Kamarkanda Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health Bulletin of Upazila . This Bulletin all the health related information of 2013. This bulletin is published to disssecminate the information of Upazila to other line departmentand deveolopment partnersof health.I hope all the information of this bulletin will healp for planning and bridging the gaps in the health services of this Upazila. This health bulletin will helpus to find constrains and also to see the results and achevments of 2013.This health bulletinh as also the information on safe drinking water and sanitation status of the Upazila. I like to take attention of the higher authority to look in to this issue'
Finally , I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Kamarkanda Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Kamarkanda
Organization Code
10001630
Name of UHFPO Dr.Shariful Haque Siddiki
Land Phone No. 1
-0752456027
Land Phone No. 2
FAX No.
Mobile No.
01712738794
Email kamarkhanda@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
20.0000 And
Long:
87.0000
No. of Unions in the Upazila 4
No. of Households in the Upazila 29,670
Population in the Upazila 139,160
Area of Upazila in sq km 92.05
Kamarkanda 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)
4
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
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
0
0
Kamarkanda Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,853
Under 5 Mortality Rate: 46.457 (Per 1,000 live births)
Infant Mortality Rate: 33.999 (Per 1,000 live births)
Neonatal Mortality Rate: 20.244 (Per 1,000 live births)
Still Birth Rate: 17.649 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 4,127
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 0%
Kamarkanda 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:
2,019
Total Number of Deliveries:
3,916
Valid TT Coverage: 13.00 %
Maternal Mortality Ratio (MMR) is:
129.77 per 100,000 live births.
Kamarkanda 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
31,945
40,448
72,393
5,680
6,943
12,623
85,016
1,015
1,074
2,089
21
27
48
2,137
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
0
0
0
0
0
0
0
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
Kamarkanda 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
3,164
4,607
7,771
388
474
862
8,633
3
1
4
0
0
0
4
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
Kamarkanda 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
8,634
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
344
3.98
2
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
331
3.83
3
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
249
2.88
4
J45 Asthma
X: Diseases of the respiratory system
213
2.47
5
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
88
1.02
6
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
59
0.68
7
D50 Iron deficiency anaemia
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
42
0.49
8
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
37
0.43
9
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
31
0.36
10
T629 Noxious substance eaten as food, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
23
0.27
Kamarkanda 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
4
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J21 Acute bronchiolitis
X: Diseases of the respiratory system
2
50.00
2
J459 Asthma, unspecified
X: Diseases of the respiratory system
1
25.00
3
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
1
25.00
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
Kamarkanda Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
85.00
Coverage of households having access to sanitary latrines (%)
75.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
8,634
Bed Occupancy Rates (%)
76.31
Average Length of Hospital Stay (No. of days per patient)
3.00
Hospital Death Rate (%)
0.10
Kamarkanda Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
2,117
Kamarkanda 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
3
3
3
33.33
Non Doctor
0
0
0
0
0.00
Class II
11
1
9
1
9.09
Class III
56
43
11
2
3.57
Class IV
20
15
3
2
10.00
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
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
2
2
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
3
12
1
6.25
Class IV
0
0
0
0
0.00
Kamarkanda 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
13
5
5
3
23.08
Non Doctor
0
0
0
0
0.00
Class II
11
1
9
1
9.09
Class III
72
46
23
3
4.17
Class IV
20
15
3
2
10.00
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
Kamarkanda 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
4
4
9
6
0
0
2
0
12
Nurse
0
0
0
0
12
11
0
0
6
1
3
Medical Assistant
0
0
4
4
2
2
0
0
5
0
0
Medical Technologist
0
0
0
0
6
6
0
0
0
0
0
CHCP
16
15
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
0
0
2
2
0
0
0
AHI
0
0
0
0
0
0
5
5
0
0
6
HA
0
0
0
0
0
0
24
22
0
0
4
Kamarkanda 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
1
1
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
2
1
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
2
1
1
0
0
Portable OT Light
2
1
1
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
2
1
1
0
0
Sucker machine (electric)
2
1
1
0
0
Ventilator
0
0
0
0
0
Kamarkanda 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
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Kamarkanda 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)
3
1
2
0
0
Colorimeter
2
1
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
5
2
3
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Kamarkanda 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
1
0
0
0
Kamarkanda 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
1
0
0
0
Generator
Generator (diesel/petrol)
0
0
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)
7
5
2
0
0
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
3
1
2
0
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
1
1
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
0
0
0
0
0
Kamarkanda 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
47
28
19
0
0
Kamarkanda Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Kamarkanda Upazila Health Complex
Last year We could not give our maximam efforts improve the health status due to many reasons . Here I like mention some important factors which will help us to achieve good results in future.
1. The vacant post should be filled immediately.
2. Our Doctors and Nurse need more training on IMCI .
3. All the repairablre equipments should repaired as soon as possible .
Finally , I am very happy to write this health bulletin 2013, beacause , this documents will help us to compare our progress in upcoming year. This is very useful documents and will help publish to provide us the useful advice improvement in future.
Prepeared by Dr. Shariful Haque Siddiki
Md: Rafiqul Islam UH&FPO
Statistician. Kamarkhanda, Sirajganj .
UHC, Kamarkhanda, Sirajganj.
