HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Kulaura Upazila Health Complex | Health Bulletin 2014 |
Preface
Welcome everyone to view our LHB. We are using a few methods to improve our service delivery. Amongst them are: Internal Survey, monthly MIS, Malaria, EPI,& other related meetings. Thereby we are trying to improve our status. Please recommend us about the other methods needed for further improvement. Thanks to all.
DR. ALAUDDIN AL AZAD
UH&FPO
Kulaura Upazila Health Complex

Kulaura Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKulaura
Name of UHFPO DR. ALAUDDIN AL AZAD
Telephone No. 0862456044
FAX No. 0
Mobile No. 01926259568
Email kulaura@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 92.0000
No. of Unions in the Upazila13
No. of Households in the Upazila 59,946
No. of Population in the Upazila 358,597
Area of Upazila in sq km 545.00

Kulaura 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 5 0
No. of Union Health and Family Welfare Centres 8 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 34 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 20
No. of NGO Clinics/Facilities 2 20

Kulaura Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 10,843


Total No. of children treated under IMCI Program 32,411
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 13.93 per 1,000 live births.

Kulaura 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: 2467
Total Number of Deliveries: 10920
No. of Maternal Death: 16
Valid TT Coverage: 82.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 147.56 per 100,000 live births.

Kulaura 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 74,191 32,263 41,928 10,764 26,111 16,342 9,769 5,448
Union Sub-Centres 73,949 30,828 43,121 11,213 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 9,464
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 228,485 87,172 141,313 6,348 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 376,625 150,263 226,362 28,325 26,111 16,342 9,769 14,912
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 10,273 4,832 5,441 2,187 4 1 3 6
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 10
NGO Clinics/Facilities 0 0 0 0 0 0 0 8
Total 10,273 4,832 5,441 2,187 4 1 3 24

Kulaura 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 10273
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 2682 26.11
2 E530 Riboflavin deficiency 1469 14.30
3 T000 Superficial injuries involving head with neck 1145 11.15
4 K270 Peptic ulcer, site unspecified, acute with haemorrhage 743 7.23
5 R509 Fever, unspecified 678 6.60
6 J120 Adenoviral pneumonia 522 5.08
7 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection 219 2.13
8 J450 Predominantly allergic asthma 212 2.06
9 I150 Renovascular hypertension 122 1.19
10 N050 Unspecified nephritic syndrome, minor glomerular abnormality 114 1.11

Kulaura 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 10
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J13.0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
3 30.00
2 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection 2 20.00
3 J450 Predominantly allergic asthma 1 10.00
4
R50.0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1 10.00
5
T64.0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1 10.00
6 I150 Renovascular hypertension 0 0.00
7 I500 Congestive heart failure 1 10.00
8 A410 Septicaemia due to Staphylococcus aureus 1 10.00
9
0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0 0.00
10
0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 91.00
Coverage of households having access to sanitary latrines (%) 78.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 12,770
Bed Occupancy Rates (%) 70.00
Average Length of Hospital Stay (No. of days per patient) 1.01
Hospital Death Rate (%) 0.97


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 3135

 

Kulaura 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 21 7 0 14 66.67
Non Doctor 0 0 0 0 0.00
Class II 16 2 7 7 43.75
Class III 28 17 1 10 35.71
Class IV 22 5 7 10 45.45
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 17 0 0 17 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 22 7 1 14 63.64
Class IV 5 5 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 41 20 18 3 7.32
Class IV 0 0 0 0 0.00

 

Kulaura 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 38 7 0 31 81.58
Non Doctor 0 0 0 0 0.00
Class II 16 2 7 7 43.75
Class III 149 52 60 37 24.83
Class IV 32 18 9 5 15.63
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

 

Kulaura 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 17 0 21 7 0 0 1 0
Nurse 0 0 0 0 16 9 0 0 2 3
Medical Assistant 0 0 17 14 2 2 0 0 2 0
Medical Technologist 0 0 5 1 8 5 0 0 0 0
CHCP 41 34 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 2 0 0 0 0
AHI 0 0 0 0 12 12 0 0 0 0
HA 0 0 0 0 61 49 0 0 0 0
CSBA trained*** 0 0 0 0 0 6 0 0 0 0

Kulaura 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 0 0 0 0 0
Anesthesia machine without ventilator 2 1 0 0 1
Autoclave 2 1 0 0 1
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 2 2 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 3 3 0 0 0
Ventilator 0 0 0 0 0


Kulaura 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 3 3 0 0 0
Pulse oximeter 1 1 0 0 0
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


Kulaura 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) 0 0 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) 0 0 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


Kulaura 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 0 0 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


Kulaura 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) 4 2 2 0 0
Generator
Generator (diesel/petrol) 2 2 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 8 7 1 0 0
Laptop 4 4 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 4 0 0 0
Scanner 0 0 0 0 0
UPS 5 5 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 2 1 1 0 0


Kulaura 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 53 46 4 0 3

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

Important information and necessary issues for Kulaura Upazila Health Complex |
 Some of the Data of Kulaura UHC are cited belows; Total Union 12, pourosava 1, Total Population of Kulaura Upazila 358403, Total Working CC 34, Total USC (health) 5, Runing Amblulance 1, EPI Session held 100%, H/A Attendence 98%, FWA Attendence 65%, Satisfied services given by kulaura UHC 95%, Not satisfied 5%, Vitamin A Coverage 100%, B O R in the Hospital 70%.