Kotchandpur Upazila Health Complex | Health Bulletin 2015 |
Preface
Now a days most of us are known with the information and communication technology . So, anyone can get any kind of information easily by using ICT devices . With the help of the modern technology I am pleased to get opportunity to publish this health bulletin of Kotchandpur UHC for the year 2015. The bulletin contains major health related information of 2014. It`s my pleasure that we could see health related activities of every health institutions through publishing health bulletin every year. Not only that but also we share views with one another and take initiatives to develop activities with a new pledge following yearly health bulletin workshop every year.
This bulletin is published to disseminate the information to other departments and development partners of health sector. I am sure that all the information in this bulletin will help for planning for a better health service for this upazila. This health bulletin will help us to find our deficiencies and also achievements of 2014.This bulletin contains the status of MDG4 and MDG5 that will help us to take steps for further development. The bulletin also contains information’s on safe drinking water and sanitation status of this upazila. All the sanctioned and vacant posts are shown here. I would request the higher authorities to look into this matter. I would like to thank MIS ,DGHS and other concerned authorities who have made us publishing health bulletin for every upazila in order to create a healthy and happy nation.
Kotchandpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Kotchandpur
Organization Code
10001780
Name of UHFPO Dr.Provash kumar Das
Land Phone No. 1
-0452465010
Land Phone No. 2
FAX No.
Mobile No.
01711047056
Email Kotchandpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
23.0000 And
Long:
89.0000
No. of Unions in the Upazila 5
No. of Households in the Upazila 31,686
Population in the Upazila 152,380
Area of Upazila in sq km 164.00
Kotchandpur 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
3
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
11
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
7
70
No. of NGO Clinics/Facilities
0
0
Kotchandpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,806
Under 5 Mortality Rate: 7.484 (Per 1,000 live births)
Infant Mortality Rate: 4.277 (Per 1,000 live births)
Neonatal Mortality Rate: 2.138 (Per 1,000 live births)
Still Birth Rate: 2.138 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 21,547
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):
Kotchandpur 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:
4
Total No. of Recipients Who Took at least one ANC:
2,270
Total Number of Deliveries:
2,812
Valid TT Coverage: 85.00 %
Maternal Mortality Ratio (MMR) is:
142.55 per 100,000 live births.
Kotchandpur 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
15,985
21,978
37,963
3,826
3,387
7,213
45,176
5,760
5,322
11,082
1,340
863
2,203
13,285
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)
9,950
16,023
25,973
2,978
3,265
6,243
32,216
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
28,024
64,257
92,281
5,581
6,223
11,804
104,085
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
Kotchandpur 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
1,965
5,362
7,327
1,008
683
1,691
9,018
30
31
61
4
2
6
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
Kotchandpur 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
9,018
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
1284
14.24
2
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
537
5.95
3
J159 Bacterial pneumonia, unspecified
X: Diseases of the respiratory system
492
5.46
4
K297 Gastritis, unspecified
XI: Diseases of the digestive system
365
4.05
5
A929 Mosquito-borne viral fever, unspecified
I: Certain infectious and parasitic diseases
363
4.03
6
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
297
3.29
7
F412 Mixed anxiety and depressive disorder
V: Mental and behavioural disorders
294
3.26
8
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
272
3.02
9
T629 Noxious substance eaten as food, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
251
2.78
10
I258 Other forms of chronic ischaemic heart disease
IX: Diseases of the circulatory system
185
2.05
Kotchandpur 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
67
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I516 Cardiovascular disease, unspecified
IX: Diseases of the circulatory system
10
14.93
2
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
7
10.45
3
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
7
10.45
4
J450 Predominantly allergic asthma
X: Diseases of the respiratory system
6
8.96
5
R060 Dyspnoea
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
6
8.96
6
T629 Noxious substance eaten as food, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
5
7.46
7
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
4
5.97
8
P210 Severe birth asphyxia
XVI: Certain conditions originating in the perinatal period
4
5.97
9
V891 Person injured in unspecified nonmotor-vehicle accident, nontraffic
XX: External causes of morbidity and mortality
3
4.48
10
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
3
4.48
Kotchandpur Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
96.00
Coverage of households having access to sanitary latrines (%)
94.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
12,794
Bed Occupancy Rates (%)
70.10
Average Length of Hospital Stay (No. of days per patient)
1.42
Hospital Death Rate (%)
0.74
Kotchandpur Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
274
Kotchandpur 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
21
11
3
7
33.33
Non Doctor
0
0
0
0
0.00
Class II
16
0
16
0
0.00
Class III
46
31
4
11
23.91
Class IV
22
12
6
4
18.18
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
2
1
1
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
3
3
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
5
0
1
16.67
Class IV
3
1
0
2
66.67
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
12
4
6
2
16.67
Class IV
0
0
0
0
0.00
Kotchandpur 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
26
15
4
7
26.92
Non Doctor
0
0
0
0
0.00
Class II
16
0
16
0
0.00
Class III
54
37
5
12
22.22
Class IV
25
14
6
5
20.00
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
Kotchandpur 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
5
21
14
0
0
1
0
0
Nurse
0
0
0
0
16
16
0
0
0
0
0
Medical Assistant
0
0
5
5
2
2
0
0
5
0
0
Medical Technologist
0
0
0
0
8
6
0
0
0
0
0
CHCP
12
10
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
0
0
1
1
0
0
0
AHI
0
0
0
0
0
0
3
3
0
0
1
HA
0
0
0
0
0
0
14
111
0
0
1
Kotchandpur 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)
2
0
1
1
0
Ultrasonogram machine
1
0
0
0
1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
3
0
2
1
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
1
0
1
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
1
0
1
0
0
Sucker machine (electric)
4
4
0
0
0
Ventilator
0
0
0
0
0
Kotchandpur 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
7
6
0
1
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Kotchandpur 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
1
1
0
0
0
Centrifuge machine (electric)
1
1
0
0
0
Colorimeter
2
2
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
9
4
4
1
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Kotchandpur 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
0
0
0
0
0
Vehicles
Ambulance
2
1
0
1
0
Kotchandpur 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
0
3
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
1
1
0
0
0
ICT equipment
Computer (desktop)
8
7
1
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
1
0
0
1
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
7
4
1
0
2
Scanner
1
1
0
0
0
UPS
2
1
1
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
2
0
0
0
Multimedia
1
1
0
0
0
Kotchandpur 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
68
43
15
7
3
Kotchandpur Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Kotchandpur Upazila Health Complex
Inspite of many difficulties we tried our level best to render maximum service to the people. We are sure that satisfactory service can be given if ensure consultant physician doctors are posted here, . Equipments which are lacking should be provided with. Community clinic should be repaired and upgraded so that maximum service can be given at the grass root level. We are to serve the humanity and let us believe that we can perform this noble duty with full satisfaction.
