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Kashba Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of kasba upazila. This bulletin contains all the health related information of 2014.this bulletin is published to disseminate the information of kasba 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 inthe fine. 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 MDG4 and MDG5 which will help to localize 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 like to take attention of this higher authority to look into 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.
Dr Mohammad Iqbal Hossain
UH&FPO
Kashba Upazila Health Complex

Kashba Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Kashba
Organization Code 10000678
Name of UHFPO Dr Mohammad Iqbal Hossain
Land Phone No. 1 -0852473011
Land Phone No. 2
FAX No.
Mobile No. 01715057051
Email kashba@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.9764 And Long: 91.1089
No. of Unions in the Upazila10
No. of Households in the Upazila 64,067
Population in the Upazila 324,132
Area of Upazila in sq km 209.00

Kashba 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 2 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 7 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 32 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 3 125
No. of NGO Clinics/Facilities 1 0

Kashba Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 9,510


Under 5 Mortality Rate: 4.311 (Per 1,000 live births)
Infant Mortality Rate: 3.260 (Per 1,000 live births)
Neonatal Mortality Rate: 1.893 (Per 1,000 live births)
Still Birth Rate: 0.315 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 29,768
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):

Kashba 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: 2
Total No. of Recipients Who Took at least one ANC: 9,062
Total Number of Deliveries: 9,522
Valid TT Coverage: 97.00 %
Maternal Mortality Ratio (MMR) is: 21.03 per 100,000 live births.

Kashba 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 8,596 14,550 23,146 4,780 4,522 9,302 32,448 2,481 3,673 6,154 1,458 1,824 3,282 9,436
Union Sub-Centres 4,790 8,845 13,635 4,600 5,901 10,501 24,136 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 16,432 37,498 53,930 16,302 17,888 34,190 88,120 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 677 877 1,554 429 360 789 2,343 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kashba 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 1,402 1,645 3,047 563 344 907 3,954 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 2,915 2,295 5,210 1,144 903 2,047 7,257 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kashba 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 3,957
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 1541 38.94
2 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 917 23.17
3 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 0 0.00
4 X69 Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances XX: External causes of morbidity and mortality 199 5.03
5 A010 Typhoid fever I: Certain infectious and parasitic diseases 195 4.93
6 V99 Unspecified transport accident XX: External causes of morbidity and mortality 107 2.70
7 O669 Obstructed labour, unspecified XV: Pregnancy, childbirth and the puerperium 95 2.40
8 J189 Pneumonia, unspecified X: Diseases of the respiratory system 43 1.09
9 J45 Asthma X: Diseases of the respiratory system 42 1.06
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 29 0.73

Kashba 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 0
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 0 0.00
2 0 0.00
3 0 0.00
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Kashba 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 (%) 94.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 6,376
Bed Occupancy Rates (%) 56.35
Average Length of Hospital Stay (No. of days per patient) 1.61
Hospital Death Rate (%) 0.00


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 584

 

Kashba 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 3 1 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 10 0 7 3 30.00
Class III 102 61 23 18 17.65
Class IV 22 14 7 1 4.55
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 4 1 2 28.57
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 2 0 5 71.43
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 0 0 2 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 0 2 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 17 3 8.82
Class IV 0 0 0 0 0.00

 

Kashba 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 18 8 2 8 44.44
Non Doctor 0 0 0 0 0.00
Class II 10 0 7 3 30.00
Class III 147 79 40 28 19.05
Class IV 24 16 7 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

 

Kashba 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 9 4 9 4 0 0 0 0 0
Nurse 0 0 0 0 9 7 0 0 3 0 0
Medical Assistant 0 0 9 4 2 2 0 0 2 0 0
Medical Technologist 0 0 0 0 5 3 0 0 0 0 0
CHCP 38 31 0 0 0 0 0 0 0 0 4
HI 0 0 0 0 4 4 0 0 0 0 0
AHI 0 0 0 0 11 10 0 0 0 0 0
HA 0 0 0 0 55 50 0 0 0 0 6

Kashba 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 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 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 1 0 0 1
Sterilizer 1 1 0 0 0
Sucker machine (electric) 1 0 1 0 0
Ventilator 0 0 0 0 0


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


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


Kashba 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 1 1 1 0


Kashba 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) 2 2 0 0 0
Generator
Generator (diesel/petrol) 0 0 0 0 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) 6 6 0 0 0
Laptop 36 16 20 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 1 1 0 0 0
UPS 3 0 1 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


Kashba 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 41 25 5 1

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

Important information and necessary issues for Kashba Upazila Health Complex