Kahaloo Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of kahaloo Upazila.This bulletin contains all the health related information of kahaloo Upazila.Through this bulletin all health related information of kahaloo Upazila will disseminated to all departments who are related to the development of health sector of our rural people.I hope this published information will help for planning and bridging over the gap of health service of this upazila. It also help us to find out targetsand achievements of the Kahaloo Upazila health sector.The bulletin contains the status of MDG 3 and MDG 4 which will help to recognize MDG targets. In this health bulletin there are EPI coverage, nutrition states use of safe drinking water and sanitation status of Kahaloo Upazila. All the vacant post and our requirments are also noted in this bulletin. Ihope higher authority will take measures to solve this lackings. Finally I would like to congratulate the initiator of the program for setting us one step ahead to atchive MDG3 & MDG 4 target. Dr.Md.Atiqur Rahman Khan UH&FPO Kahaloo Upazila Health Complex.
Dr.Md.Atiqur Rahman Khan
UH&FPO
Kahaloo Upazila Health Complex
Kahaloo Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Kahaloo
Organization Code
10001128
Name of UHFPO Dr. Md. Atiqur Rahman khan
Land Phone No. 1
-0502656026
Land Phone No. 2 -01730324624
FAX No.
Mobile No.
01718013871
Email kahaloo@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.8314 And
Long:
89.2695
No. of Unions in the Upazila 9
No. of Households in the Upazila 56,583
Population in the Upazila 230,306
Area of Upazila in sq km 238.79
Kahaloo 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)
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
27
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
0
0
Kahaloo Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,029
Under 5 Mortality Rate: 9.545 (Per 1,000 live births)
Infant Mortality Rate: 5.965 (Per 1,000 live births)
Neonatal Mortality Rate: 3.380 (Per 1,000 live births)
Still Birth Rate: 0.795 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 19,082
Fully Vaccinated Children (<= 12 months): 90.00 %
Fully Vaccinated Children (<= 23 months): 35%
Kahaloo 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:
3,638
Total Number of Deliveries:
5,029
Valid TT Coverage: 17.00 %
Maternal Mortality Ratio (MMR) is:
39.77 per 100,000 live births.
Kahaloo 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
23,622
32,194
55,816
3,894
4,333
8,227
64,043
4,080
4,159
8,239
285
327
612
8,851
Union Sub-Centres
24,721
32,545
57,266
895
962
1,857
59,123
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
106,507
200,989
307,496
8,803
9,940
18,743
326,239
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
Kahaloo 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
1,741
2,994
4,735
232
268
500
5,235
4
5
9
0
0
0
9
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
Kahaloo 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
5,235
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
1457
27.83
2
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
332
6.34
3
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
574
10.96
4
J45 Asthma
X: Diseases of the respiratory system
401
7.66
5
Y05 Sexual assault by bodily force
XX: External causes of morbidity and mortality
421
8.04
6
D50 Iron deficiency anaemia
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
250
4.78
7
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
145
2.77
8
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
142
2.71
9
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
69
1.32
10
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
42
0.80
Kahaloo 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
9
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J45 Asthma
X: Diseases of the respiratory system
8
88.89
2
T629 Noxious substance eaten as food, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
1
11.11
3
X: Diseases of the respiratory system
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
Kahaloo Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
99.00
Coverage of households having access to sanitary latrines (%)
95.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
18,793
Bed Occupancy Rates (%)
102.98
Average Length of Hospital Stay (No. of days per patient)
3.59
Hospital Death Rate (%)
0.17
Kahaloo Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
475
Kahaloo 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
10
5
6
28.57
Non Doctor
0
0
0
0
0.00
Class II
18
1
11
6
33.33
Class III
71
46
17
8
11.27
Class IV
22
13
5
4
18.18
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
9
5
4
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
13
11
2
0
0.00
Class IV
4
2
0
2
50.00
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
27
18
9
0
0.00
Class IV
0
0
0
0
0.00
Kahaloo 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
30
15
9
6
20.00
Non Doctor
0
0
0
0
0.00
Class II
18
1
11
6
33.33
Class III
114
76
26
12
10.53
Class IV
26
15
5
6
23.08
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
Kahaloo 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
9
21
15
0
0
4
0
0
Nurse
0
0
0
0
18
12
0
0
5
1
0
Medical Assistant
0
0
9
9
2
2
0
0
4
0
0
Medical Technologist
0
0
4
4
8
7
0
0
0
0
0
CHCP
27
27
0
0
0
0
0
0
0
0
4
HI
0
0
0
0
0
0
2
2
0
0
0
AHI
0
0
0
0
0
0
7
7
0
0
0
HA
0
0
0
0
0
0
34
28
0
0
0
Kahaloo 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
1
1
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
2
2
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
3
3
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Kahaloo 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
2
2
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
4
3
1
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Kahaloo 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
2
0
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
2
2
0
0
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Kahaloo 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
4
3
1
0
0
Vehicles
Ambulance
1
0
0
1
0
Kahaloo 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)
1
0
0
0
1
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
7
7
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
1
1
0
0
0
Printer (inkjet)
1
1
0
0
0
Printer (laser)
3
3
0
0
0
Scanner
1
1
0
0
0
UPS
7
6
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
1
1
0
0
0
Multimedia
1
1
0
0
0
Kahaloo 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
1
1
0
0
0
Mobile phone
1
1
0
0
0
Total
62
57
3
1
1
Kahaloo Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Kahaloo Upazila Health Complex
Important information and necessary issue for Kahaloo Health Complex:Kahaloo Upazila is a big Upazila of nine union and one pourasshava Population 230306 To deliver quality health service following lacking should be full filled Immidiately.(1)UHC Building was made in 1972 It is so old and should be repaired Immidiately.(2) Ambulance should be replaced Immidiately. (3) Generator should be replaced Immidiately. (4) I.P.S should be supplied Immidiately.(5_ Physicians should be posted Immediately.(6) Vehicle for UH&FPO and other staff should be supplied Immidiately. Thank you all.Dr.Md.Atiqur Rahman Khan UH&FPO Kahaloo Upazila Health Complex.