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Kaptai Upazila Health Complex | Health Bulletin 2015 |
Preface
It's our immense pleasure to have the opportunity to publish yearly local health bulletin of Kaptai Upazila.It is the flagship publication of DGHS.The bulletin accumulate the report reflecting the general health situation of the Upazila .It also focus the technical information on health care related development activities of Govt. of Bangladesh each year.This bulletin contains all the updated health related information of 2014 of Kaptai Upazila.This bulletin is published to disseminate the information of Kaptai Upazila to other line department and development partners of health.This health bulletin contains the status of MDG4 and MDG5 which will help to localize the MDG targets.This bulletin has also the information of safe drinking water and sanitation status of this Upazila.Finally,I would like to congratulate the initiator of the Local Health Bulletin Software for setting us one step ahead towards digital Bangladesh.
Dr. Md. Hossain Rashid Chowdhury
UH&FPO
Kaptai Upazila Health Complex

Kaptai Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Kaptai
Organization Code 10001076
Name of UHFPO Dr. Md. Hossain Rashid Chowdhury
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No. 01819649126
Email kaptai@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.4993 And Long: 92.1376
No. of Unions in the Upazila5
No. of Households in the Upazila 10,342
Population in the Upazila 57,502
Area of Upazila in sq km 273.00

Kaptai 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 0 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 5 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 2 0
No. of Rural/Urban/Thana Health Centers 1 0
No. of Community Clinics 5 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 1 100

Kaptai Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 1,546


Under 5 Mortality Rate: 5.821 (Per 1,000 live births)
Infant Mortality Rate: 3.881 (Per 1,000 live births)
Neonatal Mortality Rate: 2.587 (Per 1,000 live births)
Still Birth Rate: 9.056 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 4,761
Fully Vaccinated Children (<= 12 months): 95.00 %
Fully Vaccinated Children (<= 23 months): 97%

Kaptai 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: 3
Total No. of Recipients Who Took at least one ANC: 1,531
Total Number of Deliveries: 1,555
Valid TT Coverage: 29.00 %
Maternal Mortality Ratio (MMR) is: 194.05 per 100,000 live births.

Kaptai 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 11,353 14,299 25,652 2,288 2,120 4,408 30,060 468 249 717 67 37 104 821
Union Sub-Centres 1,669 3,878 5,547 398 504 902 6,449 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 7,613 13,340 20,953 1,045 1,076 2,121 23,074 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 6,802 22,104 28,906 1,874 1,874 3,748 32,654 823 1,864 2,687 256 164 420 3,107

Kaptai 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 822 963 1,785 263 200 463 2,248 0 3 3 1 2 3 6
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 1,520 3,546 5,066 247 235 482 5,548 22 15 37 2 4 6 43

Kaptai 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 2,245
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 254 11.31
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 201 8.95
3 K319 Disease of stomach and duodenum, unspecified XI: Diseases of the digestive system 126 5.61
4 I159 Secondary hypertension, unspecified IX: Diseases of the circulatory system 97 4.32
5 Y079 By unspecified person XX: External causes of morbidity and mortality 89 3.96
6 V899 Person injured in unspecified vehicle accident XX: External causes of morbidity and mortality 79 3.52
7 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 77 3.43
8 B509 Plasmodium falciparum malaria, unspecified I: Certain infectious and parasitic diseases 66 2.94
9 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 50 2.23
10 J459 Asthma, unspecified X: Diseases of the respiratory system 49 2.18

Kaptai 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 6
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 3 50.00
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1 16.67
3 K591 Functional diarrhoea X: Diseases of the respiratory system 1 16.67
4 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 1 16.67
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 68.00
Coverage of households having access to sanitary latrines (%) 42.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 8,056
Bed Occupancy Rates (%) 71.20
Average Length of Hospital Stay (No. of days per patient) 3.59
Hospital Death Rate (%) 0.27


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 808

 

Kaptai 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 5 2 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 10 1 9 0 0.00
Class III 66 44 17 5 7.58
Class IV 19 11 6 2 10.53
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 4 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 1 1 3 60.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 1 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 2 0 2 0 0.00
Class III 7 2 0 5 71.43
Class IV 9 2 2 5 55.56
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 8 0 8 0 0.00
Class IV 0 0 0 0 0.00

 

Kaptai 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 16 10 4 2 12.50
Non Doctor 0 0 0 0 0.00
Class II 12 1 11 0 0.00
Class III 86 47 26 13 15.12
Class IV 28 13 8 7 25.00
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

 

Kaptai 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 7 7 9 7 0 0 1 1 0
Nurse 0 0 6 2 11 11 0 0 4 4 0
Medical Assistant 0 0 5 2 2 2 0 0 2 0 0
Medical Technologist 0 0 2 1 8 6 0 0 0 0 0
CHCP 8 8 0 0 0 0 0 0 0 0 4
HI 0 0 0 0 2 1 0 0 0 0 0
AHI 0 0 0 0 7 5 0 0 0 0 0
HA 0 0 0 0 35 35 0 0 0 0 1

Kaptai 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 0 0 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 1 0 1 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 4 0 4 0 0
Sucker machine (electric) 4 1 3 0 0
Ventilator 0 0 0 0 0


Kaptai 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 3 3 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 5 3 2 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


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


Kaptai 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 1 1 0 0 0


Kaptai 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) 1 0 1 0 0
Generator
Generator (diesel/petrol) 0 0 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 8 5 1 1 1
Laptop 8 7 1 0 0
Printer (dot matrix) 1 1 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 6 5 0 1 0
Scanner 2 2 0 0 0
UPS 7 5 0 0 2
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 7 7 0 0 0
Multimedia 1 1 0 0 0


Kaptai 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) 1 1 0 0 0
Land phone 1 0 1 0 0
Mobile phone 1 1 0 0 0
Total 74 50 16 5 3

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

Important information and necessary issues for Kaptai Upazila Health Complex
In order to render quality health care services we need attention of the authority to address on the following issues.(i) To fill up the vacant posts specially of Consultant.(ii) On the job training of newly appointed doctors & staffs.(iii)Improvement of infrastructure with extension of Hospital building to minimize the accommodation crisis.(iv) Repair of existing facilities.(v) Improvement of lab facilities. (vi) Arrangement of necessary machinery to make functioning of the existing X-Ray machine. Despite lot of constrains we hope, we are capable to serve the ailing humanity with our best effort and utmost sincerely along with co-operation from every corner of the society.