Kalmakanda Upazila Health Complex | Health Bulletin 2015 |
Preface
Ihis bulletin is published to disseminate the information of kalmakanda upazila to other line department and development partners of health. I hope all the informations of this bulletin will help for planning and bridging the gaps in health services of this upazila. Govemment 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 target. This health bulletin has 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 like to take attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator to the health bulletin software to set us on step ahead to digital Bangladesh.
(Dr. Md. Sha alam Talukder )
UHFPO
Kalmakanda,Netrakona.
Kalmakanda Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Kalmakanda
Organization Code
10000472
Name of UHFPO Dr. Md. Sha alam Talukder
Land Phone No. 1
-0952756058
Land Phone No. 2
FAX No.
Mobile No.
01711124995
Email kalmakanda@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
20.0000 And
Long:
87.0000
No. of Unions in the Upazila 8
No. of Households in the Upazila 58,498
Population in the Upazila 284,538
Area of Upazila in sq km 377.41
Kalmakanda 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)
6
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
0
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
1
10
No. of NGO Clinics/Facilities
0
0
Kalmakanda Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,606
Under 5 Mortality Rate: 23.240 (Per 1,000 live births)
Infant Mortality Rate: 18.824 (Per 1,000 live births)
Neonatal Mortality Rate: 18.592 (Per 1,000 live births)
Still Birth Rate: 18.011 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 10,537
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 99%
Kalmakanda 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:
18
Total No. of Recipients Who Took at least one ANC:
6,307
Total Number of Deliveries:
729
Valid TT Coverage: 62.00 %
Maternal Mortality Ratio (MMR) is:
209.16 per 100,000 live births.
Kalmakanda 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
8,946
12,758
21,704
2,326
2,916
5,242
26,946
2,796
1,705
4,501
807
772
1,579
6,080
Union Sub-Centres
6,229
14,245
20,474
1,093
1,502
2,595
23,069
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)
8,169
26,366
34535
4,314
5,891
10,205
44,740
0
0
0
0
0
0
10,205
Community Clinics
68,288
118,823
187,111
14,961
19,165
34,126
221,237
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)
174
101
275
3
0
3
278
0
0
0
0
0
0
0
Private Clinics/Facilities
1,380
2,120
3,500
270
250
520
4,020
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Kalmakanda 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
1,888
1,942
3,830
705
851
1,556
5,386
11
7
18
9
2
11
29
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
20
65
85
12
8
20
105
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Kalmakanda 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
5,567
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1279
22.97
2
T140 Superficial injury of unspecified body region
XIX: Injury, poisoning and certain other consequences of external causes
1031
18.52
3
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
896
16.09
4
J069 Acute upper respiratory infection, unspecified
X: Diseases of the respiratory system
663
11.91
5
R100 Acute abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
482
8.66
6
B509 Plasmodium falciparum malaria, unspecified
I: Certain infectious and parasitic diseases
159
2.86
7
S960 Injury of muscle and tendon of long flexor muscle of toe at ankle and foot level
XIX: Injury, poisoning and certain other consequences of external causes
149
2.68
8
J40 Bronchitis, not specified as acute or chronic
X: Diseases of the respiratory system
79
1.42
9
T47 Poisoning by agents primarily affecting the gastrointestinal system
XIX: Injury, poisoning and certain other consequences of external causes
58
1.04
10
R071 Chest pain on breathing
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
42
0.75
Kalmakanda 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
29
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J068 Other acute upper respiratory infections of multiple sites
X: Diseases of the respiratory system
6
20.69
2
J40 Bronchitis, not specified as acute or chronic
X: Diseases of the respiratory system
4
13.79
3
P210 Severe birth asphyxia
X: Diseases of the respiratory system
3
10.34
4
R508 Other specified fever
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
2
6.90
5
R072 Precordial pain
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
2
6.90
6
R100 Acute abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
3.45
7
J459 Asthma, unspecified
X: Diseases of the respiratory system
1
3.45
8
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
1
3.45
9
R042 Haemoptysis
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
3.45
10
K766 Portal hypertension
XI: Diseases of the digestive system
1
3.45
Kalmakanda Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
89.00
Coverage of households having access to sanitary latrines (%)
67.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
14,808
Bed Occupancy Rates (%)
81.14
Average Length of Hospital Stay (No. of days per patient)
2.65
Hospital Death Rate (%)
0.19
Kalmakanda Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
227
Kalmakanda 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
13
2
6
28.57
Non Doctor
0
0
0
0
0.00
Class II
15
0
10
5
33.33
Class III
99
51
20
28
28.28
Class IV
26
6
2
18
69.23
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
8
6
0
2
25.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
10
6
3
1
10.00
Class IV
2
1
0
1
50.00
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
31
18
12
1
3.23
Class IV
0
0
0
0
0.00
Kalmakanda 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
19
2
8
27.59
Non Doctor
0
0
0
0
0.00
Class II
15
0
10
5
33.33
Class III
140
73
35
32
22.86
Class IV
28
7
2
19
67.86
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
Kalmakanda 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
2
2
21
15
6
4
4
0
0
Nurse
0
0
0
0
15
10
0
0
3
1
0
Medical Assistant
0
0
2
2
2
2
6
5
4
0
0
Medical Technologist
0
0
2
1
12
5
0
0
0
0
0
CHCP
31
30
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
0
AHI
0
0
0
0
10
5
0
0
0
0
0
HA
0
0
0
0
50
42
0
0
0
0
11
Kalmakanda 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)
0
0
0
0
0
Ultrasonogram machine
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
1
0
0
0
1
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
1
0
0
0
1
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
0
0
0
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)
10
5
2
0
3
Ventilator
0
0
0
0
0
Kalmakanda 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
3
2
1
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Kalmakanda 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
1
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
8
5
3
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
1
1
0
0
0
Kalmakanda 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
1
1
0
0
0
Vehicles
Ambulance
3
0
2
1
0
Kalmakanda 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)
5
5
0
0
0
Generator
Generator (diesel/petrol)
2
0
1
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
7
1
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
6
3
3
0
0
Printer (laser)
6
6
0
0
0
Scanner
1
1
0
0
0
UPS
0
0
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
0
0
0
0
0
Multimedia
1
1
0
0
0
Kalmakanda 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
0
1
0
0
Mobile phone
1
1
0
0
0
Total
67
44
16
2
5
Kalmakanda Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Kalmakanda Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reasons. Here 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 doctor and nurse need more training on IMCI. 3. Our hospital requires repair /supply of a new ambulance immediate. 4. All the repairable equipment’s should be repaired as soon as possible. 5. We have 4 female HA who need CSBA training . 6. Our hospital requires supply of a new 100 MA x-ray machine. I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in up coming years. This is very use full document and will help the public to understand health services and to provide us the usefull advices for improvement in future.
