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Karimganj Upazila Health Complex | Health Bulletin 2015 |
Preface
Health Bulletin is the store house of health services. Through this bulletin we can disseminate information about the health facilities, health care providers and service recipients, diseases demography neonatal and maternal mortality, having access to safer drinking water sanitation etc to the people. I am very much glad to publish the health bulletin of Karimganj health complex which contains all the relevant information for the years 2014. I am grateful to MIS DGHS Dhaka for the support they have provided me to publish this bulletin.Dr. Md.Khairul Alam UH&FPO Karimganj Upazila Health Complex
Dr. Md. Khairul Alam
UH&FPO
Karimganj Upazila Health Complex

Karimganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Karimganj
Organization Code 10000236
Name of UHFPO Dr. Md. Khairul Alam
Land Phone No. 1 -0942756107
Land Phone No. 2
FAX No.
Mobile No. 01711279111
Email karimganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila11
No. of Households in the Upazila 66,160
Population in the Upazila 328,696
Area of Upazila in sq km 200.53

Karimganj 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 1 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) 8 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) 0 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 0 0
No. of NGO Clinics/Facilities 0 0

Karimganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,905


Under 5 Mortality Rate: 24.288 (Per 1,000 live births)
Infant Mortality Rate: 20.493 (Per 1,000 live births)
Neonatal Mortality Rate: 15.180 (Per 1,000 live births)
Still Birth Rate: 3.795 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 58,310
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 0%

Karimganj 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: 7,070
Total Number of Deliveries: 7,642
Valid TT Coverage: 40.00 %
Maternal Mortality Ratio (MMR) is: 88.55 per 100,000 live births.

Karimganj 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 11,660 32,435 44,095 8,358 7,740 16,098 60,193 9,261 7,190 16,451 1,920 2,033 3,953 20,404
Union Sub-Centres 3,210 4,350 7,560 320 410 730 8,290 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 71,733 176,556 248,289 19,570 19,863 39,433 287,722 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

Karimganj 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 2,195 2,622 4,817 894 506 1,400 6,217 11 6 17 2 1 3 20
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

Karimganj 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 6,217
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 1525 24.53
2 T07 Unspecified multiple injuries XIX: Injury, poisoning and certain other consequences of external causes 684 11.00
3 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 504 8.11
4 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 248 3.99
5 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 242 3.89
6 J46 Status asthmaticus X: Diseases of the respiratory system 181 2.91
7 F99 Mental disorder, not otherwise specified V: Mental and behavioural disorders 143 2.30
8 J21 Acute bronchiolitis X: Diseases of the respiratory system 107 1.72
9 V041 Pedestrian injured in collision with heavy transport vehicle or bus, traffic accident XX: External causes of morbidity and mortality 85 1.37
10 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 75 1.21

Karimganj 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 17
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 4 23.53
2 J46 Status asthmaticus X: Diseases of the respiratory system 3 17.65
3 P21 Birth asphyxia X: Diseases of the respiratory system 2 11.76
4 D002 Stomach II: Neoplasms 1 5.88
5 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 5.88
6 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 1 5.88
7 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 1 5.88
8 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 5.88
9 R042 Haemoptysis XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 5.88
10 R560 Febrile convulsions XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 5.88

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 91.00
Coverage of households having access to sanitary latrines (%) 90.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,204
Bed Occupancy Rates (%) 66.87
Average Length of Hospital Stay (No. of days per patient) 1.96
Hospital Death Rate (%) 0.27


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 2,350

 

Karimganj 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 11 4 6 28.57
Non Doctor 0 0 0 0 0.00
Class II 20 0 13 7 35.00
Class III 94 54 25 15 15.96
Class IV 23 16 6 1 4.35
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 1 0 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 0 1 50.00
Class IV 1 1 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 35 10 20 5 14.29
Class IV 0 0 0 0 0.00

 

Karimganj 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 15 10 7 21.88
Non Doctor 0 0 0 0 0.00
Class II 20 0 13 7 35.00
Class III 94 54 25 15 15.96
Class IV 24 17 6 1 4.17
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

 

Karimganj 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 11 11 21 15 0 0 1 1 0
Nurse 0 0 0 0 19 13 0 0 0 0 0
Medical Assistant 0 0 11 6 2 0 0 0 6 0 0
Medical Technologist 0 0 1 0 9 7 0 0 0 0 0
CHCP 35 30 0 0 0 0 0 0 0 0 2
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 9 9 0 0 0 0 0
HA 0 0 0 0 45 41 0 0 0 0 9

Karimganj 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 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 2 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 3 3 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 5 5 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 3 3 0 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Karimganj 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 3 3 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 5 5 0 0 0
Pulse oximeter 2 2 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Karimganj 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) 2 2 0 0 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 2 0 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Karimganj 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 2 2 0 0 0
Refrigerator 2 1 1 0 0
Vehicles
Ambulance 1 1 0 0 0


Karimganj 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) 2 1 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) 10 8 1 1 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 5 2 0 0
Scanner 1 1 0 0 0
UPS 5 5 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


Karimganj 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 74 67 6 1 0

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

Important information and necessary issues for Karimganj Upazila Health Complex
Important information and necessary issues for karimganj Upazila Health Complex I would like to mention here some important factors which will help us to achieve good result for health service in future. 1. Vacant posts should be filled immediately. 2. doctors nures, sacmos need more training on IMCI. 3. Necessary action should be taken to start functioning OT service.In the addition there should be steady supply of fuel for the generator . Finally I feel proud to publish the Health Bulletin, because this document will help us compare our progress in up coming year. Health Bulletin is an annual progress report which contains all health statistics which we have achieved last year.