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

Kachua Upazilla Health Complex | Health Bulletin 2014 |
Preface
It is an immense pleasure for me to publish the Health bulletin of Upazila Kachua Bagerhat Through the publication, I will be able to inform all the performed activities of the last year 2013. It will help me to inform all information to other government and non government organizations , so that they will be able to know the achievement and failure of the health sector of kachua Upazila. This bulletin will inspired me to work hard in the coming days.it will help me for future planning, monitoring and Supervision. Personally I thank Prof Abul Kalam Azad director MIS. I am grateful to my honorable MP Adv, Mir sowkat Ali Badsha, Upazila chairman S,M,Mahfuzur Rahaman, UNO Md Mujibur Rahman Upazila vice chairmen, All Up chairmen, all government and Non gov’t sectors and people of kachua for full corporation and support. I Like to express my gratitude to my civil surgeon Dr Bakir Hossain for his administrative and logistic support . I would like to thank Dr Tapos Kumar Das Mo for Performing various types of Major and Minor operations in kachua Health complex, I am grateful to roy kumud ranjan, Statistician for his effort to publish `Health bulletin 2014. Believe and hope that we shall contribute our best to the health care of this Region Thank you all. Dr Md Mezbaul Haque Upazilla Health & family Planning officer Kachua ,Bagerhat
Dr Md Mezbaul Haque
UH&FPO
Kachua Upazilla Health Complex

Kachua Upazilla Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKachua
Name of UHFPO Dr Md Mezbaul Haque
Telephone No. 0465456102
FAX No. 0
Mobile No. 01711323340
Email kachuab@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.6624 And Long: 89.7935
No. of Unions in the Upazila7
No. of Households in the Upazila 22,686
No. of Population in the Upazila 95,635
Area of Upazila in sq km 123.00

Kachua Upazilla 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 2 0
No. of Union Health and Family Welfare Centres 4 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 11 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 0 0

Kachua Upazilla Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 1,852


Total No. of children treated under IMCI Program 11,487
Fully Vaccinated Children: 95.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 4.32 per 1,000 live births.

Kachua Upazilla 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: 1304
Total Number of Deliveries: 1855
No. of Maternal Death: 1
Valid TT Coverage: 73.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 54.00 per 100,000 live births.

Kachua Upazilla 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 45,462 14,596 30,866 20,155 3,263 1,728 1,535 657
Union Sub-Centres 21,397 5,192 16,205 5,427 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 72,889 27,787 45,102 19,329 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 139,748 47,575 92,173 44,911 3,263 1,728 1,535 657
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 2,812 1,084 1,728 642 8 5 3 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 2,812 1,084 1,728 642 8 5 3 0

Kachua Upazilla 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 2812
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 409 14.54
2 X85 Assault by drugs, medicaments and biological substances 330 11.74
3 K35 Acute appendicitis 246 8.75
4 A92 Other mosquito-borne viral fevers 191 6.79
5 K27 Peptic ulcer, site unspecified 170 6.05
6 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified 93 3.31
7 A86 Unspecified viral encephalitis 83 2.95
8 J45 Asthma 81 2.88
9 D50 Iron deficiency anaemia 74 2.63
10 B86 Scabies 62 2.20

Kachua Upazilla 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 8
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I46 Cardiac arrest 6 75.00
2 T62 Toxic effect of other noxious substances eaten as food 1 12.50
3 J45 Asthma 1 12.50
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Kachua Upazilla Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 71.00
Coverage of households having access to sanitary latrines (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 17,080
Bed Occupancy Rates (%) 94.00
Average Length of Hospital Stay (No. of days per patient) 6.11
Hospital Death Rate (%) 0.28


Kachua Upazilla Health Complex | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 213
Minor Surgeries 1639

 

Kachua Upazilla 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 22 5 0 17 77.27
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 60 40 5 15 25.00
Class IV 22 14 8 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 0 0 5 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 3 2 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 0 0 2 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 1 3 0 0.00
Class IV 2 2 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 14 5 7 2 14.29
Class IV 0 0 0 0 0.00

 

Kachua Upazilla 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 29 5 0 24 82.76
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 83 49 17 17 20.48
Class IV 24 16 8 0 0.00
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

 

Kachua Upazilla 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 0 22 5 0 0 4 0
Nurse 0 0 0 0 16 16 0 0 3 4
Medical Assistant 0 0 7 7 2 2 0 0 0 0
Medical Technologist 0 0 0 0 8 4 0 0 0 0
CHCP 14 12 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 1 0 0 0 0
AHI 0 0 0 0 5 5 0 0 0 0
HA 0 0 0 0 25 18 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Kachua Upazilla 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 1 0 1 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 3 1 2 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 1 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 0 0 0 0 0
Sucker machine (electric) 5 3 2 0 0
Ventilator 0 0 0 0 0


Kachua Upazilla 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 8 6 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


Kachua Upazilla 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 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) 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 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Kachua Upazilla 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 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 1 1 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 3 1 1 1 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


Kachua Upazilla 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) 1 1 0 0 0
Air conditioner (window) 1 1 0 0 0
Generator
Generator (diesel/petrol) 2 1 1 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) 8 8 0 0 0
Laptop 14 14 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 6 1 0 0
Scanner 1 1 0 0 0
UPS 8 7 1 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Kachua Upazilla 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 74 60 13 1 0

Kachua Upazilla Health Complex | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Kachua Upazilla Health Complex |
 01. For proper service delivery at least 80% post of MO/Assistance surgeon and 100% post of consultants need to be filled up in a regular manner. At least 90% post of class 11,111, and 1V should be Working regularly. 02. it should be mandatory that physician should Prescribe drugs of MSR supply both in IPD and OPD as we are getting optimum medicine supply from DRS . 03. Obviously CC project is a great step to provide health care delivery to all the villagers. They are getting maximum benefits from the cc ,CHCPs are working hard .