Kutubdia Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of kutubdia upazila. This bulletin contains all the health related information of the year 2014. This bulletin is published to disseminate the information of kutubdia upazila to other line department & development partners of health. I hope all the information of this bulletin will help us for planning and bridging the gaps in health service of this upazila.Government health office has many data stored in the file. This health bulletin will help us to find constrains and also to see the results & achievements of 2014. The bulletin contains the status of MDG-4 & MDG-5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water & sanitation status of this upazila. All the sanctioned & vacant posts are published in this bulletin of 2014. I would like to take attention of the higher authority to look into this issue.
Finally I would like to congratulate the initiation of the health bulletin software for setting us one step ahead towards Digital Bangladesh.
Kutubdia Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Kutubdia
Organization Code
10000924
Name of UHFPO Dr.Md.Shahabuddin
Land Phone No. 1
3423-0342356010
Land Phone No. 2
FAX No.
Mobile No.
01819930537
Email kutubdia@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
21.8183 And
Long:
91.8529
No. of Unions in the Upazila 6
No. of Households in the Upazila 21,796
Population in the Upazila 142,720
Area of Upazila in sq km 53.25
Kutubdia 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
0
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)
5
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
12
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
3
0
Kutubdia Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,762
Under 5 Mortality Rate: 67.251 (Per 1,000 live births)
Infant Mortality Rate: 18.075 (Per 1,000 live births)
Neonatal Mortality Rate: 21.531 (Per 1,000 live births)
Still Birth Rate: 14.620 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 8,231
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 98%
Kutubdia 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:
12
Total No. of Recipients Who Took at least one ANC:
3,652
Total Number of Deliveries:
2,577
Valid TT Coverage: 50.00 %
Maternal Mortality Ratio (MMR) is:
318.98 per 100,000 live births.
Kutubdia 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
14,320
16,471
30,791
6,483
6,503
12,986
43,777
303
218
521
125
108
233
754
Union Sub-Centres
0
0
0
0
0
0
0
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
26,763
34,523
61,286
9,769
9,270
19,039
80,325
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
Kutubdia 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
1,838
1,701
3,539
667
578
1,245
4,784
4
2
6
2
2
4
10
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
Kutubdia 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
4,116
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
1576
38.29
2
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
943
22.91
3
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
461
11.20
4
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
429
10.42
5
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
344
8.36
6
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
169
4.11
7
G932 Benign intracranial hypertension
VI: Diseases of the nervous system
118
2.87
8
T46 Poisoning by agents primarily affecting the cardiovascular system
XIX: Injury, poisoning and certain other consequences of external causes
28
0.68
9
S99 Other and unspecified injuries of ankle and foot
XIX: Injury, poisoning and certain other consequences of external causes
25
0.61
10
S90 Superficial injury of ankle and foot
XIX: Injury, poisoning and certain other consequences of external causes
23
0.56
Kutubdia 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
10
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
2
20.00
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
2
20.00
3
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
2
20.00
4
G932 Benign intracranial hypertension
VI: Diseases of the nervous system
1
10.00
5
J44 Other chronic obstructive pulmonary disease
X: Diseases of the respiratory system
1
10.00
6
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
1
10.00
7
A49 Bacterial infection of unspecified site
I: Certain infectious and parasitic diseases
1
10.00
8
0
0.00
9
0
0.00
10
0
0.00
Kutubdia Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
94.00
Coverage of households having access to sanitary latrines (%)
87.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
6,297
Bed Occupancy Rates (%)
34.50
Average Length of Hospital Stay (No. of days per patient)
1.53
Hospital Death Rate (%)
0.24
Kutubdia Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
360
Kutubdia 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
9
1
11
52.38
Non Doctor
0
0
0
0
0.00
Class II
14
1
1
12
85.71
Class III
34
11
1
22
64.71
Class IV
22
9
1
12
54.55
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
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
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
0
0
0
0
0.00
Class IV
0
0
0
0
0.00
Kutubdia 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
27
13
1
13
48.15
Non Doctor
0
0
0
0
0.00
Class II
14
1
1
12
85.71
Class III
78
41
10
27
34.62
Class IV
22
9
1
12
54.55
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
Kutubdia 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
6
5
21
9
0
0
1
0
0
Nurse
0
0
0
0
14
1
0
0
1
0
0
Medical Assistant
0
0
6
2
2
1
0
0
0
0
0
Medical Technologist
0
0
0
0
10
3
0
0
0
0
0
CHCP
12
12
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
0
0
2
2
0
0
0
AHI
0
0
0
0
0
0
5
5
0
0
0
HA
0
0
0
0
0
0
25
18
0
0
0
Kutubdia 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)
0
0
0
0
0
Ultrasonogram machine
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
2
1
1
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
2
1
1
0
0
Ceiling mounting OT Light
4
2
2
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)
4
2
2
0
0
Ventilator
0
0
0
0
0
Kutubdia 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
0
0
0
0
0
Pulse oximeter
2
1
1
0
0
Dental equipment
Dental unit
0
0
0
0
0
Kutubdia 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
1
1
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
Kutubdia 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
3
1
0
1
1
Refrigerator
0
0
0
0
0
Vehicles
Ambulance
2
1
0
0
1
Kutubdia 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)
0
0
0
0
0
Generator
Generator (diesel/petrol)
9
3
0
3
3
Generator (gas)
0
0
0
0
0
Solar panel
22
11
11
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
8
4
4
0
0
Laptop
4
2
2
0
0
Printer (dot matrix)
4
2
1
1
0
Printer (inkjet)
2
1
1
0
0
Printer (laser)
4
2
2
0
0
Scanner
2
1
1
0
0
UPS
4
2
2
0
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
4
2
1
1
0
Internet wireless line
2
1
1
0
0
Multimedia
0
0
0
0
0
Kutubdia 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
2
1
1
0
0
Mobile phone
2
1
1
0
0
Total
93
45
37
6
5
Kutubdia Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Kutubdia Upazila Health Complex