HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Kawkhali Upazila Health Complex | Health Bulletin 2014 |
Preface
Like previous year we are going to publish the health bulletin of kawkhali upazila this year 2014 . This bulletin contains all health related information of 2013. This bulletin is published to spread the information about health related events of kawkhali upazila to other line department partners of health. I hope all the inpormation of this bulletin will healp for planning and bridging the gaps in health service of this upazila.
Dr.Md. Murtuza Rashid.
UH&FPO
Kawkhali Upazila Health Complex

Kawkhali Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKawkhali
Name of UHFPO Dr.Md. Murtuza Rashid.
Telephone No. 035131011
FAX No. 0
Mobile No. 01718981031
Email kawkhali@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 92.0000
No. of Unions in the Upazila4
No. of Households in the Upazila 11,025
No. of Population in the Upazila 61,556
Area of Upazila in sq km 339.00

Kawkhali 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 10
No. of Union Sub-Centres 1 0
No. of Union Health and Family Welfare Centres 3 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 4 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 0 0
No. of NGO Clinics/Facilities 0 0

Kawkhali Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 1,510


Total No. of children treated under IMCI Program 1,427
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 0.66 per 1,000 live births.

Kawkhali 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: 338
Total Number of Deliveries: 1500
No. of Maternal Death: 0
Valid TT Coverage: 39.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 0.00 per 100,000 live births.

Kawkhali 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 14,700 5,484 9,216 3,607 802 501 301 211
Union Sub-Centres 7,524 2,509 5,015 1,179 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 5,068 823 4,245 1,473 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 13,269 4,193 9,076 1,719 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 40,561 13,009 27,552 7,978 802 501 301 211
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 972 444 528 254 1 1 0 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 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 972 444 528 254 1 1 0 0

Kawkhali 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 1254
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 204 16.27
2 J18 Pneumonia, organism unspecified 143 11.40
3 T068 Other specified injuries involving multiple body regions 143 11.40
4 K25 Gastric ulcer 90 7.18
5 V892 Person injured in unspecified motor-vehicle accident, traffic 38 3.03
6 J40 Bronchitis, not specified as acute or chronic 38 3.03
7 J45 Asthma 34 2.71
8 T62 Toxic effect of other noxious substances eaten as food 25 1.99
9 A01 Typhoid and paratyphoid fevers 14 1.12
10 B50 Plasmodium falciparum malaria 11 0.88

Kawkhali 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 1
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J45 Asthma 0 0.00
2 0 0.00
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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 30.00
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.) 2,870
Bed Occupancy Rates (%) 78.63
Average Length of Hospital Stay (No. of days per patient) 2.35
Hospital Death Rate (%) 0.22


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 35

 

Kawkhali 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 9 4 0 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 8 0 8 0 0.00
Class III 46 30 16 0 0.00
Class IV 22 14 8 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 1 0 2 66.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 0 1 1 50.00
Class IV 1 0 0 1 100.00
Rural Dispensaries
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 0 1 1 50.00
Class IV 1 1 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 8 2 6 0 0.00
Class IV 0 0 0 0 0.00

 

Kawkhali 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 13 5 0 8 61.54
Non Doctor 0 0 0 0 0.00
Class II 8 0 8 0 0.00
Class III 46 30 16 0 0.00
Class IV 22 14 8 0 0.00
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

 

Kawkhali 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 0 0 9 4 0 0 0 0
Nurse 0 0 0 0 9 9 0 0 0 0
Medical Assistant 0 0 4 3 2 2 2 2 2 0
Medical Technologist 0 0 0 0 5 5 0 0 0 0
CHCP 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 1 1 0 0 0 0
AHI 0 0 0 0 3 3 0 0 0 0
HA 0 0 0 0 15 15 0 0 0 0
CSBA trained*** 1 1 0 0 0 0 0 0 0 0

Kawkhali 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) 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 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 0 0 0 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) 4 2 1 1 0
Ventilator 0 0 0 0 0


Kawkhali 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 0 0 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


Kawkhali 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) 4 2 1 1 0
Colorimeter 4 2 1 1 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 4 0 2 2
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


Kawkhali 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 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 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


Kawkhali 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) 0 0 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) 8 8 0 0 0
Laptop 8 7 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 20 10 5 5 0
Printer (laser) 3 2 0 1 0
Scanner 0 0 0 0 0
UPS 22 11 5 5 1
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 6 6 0 0 0
Multimedia 2 2 0 0 0


Kawkhali 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 2 2 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 93 60 14 16 3

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

Important information and necessary issues for Kawkhali Upazila Health Complex |
Last year we could not give maximum input in health service due to many reasons. Here I like tomention some impotent factors with which we can achive good result. 1. The vacant post should be filled immediately. 2. Our doctors and nurses need more training. 3. Number of community clinic and bed capacity of health complex should be increased I am very happy to write this health bulletin of 2013, because this documents provide us useful information for in celivery of better health service in future.