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Mohakhali, Dhaka-1212

Kalapara Upazila Health complex, Patuakhali. | Health Bulletin 2014 |
Preface
I am Very glad to publish this health bulletin of Kalapara Upazila. This bulletin contains all the health related information of 2013. This bulletin is published to disseminate the information of Kalapara 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 achievements of 2013.The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets.
Dr.Md.Abdur Rahim
UH&FPO
Kalapara Upazila Health complex, Patuakhali.

Kalapara Upazila Health complex, Patuakhali. | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKalapara
Name of UHFPO Dr.Md.Abdur Rahim
Telephone No. 0442556333
FAX No. 0
Mobile No. 01716244677
Email kalapara@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.0000 And Long: 90.0000
No. of Unions in the Upazila12
No. of Households in the Upazila 48,482
No. of Population in the Upazila 212,835
Area of Upazila in sq km 492.75

Kalapara Upazila Health complex, Patuakhali. | 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 1 0
No. of Union Health and Family Welfare Centres 7 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 30 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 0 0
No. of NGO Clinics/Facilities 0 0

Kalapara Upazila Health complex, Patuakhali. | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,403


Total No. of children treated under IMCI Program 13,033
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 1.09 per 1,000 live births.

Kalapara Upazila Health complex, Patuakhali. | 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: 0
Total Number of Deliveries: 6450
No. of Maternal Death: 7
Valid TT Coverage: 5.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 109.32 per 100,000 live births.

Kalapara Upazila Health complex, Patuakhali. | 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 27,697 11,535 16,162 5,052 791 607 184 16
Union Sub-Centres 6,608 2,791 3,817 1,397 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 141,599 46,890 94,709 18,332 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 175,904 61,216 114,688 24,781 791 607 184 16
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 6,197 2,237 3,960 1,120 23 12 11 7
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 6,197 2,237 3,960 1,120 23 12 11 7

Kalapara Upazila Health complex, Patuakhali. | 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 7317
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1043 14.25
2 T14 Injury of unspecified body region 969 13.24
3 F920 Depressive conduct disorder 331 4.52
4 R50 Fever of unknown origin 306 4.18
5 O639 Long labour, unspecified 248 3.39
6 J069 Acute upper respiratory infection, unspecified 231 3.16
7 K27 Peptic ulcer, site unspecified 212 2.90
8 V194 Driver injured in collision with other and unspecified motor vehicles in traffic accident 202 2.76
9 O06 Unspecified abortion 197 2.69
10 T36 Poisoning by systemic antibiotics 125 1.71

Kalapara Upazila Health complex, Patuakhali. | 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 I679 Cerebrovascular disease, unspecified 9 30.00
2 J449 Chronic obstructive pulmonary disease, unspecified 6 20.00
3 J18 Pneumonia, organism unspecified 3 10.00
4 I95 Hypotension 1 3.33
5 A40 Streptococcal septicaemia 1 3.33
6 O67 Labour and delivery complicated by intrapartum haemorrhage, NEC 1 3.33
7 T009 Multiple superficial injuries, unspecified 1 3.33
8 T36 Poisoning by systemic antibiotics 1 3.33
9 O70 Perineal laceration during delivery 1 3.33
10 B16 Acute hepatitis B 1 3.33

Kalapara Upazila Health complex, Patuakhali. | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 88.00
Coverage of households having access to sanitary latrines (%) 86.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 19,425
Bed Occupancy Rates (%) 105.50
Average Length of Hospital Stay (No. of days per patient) 2.60
Hospital Death Rate (%) 0.41


Kalapara Upazila Health complex, Patuakhali. | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 508
Minor Surgeries 521

 

Kalapara Upazila Health complex, Patuakhali. | Health Bulletin 2014 | Page# 10

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 21 4 0 17 80.95
Non Doctor 0 0 0 0 0.00
Class II 15 1 13 1 6.67
Class III 78 36 26 16 20.51
Class IV 26 12 9 5 19.23
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 0 1 7 87.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 4 1 3 37.50
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 0 0 1 100.00
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 38 12 21 5 13.16
Class IV 0 0 0 0 0.00

 

Kalapara Upazila Health complex, Patuakhali. | 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 30 4 1 25 83.33
Non Doctor 0 0 0 0 0.00
Class II 15 1 13 1 6.67
Class III 125 53 49 23 18.40
Class IV 27 13 9 5 18.52
Other Hospitals & Clinics
Class I Doctor 6 1 1 4 66.67
Non Doctor 0 0 0 0 0.00
Class II 5 0 4 1 20.00
Class III 4 1 1 2 50.00
Class IV 8 2 0 6 75.00

 

Kalapara Upazila Health complex, Patuakhali. | 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 1 21 4 6 2 0 1
Nurse 0 0 0 0 15 14 5 4 7 6
Medical Assistant 0 0 9 6 2 2 0 0 6 0
Medical Technologist 0 0 1 1 10 6 2 0 0 0
CHCP 38 33 0 0 0 0 0 0 24 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 33 0 0 0 0
CSBA trained*** 0 0 0 0 36 15 0 0 0 13

Kalapara Upazila Health complex, Patuakhali. | 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) 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 1 1 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 0 0 1 0
Electric cautery machine 1 0 0 1 0
Diathermy machine 2 0 0 2 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 3 0 3 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 1 1 0 0
Sterilizer 4 1 3 0 0
Sucker machine (electric) 9 3 6 0 0
Ventilator 0 0 0 0 0


Kalapara Upazila Health complex, Patuakhali. | 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 0 0 0 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


Kalapara Upazila Health complex, Patuakhali. | 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 1 0 0 0 1
Electrolyte analyzer 2 0 2 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 1 0 1 0 0
Microscope (binocular) 2 1 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


Kalapara Upazila Health complex, Patuakhali. | 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 1 0 1 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 1 1 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


Kalapara Upazila Health complex, Patuakhali. | 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) 2 1 1 0 0
Generator
Generator (diesel/petrol) 4 2 1 0 1
Generator (gas) 0 0 0 0 0
Solar panel 2 1 1 0 0
IPS 2 2 0 0 0
ICT equipment
Computer (desktop) 19 12 2 0 5
Laptop 30 30 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 6 0 0 0
Scanner 2 1 1 0 0
UPS 0 0 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


Kalapara Upazila Health complex, Patuakhali. | 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 2 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 109 72 26 4 7

Kalapara Upazila Health complex, Patuakhali. | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Kalapara Upazila Health complex, Patuakhali. |
 Important information and necessary issues for Kalapara Upazila Health Complex In the year 2013, Our limitations made it difficult to ensure satisfactory heath service to the people. I would like to mention that some aspects which could enable us to ensure proper health service and these are as below. 1. The vacant posts should be filled up immediately. 2. Doctors, Nurses needed to be trained on IMCI. 3. Repairable equipments should be repaired quickly. 4. More female HA&CHCP should be trained on CSBA. 5. More Doctors, Nurses & female SACMO should be included in EOC training. 6. One photocopy machine & Fax machine are essential here. In conclusion I would like to say that we are to serve the humanity and let us believe that we can perform this noble duty with full satisfaction. Ours is a poor country and our sincerity and devotion towards people can build up a happy and healthy nation. With Thanks , Dr.Md. Abdur Rahim, UH&FPO Kalapara, Patuakhali