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

Kawkhali Upazila Health Complex, Pirojpur | Health Bulletin 2014 |
Preface
Health is one of the fundamental rights of human being.So health service should be up to the mark. Service providers should have accountability to the service receivers.We think that we have responsibility to make clear the ins and out of our service, provided to the community.On that ground we are delighted to have the chance of publishing our health bulletin each year. We have a good achievement in EPI,IMR,MMR,IMCI,Emoc,Diarrhea Control.Our Prime Minister has own the `` South-South award '' on health status. Our country is Polio free .Our life expectancy is increased. Now we are looking for bright future.
Dr. Md. Siddiqur Rahman
UH&FPO
Kawkhali Upazila Health Complex, Pirojpur

Kawkhali Upazila Health Complex, Pirojpur | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKaukhali
Name of UHFPO Dr. Md. Siddiqur Rahman
Telephone No. 0462456107
FAX No. 0
Mobile No. 01717285721
Email kaukhali@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.0000 And Long: 90.0000
No. of Unions in the Upazila5
No. of Households in the Upazila 15,687
No. of Population in the Upazila 71,575
Area of Upazila in sq km 80.00

Kawkhali Upazila Health Complex, Pirojpur | 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 0 0
No. of Union Health and Family Welfare Centres 5 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 10 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 16
No. of NGO Clinics/Facilities 0 0

Kawkhali Upazila Health Complex, Pirojpur | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 1,481


Total No. of children treated under IMCI Program 6,526
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 4.05 per 1,000 live births.

Kawkhali Upazila Health Complex, Pirojpur | 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: 987
Total Number of Deliveries: 1487
No. of Maternal Death: 1
Valid TT Coverage: 8.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 67.52 per 100,000 live births.

Kawkhali Upazila Health Complex, Pirojpur | 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 31,255 12,711 18,544 4,528 1,158 799 359 121
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 45,307 15,588 29,719 5,518 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 76,562 28,299 48,263 10,046 1,158 799 359 121
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 1,562 737 825 140 11 7 4 1
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 113 52 61 13 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 1,675 789 886 153 11 7 4 1

Kawkhali Upazila Health Complex, Pirojpur | 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 1702
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 T149 Injury, unspecified 298 17.51
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 297 17.45
3 B349 Viral infection, unspecified 95 5.58
4 K277 Peptic ulcer, site unspecified, chronic without haemorrhage or perforation 69 4.05
5 J459 Asthma, unspecified 64 3.76
6 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 46 2.70
7 V011 Pedestrian injured in collision with pedal cycle, traffic accident 43 2.53
8 Y180 Poisoning by and exposure to pesticides, undetermined intent, home 35 2.06
9 I679 Cerebrovascular disease, unspecified 34 2.00
10 I15 Secondary hypertension 34 2.00

Kawkhali Upazila Health Complex, Pirojpur | 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 12
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I679 Cerebrovascular disease, unspecified 4 33.33
2 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 3 25.00
3 J459 Asthma, unspecified 2 16.67
4 T600 Organophosphate and carbamate insecticides 1 8.33
5 J178 Pneumonia in other diseases classified elsewhere 1 8.33
6 E100 Insulin-dependent diabetes mellitus with coma 1 8.33
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Kawkhali Upazila Health Complex, Pirojpur | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 96.00
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.) 6,485
Bed Occupancy Rates (%) 57.31
Average Length of Hospital Stay (No. of days per patient) 4.00
Hospital Death Rate (%) 0.71


Kawkhali Upazila Health Complex, Pirojpur | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 44

 

Kawkhali Upazila Health Complex, Pirojpur | 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 0 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 9 0 9 0 0.00
Class III 47 26 11 10 21.28
Class IV 19 11 5 3 15.79
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 1 0 4 80.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 5 0 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 13 6 7 0 0.00
Class IV 0 0 0 0 0.00

 

Kawkhali Upazila Health Complex, Pirojpur | 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 14 5 0 9 64.29
Non Doctor 0 0 0 0 0.00
Class II 9 0 9 0 0.00
Class III 52 31 11 10 19.23
Class IV 19 11 5 3 15.79
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

 

Kawkhali Upazila Health Complex, Pirojpur | 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 5 1 9 4 0 0 1 0
Nurse 0 0 0 0 10 9 0 0 6 2
Medical Assistant 0 0 5 5 2 2 0 0 5 0
Medical Technologist 0 0 0 0 8 7 0 0 0 0
CHCP 13 13 0 0 0 0 0 0 0 0
HI 0 0 0 0 1 1 0 0 0 0
AHI 0 0 0 0 4 4 0 0 0 0
HA 0 0 0 0 20 15 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Kawkhali Upazila Health Complex, Pirojpur | 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 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 0 0 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 4 2 0 2 0
Sucker machine (electric) 2 1 1 0 0
Ventilator 0 0 0 0 0


Kawkhali Upazila Health Complex, Pirojpur | 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 3 1 2 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


Kawkhali Upazila Health Complex, Pirojpur | 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 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) 4 2 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 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Kawkhali Upazila Health Complex, Pirojpur | 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


Kawkhali Upazila Health Complex, Pirojpur | 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 0 0 0 1
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) 7 6 0 0 1
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 7 6 0 0 1
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


Kawkhali Upazila Health Complex, Pirojpur | 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) 1 0 1 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 49 38 4 4 3

Kawkhali Upazila Health Complex, Pirojpur | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Kawkhali Upazila Health Complex, Pirojpur |
 Health Bulletin focuses our activities and achievement throughout the previous Calendar year. It also shows the staff pattern ,vacant posts, shortage of equipments, vehicles etc. To achieve the target in favour of our National Goal, the following things should be done with great emphasis. 1. Vacant posts of field staff and officers should be filled up as early as possible. 2. Improvement of the diagnostic facilities. 3. Qualitative improvement of the field staff through proper training in their attitude & skillness. 4. Need base supply of the MSR. 5. Periodic supervision of the field staff by higher authority. 6. Provision of remuneration for the best workers. 7. Networking system should be upgraded.