Khansama Upazila Health Complex | Health Bulletin 2015 |
Preface
It is my great pleasure to publish a health bulletin 2014 as directed by MIS of DGHS . I am grateful to Dr. Sultan Md. Shamsuzzaman , Civil Surgeon , Dinajpur for his guidance and advice. This health bulletin of our Khanshama Upazilla contains all the health related data of 2014 to disseminate it to all parent depertment and others . I hope all the data of this bulletin will help for future health planning . From this bulletin, we can easily found any constains of health service and also can monitor and evaluation on going health programme . The bulletin contains the update status of MDG 4 and 5 which will help to achieve the MDG target .
Finally I would like to thanks the initiator of the health bulletin software for setting us one step ahead towards Digital Bangladesh . I also give my thanks to all service providers for their devotion for the publication of health bulletin .On behalf of Khanshama Upazila Health Complex,. I want thank MIS -DGHS to give us the opportunity to be a part of national health bulletin 2015..
Dr, Md. Kamal Hossein (in charge)
UH&FPO,
UpazilaHealthComplex, Khanshama,Dinajpur.
Khansama Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Khansama
Organization Code
10001230
Name of UHFPO Dr Md. Kamal Hossein
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No.
01718367342
Email khanshama@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
25.5203 And
Long:
88.4653
No. of Unions in the Upazila 6
No. of Households in the Upazila 35,644
Population in the Upazila 179,980
Area of Upazila in sq km 175.00
Khansama 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
2
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)
0
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
19
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
4
12
Khansama Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,020
Under 5 Mortality Rate: 21.523 (Per 1,000 live births)
Infant Mortality Rate: 18.543 (Per 1,000 live births)
Neonatal Mortality Rate: 12.583 (Per 1,000 live births)
Still Birth Rate: 15.232 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 11,445
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 97%
Khansama 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:
5
Total No. of Recipients Who Took at least one ANC:
2,888
Total Number of Deliveries:
3,049
Valid TT Coverage: 61.00 %
Maternal Mortality Ratio (MMR) is:
165.56 per 100,000 live births.
Khansama 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
37,346
41,452
78,798
8,817
9,116
17,933
96,731
3,161
2,892
6,053
226
266
492
6,545
Union Sub-Centres
15,632
10,394
26,026
1,750
2,093
3,843
29,869
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
59,804
119,168
178,972
10,159
20,225
30,384
209,356
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
Khansama 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
1,792
4,021
5,813
322
285
607
6,420
2
3
5
0
0
0
5
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
Khansama 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
2,031
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
665
32.74
2
Y04 Assault by bodily force
XX: External causes of morbidity and mortality
561
27.62
3
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
271
13.34
4
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
128
6.30
5
F412 Mixed anxiety and depressive disorder
V: Mental and behavioural disorders
105
5.17
6
N39 Other disorders of urinary system
XIV: Diseases of the genitourinary system
87
4.28
7
T629 Noxious substance eaten as food, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
72
3.55
8
J45 Asthma
X: Diseases of the respiratory system
55
2.71
9
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
52
2.56
10
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
35
1.72
Khansama 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
5
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J45 Asthma
X: Diseases of the respiratory system
2
40.00
2
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
1
20.00
3
N04 Nephrotic syndrome
X: Diseases of the respiratory system
1
20.00
4
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
1
20.00
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Khansama 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 (%)
98.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
12,163
Bed Occupancy Rates (%)
107.49
Average Length of Hospital Stay (No. of days per patient)
5.99
Hospital Death Rate (%)
0.25
Khansama Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
0
Khansama 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
1
2
6
66.67
Non Doctor
0
0
0
0
0.00
Class II
11
0
6
5
45.45
Class III
53
36
9
8
15.09
Class IV
19
11
6
2
10.53
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
2
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
3
0
1
25.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
2
0
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
3
0
1
25.00
Class IV
2
2
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
19
11
7
1
5.26
Class IV
0
0
0
0
0.00
Khansama 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
15
4
6
5
33.33
Non Doctor
0
0
0
0
0.00
Class II
11
0
6
5
45.45
Class III
80
53
16
11
13.75
Class IV
21
12
6
3
14.29
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
Khansama 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
6
9
3
0
0
1
0
0
Nurse
0
0
0
0
12
6
0
0
4
4
0
Medical Assistant
0
0
6
4
2
1
0
0
4
0
0
Medical Technologist
0
0
0
0
6
6
0
0
0
0
0
CHCP
19
18
0
0
0
0
0
0
0
0
3
HI
0
0
0
0
2
2
0
0
0
0
0
AHI
0
0
0
0
5
5
0
0
0
0
0
HA
0
0
0
0
25
21
0
0
0
0
4
Khansama 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
1
1
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
3
1
2
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
2
2
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
1
0
0
0
Portable OT Light
4
2
2
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
3
1
2
0
0
Sucker machine (electric)
3
1
0
2
0
Ventilator
0
0
0
0
0
Khansama 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
21
19
2
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Khansama 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)
1
1
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Khansama 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
2
2
0
0
0
Vehicles
Ambulance
2
1
1
0
0
Khansama 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)
1
1
0
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)
6
5
0
1
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
4
2
0
2
0
Scanner
1
1
0
0
0
UPS
0
0
0
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
0
0
0
0
0
Khansama 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
0
0
0
0
0
Mobile phone
1
1
0
0
0
Total
66
51
10
5
0
Khansama Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Khansama Upazila Health Complex
Upazila Health Complex is situated at a remote rural area about 10 k.m. far away from Upazilla Head Quatre. People always get health services only from this health complex .Most of the time patients are flooring in Hospital . The building Construction work for upgrading from 31 to 50 beds started on 12/3/2015. Vacant posts of Doctors ,Nurses and other stuff should be filled up . So poor people of this Upazilla will get their required & desired health services . This health Bulletin 2014 prpvides health related data to policy maker for future planning .
