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Kassiani Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of kasiani upazila.This bulletin contains all avilable health related information of 2014.This bullletin is publised to disseminate the information of kasiani upazila to other line depertment 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.Government health office has many data stored in the file.This health bulletin 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.This health bulletin has also the information on safe drinking water and sanitation status of this upazila.All the sanctioned and vacant posts are published in this bulletin of 2014.I would like to take attention of the higher authority to look in to this issue.I would like to thank upazila IT focal person, statistician & other concern for their effort to make this bulletin possible. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bangladesh.
Dr. Md Monower Hossain
UH&FPO
Kassiani Upazila Health Complex

Kassiani Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Kassiani
Organization Code 10000167
Name of UHFPO Dr. Md Monower Hossain
Land Phone No. 1 -0665256214
Land Phone No. 2
FAX No.
Mobile No. 01712285410
Email kasiani@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 94.0000
No. of Unions in the Upazila14
No. of Households in the Upazila 45,242
Population in the Upazila 245,297
Area of Upazila in sq km 299.25

Kassiani 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 8 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 6 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 7 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 33 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 8 60
No. of NGO Clinics/Facilities 1 0

Kassiani Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,623


Under 5 Mortality Rate: 18.386 (Per 1,000 live births)
Infant Mortality Rate: 12.979 (Per 1,000 live births)
Neonatal Mortality Rate: 7.571 (Per 1,000 live births)
Still Birth Rate: 1.514 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 26,132
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 100%

Kassiani 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: 5
Total No. of Recipients Who Took at least one ANC: 4,631
Total Number of Deliveries: 4,825
Valid TT Coverage: 33.00 %
Maternal Mortality Ratio (MMR) is: 108.15 per 100,000 live births.

Kassiani 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 8,590 12,960 21,550 2,050 2,580 4,630 26,180 1,540 985 2,525 120 144 264 2,789
Union Sub-Centres 13,580 29,210 42,790 3,300 3,550 6,850 49,640 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 5,809 15,302 21,111 240 250 490 21,601 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 51,235 111,580 162,815 10,020 13,560 23,580 186,395 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) 480 6,210 6,690 360 390 750 7,440 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

Kassiani 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 1,234 1,778 3,012 270 410 680 3,692 7 2 9 2 0 2 11
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 204 1,319 1,523 0 0 0 1,523 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kassiani 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 3,282
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y04 Assault by bodily force XX: External causes of morbidity and mortality 532 16.21
2 A03 Shigellosis I: Certain infectious and parasitic diseases 448 13.65
3 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 269 8.20
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 187 5.70
5 A060 Acute amoebic dysentery I: Certain infectious and parasitic diseases 179 5.45
6 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 135 4.11
7 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 72 2.19
8 I159 Secondary hypertension, unspecified IX: Diseases of the circulatory system 56 1.71
9 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 35 1.07
10 I09 Other rheumatic heart diseases IX: Diseases of the circulatory system 12 0.37

Kassiani 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 11
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I469 Cardiac arrest, unspecified IX: Diseases of the circulatory system 5 45.45
2 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 1 9.09
3 A09 Diarrhoea and gastroenteritis of presumed infectious origin IX: Diseases of the circulatory system 1 9.09
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 1 9.09
5 A060 Acute amoebic dysentery I: Certain infectious and parasitic diseases 1 9.09
6 I60 Subarachnoid haemorrhage IX: Diseases of the circulatory system 0 0.00
7 C34 Malignant neoplasm of bronchus and lung II: Neoplasms 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 97.00
Coverage of households having access to sanitary latrines (%) 100.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 11,268
Bed Occupancy Rates (%) 99.58
Average Length of Hospital Stay (No. of days per patient) 3.43
Hospital Death Rate (%) 0.34


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,460

 

Kassiani 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 2 3 5 50.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 91 56 21 14 15.38
Class IV 27 20 7 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 0 0 6 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 4 2 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 8 1 0 7 87.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 16 9 2 5 31.25
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 38 19 14 5 13.16
Class IV 0 0 0 0 0.00

 

Kassiani 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 23 4 2 17 73.91
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 148 80 39 29 19.59
Class IV 27 21 4 2 7.41
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

 

Kassiani 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 0 1 9 7 0 0 0 0 0
Nurse 0 0 0 0 10 10 0 0 0 0 0
Medical Assistant 0 0 14 12 2 1 0 0 0 0 0
Medical Technologist 0 0 8 3 10 8 0 0 0 0 0
CHCP 38 33 0 0 0 0 0 0 0 0 7
HI 0 0 0 0 4 1 4 3 0 0 0
AHI 0 0 0 0 11 11 0 0 0 0 15
HA 0 0 0 0 55 51 55 52 0 0 21

Kassiani 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) 1 1 0 0 0
X-ray machine (300 mA) 0 0 0 0 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 1 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 1 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 2 1 1 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) 2 1 1 0 0
Ventilator 0 0 0 0 0


Kassiani 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 4 3 1 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Kassiani 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) 0 0 0 0 0
Colorimeter 0 0 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


Kassiani 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 1 1 0 0 0
Vehicles
Ambulance 1 1 0 0 0


Kassiani 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) 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 2 1 0 0
ICT equipment
Computer (desktop) 7 7 0 0 0
Laptop 39 39 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 1 0 0
Printer (laser) 5 5 0 0 0
Scanner 0 0 0 0 0
UPS 7 6 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 39 39 0 0 0
Multimedia 1 1 0 0 0


Kassiani 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 0 0 0 0 0
PA system (Sound) 0 0 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 123 117 6 0 0

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

Important information and necessary issues for Kassiani Upazila Health Complex
We are trying to improve the health status of kasiani upazila. We improved our data system from various dept of our hospital & field levels.We also trying to collect data from privet clinincs.But we cant do our job 100% due to vaccent posts. All CHCP & HA UHC have got laptop & tab ,so we will give our maximum efforts from july 2015. We hope that we will do better in 2015