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Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
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Kalai Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Kalai Upazila Health Complex. This bulletin contains all the health related information of 2013. This bulletin is published to disseminate the information of Kalai Upazila Health Complex to other department and development partners of health sector. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this Upazila. This health bulletin will help us to find constrains and also to see the results 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 would like to draw attention of the higher authority to 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. MD.HABIBUL AHSAN TALUKDER. UH&FPO Upazila Health Complex, Kalai, Jaypurhat
DR. MD. HABIBUL AHSAN TALUKDER.
UH&FPO
Kalai Upazila Health Complex

Kalai Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKalai
Name of UHFPO DR. MD. HABIBUL AHSAN TALUKDER.
Telephone No. 0572556013
FAX No. 0
Mobile No. 01725014556
Email Kalai@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.0626 And Long: 89.1648
No. of Unions in the Upazila5
No. of Households in the Upazila 36,806
No. of Population in the Upazila 135,299
Area of Upazila in sq km 166.30

Kalai 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 3 0
No. of Union Health and Family Welfare Centres 3 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 17 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

Kalai Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,677


Total No. of children treated under IMCI Program 37,497
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 2.24 per 1,000 live births.

Kalai 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: 466
Total Number of Deliveries: 89
No. of Maternal Death: 3
Valid TT Coverage: 8.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 112.07 per 100,000 live births.

Kalai 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 60,431 28,392 32,039 10,772 10,857 6,617 4,240 2,119
Union Sub-Centres 62,519 22,802 39,717 12,506 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 207,670 55,816 151,854 19,673 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 330,620 107,010 223,610 42,951 10,857 6,617 4,240 2,119
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 4,694 1,415 3,279 789 20 14 6 2
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 4,694 1,415 3,279 789 20 14 6 2

Kalai 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 5483
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1075 19.61
2 J189 Pneumonia, unspecified 664 12.11
3 Y008 Assault by blunt object, other specified places 491 8.95
4 K27 Peptic ulcer, site unspecified 391 7.13
5 J45 Asthma 257 4.69
6 I10 Essential (primary) hypertension 158 2.88
7 T609 Pesticide, unspecified 152 2.77
8 T07 Unspecified multiple injuries 152 2.77
9 D50 Iron deficiency anaemia 70 1.28
10 K35 Acute appendicitis 69 1.26

Kalai 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 22
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 T600 Organophosphate and carbamate insecticides 3 13.64
2 I509 Heart failure, unspecified 4 18.18
3 J459 Asthma, unspecified 4 18.18
4 T07 Unspecified multiple injuries 3 13.64
5 I219 Acute myocardial infarction, unspecified 2 9.09
6 I64 Stroke, not specified as haemorrhage or infarction 1 4.55
7 B018 Varicella with other complications 1 4.55
8 J189 Pneumonia, unspecified 1 4.55
9 R571 Hypovolaemic shock 1 4.55
10 I679 Cerebrovascular disease, unspecified 2 9.09

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 81.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 16,168
Bed Occupancy Rates (%) 88.81
Average Length of Hospital Stay (No. of days per patient) 2.92
Hospital Death Rate (%) 0.39


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 2392

 

Kalai 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 8 0 13 61.90
Non Doctor 0 0 0 0 0.00
Class II 14 0 14 0 0.00
Class III 66 37 13 16 24.24
Class IV 25 17 4 4 16.00
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I Doctor 3 0 0 3 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 4 0 2 33.33
Class IV 3 3 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 17 6 11 0 0.00
Class IV 0 0 0 0 0.00

 

Kalai 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 26 8 0 18 69.23
Non Doctor 0 0 0 0 0.00
Class II 14 0 14 0 0.00
Class III 66 37 13 16 24.24
Class IV 25 17 4 4 16.00
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

 

Kalai 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 21 8 0 0 2 0
Nurse 0 0 0 0 16 16 0 0 5 0
Medical Assistant 0 0 5 3 2 2 0 0 0 0
Medical Technologist 0 0 0 0 13 12 0 0 0 0
CHCP 17 17 0 0 0 0 0 0 0 0
HI 0 0 0 0 1 1 0 0 0 0
AHI 0 0 0 0 5 5 0 0 0 0
HA 0 0 0 0 24 17 0 0 0 0
CSBA trained*** 0 0 0 0 0 10 0 0 0 0

Kalai 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 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 1 0 0 0 1
Autoclave 1 1 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 2 0 0 0 2
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 4 4 0 0 0
Ventilator 0 0 0 0 0


Kalai 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 4 2 2 0 0
Pulse oximeter 1 1 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


Kalai 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) 1 1 0 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) 1 1 0 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


Kalai 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 1 1 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 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


Kalai 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 1 2 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 0 0 0 0 0
ICT equipment
Computer (desktop) 7 7 0 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 6 0 0 0
Scanner 0 0 0 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Kalai 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 49 38 7 1 3

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

Important information and necessary issues for Kalai Upazila Health Complex |
 Now a days we could not give our maximum efforts to improve the health service due to some reasons.Here,I would like to mention some important recommendations that would be helpful to improve the health service facilities in our UHC. These are- 1. All types of vacant post should be filled immediately. 2. Doctors and nurses need training in different fields like, Anesthesia, Emoc, IMCI and NCD.. 3. All non functioning equipments should repair immediately. 4. UH&FPO should provide a vehicle to supervise every sector of his activities. 5. Store facilities in UHC is very poor and backdated. A modern digital store room of at least 3000 - 5000 sq.ft. is urgently needed to prevent damage of MSR and logistics. 6. A well-equipped conference room of at least 100 sets should be constructed immediately for training program and meeting. 7. The UHFPO should have financial power and budget allocation to solve the emergency need of MSR of UHC. 8. UHFPO should be powered to spend at least 50% of local revenue collection of UHC to solve the emergency needs of UHC. 9. Manpower mobilization/transfer by the higher authority should be done with prior concern of local authority.