Khoksha Upazila Health Complex | Health Bulletin 2014 |
Preface
"Service to mankind is service to GOD" and health service is the front liner. Long felt necessity to disseminate our annual performance is now becomes a reality by publishing this Local Health Bulletin 2014, which is an act of great pleasure for me. This bulletin contains all the health related information of 2013. I hope this health bulletin as a document can help the central and local managers, the line departments and field level staffs to analyze the situation of our upazila for planning, reviewing & undertaking necessary steps for qualitative & quantitative improvement of health services. The bulletin contains the status of MDG 4 and MDG 5 which will help to indicate the MDG targets. This health bulletin has also the information of safe drinking water and sanitation status of the upazila. Also have information of EPI status and the condition of community clinics, both of which are the most popular & people- friendly initiative of health services. All the sanctioned and vacant posts are published in this bulletin 2013. I like to draw attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead towards Digital Bangladesh.
DR. MD. ABDUS SALAM
UH&FPO
Upazila Health Complex, Khoksa, Kushtia.
Khoksha Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Khoksha
Name of UHFPO DR. MD. ABDUS SALAM
Telephone No. 0702456324
FAX No. 0
Mobile No. 01714341156
Email khoksha@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.4864 And Long: 89.1720
No. of Unions in the Upazila 9
No. of Households in the Upazila 31,427
No. of Population in the Upazila 145,246
Area of Upazila in sq km 102.00
Khoksha 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
0
0
No. of Union Health and Family Welfare Centres
4
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
16
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
2
20
No. of NGO Clinics/Facilities
0
0
Khoksha Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,242
Total No. of children treated under IMCI Program 22,650
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (January-December, 2013)
Khoksha 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: 886
Total Number of Deliveries: 3274
No. of Maternal Death: 4
Valid TT Coverage: 87.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Khoksha 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
14,410
6,682
7,728
5,770
2,976
2,066
910
318
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
90,497
9,959
80,538
16,880
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
104,907
16,641
88,266
22,650
2,976
2,066
910
318
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
5,004
2,164
2,840
876
28
15
13
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
525
236
289
15
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
5,529
2,400
3,129
891
28
15
13
2
Khoksha 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
5880
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
605
10.29
2
K27 Peptic ulcer, site unspecified
601
10.22
3
A01 Typhoid and paratyphoid fevers
455
7.74
4
Y04 Assault by bodily force
395
6.72
5
J18 Pneumonia, organism unspecified
313
5.32
6
T60 Toxic effect of pesticides
304
5.17
7
J45 Asthma
259
4.40
8
D50 Iron deficiency anaemia
241
4.10
9
V392 Unspecified occupant of three-wheeled motor vehicle injured in collision with other and unspecified motor vehicles in nontraffic accident
174
2.96
10
I10 Essential (primary) hypertension
144
2.45
Khoksha 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
30
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I64 Stroke, not specified as haemorrhage or infarction
6
20.00
2
J45 Asthma
4
13.33
3
I21 Acute myocardial infarction
4
13.33
4
I10 Essential (primary) hypertension
3
10.00
5
V392 Unspecified occupant of three-wheeled motor vehicle injured in collision with other and unspecified motor vehicles in nontraffic accident
3
10.00
6
T60 Toxic effect of pesticides
3
10.00
7
E14 Unspecified diabetes mellitus
2
6.67
8
K27 Peptic ulcer, site unspecified
2
6.67
9
J18 Pneumonia, organism unspecified
2
6.67
10
N18 Chronic renal failure
1
3.33
Khoksha Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
92.00
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.)
13,103
Bed Occupancy Rates (%)
71.79
Average Length of Hospital Stay (No. of days per patient)
2.20
Hospital Death Rate (%)
0.51
Khoksha Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
3294
Khoksha 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
2
1
6
66.67
Non Doctor
0
0
0
0
0.00
Class II
11
0
11
0
0.00
Class III
51
24
17
10
19.61
Class IV
19
11
2
6
31.58
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
9
4
5
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
9
6
3
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
16
9
7
0
0.00
Class IV
0
0
0
0
0.00
Khoksha 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
18
6
6
6
33.33
Non Doctor
0
0
0
0
0.00
Class II
11
0
11
0
0.00
Class III
60
30
20
10
16.67
Class IV
19
11
2
6
31.58
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
Khoksha 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
9
9
3
0
0
0
0
Nurse
0
0
0
0
11
11
0
0
0
0
Medical Assistant
0
0
9
9
2
2
0
0
3
0
Medical Technologist
0
0
0
0
8
6
0
0
0
0
CHCP
16
16
0
0
0
0
0
0
0
0
HI
0
0
0
0
1
0
0
0
0
0
AHI
0
0
0
0
4
4
0
0
0
0
HA
0
0
0
0
20
16
0
0
0
0
CSBA trained***
0
0
0
0
9
7
0
0
0
0
Khoksha 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
0
0
1
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
1
1
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
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
1
1
0
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
2
1
0
1
0
Sucker machine (electric)
5
1
0
4
0
Ventilator
0
0
0
0
0
Khoksha 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
2
2
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
Khoksha 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
0
1
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
0
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
Khoksha 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
Khoksha 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)
8
4
3
1
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)
8
8
0
0
0
Laptop
3
3
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
3
3
0
0
0
Scanner
1
1
0
0
0
UPS
5
5
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
Khoksha 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
39
5
8
0
Khoksha Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Khoksha 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 immediately. 2. our doctor and nurse need more training on IMCI .3. All the repairable equipments should be repaired as soon as possible. Finally We are very happy to prepare this Health Bulletin of 2013 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.
