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.
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 Upazila 5
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.