Feedback
HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Kalia Upazila Health Complex | Health Bulletin 2015 |
Preface
Local Health Bulletin is a part & parcel of the local health service delivery.It is a pleasure for us that an institute based Local Health Bulletin of 2015 is going to be published in a short time. Thanks to MIS unit of DGHS Mohakhali for their valuable guidance. In spite of small resource in respect of trained manpower specially physician,medicine,other logistic,laboratory facilities,construction & repairing of infrastructure. We achieved our health service both in hospital & field in satisfactory level. It is a matter of great pleasure that at present a good number of doctors are working in Kalia Upazila Health Complex and they are delivering a good health service for the people of the Kalia. I acknowledge the hard work of the contributors to develop this booklet and I wish this Health Bulletin to culminate in a meaningful out come in near future.
Dr.Md ayub Ali
UH&FPO
Kalia Upazila Health Complex

Kalia Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Kalia
Organization Code 10001904
Name of UHFPO Dr.Md ayub Ali
Land Phone No. 1 -0482256023
Land Phone No. 2
FAX No.
Mobile No. 01711159335
Email kalia@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 90.0000
No. of Unions in the Upazila14
No. of Households in the Upazila 44,143
Population in the Upazila 234,700
Area of Upazila in sq km 301.00

Kalia 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) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 11 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 2 20
No. of NGO Clinics/Facilities 0 0

Kalia Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,126


Under 5 Mortality Rate: 21.654 (Per 1,000 live births)
Infant Mortality Rate: 21.264 (Per 1,000 live births)
Neonatal Mortality Rate: 19.703 (Per 1,000 live births)
Still Birth Rate: 16.777 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 38,004
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months): 0%

Kalia 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: 10,495
Total Number of Deliveries: 5,197
Valid TT Coverage: 72.00 %
Maternal Mortality Ratio (MMR) is: 156.07 per 100,000 live births.

Kalia 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 18,977 34,249 53,226 4,392 4,244 8,636 61,862 1,941 865 2,806 152 105 257 3,063
Union Sub-Centres 5,277 10,191 15,468 547 540 1,087 16,555 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) 14,093 74,151 88244 8,671 8,850 17,521 105,765 0 0 0 0 0 0 17,521
Community Clinics 45,858 100,293 146,151 9,978 10,505 20,483 166,634 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

Kalia 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 1,606 3,075 4,681 738 480 1,218 5,899 9 4 13 2 3 5 18
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 0 457 457 457 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kalia 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 5,898
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 958 16.24
2 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 635 10.77
3 J17 Pneumonia in diseases classified elsewhere X: Diseases of the respiratory system 516 8.75
4 Y00 Assault by blunt object XX: External causes of morbidity and mortality 337 5.71
5 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 321 5.44
6 O669 Obstructed labour, unspecified XV: Pregnancy, childbirth and the puerperium 301 5.10
7 J45 Asthma X: Diseases of the respiratory system 228 3.87
8 X68 Intentional self-poisoning by and exposure to pesticides XX: External causes of morbidity and mortality 223 3.78
9 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 74 1.25
10 I11 Hypertensive heart disease IX: Diseases of the circulatory system 67 1.14

Kalia 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 18
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 4 22.22
2 X68 Intentional self-poisoning by and exposure to pesticides XX: External causes of morbidity and mortality 4 22.22
3 I46 Cardiac arrest IX: Diseases of the circulatory system 3 16.67
4 P21 Birth asphyxia XVI: Certain conditions originating in the perinatal period 1 5.56
5 I21 Acute myocardial infarction IX: Diseases of the circulatory system 1 5.56
6 N17 Acute renal failure XIV: Diseases of the genitourinary system 1 5.56
7 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 1 5.56
8 J96 Respiratory failure, NEC X: Diseases of the respiratory system 1 5.56
9 N18 Chronic renal failure XIV: Diseases of the genitourinary system 1 5.56
10 J17 Pneumonia in diseases classified elsewhere X: Diseases of the respiratory system 1 5.56

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 45.00
Coverage of households having access to sanitary latrines (%) 93.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,667
Bed Occupancy Rates (%) 69.41
Average Length of Hospital Stay (No. of days per patient) 2.15
Hospital Death Rate (%) 0.30


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 300
Minor Surgeries 830

 

Kalia 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 7 3 11 52.38
Non Doctor 0 0 0 0 0.00
Class II 18 1 15 2 11.11
Class III 98 39 25 34 34.69
Class IV 22 15 3 4 18.18
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 13 2 2 9 69.23
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 13 8 5 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 0 0 1 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 0 1 50.00
Class IV 1 1 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 31 15 13 3 9.68
Class IV 0 0 0 0 0.00

 

Kalia 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 35 9 5 21 60.00
Non Doctor 0 0 0 0 0.00
Class II 18 1 15 2 11.11
Class III 144 63 43 38 26.39
Class IV 23 16 3 4 17.39
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

 

Kalia 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 14 4 21 10 0 0 3 0 0
Nurse 0 0 0 0 18 16 0 0 1 4 0
Medical Assistant 0 0 14 14 2 2 0 0 8 0 0
Medical Technologist 0 0 0 0 8 5 0 0 0 0 0
CHCP 31 28 0 0 0 0 0 0 0 0 3
HI 0 0 0 0 0 0 4 4 0 0 0
AHI 0 0 0 0 0 0 11 10 0 0 2
HA 0 0 0 0 0 0 55 33 0 0 8

Kalia 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 0 0 0 0 0
Anesthesia machine without ventilator 4 4 0 0 0
Autoclave 7 1 0 6 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 1 0 1 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 6 3 3 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 7 3 4 0 0
Sterilizer 3 0 3 0 0
Sucker machine (electric) 7 4 0 3 0
Ventilator 0 0 0 0 0


Kalia 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 9 2 0 7 0
Pulse oximeter 6 2 1 3 0
Dental equipment
Dental unit 1 0 1 0 0


Kalia 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 2 0 0 0
Colorimeter 3 0 2 1 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 5 2 2 1 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Kalia 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 2 2 0 0 0
Blood bank refrigerator 3 2 1 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 1 1 0 0 0


Kalia 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 0 5 0 0
Generator
Generator (diesel/petrol) 2 2 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 2 1 1 0 0
ICT equipment
Computer (desktop) 8 8 0 0 0
Laptop 29 29 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 6 6 0 0 0
Scanner 1 1 0 0 0
UPS 7 6 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Kalia 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 134 86 23 25 0

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

Important information and necessary issues for Kalia Upazila Health Complex
Increase no of trained manpower in every aspects of health services including hospital and field level specially physician. Ensure availability of medicines and other logistics. Increase laboratory facilities and reparing infrastructure to develop Women and Adolescent friendly hospital. Strengthing the childhood treatment for lowering new born mortality seperate neonatal ward should be established.t seperate