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Kaliganj Upazila Health Complex- Jhinaidaha | Health Bulletin 2014 |
Preface
I am very pleased to have the opportunity to publish this health bulletin of this Upazila. This bulletin is enriched with all the health related informations of the year- 2013. This bulletin will help to share all the informations about our performance and activities with other departments. This is a great pleasure for us that we were awarded nationally from honorable Health Minister for EOC activities. We arrange scientific seminar here every fortnightly regarding recent update management of different health related problems. This health bulletin also contains informations on safe drinking water & sanitation status of the upazila. All the sanctioned and vacant posts are mentioned here. I would like to draw the kind attention of the higher authorities to look into this issue. Finally I would like to congratulate the initiators of the health bulletin software for setting us one step ahead towards digital Bangladesh.
Dr. Md. Altaf Hossain
UH&FPO
Kaliganj Upazila Health Complex- Jhinaidaha

Kaliganj Upazila Health Complex- Jhinaidaha | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKaliganj
Name of UHFPO Dr. Md. Altaf Hossain
Telephone No. 0452356222
FAX No. 0
Mobile No. 01730324589
Email kaliganjj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.4400 And Long: 89.1400
No. of Unions in the Upazila11
No. of Households in the Upazila 61,674
No. of Population in the Upazila 283,282
Area of Upazila in sq km 310.16

Kaliganj Upazila Health Complex- Jhinaidaha | 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 8 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 27 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 14 140
No. of NGO Clinics/Facilities 0 0

Kaliganj Upazila Health Complex- Jhinaidaha | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,288


Total No. of children treated under IMCI Program 6,546
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 2.65 per 1,000 live births.

Kaliganj Upazila Health Complex- Jhinaidaha | 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: 1040
Total Number of Deliveries: 6480
No. of Maternal Death: 6
Valid TT Coverage: 91.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 113.46 per 100,000 live births.

Kaliganj Upazila Health Complex- Jhinaidaha | 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 43,424 12,760 30,664 16,924 9,121 4,462 4,659 3,658
Union Sub-Centres 20,458 6,301 14,157 5,845 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 212,089 66,395 145,694 23,383 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 275,971 85,456 190,515 46,152 9,121 4,462 4,659 3,658
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 7,204 3,132 4,072 1,764 43 24 19 14
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 5,811 1,132 4,679 430 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 13,015 4,264 8,751 2,194 43 24 19 14

Kaliganj Upazila Health Complex- Jhinaidaha | 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 8968
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1304 14.54
2 T629 Noxious substance eaten as food, unspecified 480 5.35
3 J18 Pneumonia, organism unspecified 464 5.17
4 Y09 Assault by unspecified means 434 4.84
5 I10 Essential (primary) hypertension 372 4.15
6 S09 Other and unspecified injuries of head 304 3.39
7 J45 Asthma 218 2.43
8 F412 Mixed anxiety and depressive disorder 148 1.65
9 A01 Typhoid and paratyphoid fevers 138 1.54
10 D50 Iron deficiency anaemia 136 1.52

Kaliganj Upazila Health Complex- Jhinaidaha | 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 57
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I67 Other cerebrovascular diseases 15 26.32
2 P21 Birth asphyxia 8 14.04
3 I68 Cerebrovascular disorders in diseases classified elsewhere 7 12.28
4 J40 Bronchitis, not specified as acute or chronic 4 7.02
5 T629 Noxious substance eaten as food, unspecified 4 7.02
6 J18 Pneumonia, organism unspecified 3 5.26
7 J45 Asthma 3 5.26
8 I25 Chronic ischaemic heart disease 2 3.51
9 S09 Other and unspecified injuries of head 2 3.51
10 P07 Disorders related to short gestation and low birth weight, NEC 1 1.75

Kaliganj Upazila Health Complex- Jhinaidaha | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 80.00
Coverage of households having access to sanitary latrines (%) 81.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 16,481
Bed Occupancy Rates (%) 90.00
Average Length of Hospital Stay (No. of days per patient) 1.85
Hospital Death Rate (%) 0.64


Kaliganj Upazila Health Complex- Jhinaidaha | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 6
Minor Surgeries 71

 

Kaliganj Upazila Health Complex- Jhinaidaha | Health Bulletin 2014 | Page# 10

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 21 10 5 6 28.57
Non Doctor 0 0 0 0 0.00
Class II 14 0 14 0 0.00
Class III 78 47 12 19 24.36
Class IV 26 12 6 8 30.77
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 0 2 7 77.78
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 6 3 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 0 1 1 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 1 1 25.00
Class IV 2 1 0 1 50.00
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 28 17 10 1 3.57
Class IV 0 0 0 0 0.00

 

Kaliganj Upazila Health Complex- Jhinaidaha | 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 32 10 8 14 43.75
Non Doctor 0 0 0 0 0.00
Class II 14 0 14 0 0.00
Class III 119 72 26 21 17.65
Class IV 28 13 6 9 32.14
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- Jhinaidaha | 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 11 3 21 15 0 0 3 0
Nurse 0 0 0 0 16 16 0 0 0 0
Medical Assistant 0 0 11 11 2 2 0 0 10 0
Medical Technologist 0 0 0 0 8 6 1 1 0 0
CHCP 28 27 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 2 2 0 0
AHI 0 0 0 0 0 0 8 8 0 0
HA 0 0 0 0 0 0 39 26 0 0
CSBA trained*** 0 0 0 0 0 0 0 3 0 0

Kaliganj Upazila Health Complex- Jhinaidaha | 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 0 0 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 4 4 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 4 2 2 0 0
Ventilator 0 0 0 0 0


Kaliganj Upazila Health Complex- Jhinaidaha | 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 3 0 3 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 2 1 0 1 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Kaliganj Upazila Health Complex- Jhinaidaha | 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 1 0 0
Colorimeter 1 0 0 1 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) 3 1 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


Kaliganj Upazila Health Complex- Jhinaidaha | 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 1 1 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 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 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


Kaliganj Upazila Health Complex- Jhinaidaha | 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 3 0 0 0
Generator
Generator (diesel/petrol) 1 0 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 8 3 1 0 4
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 2 0 0 0
Printer (laser) 5 3 0 0 2
Scanner 0 0 0 0 0
UPS 7 3 0 0 4
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- Jhinaidaha | 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 62 38 10 4 10

Kaliganj Upazila Health Complex- Jhinaidaha | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Kaliganj Upazila Health Complex- Jhinaidaha |
 In the year 2013, our limitations made it difficult to ensure satisfactory heath service to the people. I would like to mention that some aspects which could enable us to ensure proper health service and these are as below. 1. The vacant posts should be filled up immediately. 2. Doctors, Nurses needed to be trained on IMCI. 3. Repairable equipments should be repaired quickly. 4. More female HA & CHCP should be trained on CSBA. 5. More Doctors, Nurses & female SACMO should be included in EOC training. 6. One photocopy machine, USG Machine & Fax machine are essential here. In conclusion I would like to say that we are to serve the humanity and let us believe that we can perform this noble duty with full satisfaction. Ours is a poor country and our sincerity and devotion towards people can build up a happy and healthy nation. With Thanks Dr. Md. Altaf Hossain UH&FPO Kaliganj, Jheanidah.