Kalkini Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to published this e-health bulletin of kalkini upazila Health Services.This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of kalkini upazila 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.Government health office has many data stored in the fine.This e-health bulletin will help us to find constrains and also to see the results about achievements of 2013.The bulletin contains the status of MDG 4 and MDG 5 which will help to localized the MDG targets.This health bulletin has also the information on safe drinking water and sanitation status of the upazila.All the sanctioned and vacant posts are published in this bulletin of 2014. I Would like to draw an attention of the higher authority to look in to this issue.Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bangladesh. I would also thanks all H.A,AHI,HI,SI and other field Staffs For theiredless Efforts to collect this information.Hope we will be able to serve a better bulletin in the next time.Thanks to MIS DG health and all our health workers for their kind cooperation in printing this matter.
DR.MD.ABDUR ROKIB
UH&FPO
KALKINI, MADARIPUR
Kalkini Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Kalkini
Organization Code
10000258
Name of UHFPO DR.MD.ABDUR RAQUIB
Land Phone No. 1
-0662256108
Land Phone No. 2
FAX No.
Mobile No.
01712132211
Email kalkini@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
23.0000 And
Long:
90.0000
No. of Unions in the Upazila 14
No. of Households in the Upazila 58,568
Population in the Upazila 294,880
Area of Upazila in sq km 281.50
Kalkini 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
4
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
31
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
2
10
No. of NGO Clinics/Facilities
0
0
Kalkini Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,692
Under 5 Mortality Rate: 19.127 (Per 1,000 live births)
Infant Mortality Rate: 15.989 (Per 1,000 live births)
Neonatal Mortality Rate: 12.253 (Per 1,000 live births)
Still Birth Rate: 21.817 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 4,015
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months):
Kalkini 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:
15
Total No. of Recipients Who Took at least one ANC:
7,013
Total Number of Deliveries:
6,485
Valid TT Coverage: 25.00 %
Maternal Mortality Ratio (MMR) is:
224.15 per 100,000 live births.
Kalkini 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
17,513
21,429
38,942
7,549
8,930
16,479
55,421
3,057
2,271
5,328
755
887
1,642
6,970
Union Sub-Centres
14,138
27,969
42,107
2,097
3,439
5,536
47,643
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
74,588
192,065
266,653
14,050
15,836
29,886
296,539
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
Kalkini 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
1,744
1,837
3,581
482
576
1,058
4,639
3
4
7
1
3
4
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
11
277
288
0
0
0
288
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Kalkini 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
4,639
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A099 Gastroenteritis and colitis of unspecified origin
I: Certain infectious and parasitic diseases
976
21.04
2
R456 Physical violence
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
871
18.78
3
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
593
12.78
4
K319 Disease of stomach and duodenum, unspecified
XI: Diseases of the digestive system
366
7.89
5
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
170
3.66
6
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
154
3.32
7
T659 Toxic effect of unspecified substance
XIX: Injury, poisoning and certain other consequences of external causes
92
1.98
8
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
88
1.90
9
J459 Asthma, unspecified
X: Diseases of the respiratory system
67
1.44
10
F419 Anxiety disorder, unspecified
V: Mental and behavioural disorders
62
1.34
Kalkini 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
R100 Acute abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
3
27.27
2
I238 Other current complications following acute myocardial infarction
IX: Diseases of the circulatory system
2
18.18
3
C349 Bronchus or lung, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
2
18.18
4
J459 Asthma, unspecified
X: Diseases of the respiratory system
1
9.09
5
J4.9 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
9.09
6
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
1
9.09
7
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
1
9.09
8
0
0.00
9
0
0.00
10
0
0.00
Kalkini 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 (%)
90.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
12,967
Bed Occupancy Rates (%)
71.05
Average Length of Hospital Stay (No. of days per patient)
2.80
Hospital Death Rate (%)
0.24
Kalkini Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
266
Kalkini 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
9
2
4
3
33.33
Non Doctor
0
0
0
0
0.00
Class II
10
0
10
0
0.00
Class III
103
62
32
9
8.74
Class IV
19
11
5
3
15.79
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
11
5
4
2
18.18
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
11
2
1
8
72.73
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
4
1
1
2
50.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
3
2
3
37.50
Class IV
4
2
1
1
25.00
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
36
8
19
9
25.00
Class IV
0
0
0
0
0.00
Kalkini 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
24
6
11
7
29.17
Non Doctor
0
0
0
0
0.00
Class II
10
0
10
0
0.00
Class III
158
75
54
29
18.35
Class IV
23
13
6
4
17.39
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
Kalkini 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
15
11
9
6
0
0
1
0
0
Nurse
0
0
0
0
10
10
0
0
3
3
0
Medical Assistant
0
0
4
3
2
2
11
3
3
0
0
Medical Technologist
0
0
4
2
8
7
0
0
0
0
0
CHCP
36
27
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
4
0
0
0
0
0
AHI
0
0
0
0
13
13
0
0
0
0
0
HA
0
0
0
0
64
55
0
0
49
0
0
Kalkini 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
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
0
0
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
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
4
3
1
0
0
Ventilator
0
0
0
0
0
Kalkini 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
2
2
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
9
6
3
0
0
Pulse oximeter
2
2
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Kalkini 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
1
1
0
0
0
Microscope (binocular)
3
1
2
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Kalkini 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
3
2
0
1
0
Kalkini 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
3
1
0
0
Generator
Generator (diesel/petrol)
2
1
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)
9
8
1
0
0
Laptop
34
31
3
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
3
0
2
1
0
Printer (laser)
6
6
0
0
0
Scanner
1
1
0
0
0
UPS
8
7
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
33
33
0
0
0
Multimedia
1
1
0
0
0
Kalkini 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
136
119
14
3
0
Kalkini Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Kalkini Upazila Health Complex
IMportant information and necessary issues for Kalkini Upazila Health Complex.
Last year we could not give our maximum efforts improve the health status of kalkini upazila due to many reasons.Here I would like to mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediately. 2. Our doctors need more training on IMCI & EOC. 3. Also Instruments and furniture are not sufficient in Community clinics which should be increased. Finally I am very happy to write this e-health bulletin of 2014 because this documents will help us to compair our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.
DR.MD.ABDUR RAQUIB
UH&FPO
KALKINI, MADARIPUR