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Keraniganj Upazila Health Complex | Health Bulletin 2015 |
Preface
Thanks to almighty God that we have published the Health Bulletin of Keraniganj Upazila which contains all the health related information of 2014. This bulletin is published to disseminate the information of keraniganj Upazilla 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 upazila. It will help us to find constrains and also to see the results and achievements of 2014. The bulletin contains the status of MDG-4 and MDG-5 which will help to localize the MDG targets. It also contains the information on safe drinking water and sanitation status of the upazilla. All the sanctioned and vacant post are published in this bulletin. I like to draw attention of the higher authority about this. Finally I like to congratulate the initiator of the health bulletin software for sitting us one step ahead towards digital Bangladesh.Dr. Mohammad Eunus Ali.Upazila Health & F.P. Officer,Keraniganj, Dhaka .
Dr. Mohammad Eunus Ali
UH&FPO
Keraniganj Upazila Health Complex

Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Keraniganj
Organization Code 10000074
Name of UHFPO Dr. Mohammad Eunus Ali
Land Phone No. 1 -027766735
Land Phone No. 2
FAX No.
Mobile No. 01730324402
Email keraniganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.7332 And Long: 90.4346
No. of Unions in the Upazila12
No. of Households in the Upazila 177,998
Population in the Upazila 969,690
Area of Upazila in sq km 165.75

Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 31
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 3 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 10 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 22 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 0 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 26 350
No. of NGO Clinics/Facilities 3 90

Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 20,787


Under 5 Mortality Rate: 21.311 (Per 1,000 live births)
Infant Mortality Rate: 17.511 (Per 1,000 live births)
Neonatal Mortality Rate: 10.872 (Per 1,000 live births)
Still Birth Rate: 0.337 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 60,587
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 0%

Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 4
Maternal health and MDG-5 (Whole Upazila) (Jan-Dec, 2014)
R.P.W.: Registered Pregnant Women; 1st ANC: No. of 1st ANC recipients; 4th ANC: No. of 4th ANC recipients; C. Preg.: No. of complicated pregnancy; N.V. deli.: No. of normal deliveries; C. deli.: No. of cesarean deliveries; O. deli.: No. of other deliveries; PNC: No. of PNC services provided to the mothers;



No. of Maternal Deaths: 26
Total No. of Recipients Who Took at least one ANC: 14,794
Total Number of Deliveries: 22,068
Valid TT Coverage: 72.00 %
Maternal Mortality Ratio (MMR) is: 125.08 per 100,000 live births.

Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 5

No. of OPD & Emergency visits at Upazila
Health Facility
OPD
Emergency
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
Upazila Health Complex 18,356 66,965 85,321 15,682 15,975 31,657 116,978 3,521 3,407 6,928 485 472 957 7,885
Union Sub-Centres 17,396 27,446 44,842 9,897 10,015 19,912 64,754 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 52,604 13,641 66,245 11,550 14,287 25,837 92,082 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 6

No. of Admissions & Deaths at Upazila
Health Facility
Admission
Death
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
Upazila Health Complex 832 1,390 2,222 229 235 464 2,686 7 1 8 0 0 0 8
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 7

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 2,713
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 419 15.44
2 J45 Asthma X: Diseases of the respiratory system 288 10.62
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 264 9.73
4 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 177 6.52
5 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 122 4.50
6 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 96 3.54
7 O80 Single spontaneous delivery XV: Pregnancy, childbirth and the puerperium 88 3.24
8 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 64 2.36
9 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 60 2.21
10 V99 Unspecified transport accident XX: External causes of morbidity and mortality 34 1.25

Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 8

Top 10 Causes of diseases according to the number of deaths among admitted patients in the UHC
Total number of Deaths during the reporting period 8
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 2 25.00
2 I46 Cardiac arrest IX: Diseases of the circulatory system 2 25.00
3 J45 Asthma X: Diseases of the respiratory system 1 12.50
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 1 12.50
5 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 1 12.50
6 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 1 12.50
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 9

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


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 11,148
Bed Occupancy Rates (%) 98.52
Average Length of Hospital Stay (No. of days per patient) 4.14
Hospital Death Rate (%) 0.30


Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 145
Minor Surgeries 94

 

Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 10 4 5 1 10.00
Non Doctor 0 0 0 0 0.00
Class II 12 1 9 2 16.67
Class III 133 64 53 16 12.03
Class IV 20 8 8 4 20.00
Union Health & Family Welfare Center (under DGHS)
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 30 13 12 5 16.67
Class IV 20 7 9 4 20.00
Rural Dispensaries
Class I Doctor 13 6 7 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 16 6 10 0 0.00
Class IV 3 0 0 3 100.00
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 29 9 13 7 24.14
Class IV 0 0 0 0 0.00

 

Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 12

Status of Human Resources (Class wise)
Class Sanctioned (No.) Filled-up (No.) Vacant (No.) Vacancy %
M F
Upazila Total
Class I Doctor 29 12 16 1 3.45
Non Doctor 0 0 0 0 0.00
Class II 17 1 14 2 11.76
Class III 133 65 54 14 10.53
Class IV 28 10 8 10 35.71
Other Hospitals & Clinics
Class I Doctor 6 2 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 5 0 5 0 0.00
Class III 4 2 0 2 50.00
Class IV 3 1 2 0 0.00

 

Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 13

Status of Human Resources (No.) (Category wise)
Manpower Community Clinic USC/UHFWC/RD UHC Others IMCI trained Basic EOC trained CSBA trained
Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up
Physician 0 0 13 13 10 9 6 6 3 1 0
Nurse 0 0 0 0 12 10 5 5 3 3 0
Medical Assistant 0 0 23 23 2 2 0 0 12 0 0
Medical Technologist 0 0 0 0 4 4 1 0 0 0 0
CHCP 29 22 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 2 0 0 0 0 0
AHI 0 0 0 0 10 10 10 0 0 0 0
HA 0 0 0 0 50 39 0 0 0 0 0

Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 14

Existing equipment 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 0 1 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 2 1 1 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 1 1 0 0 0
Sterilizer 6 3 2 1 0
Sucker machine (electric) 6 2 0 0 4
Ventilator 0 0 0 0 0


Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 15

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
ECG machine 1 1 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 7 6 0 1 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 0 0 1 0


Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 16

Existing equipment 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
Microscope (binocular) 0 0 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 17

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 0 0 0 0 0
Refrigerator 2 2 0 0 0
Vehicles
Ambulance 1 1 0 0 0


Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 18

Existing equipment 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 1 0 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 5 1 0 2
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 3 0 0 2
Scanner 1 1 0 0 0
UPS 9 7 0 2 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


Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 19

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
OHP 1 1 0 0 0
PA system (Sound) 1 1 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 68 50 5 5 8

Keraniganj Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Keraniganj Upazila Health Complex
In Keraniganj UHC, there is no space for nutrition corner, breast feeding corner, NCD corner, ORT corner and adolescent health corner, We urgently need to build five rooms for this purpose. We already have sent proposal to HED for this. For promoting EPI & releted services vacant posts of HA ,AHI & HI to be filled urgently. Consultant rooms for medicine, surgery & anesthesia are needed. Another room is needed for store. I like to draw kind attention of higher authority to take immediate steps for the solution of above mentioned problem.