Khetlal Upazila Health Complex | Health Bulletin 2015 |
Preface
Khetlal Upazila Health Complex is 50 beded Hospital . Insufficient manpower as RMO, Jr.Consultant(Aness.), one Nursing Supervisor And Asstt. Nurse are vacant. 02 Sr. Staff Nurse are deputed to the various hospital and institution.The No. of word boy is one out of
03.One Aya and security guard is vacant.As a result,Indoor Service is hampering.So,We are not getting proper service.
Here mentioned that, DSF& EOC activities are running.
Khetlal Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Khetlal
Organization Code
10001303
Name of UHFPO Dr.Md.Enamul Haque
Land Phone No. 1
-0572356011
Land Phone No. 2
FAX No.
Mobile No.
01712207408
Email khetlal@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
20.0000 And
Long:
88.0000
No. of Unions in the Upazila 5
No. of Households in the Upazila 27,365
Population in the Upazila 102,572
Area of Upazila in sq km 141.85
Khetlal 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
16
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
0
Khetlal Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,164
Under 5 Mortality Rate: 17.560 (Per 1,000 live births)
Infant Mortality Rate: 14.787 (Per 1,000 live births)
Neonatal Mortality Rate: 8.780 (Per 1,000 live births)
Still Birth Rate: 5.545 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 13,950
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%
Khetlal 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:
0
Total No. of Recipients Who Took at least one ANC:
1,446
Total Number of Deliveries:
1,418
Valid TT Coverage: 14.00 %
Maternal Mortality Ratio (MMR) is:
0.00 per 100,000 live births.
Khetlal 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
21,086
34,722
55,808
4,122
4,132
8,254
64,062
312
478
790
275
180
455
1,245
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
60,036
134,452
194,488
4,696
6,545
11,241
205,729
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
Khetlal 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
1,356
2,985
4,341
116
102
218
4,559
3
2
5
0
1
1
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Khetlal 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
4,559
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
773
16.96
2
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
328
7.19
3
F418 Other specified anxiety disorders
V: Mental and behavioural disorders
170
3.73
4
X68 Intentional self-poisoning by and exposure to pesticides
XX: External causes of morbidity and mortality
151
3.31
5
J46 Status asthmaticus
X: Diseases of the respiratory system
148
3.25
6
V093 Pedestrian injured in unspecified traffic accident
XX: External causes of morbidity and mortality
110
2.41
7
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
77
1.69
8
J159 Bacterial pneumonia, unspecified
X: Diseases of the respiratory system
50
1.10
9
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
38
0.83
10
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
18
0.39
Khetlal 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
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X: Diseases of the respiratory system
2
33.33
2
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
1
16.67
3
D012 Rectum
X: Diseases of the respiratory system
1
16.67
4
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
1
16.67
5
G809 Infantile cerebral palsy, unspecified
VI: Diseases of the nervous system
1
16.67
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Khetlal Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
100.00
Coverage of households having access to sanitary latrines (%)
90.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
12,524
Bed Occupancy Rates (%)
68.62
Average Length of Hospital Stay (No. of days per patient)
2.75
Hospital Death Rate (%)
0.13
Khetlal Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
311
Minor Surgeries
328
Khetlal 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
12
0
10
2
16.67
Class III
63
40
19
4
6.35
Class IV
19
9
4
6
31.58
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
5
1
1
3
60.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
5
2
3
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
16
8
8
0
0.00
Class IV
0
0
0
0
0.00
Khetlal 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
14
6
3
5
35.71
Non Doctor
0
0
0
0
0.00
Class II
12
0
10
2
16.67
Class III
68
42
22
4
5.88
Class IV
19
9
4
6
31.58
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
Khetlal 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
5
2
9
7
0
0
0
0
0
Nurse
0
0
0
0
12
10
0
0
0
2
0
Medical Assistant
0
0
5
5
2
2
0
0
2
0
0
Medical Technologist
0
0
0
0
8
8
0
0
0
0
0
CHCP
16
16
0
0
0
0
0
0
0
0
6
HI
0
0
0
0
2
2
0
0
0
0
0
AHI
0
0
0
0
4
4
0
0
0
0
0
HA
0
0
0
0
19
19
0
0
0
0
6
Khetlal 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
0
0
1
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
0
0
0
0
0
Anesthesia machine without ventilator
2
1
1
0
0
Autoclave
1
1
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
1
0
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
3
3
0
0
0
Ventilator
0
0
0
0
0
Khetlal 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
2
2
0
0
0
Pulse oximeter
2
2
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Khetlal 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
2
2
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
3
3
0
0
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Khetlal 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
1
1
0
0
0
Khetlal 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)
3
3
0
0
0
Generator
Generator (diesel/petrol)
1
1
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
1
1
0
0
0
ICT equipment
Computer (desktop)
7
7
0
0
0
Laptop
17
17
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
2
2
0
0
0
Printer (laser)
2
2
0
0
0
Scanner
1
1
0
0
0
UPS
7
7
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
1
1
0
0
0
Multimedia
1
1
0
0
0
Khetlal 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
1
0
0
0
PA system (Sound)
1
1
0
0
0
Land phone
1
1
0
0
0
Mobile phone
1
1
0
0
0
Total
79
77
1
1
0
Khetlal Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Khetlal Upazila Health Complex
1. UH&FPO need four wheel car for field visit. 2. Statistician need Motor cycle for field visit. 3. We have not enough manpower for 50 beded hospital.