Keshabpur Upazila Health Complex | Health Bulletin 2015 |
Preface
I am thankful that i succefully could publish health bulletin of Upazilla health Complex, Keshabpur, Jessore in due time.The bulletin contains all the information relevant to health related events of the inhabitants of Keshabpur in the year of 2014. The health bulletin has been published to disseminate the information on health situation of Keshabpur (in the year of 2014) to other linked departments and development partners of the Government. I expect that information mentioned in this health bulletin will help in planning and implementing the direction that may bridge the existing gaps in delivering the health service to the community. Though varieties of data are stored in the UHC office , proper insight into this information will yield into the real solution to improve the health situation ,As the Government of the People's Republic of Bangladesh has been firmly committed to achieve the target of MDG-4 and MDG-5 by the year of 2014, keeping this fact before us health bulletin has served the purpose of revealing the information on maternal and child health service delivery . Information on safe drinking water and sanitation status as well as number of sanctioned and vacant posts have also been mentioned in this bulletin I would like to show cordial recpect to the respective authority to help us publish health bulletin in right time
Dr Shaikh .Abu Shahin
UH&FPO,
Upazila health Complex ,
Keshabpur,
Jessore
Keshabpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Keshabpur
Organization Code
10001760
Name of UHFPO Dr.Shaikh Abu Shahin
Land Phone No. 1
-0422656444
Land Phone No. 2
FAX No.
Mobile No.
01716448382
Email keshabpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.9099 And
Long:
89.2136
No. of Unions in the Upazila 9
No. of Households in the Upazila 62,180
Population in the Upazila 268,588
Area of Upazila in sq km 255.92
Keshabpur 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
7
0
No. of Union Sub-Centres
9
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
1
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
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
8
80
No. of NGO Clinics/Facilities
0
0
Keshabpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,923
Under 5 Mortality Rate: 10.563 (Per 1,000 live births)
Infant Mortality Rate: 7.109 (Per 1,000 live births)
Neonatal Mortality Rate: 4.063 (Per 1,000 live births)
Still Birth Rate: 7.313 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 75,979
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 0%%
Keshabpur 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:
4,402
Total Number of Deliveries:
4,085
Valid TT Coverage: 94.00 %
Maternal Mortality Ratio (MMR) is:
101.56 per 100,000 live births.
Keshabpur 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
12,140
18,036
30,176
6,394
9,512
15,906
46,082
1,377
1,187
2,564
744
514
1,258
3,822
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)
2,959
3,917
6,876
622
931
1,553
8,429
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
17,181
40,638
57,819
25,722
60,977
86,699
144,518
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
Keshabpur 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
2,268
3,149
5,417
567
788
1,355
6,772
33
20
53
9
5
14
67
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
Keshabpur 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
6,312
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y09 Assault by unspecified means Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
818
12.96
2
K299 Gastroduodenitis,unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
569
9.01
3
T44.0 Anticholinesterase agents Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
355
5.62
4
J448 Other specified chronic obstructive pulmonary disease Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
281
4.45
5
O33.4 Maternal care for disproportion of mixed maternal and faetal origin Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
233
3.69
6
V09.2 Pedestrian injured in trafic accident involving other and unspecified motor vehicles Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
203
3.22
7
D63.1 Anaemia in chronic diseases classified elsewhere Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
157
2.49
8
I609 Subarachnoid haemorrhage unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
144
2.28
9
I15.9 Secondary hypertension,unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
115
1.82
10
D56.9 Thalassaemia,unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
109
1.73
Keshabpur 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
80
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I60.9 Subarachnoid haemmorrhage unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
19
23.75
2
T44.0Anticholinesterage agents Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
9
11.25
3
J44.9 Chronic obstructive pulmonary disease, unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
8
10.00
4
I50.9 Heart failure ,unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
6
7.50
5
I95.9 Hypotension ,unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
6
7.50
6
I46.9 Cardiac arrest ,unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
5
6.25
7
K28.2 Acute with both haemorrhage & perforation Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
3
3.75
8
K35.0 Acute appendicitis with generalized peritonitis Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2
2.50
9
V09.2 Pedestrian injured in traffic accident involving other and unspecified motor vehicles Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2
2.50
10
D63.1Anaemia in other chronic disease classified elsewhere Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2
2.50
Keshabpur 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 (%)
99.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
15,899
Bed Occupancy Rates (%)
87.12
Average Length of Hospital Stay (No. of days per patient)
2.52
Hospital Death Rate (%)
1.27
Keshabpur Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
89
Minor Surgeries
433
Keshabpur 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
22
15
2
5
22.73
Non Doctor
0
0
0
0
0.00
Class II
16
0
16
0
0.00
Class III
77
62
15
0
0.00
Class IV
22
9
7
6
27.27
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
1
0
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
2
1
1
0
0.00
Class IV
1
1
0
0
0.00
Rural Dispensaries
Class I
Doctor
8
6
1
1
12.50
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
25
10
15
0
0.00
Class IV
0
0
0
0
0.00
Keshabpur 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
31
19
5
7
22.58
Non Doctor
0
0
0
0
0.00
Class II
16
0
16
0
0.00
Class III
87
44
18
25
28.74
Class IV
22
11
7
4
18.18
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
Keshabpur 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
7
22
17
0
0
1
0
0
Nurse
0
0
0
0
16
16
0
0
3
0
0
Medical Assistant
0
0
10
10
2
2
0
0
2
0
0
Medical Technologist
0
0
0
0
10
7
0
0
0
0
0
CHCP
30
25
0
0
0
0
0
0
0
0
2
HI
0
0
0
0
3
2
0
0
0
0
0
AHI
0
0
0
0
8
8
0
0
0
0
0
HA
0
0
0
0
39
27
0
0
0
0
6
Keshabpur 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
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
3
3
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
3
2
1
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
8
6
2
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
9
7
2
0
0
Sucker machine (electric)
13
10
3
0
0
Ventilator
0
0
0
0
0
Keshabpur 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
10
2
8
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Keshabpur 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)
0
0
0
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
5
2
2
1
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Keshabpur 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
1
0
0
0
Refrigerator
0
0
0
0
0
Vehicles
Ambulance
1
1
0
0
0
Keshabpur 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)
4
2
1
1
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)
8
6
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)
6
6
0
0
0
Scanner
1
1
0
0
0
UPS
6
6
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
2
1
1
0
0
Multimedia
1
1
0
0
0
Keshabpur 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
2
2
0
0
0
Total
94
70
22
2
0
Keshabpur Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Keshabpur Upazila Health Complex
Important formation and necessary issue for keshabpur upazila health complex.Some recommendation from observation of information of health bulletin are given below. Vacant posts should be filled up. Comprehensive EOC service should be introduced in full swing in UHC. Physicians and nurses should be traind up more. Blood bank facility should be introduced here.USG facility should be available here. All the repairable equipments should be repaired without delay. This is a useful document and will help the public understanding to the availability and utility of heath services , thus helping the respective authority to formulate effective policy and instruction in order to best health service . With thanks Dr. Shaikh Abu Shahin, upazilla health & family planning officer, Keshabpur, Jessore.
