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Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Kumarkhali Upazila Health Complex | Health Bulletin 2014 |
Preface
For the third time I am going to publish the Health Bulletin of Kumarkhali Upazila.This Health Bulletin contains all the health related profile and performance of the year 2013.this Health Bulletin is published to diseminate the Health information of this Upazila.It also help us to prepered next year plan to improve the health services.
Dr.Md Motaharul Islam
UH&FPO
Kumarkhali Upazila Health Complex

Kumarkhali Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKumarkhali
Name of UHFPO Dr.Md Motaharul Islam
Telephone No. 0702576609
FAX No. 0
Mobile No. 01711972761
Email Kumarkhali@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.5300 And Long: 89.1600
No. of Unions in the Upazila11
No. of Households in the Upazila 68,208
No. of Population in the Upazila 340,215
Area of Upazila in sq km 258.18

Kumarkhali 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 6 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 39 0
No of Trauma Centres 0 0
No. of MCWCs 1 10
No. of Chest Disease Clinics (TB clinics) 0 0
No. of Private Clinics/Facilities 7 70
No. of NGO Clinics/Facilities 0 0

Kumarkhali Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 7,045


Total No. of children treated under IMCI Program 13,015
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 3.69 per 1,000 live births.

Kumarkhali 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: 570
Total Number of Deliveries: 7045
No. of Maternal Death: 7
Valid TT Coverage: 106.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 99.36 per 100,000 live births.

Kumarkhali 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 27,156 10,039 17,117 8,683 2,355 1,459 896 22
Union Sub-Centres 73,864 33,421 40,443 18,689 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 259,408 64,681 194,727 44,379 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 4,546 160 4,386 2,089 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 364,974 108,301 256,673 73,840 2,355 1,459 896 22
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 5,898 2,577 3,321 1,326 26 18 8 3
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 1,341 31 1,310 21 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 7,239 2,608 4,631 1,347 26 18 8 3

Kumarkhali 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 7224
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 833 11.53
2 J189 Pneumonia, unspecified 803 11.12
3 Y09 Assault by unspecified means 650 9.00
4 A880 Enteroviral exanthematous fever [Boston exanthem] 382 5.29
5 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation 370 5.12
6 J459 Asthma, unspecified 240 3.32
7 I959 Hypotension, unspecified 194 2.69
8 T600 Organophosphate and carbamate insecticides 149 2.06
9 V892 Person injured in unspecified motor-vehicle accident, traffic 131 1.81
10 D50 Iron deficiency anaemia 94 1.30

Kumarkhali 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 29
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I21 Acute myocardial infarction 6 20.69
2 I51 Complications and ill-defined descriptions of heart disease 5 17.24
3 J459 Asthma, unspecified 3 10.34
4 J18 Pneumonia, organism unspecified 3 10.34
5 R560 Febrile convulsions 2 6.90
6 I959 Hypotension, unspecified 2 6.90
7 D649 Anaemia, unspecified 1 3.45
8 P219 Birth asphyxia, unspecified 2 6.90
9 T600 Organophosphate and carbamate insecticides 2 6.90
10 I509 Heart failure, unspecified 1 3.45

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 90.00
Coverage of households having access to sanitary latrines (%) 72.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 22,653
Bed Occupancy Rates (%) 124.12
Average Length of Hospital Stay (No. of days per patient) 3.06
Hospital Death Rate (%) 6.06


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 1967

 

Kumarkhali 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 2 3 33.33
Non Doctor 0 0 0 0 0.00
Class II 12 0 12 0 0.00
Class III 84 46 28 10 11.90
Class IV 19 8 6 5 26.32
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 11 7 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 18 13 3 2 11.11
Class IV 10 7 2 1 10.00
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 39 21 18 0 0.00
Class IV 0 0 0 0 0.00

 

Kumarkhali 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 20 11 6 3 15.00
Non Doctor 0 0 0 0 0.00
Class II 12 0 12 0 0.00
Class III 141 79 50 12 8.51
Class IV 29 15 8 6 20.69
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

 

Kumarkhali 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 11 11 9 6 0 0 2 0
Nurse 0 0 0 0 12 12 0 0 1 0
Medical Assistant 0 0 11 11 2 2 0 0 3 0
Medical Technologist 0 0 0 0 6 6 0 0 0 0
CHCP 39 39 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0
AHI 0 0 0 0 10 10 0 0 0 0
HA 0 0 0 0 49 41 0 0 0 0
CSBA trained*** 18 4 0 0 25 24 0 0 0 0

Kumarkhali 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 1 1 0 0 0
Operating microscope 4 2 2 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 3 3 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 8 4 4 0 0
Sucker machine (electric) 2 1 1 0 0
Ventilator 0 0 0 0 0


Kumarkhali 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 0 0 0 1
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 6 1 5 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 0 0 1 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Kumarkhali 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) 2 0 1 0 1
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 0 1 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


Kumarkhali 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 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


Kumarkhali 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) 5 5 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 7 7 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 6 5 1 0 0
Scanner 1 0 0 0 1
UPS 1 1 0 0 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 1 1 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 0 0 0 0 0


Kumarkhali 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 68 48 15 2 3

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

Important information and necessary issues for Kumarkhali Upazila Health Complex |
 Information and nessary issues for Kumarkhali UHC in 2013 :- 1. All the vacaunt post should be filled up. 2. Strongening of IMCI service by proper Training of IMCI related health provide. 3. For better maternal health services both HA & FWA should work joinly..4 statistician pay scale upgrated 2nd class, I am very glad to publish this Health Bulletin 2013.Thanks All.