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Kahaloo Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Kahaloo Upazila. This bulletin contains all the health related information of Kahaloo Upazila. Through this bulletin all health related information of Kahaloo Upazila will disseminated to all departments who are related to the development of health sector of our rural people.. I hope this published information will help for planning and bridging over the gap of health service of this upazila. It also help us to find out targets and achievements of the Kahaloo Upazilla health sector. The bulletin contains the status of MDG 3 and MDG 4 which will help to recognize MDG targets. In this health bulletin there are EPI coverage, nutrition states use of safe drinking water and sanitation status of Kahaloo Upazila. All the vacant posts and our requirements are also noted in this bulletin. I hope higher authority will take measures to solve this lackings. Finally I would like to congratulate the initiator of the program for setting us one step ahead to atchive MDG 3 & MGD 4 target. Dr. Nirmalendu Chowdhury UH&FPO Kahaloo Upazila Health Complex
Dr. Nirmalendu Chowdhury
UH&FPO
Kahaloo Upazila Health Complex

Kahaloo Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKahaloo
Name of UHFPO Dr. Nirmalendu Chowdhury
Telephone No. 0502656026
FAX No. 0
Mobile No. 01713790533
Email kahaloo@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.8314 And Long: 89.2695
No. of Unions in the Upazila9
No. of Households in the Upazila 56,583
No. of Population in the Upazila 226,218
Area of Upazila in sq km 2,857.12

Kahaloo 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 5 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 27 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

Kahaloo Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,122


Total No. of children treated under IMCI Program 15,449
Fully Vaccinated Children: 89.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 1.46 per 1,000 live births.

Kahaloo 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: 4495
Total Number of Deliveries: 4118
No. of Maternal Death: 6
Valid TT Coverage: 17.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 145.56 per 100,000 live births.

Kahaloo 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 48,594 17,427 31,167 7,096 8,121 4,088 4,033 867
Union Sub-Centres 61,647 25,542 36,105 1,694 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 244,056 77,971 166,085 55,367 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 354,297 120,940 233,357 64,157 8,121 4,088 4,033 867
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 4,854 2,118 2,736 366 7 4 3 1
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 4,854 2,118 2,736 366 7 4 3 1

Kahaloo 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 5148
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1298 25.21
2 K27 Peptic ulcer, site unspecified 607 11.79
3 J45 Asthma 458 8.90
4 A01 Typhoid and paratyphoid fevers 405 7.87
5 Y09 Assault by unspecified means 375 7.28
6 D50 Iron deficiency anaemia 318 6.18
7 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified 120 2.33
8 I10 Essential (primary) hypertension 115 2.23
9 J18 Pneumonia, organism unspecified 91 1.77
10 N39 Other disorders of urinary system 66 1.28

Kahaloo 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 8
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J45 Asthma 6 75.00
2 J18 Pneumonia, organism unspecified 1 12.50
3 I50 Heart failure 1 12.50
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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 99.00
Coverage of households having access to sanitary latrines (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 17,405
Bed Occupancy Rates (%) 95.22
Average Length of Hospital Stay (No. of days per patient) 3.43
Hospital Death Rate (%) 0.00


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 492

 

Kahaloo 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 10 3 8 38.10
Non Doctor 0 0 0 0 0.00
Class II 17 2 15 0 0.00
Class III 71 47 15 9 12.68
Class IV 22 13 5 4 18.18
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 0 1 4 80.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 5 0 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 4 1 1 2 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 7 1 0 0.00
Class IV 4 2 0 2 50.00
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 18 8 4 13.33
Class IV 0 0 0 0 0.00

 

Kahaloo 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 11 5 14 46.67
Non Doctor 0 0 0 0 0.00
Class II 17 2 15 0 0.00
Class III 114 77 24 13 11.40
Class IV 26 15 5 6 23.08
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

 

Kahaloo 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 13 0 0 1 10
Nurse 0 0 0 0 17 17 0 0 4 9
Medical Assistant 0 0 9 9 2 2 0 0 6 0
Medical Technologist 0 0 4 4 8 8 0 0 0 0
CHCP 30 26 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 2 2 0 0
AHI 0 0 0 0 0 0 7 7 0 0
HA 0 0 0 0 0 0 34 28 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Kahaloo 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 3 3 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 2 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 4 4 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 1 1 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 7 4 3 0 0
Ventilator 0 0 0 0 0


Kahaloo 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 6 6 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


Kahaloo 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) 4 2 0 2 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


Kahaloo 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 1 0 0 1 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


Kahaloo 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) 2 2 0 0 0
Generator
Generator (diesel/petrol) 1 0 0 1 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) 1 1 0 0 0
Printer (laser) 2 2 0 0 0
Scanner 2 1 1 0 0
UPS 2 2 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


Kahaloo 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 52 44 4 4 0

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

Important information and necessary issues for Kahaloo Upazila Health Complex |
 Important information and necessary issues for Kahaloo Upazila Health Complex: Kahaloo upazila is a big upazila of nine union and one pourashava. Population is 2,26,218. To deliver quality health service following lacking I should be full filled immediately. 1.UHC building was made in 1972. It is so old and should be repaired immediately. 2. Ambulance should be replaced immediately. 3.Generator should be replaced immediately. 4.I.P.S should be supplied immediately. 5. Physicians should be posted immediately. 6. Vechicle for UH&FPO and other staff should be supplied immediately. Thank you all. Dr. Nirmalendu Chowdhury UH&FPO Kahaloo Upazila Health Complex