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Keshabpur Upazila Health Complex | Health Bulletin 2014 |
Preface
I am thankful that i succefully could publish health bulletin of Upazilla health Complex, Keshabpur, Jessore in due time.The bulletin contains all the information relevant to health related events of the inhabitants of Keshabpur in the year of 2013. The health bulletin has been published to disseminate the information on health situation of Keshabpur (in the year of 2013) to other linked departments and development partners of the Government. I expect that information mentioned in this health bulletin will help in planning and implementing the direction that may bridge the existing gaps in delivering the health service to the community. Though varieties of data are stored in the UHC office , proper insight into this information will yield into the real solution to improve the health situation ,As the Government of the People's Republic of Bangladesh has been firmly committed to achieve the target of MDG-4 and MDG-5 by the year of 2015, keeping this fact before us health bulletin has served the purpose of revealing the information on maternal and child health service delivery . Information on safe drinking water and sanitation status as well as number of sanctioned and vacant posts have also been mentioned in this bulletin I would like to show cordial recpect to the respective authority to help us publish health bulletin in right time Dr Sk . Md Abdus Samad, UH&FPO, Upazila health Complex , Keshabpur,Jessore
Dr.Sk . Md Abdus Samad
UH&FPO
Keshabpur Upazila Health Complex

Keshabpur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKeshabpur
Name of UHFPO Dr.Sk . Md Abdus Samad
Telephone No. 0422656444
FAX No. 0
Mobile No. 01711581324
Email keshabpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.9099 And Long: 89.2136
No. of Unions in the Upazila9
No. of Households in the Upazila 62,180
No. of Population in the Upazila 260,115
Area of Upazila in sq km 255.92

Keshabpur 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 7 0
No. of Union Health and Family Welfare Centres 0 0
No. of Rural/Urban/Thana Dispensaries 1 0
No. of Community Clinics 24 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 8 80
No. of NGO Clinics/Facilities 0 0

Keshabpur Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,402


Total No. of children treated under IMCI Program 75,979
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 24.99 per 1,000 live births.

Keshabpur 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: 4402
Total Number of Deliveries: 4402
No. of Maternal Death: 5
Valid TT Coverage: 80.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 113.58 per 100,000 live births.

Keshabpur 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 26,843 12,137 14,706 12,134 2,667 1,476 1,191 1,092
Union Sub-Centres 5,663 2,564 3,099 1,309 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 32,111 13,546 18,565 11,308 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 64,617 28,247 36,370 24,751 2,667 1,476 1,191 1,092
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 6,312 2,571 3,741 756 0 0 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 6,312 2,571 3,741 756 0 0 0 0

Keshabpur 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 6312
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y099 Assault by unspecified means, unspecified place 758 12.01
2 K299 Gastroduodenitis, unspecified 678 10.74
3 O334 Maternal care for disproportion of mixed maternal and fetal origin 295 4.67
4 T440 Anticholinesterase agents 284 4.50
5 J448 Other specified chronic obstructive pulmonary disease 203 3.22
6 I694 Sequelae of stroke, not specified as haemorrhage or infarction 201 3.18
7 D509 Iron deficiency anaemia, unspecified 191 3.03
8 V092 Pedestrian injured in traffic accident involving other and unspecified motor vehicles 181 2.87
9 I211 Acute transmural myocardial infarction of inferior wall 154 2.44
10 K37 Unspecified appendicitis 153 2.42

Keshabpur 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 80
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I694 Sequelae of stroke, not specified as haemorrhage or infarction 24 30.00
2 I211 Acute transmural myocardial infarction of inferior wall 20 25.00
3 J448 Other specified chronic obstructive pulmonary disease 9 11.25
4 T440 Anticholinesterase agents 4 5.00
5 D151 Heart 3 3.75
6 G009 Bacterial meningitis, unspecified 3 3.75
7 I110 Hypertensive heart disease with (congestive) heart failure 2 2.50
8 N189 Chronic renal failure, unspecified 2 2.50
9 J159 Bacterial pneumonia, unspecified 2 2.50
10 J984 Other disorders of lung 1 1.25

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 80.00
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.) 16,587
Bed Occupancy Rates (%) 90.89
Average Length of Hospital Stay (No. of days per patient) 2.64
Hospital Death Rate (%) 1.27


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 217
Minor Surgeries 351

 

Keshabpur 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 9 2 10 47.62
Non Doctor 0 0 0 0 0.00
Class II 16 0 16 0 0.00
Class III 77 46 18 13 16.88
Class IV 22 13 7 2 9.09
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 1 0 7 87.50
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 1 0 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 1 0 0.00
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 24 10 14 0 0.00
Class IV 0 0 0 0 0.00

 

Keshabpur 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 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
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

 

Keshabpur 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 10 10 21 11 0 0 1 0
Nurse 0 0 0 0 16 16 0 0 3 0
Medical Assistant 0 0 10 10 2 2 0 0 2 0
Medical Technologist 0 0 0 0 9 7 0 0 0 0
CHCP 30 24 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 1 0 0 0 0
AHI 0 0 0 0 8 8 0 0 0 0
HA 0 0 0 0 39 28 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Keshabpur 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 2 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 1 1 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 8 6 2 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 9 7 2 0 0
Sucker machine (electric) 10 3 7 0 0
Ventilator 0 0 0 0 0


Keshabpur 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 16 8 8 0 0
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


Keshabpur 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) 5 2 2 1 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


Keshabpur 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 0 0 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


Keshabpur 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) 2 2 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) 6 6 0 0 0
Laptop 27 27 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 6 6 0 0 0
Scanner 1 1 0 0 0
UPS 6 6 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 27 27 0 0 0
Multimedia 1 1 0 0 0


Keshabpur 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 134 109 23 2 0

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

Important information and necessary issues for Keshabpur Upazila Health Complex |
 Important Information and necessary issue for keshabpur upazila health complex: Some recommendation from observation of information of health bulletin are given below- . Vacant posts should be filled up. . Comprehensive EOC service should be introduced in full swing in UHC. . Physicians and nurse should be trained up more. . Blood bank facility should be introduced here. . USG facility should be available here. . All the reparable equipments should be repaired without delay . .At the field level supervisory and monitoring activities should be strengththened.