Kathalia Upazila Health Complex | Health Bulletin 2014 |
Preface
It is a great pleasure to me for publishing a health bulletin 2012 of kathalia upazila health complex under jhalokathi district.This bulletin contains all the health related information of 2012. This bulletin is published to disseminate the information of kathalia 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 this upazila .This health bulletin has the information on ANC,PNC on delivery status of this upazila; which will suggest the emergency need for EOC and will help to reach our goal MDG-5. It has also the information of safe drinking water and sanitation status of the upazila.All the sanction and vacant posts are published in this bulletin 2012.I would like to take attention of the higher authority to look in this issue.Finally I would like to congratulate the initiator of this health bulletin software for setting us one stop ahead toward digital Bangladesh.
Kathalia Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Kathalia
Name of UHFPO Dr Md. Zafor Ali Khan
Telephone No. 00
FAX No. 0
Mobile No. 01711783682
Email kathalia@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila 6
No. of Households in the Upazila 24,185
No. of Population in the Upazila 118,624
Area of Upazila in sq km 152.08
Kathalia 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
31
No. of Union Sub-Centres
2
0
No. of Union Health and Family Welfare Centres
5
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
1
0
No. of NGO Clinics/Facilities
0
0
Kathalia Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,811
Total No. of children treated under IMCI Program 2,409
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 1.78 per 1,000 live births.
Kathalia 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: 222
Total Number of Deliveries: 2814
No. of Maternal Death: 3
Valid TT Coverage: 15.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
106.72 per 100,000 live births.
Kathalia 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
38,586
16,356
22,230
16,570
620
345
275
255
Union Sub-Centres
27,539
12,159
15,380
11,340
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
21,480
6,890
14,590
12,478
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
98,165
36,787
61,378
2,745
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
185,770
72,192
113,578
43,133
620
345
275
255
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
1,926
926
1,000
256
14
6
8
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
1,926
926
1,000
256
14
6
8
0
Kathalia 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
2299
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
508
22.10
2
Y04 Assault by bodily force
184
8.00
3
J459 Asthma, unspecified
127
5.52
4
J189 Pneumonia, unspecified
123
5.35
5
A010 Typhoid fever
66
2.87
6
K27 Peptic ulcer, site unspecified
43
1.87
7
V899 Person injured in unspecified vehicle accident
43
1.87
8
O089 Complication following abortion and ectopic and molar pregnancy, unspecified
33
1.44
9
F419 Anxiety disorder, unspecified
31
1.35
10
G969 Disorder of central nervous system, unspecified
27
1.17
Kathalia 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
14
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I219 Acute myocardial infarction, unspecified
4
28.57
2
J459 Asthma, unspecified
3
21.43
3
J449 Chronic obstructive pulmonary disease, unspecified
2
14.29
4
I679 Cerebrovascular disease, unspecified
3
21.43
5
I50 Heart failure
1
7.14
6
R50 Fever of unknown origin
1
7.14
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Kathalia Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
97.00
Coverage of households having access to sanitary latrines (%)
96.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
11,102
Bed Occupancy Rates (%)
98.12
Average Length of Hospital Stay (No. of days per patient)
6.00
Hospital Death Rate (%)
1.00
Kathalia Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
1766
Kathalia 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
0
7
77.78
Non Doctor
0
0
0
0
0.00
Class II
12
0
12
0
0.00
Class III
19
9
1
9
47.37
Class IV
21
13
3
5
23.81
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
6
1
0
5
83.33
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
45
25
10
10
22.22
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
2
2
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
0
0
0
0
0.00
Class IV
0
0
0
0
0.00
Kathalia 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
15
3
0
12
80.00
Non Doctor
0
0
0
0
0.00
Class II
12
0
12
0
0.00
Class III
66
36
11
19
28.79
Class IV
21
13
3
5
23.81
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
Kathalia 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
6
1
9
2
0
0
1
0
Nurse
0
0
0
0
12
12
0
0
3
7
Medical Assistant
0
0
6
6
2
2
0
0
6
4
Medical Technologist
0
0
0
0
2
0
0
0
0
0
CHCP
18
16
0
0
0
0
0
0
16
0
HI
0
0
0
0
2
2
0
0
2
0
AHI
0
0
0
0
6
1
0
0
1
0
HA
0
0
0
0
30
25
0
0
21
0
CSBA trained***
0
0
0
0
0
0
0
0
0
0
Kathalia 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)
1
1
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
0
0
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
0
0
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
0
1
0
0
Portable OT Light
2
1
1
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
1
0
1
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
0
0
0
0
0
Kathalia 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
10
6
0
4
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
Kathalia 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
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)
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
Kathalia 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
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
Kathalia 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)
1
1
0
0
0
Generator
Generator (diesel/petrol)
0
0
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)
2
2
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)
1
1
0
0
0
Scanner
1
1
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
1
1
0
0
0
Multimedia
1
1
0
0
0
Kathalia 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
0
0
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
31
23
3
5
0
Kathalia Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Kathalia Upazila Health Complex |
Last year we could not give our maximum efforts to improve the health status due to many reason. 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 including field staff . 3.A new Xray-Machine and ECG Machine should supply at emergency basis 4. The EOC program should start as early as possible. 5. Consultants of Surgery, Gynoe & Anaesthesia should be posted immediately. I am very happy to write this health bulletin of 2012 because this document will help us to compare our progress in up coming 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. 6. EOC program should start immediately.