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Kachua Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish Health bulletin, 2015. This bulletin contains all the health related information of 2014, This bulletin is publish to disseminate the information of kachua upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning in health service of this upazila. This bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG target. I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bangladesh. Dr. Bijoy Krishna Saha UH&FPO Kachua upazila Health Complex,Chandpur.
Dr. Bijoy Krishna Saha
UH&FPO
Kachua Upazila Health Complex

Kachua Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Kachua
Organization Code 10000715
Name of UHFPO Dr. Bijoy Krishna Saha
Land Phone No. 1 -0842556111
Land Phone No. 2
FAX No.
Mobile No. 01718034151
Email kachua@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 91.0000
No. of Unions in the Upazila12
No. of Households in the Upazila 78,757
Population in the Upazila 433,337
Area of Upazila in sq km 238.00

Kachua 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) 8 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 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 3 32
No. of NGO Clinics/Facilities 0 0

Kachua Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 9,059


Under 5 Mortality Rate: 27.045 (Per 1,000 live births)
Infant Mortality Rate: 13.578 (Per 1,000 live births)
Neonatal Mortality Rate: 6.071 (Per 1,000 live births)
Still Birth Rate: 1.987 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 5,498
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 96%

Kachua 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: 10
Total No. of Recipients Who Took at least one ANC: 8,087
Total Number of Deliveries: 7,966
Valid TT Coverage: 91.00 %
Maternal Mortality Ratio (MMR) is: 110.39 per 100,000 live births.

Kachua 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 7,598 11,033 18,631 850 1,014 1,864 20,495 1,051 528 1,579 50 41 91 1,670
Union Sub-Centres 10,917 14,598 25,515 1,650 1,771 3,421 28,936 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 2,416 6,523 8,939 937 1,627 2,564 11,503 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 54,508 151,652 206,160 13,330 14,689 28,019 234,179 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

Kachua 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 2,120 2,467 4,587 241 300 541 5,128 4 7 11 0 2 2 13
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 187 703 890 25 31 56 946 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kachua 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 5,128
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 620 12.09
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 393 7.66
3 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 257 5.01
4 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 34 0.66
5 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 12 0.23
6 B349 Viral infection, unspecified I: Certain infectious and parasitic diseases 177 3.45
7 D539 Nutritional anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 52 1.01
8 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 63 1.23
9 J45 Asthma X: Diseases of the respiratory system 86 1.68
10 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 25 0.49

Kachua 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 13
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 1 7.69
2 T44 Poisoning by drugs primarily affecting the autonomic nervous system XIX: Injury, poisoning and certain other consequences of external causes 2 15.38
3 J45 Asthma X: Diseases of the respiratory system 3 23.08
4 K551 Chronic vascular disorders of intestine XI: Diseases of the digestive system 2 15.38
5 I11 Hypertensive heart disease IX: Diseases of the circulatory system 1 7.69
6 A171 Meningeal tuberculoma I: Certain infectious and parasitic diseases 1 7.69
7 E14 Unspecified diabetes mellitus IV: Endocrine, nutritional and metabolic diseases 1 7.69
8 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 1 7.69
9 O669 Obstructed labour, unspecified XV: Pregnancy, childbirth and the puerperium 1 7.69
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 80.00
Coverage of households having access to sanitary latrines (%) 96.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 11,550
Bed Occupancy Rates (%) 63.29
Average Length of Hospital Stay (No. of days per patient) 2.30
Hospital Death Rate (%) 0.25


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 100

 

Kachua 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 4 4 19.05
Non Doctor 0 0 0 0 0.00
Class II 15 1 10 4 26.67
Class III 115 54 33 28 24.35
Class IV 22 8 5 9 40.91
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 3 3 2 25.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 5 3 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 4 3 0 1 25.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 6 0 2 25.00
Class IV 4 4 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 44 15 17 12 27.27
Class IV 0 0 0 0 0.00

 

Kachua 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 33 17 7 9 27.27
Non Doctor 0 0 0 0 0.00
Class II 15 1 10 4 26.67
Class III 175 80 53 42 24.00
Class IV 26 12 5 9 34.62
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

 

Kachua 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 12 9 21 17 0 0 0 0 0
Nurse 0 0 0 0 15 11 0 0 4 1 0
Medical Assistant 0 0 12 12 2 2 0 0 5 0 0
Medical Technologist 0 0 0 0 7 4 0 0 0 0 0
CHCP 44 32 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 5 5 0 0 0
AHI 0 0 0 0 0 0 14 13 0 0 0
HA 0 0 0 0 0 0 69 49 0 0 12

Kachua 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 1 0 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 2 1 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 2 0 2 0 0
Portable OT Light 2 1 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 3 2 1 0 0
Sucker machine (electric) 3 3 0 0 0
Ventilator 0 0 0 0 0


Kachua 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 3 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


Kachua 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) 5 4 1 0 0
Colorimeter 2 1 1 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 5 2 0 3 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Kachua 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 0 1 0 0
Vehicles
Ambulance 1 1 0 0 0


Kachua 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) 3 2 1 0 0
Generator
Generator (diesel/petrol) 1 0 1 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) 8 6 2 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 6 5 1 0 0
Scanner 1 1 0 0 0
UPS 6 5 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Kachua 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 0 1 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 65 45 16 3 1

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

Important information and necessary issues for Kachua Upazila Health Complex
I like mention some important factors to improve our health status which will help us to achieve good results in future. 1. Our doctors and nurse need more Training on IMCI/ EmOc.2. Field Staff refresher Basic training need as soon as possible,3.All doctors, nurse,office assistant and Technologist need training on Computer. 4. To open EmOc unit as soon as posible. 5. To open OT as soon as posible. ( Dr Bijoy Krishna Saha ) UH&FPO Kachua, Chandpur.