Kownia Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish the health bulletin of kaunia upazila. This bulletin contains all the the health related information of 2014. This bulletin is published to disseminate the information kaunia upazila to other line department and development partners of health. This upazila is a river side area of the Tista river. This large river is 1 k.m away from the health complex. I hope all information of this bulletin will help for planning and bridging the gaps in health services of this upazila. This health bulletin will help us to find constrains and also to see the result and achievements of 2014.`The bulletin contains the status of MDG4 MDG 5 which will help to localize the MDG targets. This bulletin has also the information on safe drinking water and sanitation status of the upazila. Finally I would like to congratulate the intiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Kownia Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Kaunia
Organization Code
10001580
Name of UHFPO Dr. Shahin Ara Haque
Land Phone No. 1
-0522456006
Land Phone No. 2
FAX No.
Mobile No.
01715204028
Email Kaunia@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
25.7708 And
Long:
89.4167
No. of Unions in the Upazila 6
No. of Households in the Upazila 56,534
Population in the Upazila 242,024
Area of Upazila in sq km 147.00
Kownia 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)
2
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
20
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
Kownia Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,183
Under 5 Mortality Rate: 29.759 (Per 1,000 live births)
Infant Mortality Rate: 26.848 (Per 1,000 live births)
Neonatal Mortality Rate: 23.937 (Per 1,000 live births)
Still Birth Rate: 26.524 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 7,859
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%
Kownia 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:
13
Total No. of Recipients Who Took at least one ANC:
6,193
Total Number of Deliveries:
6,201
Valid TT Coverage: 55.00 %
Maternal Mortality Ratio (MMR) is:
210.25 per 100,000 live births.
Kownia 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
22,289
31,874
54,163
8,616
8,815
17,431
71,594
3,348
3,472
6,820
437
609
1,046
7,866
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)
12,153
15,058
27,211
2,229
2,639
4,868
32,079
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
51,124
105,936
157,060
25,014
31,026
56,040
213,100
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
Kownia 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
1,476
2,280
3,756
215
340
555
4,311
5
2
7
2
3
5
12
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
Kownia 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
2,649
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
827
31.22
2
P783 Noninfective neonatal diarrhoea
XVI: Certain conditions originating in the perinatal period
531
20.05
3
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
304
11.48
4
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
297
11.21
5
J121 Respiratory syncytial virus pneumonia
X: Diseases of the respiratory system
214
8.08
6
I01 Rheumatic fever with heart involvement
IX: Diseases of the circulatory system
186
7.02
7
J459 Asthma, unspecified
X: Diseases of the respiratory system
117
4.42
8
K27Peptic ulcer, site unspecified, unspecified as acute or chronic, whithout haemorrhage or perfor Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
72
2.72
9
T30.0Burn and corrosion, body region unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
67
2.53
10
T62.9tentional self-poisoning by and exposure to antiepileptic, sedativehypnotic, antiparkinsonism Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
34
1.28
Kownia 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
13
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
C719 Brain, unspecified
II: Neoplasms
1
7.69
2
I213 Acute transmural myocardial infarction of unspecified site
IX: Diseases of the circulatory system
1
7.69
3
J06 Acute upper respiratory infections of multiple and unspecified sites
II: Neoplasms
3
23.08
4
J15 Bacterial pneumonia, NEC
X: Diseases of the respiratory system
1
7.69
5
J459 Asthma, unspecified
X: Diseases of the respiratory system
3
23.08
6
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
2
15.38
7
N18 Chronic renal failure
XIV: Diseases of the genitourinary system
1
7.69
8
P783 Noninfective neonatal diarrhoea
XVI: Certain conditions originating in the perinatal period
1
7.69
9
0
0.00
10
0
0.00
Kownia Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
90.00
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.)
8,683
Bed Occupancy Rates (%)
76.74
Average Length of Hospital Stay (No. of days per patient)
3.28
Hospital Death Rate (%)
0.49
Kownia Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
201
Kownia 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
4
4
1
11.11
Non Doctor
0
0
0
0
0.00
Class II
11
2
8
1
9.09
Class III
58
42
10
6
10.34
Class IV
20
13
4
3
15.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
2
1
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
2
1
1
25.00
Class IV
2
2
0
0
0.00
Rural Dispensaries
Class I
Doctor
6
1
5
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
3
1
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
21
5
15
1
4.76
Class IV
0
0
0
0
0.00
Kownia 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
9
5
1
6.67
Non Doctor
0
0
0
0
0.00
Class II
11
2
8
1
9.09
Class III
68
47
12
9
13.24
Class IV
22
15
4
3
13.64
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
Kownia 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
8
0
0
2
2
0
Nurse
0
0
0
0
11
10
0
0
9
5
0
Medical Assistant
0
0
6
6
2
2
0
0
1
0
0
Medical Technologist
0
0
0
0
4
4
0
0
0
0
0
CHCP
21
20
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
2
0
0
0
0
0
AHI
0
0
0
0
6
6
0
0
0
0
0
HA
0
0
0
0
30
26
0
0
0
0
0
Kownia 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
0
1
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
2
2
0
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
1
1
0
0
0
Ceiling mounting OT Light
0
0
0
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
4
2
2
0
0
Ventilator
0
0
0
0
0
Kownia 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
2
1
1
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Kownia 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
1
1
0
0
Colorimeter
1
0
1
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
Kownia 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
1
0
1
0
0
Refrigerator
0
0
0
0
0
Vehicles
Ambulance
1
0
0
1
0
Kownia 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)
2
2
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
5
2
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
3
2
1
0
0
Scanner
1
1
0
0
0
UPS
1
1
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
1
1
0
0
0
Kownia 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
42
31
10
1
0
Kownia Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Kownia Upazila Health Complex
We are very harp to write this health bulletin of 2015 will help us to compare our progress in upcoming years. From this bulletine we are optimistic that this bulletin undoubtedly benefit the rural and local people. Indoor, outdoor, Emergency, Emoc, & Field sector are properly running. Not only that, this health Complex is serving through molile phone. The noumber is 01730324711. With this mobile phone it creates a revolution to the health sector. After all, this bulletin will cedrtainly help people to know the health of this health complex.
