Kaliganj Upazila Health Complex- Satkhira | Health Bulletin 2014 |
Preface
It is our pleasure to give opportunity for publishing the "Health Bulletin-2014" of kaliganj Upazila health complex, satkhira. All the health related information of 2013 about our upazila have been depicted in this issue. This bulletin disseminates all the relevant information and messages of health 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 upazilla. This bulletin will allow us to find contents and also to observe the results and achievements of 2012. I hope the higher authority of health department will look into this issue and take necessary actions to step forward for MDG5 goals. Finally I would to give much appreciation to the initiator and innovator of health bulletin software for setting us one step ahead toward "Digital Bangladesh".
Kaliganj Upazila Health Complex- Satkhira | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Kaliganj
Name of UHFPO Dr. Abul Kalam Azad
Telephone No. 0472556030
FAX No. 0
Mobile No. 01711732453
Email kaliganjs@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.0000 And Long: 89.0000
No. of Unions in the Upazila 12
No. of Households in the Upazila 63,007
No. of Population in the Upazila 293,252
Area of Upazila in sq km 333.79
Kaliganj Upazila Health Complex- Satkhira | 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
8
0
No. of Union Health and Family Welfare Centres
4
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
32
0
No of Trauma Centres
0
0
No. of MCWCs
1
20
No. of Chest Disease Clinics (TB clinics)
0
0
No. of Private Clinics/Facilities
9
0
No. of NGO Clinics/Facilities
0
0
Kaliganj Upazila Health Complex- Satkhira | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,718
Total No. of children treated under IMCI Program 3,235
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 3.85 per 1,000 live births.
Kaliganj Upazila Health Complex- Satkhira | 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: 1998
Total Number of Deliveries: 5727
No. of Maternal Death: 4
Valid TT Coverage: 98.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
69.95 per 100,000 live births.
Kaliganj Upazila Health Complex- Satkhira | 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
36,337
13,405
22,932
9,048
1,071
738
333
30
Union Sub-Centres
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
37,797
15,337
22,460
6,909
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
223,011
65,692
157,319
10,188
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
7,681
215
7,466
3,204
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
304,826
94,649
210,177
29,349
1,071
738
333
30
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
2,707
942
1,765
92
20
15
5
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
310
0
310
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
1
0
1
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
3,017
942
2,075
92
21
15
6
1
Kaliganj Upazila Health Complex- Satkhira | 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
2799
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
T149 Injury, unspecified
654
23.37
2
A090 Other and unspecified gastroenteritis and colitis of infectious origin
233
8.32
3
D649 Anaemia, unspecified
161
5.75
4
K27 Peptic ulcer, site unspecified
147
5.25
5
K37 Unspecified appendicitis
125
4.47
6
R509 Fever, unspecified
105
3.75
7
I159 Secondary hypertension, unspecified
82
2.93
8
V899 Person injured in unspecified vehicle accident
63
2.25
9
J459 Asthma, unspecified
60
2.14
10
J189 Pneumonia, unspecified
41
1.46
Kaliganj Upazila Health Complex- Satkhira | 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
21
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I516 Cardiovascular disease, unspecified
12
57.14
2
G46 Vascular syndromes of brain in cerebrovascular diseases
4
19.05
3
T909 Sequelae of unspecified injury of head
2
9.52
4
R068 Other and unspecified abnormalities of breathing
1
4.76
5
I219 Acute myocardial infarction, unspecified
1
4.76
6
I64 Stroke, not specified as haemorrhage or infarction
1
4.76
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Kaliganj Upazila Health Complex- Satkhira | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
89.00
Coverage of households having access to sanitary latrines (%)
79.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
15,995
Bed Occupancy Rates (%)
87.64
Average Length of Hospital Stay (No. of days per patient)
6.01
Hospital Death Rate (%)
0.80
Kaliganj Upazila Health Complex- Satkhira | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
283
Minor Surgeries
689
Kaliganj Upazila Health Complex- Satkhira | 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
12
0
12
0
0.00
Class III
84
55
17
12
14.29
Class IV
19
13
4
2
10.53
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
1
0
3
75.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
5
0
3
37.50
Class IV
4
4
0
0
0.00
Rural Dispensaries
Class I
Doctor
8
2
1
5
62.50
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
5
1
2
25.00
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
36
20
16
0
0.00
Class IV
0
0
0
0
0.00
Kaliganj Upazila Health Complex- Satkhira | 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
21
6
2
13
61.90
Non Doctor
0
0
0
0
0.00
Class II
12
0
12
0
0.00
Class III
100
67
18
15
15.00
Class IV
23
17
4
2
8.70
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
Kaliganj Upazila Health Complex- Satkhira | 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
12
4
9
4
0
0
1
1
Nurse
0
0
0
0
12
12
0
0
6
0
Medical Assistant
0
0
12
9
2
1
0
0
5
0
Medical Technologist
0
0
4
2
8
7
0
0
0
0
CHCP
36
36
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
AHI
0
0
0
0
10
10
0
0
0
0
HA
0
0
0
0
50
43
0
0
0
0
CSBA trained***
0
0
0
0
0
16
0
24
0
0
Kaliganj Upazila Health Complex- Satkhira | 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)
0
0
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)
1
1
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
2
1
0
0
1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
1
1
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
2
2
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
1
1
0
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
0
0
0
0
0
Kaliganj Upazila Health Complex- Satkhira | 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
2
2
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
1
1
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
Kaliganj Upazila Health Complex- Satkhira | 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)
2
1
0
1
0
Colorimeter
2
2
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)
2
2
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
Kaliganj Upazila Health Complex- Satkhira | 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
2
2
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
Kaliganj Upazila Health Complex- Satkhira | 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)
3
3
0
0
0
Air conditioner (window)
1
1
0
0
0
Generator
Generator (diesel/petrol)
1
1
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
3
3
0
0
0
ICT equipment
Computer (desktop)
5
4
1
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
1
0
0
Printer (laser)
4
3
1
0
0
Scanner
1
1
0
0
0
UPS
3
3
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
Kaliganj Upazila Health Complex- Satkhira | 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
0
1
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
47
3
2
1
Kaliganj Upazila Health Complex- Satkhira | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Kaliganj Upazila Health Complex- Satkhira |
In 2013 our performances in all respects reached a level which is more than average in comparison to previous years. Our upazilla has got LLP, DAAR, upazilla health system, HSS & several other projects. Still we are not able to say that our performances are upto the mark. It is beacuse of (1) Acute shortage of HRD as for example, no RMO, no MO, no paired surgeons posted here. (2) Want of some specific instruments & particularly a heavy generator needed for 24 hrs. electricity supply.
We are still positive and hopeful. This document will also help the people to make them understand about health services & to provide us to useful advice for improvement of life in future.