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Kumarkhali Upazila Health Complex | Health Bulletin 2015 |
Preface
For the third time I am going to publish the Health Bulletin of Kumarkhali Upazila.This Health Bulletin contains all the health related profile and performance of the year 2013.this Health Bulletin is published to diseminate the Health information of this Upazila.It also help us to prepered next year plan to improve the health services.
Dr.Md Akul Uddin
UH&FPO
Kumarkhali Upazila Health Complex

Kumarkhali Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Kumarkhali
Organization Code 10001848
Name of UHFPO Dr.Md Akul Uddin
Land Phone No. 1 -0702576609
Land Phone No. 2
FAX No.
Mobile No. 01710862886
Email Kumarkhali@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.5300 And Long: 89.1600
No. of Unions in the Upazila11
No. of Households in the Upazila 68,208
Population in the Upazila 340,215
Area of Upazila in sq km 258.18

Kumarkhali 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 7 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) 0 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 39 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 10
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 7 70
No. of NGO Clinics/Facilities 0 0

Kumarkhali Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,480


Under 5 Mortality Rate: 4.679 (Per 1,000 live births)
Infant Mortality Rate: 1.471 (Per 1,000 live births)
Neonatal Mortality Rate: 3.476 (Per 1,000 live births)
Still Birth Rate: 4.412 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 12,753
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%

Kumarkhali 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: 7,153
Total Number of Deliveries: 7,420
Valid TT Coverage: 106.00 %
Maternal Mortality Ratio (MMR) is: 66.84 per 100,000 live births.

Kumarkhali 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 9,814 18,453 28,267 5,449 6,561 12,010 40,277 1,483 1,027 2,510 17 11 28 2,538
Union Sub-Centres 27,332 40,878 68,210 5,093 7,306 12,399 80,609 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 80,293 183,392 263,685 17,876 20,349 38,225 301,910 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) 124 3,285 3,409 712 862 1,574 4,983 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

Kumarkhali 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 2,699 3,511 6,210 1,015 645 1,660 7,870 19 9 28 1 2 3 31
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 31 1,310 1,341 21 0 21 1,362 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kumarkhali 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 7,870
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 1142 14.51
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 802 10.19
3 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 711 9.03
4 A880 Enteroviral exanthematous fever [Boston exanthem] I: Certain infectious and parasitic diseases 380 4.83
5 J459 Asthma, unspecified X: Diseases of the respiratory system 178 2.26
6 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation XI: Diseases of the digestive system 176 2.24
7 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 161 2.05
8 I959 Hypotension, unspecified IX: Diseases of the circulatory system 140 1.78
9 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 99 1.26
10 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 97 1.23

Kumarkhali 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 31
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 6 19.35
2 J459 Asthma, unspecified X: Diseases of the respiratory system 5 16.13
3 I500 Congestive heart failure IX: Diseases of the circulatory system 5 16.13
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 3 9.68
5 I959 Hypotension, unspecified IX: Diseases of the circulatory system 3 9.68
6 I51 Complications and ill-defined descriptions of heart disease IX: Diseases of the circulatory system 3 9.68
7 R07 Pain in throat and chest XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 2 6.45
8 I509 Heart failure, unspecified IX: Diseases of the circulatory system 2 6.45
9 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 1 3.23
10 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 1 3.23

Kumarkhali 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 (%) 73.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 21,994
Bed Occupancy Rates (%) 120.52
Average Length of Hospital Stay (No. of days per patient) 2.77
Hospital Death Rate (%) 0.39


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 7
Minor Surgeries 1,835

 

Kumarkhali 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 4 1 10.00
Non Doctor 0 0 0 0 0.00
Class II 13 0 10 3 23.08
Class III 85 44 30 11 12.94
Class IV 19 8 6 5 26.32
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 11 7 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 18 13 3 2 11.11
Class IV 10 7 2 1 10.00
Rural Dispensaries
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
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 39 21 18 0 0.00
Class IV 0 0 0 0 0.00

 

Kumarkhali 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 21 12 8 1 4.76
Non Doctor 0 0 0 0 0.00
Class II 13 0 10 3 23.08
Class III 142 78 51 13 9.15
Class IV 29 15 8 6 20.69
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

 

Kumarkhali 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 11 11 10 9 0 0 2 0 18
Nurse 0 0 0 0 12 10 0 0 1 0 4
Medical Assistant 0 0 11 11 2 2 0 0 3 0 0
Medical Technologist 0 0 0 0 6 6 0 0 0 0 0
CHCP 39 39 0 0 0 0 0 0 0 0 25
HI 0 0 0 0 4 4 0 0 0 0 24
AHI 0 0 0 0 10 10 0 0 0 0 0
HA 0 0 0 0 49 41 0 0 0 0 0

Kumarkhali 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 1 1 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 2 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 4 2 2 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 3 3 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 8 4 4 0 0
Sucker machine (electric) 2 1 1 0 0
Ventilator 0 0 0 0 0


Kumarkhali 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 6 1 5 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 0 0 1 0


Kumarkhali 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 0 1 0 1
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 1 0 1 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Kumarkhali 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


Kumarkhali 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) 5 5 0 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) 7 6 0 1 0
Laptop 3 3 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 6 5 1 0 0
Scanner 1 0 0 0 1
UPS 1 1 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 1 1 0 0 0


Kumarkhali 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 73 53 15 3 2

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

Important information and necessary issues for Kumarkhali Upazila Health Complex
Information and nessary issues for Kumarkhali UHC in 2014 :- 1. All the vacaunt post should be filled up. 2. Strongening of IMCI service by proper Training of IMCI related health provide. 3. For better maternal health services both HA & FWA should work joinly..4 statistician pay scale upgrated 2nd class, I am very glad to publish this Health Bulletin 2015.Thanks All.