435 3,160 21 10 11 3

Chatkhil 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 6284
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 916 14.58
2 K27 Peptic ulcer, site unspecified 527 8.39
3 R509 Fever, unspecified 312 4.96
4 B159 Hepatitis A without hepatic coma 215 3.42
5 J180 Bronchopneumonia, unspecified 212 3.37
6 J458 Mixed asthma 127 2.02
7 N399 Disorder of urinary system, unspecified 85 1.35
8 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 76 1.21
9 F064 Organic anxiety disorder 75 1.19
10 I64 Stroke, not specified as haemorrhage or infarction 31 0.49

Chatkhil 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 23
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I219 Acute myocardial infarction, unspecified 5 21.74
2 I110 Hypertensive heart disease with (congestive) heart failure 3 13.04
3 J46 Status asthmaticus 2 8.70
4 I10 Essential (primary) hypertension 2 8.70
5 I609 Subarachnoid haemorrhage, unspecified 2 8.70
6 J18 Pneumonia, organism unspecified 2 8.70
7 P361 Sepsis of newborn due to other and unspecified streptococci 1 4.35
8 D15 Benign neoplasm of other and unspecified intrathoracic organs 1 4.35
9 K739 Chronic hepatitis, unspecified 1 4.35
10 T48 Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory system 1 4.35

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 85.00
Coverage of households having access to sanitary latrines (%) 86.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 15,279
Bed Occupancy Rates (%) 83.56
Average Length of Hospital Stay (No. of days per patient) 2.43
Hospital Death Rate (%) 0.36


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 145
Minor Surgeries 1537

 

Chatkhil 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 14 2 5 23.81
Non Doctor 0 0 0 0 0.00
Class II 16 0 11 5 31.25
Class III 29 19 0 10 34.48
Class IV 23 16 4 3 13.04
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 3 0 5 62.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 8 0 0 0.00
Class IV 0 0 0 0 0.00
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 30 17 9 4 13.33
Class IV 0 0 0 0 0.00

 

Chatkhil 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 30 17 2 11 36.67
Non Doctor 0 0 0 0 0.00
Class II 16 0 11 5 31.25
Class III 122 75 16 31 25.41
Class IV 24 17 4 3 12.50
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

 

Chatkhil 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 9 3 21 16 0 0 1 2
Nurse 0 0 0 0 16 11 0 0 0 3
Medical Assistant 0 0 9 9 2 2 0 0 11 0
Medical Technologist 0 0 0 0 8 7 0 0 0 0
CHCP 30 26 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 3 3 0 0
AHI 0 0 0 0 0 0 9 7 0 0
HA 0 0 0 0 0 0 45 31 0 0
CSBA trained*** 0 0 0 0 0 0 0 7 0 0

Chatkhil 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 1 0 0 0 1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 3 1 0 0 2
Autoclave 1 1 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 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 1 1 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 4 3 1 0 0
Ventilator 0 0 0 0 0


Chatkhil 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 3 1 0 0 2
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 8 3 2 0 3
Pulse oximeter 0 0 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


Chatkhil 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) 2 1 1 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) 2 1 1 0 0
Obstetric equipment
Fetal Monitor 1 0 1 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 1 1 0 0 0


Chatkhil 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 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 0 0 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 1 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


Chatkhil 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) 6 6 0 0 0
Generator
Generator (diesel/petrol) 1 0 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 3 1 0 2 0
ICT equipment
Computer (desktop) 10 4 1 0 5
Laptop 3 1 2 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 3 2 0 0
Scanner 1 1 0 0 0
UPS 10 5 0 0 5
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


Chatkhil 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 2 2 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 82 44 18 2 18

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

Important information and necessary issues for Chatkhil Upazila Health Complex |
 Last year we could not give our maximum efforts to improve the health status due to many reasons.Here I like to mention some important factors which will help us to achieve good results in future.1) The vacant post should be filled up as soon as possible.2) Our doctor and nurse need more training on imci .3) Number of community clinic should be increased. 4)All the repairable equipments should be repaired and uninstalled equipments should be installed immidiatly 5) DSF maternal health voucher scheme has been running in this upazila since 2007. I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years .This is very useful document and will help the public to undderstand health services and to provide us the useful advice for improvement in future.