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Koyra Upazila Health Complex | Health Bulletin 2015 |
Preface
ALLAH is Almighty.I am happy to have published the health Bulletin of koyra, Khulna. Koyra is a hard to reach as well as remote coastal upazila, around 100 km an away from khulna sador. Among all constraints of the officer & staff of this UHC worked together to serve peoples of Koyra upazila. I heartly thank honorable DG (health), ADG (Planning & Development) Director (MIS) and every one associated with the publication of this Bulletin who gave me directives & technical supports in this assignment which will ultimately guide us to build up big digital Bangladesh which we are promised for. May Allah Bless us all.
Dr. Suzat Ahmed
UH&FPO
Koyra Upazila Health Complex

Koyra Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Koyra
Organization Code 10001817
Name of UHFPO Dr. Suzat Ahmed
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No. 01789356484
Email Koira@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.4587 And Long: 89.2802
No. of Unions in the Upazila7
No. of Households in the Upazila 47,050
Population in the Upazila 215,816
Area of Upazila in sq km 262.50

Koyra 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 1 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 6 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 6 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 29 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 6 30
No. of NGO Clinics/Facilities 0 0

Koyra Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,157


Under 5 Mortality Rate: 28.191 (Per 1,000 live births)
Infant Mortality Rate: 16.155 (Per 1,000 live births)
Neonatal Mortality Rate: 9.819 (Per 1,000 live births)
Still Birth Rate: 5.385 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 1,922
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%

Koyra 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: 8
Total No. of Recipients Who Took at least one ANC: 3,619
Total Number of Deliveries: 3,398
Valid TT Coverage: 96.00 %
Maternal Mortality Ratio (MMR) is: 253.41 per 100,000 live births.

Koyra 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 3,936 4,720 8,656 1,704 2,213 3,917 12,573 276 184 460 27 44 71 531
Union Sub-Centres 624 862 1,486 132 239 371 1,857 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 2,154 3,452 5,606 431 510 941 6,547 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 54,660 94,249 148,909 9,622 9,735 19,357 168,266 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 362 518 880 125 141 266 1,146 21 13 34 4 3 7 41
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koyra 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 1,724 2,257 3,981 481 548 1,029 5,010 19 13 32 2 1 3 35
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 1 1 0 0 0 1
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koyra 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 5,010
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 1374 27.43
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 1142 22.79
3 J12 Viral pneumonia, NEC X: Diseases of the respiratory system 819 16.35
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 415 8.28
5 A751 Recrudescent typhus [Brill's disease] I: Certain infectious and parasitic diseases 304 6.07
6 T363 Macrolides XIX: Injury, poisoning and certain other consequences of external causes 513 10.24
7 E40 Kwashiorkor IV: Endocrine, nutritional and metabolic diseases 249 4.97
8 J45 Asthma X: Diseases of the respiratory system 107 2.14
9 D553 Anaemia due to disorders of nucleotide metabolism III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 56 1.12
10 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 31 0.62

Koyra 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 35
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 K551 Chronic vascular disorders of intestine XI: Diseases of the digestive system 6 17.14
2 T363 Macrolides XIX: Injury, poisoning and certain other consequences of external causes 5 14.29
3 P21 Birth asphyxia XI: Diseases of the digestive system 5 14.29
4 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 2 5.71
5 J961 Chronic respiratory failure X: Diseases of the respiratory system 10 28.57
6 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 2 5.71
7 J961 Chronic respiratory failure X: Diseases of the respiratory system 3 8.57
8 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 1 2.86
9 B15 Acute hepatitis A I: Certain infectious and parasitic diseases 1 2.86
10 0 0.00

Koyra Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 91.00
Coverage of households having access to sanitary latrines (%) 95.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 5,379
Bed Occupancy Rates (%) 29.47
Average Length of Hospital Stay (No. of days per patient) 1.07
Hospital Death Rate (%) 0.70


Koyra Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 849
Minor Surgeries 371

 

Koyra 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 10 5 1 4 40.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 4 7 63.64
Class III 87 41 17 29 33.33
Class IV 20 7 3 10 50.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 5 0 2 28.57
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 4 1 3 37.50
Class IV 1 0 0 1 100.00
Rural Dispensaries
Class I Doctor 6 5 0 1 16.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 4 1 1 16.67
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 27 12 12 3 11.11
Class IV 0 0 0 0 0.00

 

Koyra 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 17 10 1 6 35.29
Non Doctor 0 0 0 0 0.00
Class II 11 0 4 7 63.64
Class III 115 54 29 32 27.83
Class IV 20 6 3 11 55.00
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

 

Koyra 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 0 0 0 0 0 0 0 0 0
Nurse 0 0 0 0 11 4 0 0 2 2 0
Medical Assistant 0 0 6 6 2 1 0 0 1 0 0
Medical Technologist 0 0 0 0 6 3 0 0 0 0 0
CHCP 27 24 0 0 0 0 0 0 0 0 2
HI 0 0 0 0 3 1 0 0 0 0 0
AHI 0 0 0 0 9 8 0 0 0 0 0
HA 0 0 0 0 44 31 0 0 0 0 8

Koyra 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 0 1 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 3 2 0 1 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 0 0 1 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 0 0 1 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Koyra 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 3 2 0 1 0
Pulse oximeter 2 2 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Koyra 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) 1 1 0 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 1 1 0 0 0
Microscope (binocular) 3 1 0 2 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Koyra 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 1 1 0 0 0
Blood bank refrigerator 0 0 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Koyra 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) 2 1 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 0 0 1 0
IPS 0 0 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) 1 0 0 1 0
Printer (laser) 6 5 0 0 1
Scanner 1 1 0 0 0
UPS 6 5 0 1 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 0 0 0 0 0


Koyra 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 0 0 0 0 0
Mobile phone 1 1 0 0 0
Total 57 42 4 10 1

Koyra Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Koyra Upazila Health Complex
Natural disaster very commonly occurs in this sub coastal region koyra. We are lack of man power. Doctor and other manpower posting allocation of govt. fund is essential for running the health facilities properly.