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Kalaroa Upazila Health Complex, Satkhira | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of kalaroa upazila.This health bulletin contains all the health related information of 2013.This bulletin is published to disseminate the information of kalaroa Upazila to other line department and development partners of health.I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila.Government health office has many data stored in the file.This health bulletin will help us to find constrains and also to see the results and achivement of 2013.The bulletin contains the status of MDG4 & MDG5 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 like to take attention of the higher authority to look into to this issue.Finally I would like to congratulate the initiator of the health bulletin software for setting us on step ahead toward digital Bangladesh. Dr.Tawhidur Rahman Upazila Health & family planing officer Kalaroa,Satkhira.
Dr. Tawhidur Rahman
UH&FPO
Kalaroa Upazila Health Complex, Satkhira

Kalaroa Upazila Health Complex, Satkhira | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKalaroa
Name of UHFPO Dr. Tawhidur Rahman
Telephone No. 0472475333
FAX No. 0
Mobile No. 01718125612
Email kolaroa@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila12
No. of Households in the Upazila 59,596
No. of Population in the Upazila 263,629
Area of Upazila in sq km 232.64

Kalaroa Upazila Health Complex, Satkhira | 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 12 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 21 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 15 10
No. of NGO Clinics/Facilities 2 0

Kalaroa Upazila Health Complex, Satkhira | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,410


Total No. of children treated under IMCI Program 5,496
Fully Vaccinated Children: 95.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 1.36 per 1,000 live births.

Kalaroa Upazila Health Complex, Satkhira | 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: 1086
Total Number of Deliveries: 4433
No. of Maternal Death: 7
Valid TT Coverage: 92.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 158.73 per 100,000 live births.

Kalaroa Upazila Health Complex, Satkhira | 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 41,776 13,498 28,278 10,444 4,947 1,991 2,956 808
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 74,723 26,445 48,278 18,559 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 137,610 50,776 86,834 17,663 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 4,632 1,289 3,343 735 2,462 569 1,893 251
NGO Clinics/Facilities 4,078 1,149 2,929 525 116 21 95 19
Total 267,451 93,157 169,662 47,926 7,525 2,581 4,944 2,796
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 4,809 1,788 3,021 198 33 20 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 2,462 569 1,893 251 0 0 0 0
NGO Clinics/Facilities 116 21 95 16 0 0 0 0
Total 7,387 2,378 5,009 465 33 20 13 2

Kalaroa Upazila Health Complex, Satkhira | 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 4680
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 T00 Superficial injuries involving multiple body regions 725 15.49
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 428 9.15
3 K27 Peptic ulcer, site unspecified 296 6.32
4 A01 Typhoid and paratyphoid fevers 227 4.85
5 S06 Intracranial injury 186 3.97
6 T600 Organophosphate and carbamate insecticides 185 3.95
7 I50 Heart failure 165 3.53
8 J46 Status asthmaticus 160 3.42
9 I64 Stroke, not specified as haemorrhage or infarction 146 3.12
10 I15 Secondary hypertension 137 2.93

Kalaroa Upazila Health Complex, Satkhira | 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 35
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I64 Stroke, not specified as haemorrhage or infarction 11 31.43
2 I11 Hypertensive heart disease 4 11.43
3 I64 Stroke, not specified as haemorrhage or infarction 3 8.57
4 T600 Organophosphate and carbamate insecticides 3 8.57
5 I50 Heart failure 3 8.57
6 I64 Stroke, not specified as haemorrhage or infarction 3 8.57
7 I21 Acute myocardial infarction 2 5.71
8 I21 Acute myocardial infarction 2 5.71
9 T02 Fractures involving multiple body regions 2 5.71
10 I64 Stroke, not specified as haemorrhage or infarction 2 5.71

Kalaroa Upazila Health Complex, Satkhira | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 62.00
Coverage of households having access to sanitary latrines (%) 94.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 15,736
Bed Occupancy Rates (%) 86.33
Average Length of Hospital Stay (No. of days per patient) 3.15
Hospital Death Rate (%) 0.69


Kalaroa Upazila Health Complex, Satkhira | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 796
Minor Surgeries 2215

 

Kalaroa Upazila Health Complex, Satkhira | Health Bulletin 2014 | Page# 10

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 22 7 2 13 59.09
Non Doctor 0 0 0 0 0.00
Class II 17 0 17 0 0.00
Class III 118 64 29 25 21.19
Class IV 25 12 8 5 20.00
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 12 6 0 6 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 7 5 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 33 14 11 8 24.24
Class IV 0 0 0 0 0.00

 

Kalaroa Upazila Health Complex, Satkhira | 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 34 13 2 19 55.88
Non Doctor 0 0 0 0 0.00
Class II 17 0 17 0 0.00
Class III 118 64 29 25 21.19
Class IV 25 12 8 5 20.00
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

 

Kalaroa Upazila Health Complex, Satkhira | 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 12 6 22 9 0 0 3 2
Nurse 0 0 0 0 17 17 0 0 5 4
Medical Assistant 0 0 12 12 2 2 0 0 1 0
Medical Technologist 0 0 0 0 8 7 0 0 0 0
CHCP 33 25 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0
AHI 0 0 0 0 7 7 0 0 0 0
HA 0 0 0 0 35 29 0 0 0 0
CSBA trained*** 0 0 45 10 11 6 0 0 0 0

Kalaroa Upazila Health Complex, Satkhira | 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) 1 0 0 1 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 3 2 1 0 0
Electric cautery machine 1 1 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 1 1 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 5 3 0 2 0
Sucker machine (electric) 3 1 2 0 0
Ventilator 0 0 0 0 0


Kalaroa Upazila Health Complex, Satkhira | 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 3 3 0 0 0
Pulse oximeter 1 0 0 0 1
Dental equipment
Dental unit 1 1 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Kalaroa Upazila Health Complex, Satkhira | 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) 3 3 0 0 0
Colorimeter 2 2 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) 2 0 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 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Kalaroa Upazila Health Complex, Satkhira | 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 1 0 0 0 1
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 0 0 0 1
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 1 1 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 2 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


Kalaroa Upazila Health Complex, Satkhira | 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) 3 2 1 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 2 1 0 0 1
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 3 2 1 0 0
ICT equipment
Computer (desktop) 7 6 1 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 6 5 1 0 0
Scanner 1 1 0 0 0
UPS 7 7 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 1 1 0 0 0


Kalaroa Upazila Health Complex, Satkhira | 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 2 1 1 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 74 55 9 6 4

Kalaroa Upazila Health Complex, Satkhira | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Kalaroa Upazila Health Complex, Satkhira |
 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 up immediately.2.Our doctors and nurse need more training on IMCI.3.Necessary equipments which are absent in this hospital e.g ultrasonagram Machine ,ECG Machine etc should be supplied as soon as possible.4.LLP should be followed and encouraged.5.Number of Community Clinic and the bed capacity of health complex should be increased.6.All the repairable equipments should be repaired as soon as possible.7.We have 11 female HA who need CSBA refreshment training.Finally I am very happy to write 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 advices for furthur improvement in future. Dr. Tawhidur Rahman Upazila Health & Family planing officer Kalaroa,Satkhira.