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Kotwalipara Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish Health Bulletin of Kotalipar Upazila Health Complex. This Bulletin contains all the Health related information of 2014 . This Bulletin is publish to disseminate the informs of Kotalipara Upazilla to the line departments and development partners of Health .I hope all the information of the Bulletin will help for planning,bridging the gaps in the Health services of the Upazilla. Government Health office has many data stored in the field . This Health Bulletin will help us to detect the constrains and also to see the results & achievement of 2014. This Bulletin contains the status of M.D.G 5 which will help to localize the M. D.G Target . This Health Bulletin has also the information about save drinking water & Sanitation status of the Upazilla . All the sanctioned and vacant posts are published in the Bulletin 2015. I like to take attention of the higher authority to look into the issue finally. I would like to congratulate initiator of the Health Bulletin software for setting us one step ahead towards digital Bangladesh .
Dr. Asit Kumar Mallik
UH&FPO
Kotwalipara Upazila Health Complex

Kotwalipara Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Kotwalipara
Organization Code 10000173
Name of UHFPO Dr. Asit Kumar Mallik
Land Phone No. 1 02-6651-026651217
Land Phone No. 2
FAX No.
Mobile No. 01711973037
Email kotalipara@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila12
No. of Households in the Upazila 46,848
Population in the Upazila 237,075
Area of Upazila in sq km 367.00

Kotwalipara 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 50
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 2 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) 11 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 35 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 12 72
No. of NGO Clinics/Facilities 2 0

Kotwalipara Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,736


Under 5 Mortality Rate: 36.740 (Per 1,000 live births)
Infant Mortality Rate: 16.892 (Per 1,000 live births)
Neonatal Mortality Rate: 15.836 (Per 1,000 live births)
Still Birth Rate: 2.956 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 11,021
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%

Kotwalipara 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: 7
Total No. of Recipients Who Took at least one ANC: 5,354
Total Number of Deliveries: 4,750
Valid TT Coverage: 33.00 %
Maternal Mortality Ratio (MMR) is: 147.80 per 100,000 live births.

Kotwalipara 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 12,066 22,929 34,995 9,659 4,830 14,489 49,484 2,662 3,466 6,128 820 403 1,223 7,351
Union Sub-Centres 13,850 16,181 30,031 187 110 297 30,328 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 5,924 5,886 11,810 70 90 160 11,970 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 64,590 133,799 198,389 31,852 7,963 39,815 238,204 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

Kotwalipara 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 1,943 3,068 5,011 346 993 1,339 6,350 18 23 41 3 4 7 48
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

Kotwalipara 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 6,350
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 T149 Injury, unspecified XIX: Injury, poisoning and certain other consequences of external causes 1311 20.65
2 O759 Complication of labour and delivery, unspecified XV: Pregnancy, childbirth and the puerperium 1264 19.91
3 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 677 10.66
4 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 406 6.39
5 J189 Pneumonia, unspecified X: Diseases of the respiratory system 396 6.24
6 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 319 5.02
7 J45 Asthma X: Diseases of the respiratory system 288 4.54
8 J959 Postprocedural respiratory disorder, unspecified X: Diseases of the respiratory system 160 2.52
9 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 104 1.64
10 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 87 1.37

Kotwalipara 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 48
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 8 16.67
2 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 8 16.67
3 I219 Acute myocardial infarction, unspecified XIX: Injury, poisoning and certain other consequences of external causes 6 12.50
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 6 12.50
5 A099 Gastroenteritis and colitis of unspecified origin I: Certain infectious and parasitic diseases 5 10.42
6 I959 Hypotension, unspecified IX: Diseases of the circulatory system 5 10.42
7 P21 Birth asphyxia XVI: Certain conditions originating in the perinatal period 2 4.17
8 T149 Injury, unspecified XIX: Injury, poisoning and certain other consequences of external causes 2 4.17
9 I500 Congestive heart failure IX: Diseases of the circulatory system 1 2.08
10 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 1 2.08

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 95.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 14,918
Bed Occupancy Rates (%) 81.74
Average Length of Hospital Stay (No. of days per patient) 2.35
Hospital Death Rate (%) 0.76


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 93
Minor Surgeries 720

 

Kotwalipara 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 21 10 5 6 28.57
Non Doctor 0 0 0 0 0.00
Class II 15 1 14 0 0.00
Class III 85 45 30 10 11.76
Class IV 19 12 6 1 5.26
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 0 0 0 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 10 8 9 -7 -70.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 6 0 6 50.00
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 34 14 19 1 2.94
Class IV 0 0 0 0 0.00

 

Kotwalipara 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 32 18 8 6 18.75
Non Doctor 0 0 0 0 0.00
Class II 15 1 14 0 0.00
Class III 98 45 36 17 17.35
Class IV 21 13 6 2 9.52
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

 

Kotwalipara 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 21 10 21 13 0 0 3 3 0
Nurse 0 0 0 0 15 15 0 0 3 3 0
Medical Assistant 0 0 10 4 2 2 0 0 0 0 0
Medical Technologist 0 0 13 4 10 10 0 0 0 0 0
CHCP 34 33 0 0 0 0 0 0 0 0 8
HI 0 0 0 0 0 0 3 2 0 0 0
AHI 0 0 0 0 0 0 10 10 0 0 0
HA 0 0 0 0 0 0 50 42 0 0 21

Kotwalipara 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 0 1 0 0
X-ray machine (300 mA) 1 1 0 0 0
Ultrasonogram machine 1 1 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 3 3 0 0 0
Electric cautery machine 1 1 0 0 0
Diathermy machine 2 2 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 2 2 0 0 0
Sucker machine (electric) 4 4 0 0 0
Ventilator 0 0 0 0 0


Kotwalipara 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 2 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Kotwalipara 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 2 2 0 0 0
Centrifuge machine (electric) 2 2 0 0 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 4 2 0 2 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Kotwalipara 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 1 1 0 0 0
Refrigerator 4 3 0 1 0
Vehicles
Ambulance 3 2 0 1 0


Kotwalipara 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) 4 2 0 2 0
Generator
Generator (diesel/petrol) 4 3 0 1 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 0 1 2
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 3 0 0 0
Scanner 0 0 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Kotwalipara 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) 0 0 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 72 59 1 10 2

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

Important information and necessary issues for Kotwalipara Upazila Health Complex
Important Information and necessary issues for Kotalipara Upazila Health Complex Important Information and necessary issues for Kotalipara Upazila Health Complex last year We could not give our maximum efforts to improve the Health status due to many reasons. Here I like to mention some important factors which will help us to achieve good results in future .1. The vacant posts should be filled up immediately. 2. Our Doctors & nurse need more training on IMCI .3. All the repairable equipments should be repaired as soon as possible . 4. A hall room is mostly needed for training & Monthly Meeting . 5. Finally I am very happy to write this . Health Bulletin of 2014 because the document will help us to compare our progress for upcoming year. This is very useful document and will help the public to understand Health service and to provide us the useful to improve in future .