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

Kanaighat Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Kanaiighat upazila.This bulletin contains all the health related imformation of 2013.This bulletin is published to disseminate the information of kanaighat upazila to other line departments 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.This health bulletin will help us to find contrains and also see the results and achivements of 2013. Dr.Md Abul Haris UH&FPO(In Charge) Kanaighat Upazila Health Complex
Dr.Md.Abul Haris(IC)
UH&FPO
Kanaighat Upazila Health Complex

Kanaighat Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKanaighat
Name of UHFPO Dr.Md.Abul Haris(IC)
Telephone No. 0823356024
FAX No. 823356024
Mobile No. 01712656809
Email kanaighat@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 92.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 40,639
No. of Population in the Upazila 244,092
Area of Upazila in sq km 412.25

Kanaighat 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 0 0
No. of Union Health and Family Welfare Centres 8 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 26 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

Kanaighat Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 8,067


Total No. of children treated under IMCI Program 43,411
Fully Vaccinated Children: 88.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 21.07 per 1,000 live births.

Kanaighat 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: 1216
Total Number of Deliveries: 8078
No. of Maternal Death: 13
Valid TT Coverage: 12.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 161.15 per 100,000 live births.

Kanaighat 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 34,354 13,854 20,500 9,501 4,852 3,186 1,666 694
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 177,290 52,693 124,597 33,910 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 211,644 66,547 145,097 43,411 4,852 3,186 1,666 694
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 3,364 1,670 1,694 1,865 8 3 5 9
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 3,364 1,670 1,694 1,865 8 3 5 9

Kanaighat 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 5229
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 1328 25.40
2 X999 Assault by sharp object, unspecified place 823 15.74
3 A929 Mosquito-borne viral fever, unspecified 325 6.22
4 J18 Pneumonia, organism unspecified 276 5.28
5 N390 Urinary tract infection, site not specified 199 3.81
6 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 164 3.14
7 V011 Pedestrian injured in collision with pedal cycle, traffic accident 122 2.33
8 J459 Asthma, unspecified 34 0.65
9 A01 Typhoid and paratyphoid fevers 20 0.38
10 O669 Obstructed labour, unspecified 16 0.31

Kanaighat 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 17
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J189 Pneumonia, unspecified 8 47.06
2 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 4 23.53
3 G468 Other vascular syndromes of brain in cerebrovascular diseases 2 11.76
4 T300 Burn of unspecified body region, unspecified degree 1 5.88
5 I213 Acute transmural myocardial infarction of unspecified site 1 5.88
6 I110 Hypertensive heart disease with (congestive) heart failure 1 5.88
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Kanaighat Upazila Health Complex | 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 (%) 80.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 6,126
Bed Occupancy Rates (%) 54.22
Average Length of Hospital Stay (No. of days per patient) 1.19
Hospital Death Rate (%) 0.23


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 210

 

Kanaighat 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 3 0 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 10 1 4 5 50.00
Class III 72 57 5 10 13.89
Class IV 19 10 2 7 36.84
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 2 0 5 71.43
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 3 2 2 28.57
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 26 16 10 0 0.00
Class IV 0 0 0 0 0.00

 

Kanaighat 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 16 5 0 11 68.75
Non Doctor 0 0 0 0 0.00
Class II 10 1 4 5 50.00
Class III 105 76 12 17 16.19
Class IV 19 10 2 7 36.84
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

 

Kanaighat 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 7 2 9 3 0 0 2 1
Nurse 0 0 0 0 11 5 0 0 2 1
Medical Assistant 0 0 7 5 2 2 0 0 2 0
Medical Technologist 0 0 0 0 8 6 0 0 0 0
CHCP 26 26 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0
AHI 0 0 0 0 8 7 0 0 0 0
HA 0 0 0 0 40 36 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Kanaighat 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 1 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 1 1 0 0 0
Autoclave 1 1 0 0 0
Electric cautery machine 1 1 0 0 0
Diathermy machine 2 2 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 0 0 1 0
Portable OT Light 2 1 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 1 1 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Kanaighat 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 5 1 1 1 2
Pulse oximeter 1 1 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


Kanaighat 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) 6 1 2 0 3
Colorimeter 4 1 0 0 3
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) 3 2 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


Kanaighat 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 1 1 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 5 3 2 0 0
Psichiatry equipment
ECT machine 0 0 0 0 0
EEG machine 1 0 0 1 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


Kanaighat 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) 3 2 0 0 1
Generator
Generator (diesel/petrol) 2 0 2 0 0
Generator (gas) 0 0 0 0 0
Solar panel 3 3 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 7 6 1 0 0
Laptop 26 26 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 6 5 1 0 0
Scanner 1 1 0 0 0
UPS 6 5 1 0 0
Fax 1 0 1 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


Kanaighat 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) 1 1 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 103 74 17 3 9

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

Important information and necessary issues for Kanaighat Upazila Health Complex |
 Kanaighat Upazila is one of the remote upazila within Sylhet and most of the patients receiving service from UHC. But shortage number of doctors,nurses is a major issue. Accomodation facilities of all the staff within the complex is not only limited but also the structures are not up to satisfactory level regarding reidence. Last year we were unable to deliver and provide our service upto the deired level due to many reasons( mainly UH&FPO,Gynae obs. consaltant) nurses & other few staff and also suporting equipments(for example X-ray,ECG etc). Here I would like to mention some important factors which will help us to achieve target service.The vaccant post should be filled immediately. Our doctor and nurses need move training(EOC&IMCI). We have need the infrastructural development through establish 50 beded.