Kanaighat Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Kanaighat upazila.This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of kanaighat upazila to other line departments and development partners of health.I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila.This health bulletin will help us to find contains and also see the results and achievements of 2014.
Dr.Md.Mashuqur Rahman
UH&FPO
Kanaighat Upazila Health Complex
Kanaighat Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Kanaighat
Organization Code
10002189
Name of UHFPO Dr.Md.Mashuqur Rahman
Land Phone No. 1
-0823356024
Land Phone No. 2
FAX No.
0823356024
Mobile No.
01718637601
Email kanaighat@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.0000 And
Long:
92.0000
No. of Unions in the Upazila 9
No. of Households in the Upazila 40,639
Population in the Upazila 256,477
Area of Upazila in sq km 412.25
Kanaighat 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
31
No. of OPD at Sadar Upazila Health Facility
0
0
No. of Union Sub-Centres
0
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
8
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
26
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
0
0
No. of NGO Clinics/Facilities
1
0
Kanaighat Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,494
Under 5 Mortality Rate: 30.257 (Per 1,000 live births)
Infant Mortality Rate: 21.662 (Per 1,000 live births)
Neonatal Mortality Rate: 14.245 (Per 1,000 live births)
Still Birth Rate: 3.650 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 39,280
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 98%
Kanaighat 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:
7
Total No. of Recipients Who Took at least one ANC:
7,903
Total Number of Deliveries:
8,525
Valid TT Coverage: 57.00 %
Maternal Mortality Ratio (MMR) is:
82.41 per 100,000 live births.
Kanaighat 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
13,860
24,235
38,095
6,857
7,858
14,715
52,810
2,963
1,733
4,696
421
239
660
5,356
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)
222
721
943
205
115
320
1,263
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
52,854
121,790
174,644
11,205
13,067
24,272
198,916
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
862
3,019
3,881
540
720
1,260
5,141
0
0
0
0
0
0
0
Kanaighat 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
1,791
2,053
3,844
1,014
930
1,944
5,788
2
6
8
3
1
4
12
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
Kanaighat 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
5,788
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
1341
23.17
2
X999 Assault by sharp object, unspecified place
XX: External causes of morbidity and mortality
822
14.20
3
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
695
12.01
4
A929 Mosquito-borne viral fever, unspecified
I: Certain infectious and parasitic diseases
403
6.96
5
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
221
3.82
6
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X: Diseases of the respiratory system
121
2.09
7
V011 Pedestrian injured in collision with pedal cycle, traffic accident
XX: External causes of morbidity and mortality
83
1.43
8
J459 Asthma, unspecified
X: Diseases of the respiratory system
51
0.88
9
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
27
0.47
10
O669 Obstructed labour, unspecified
XV: Pregnancy, childbirth and the puerperium
10
0.17
Kanaighat 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
12
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J459 Asthma, unspecified
X: Diseases of the respiratory system
6
50.00
2
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
4
33.33
3
G04 Encephalitis, myelitis and encephalomyelitis
X: Diseases of the respiratory system
1
8.33
4
I110 Hypertensive heart disease with (congestive) heart failure
IX: Diseases of the circulatory system
1
8.33
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Kanaighat 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 (%)
80.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
5,421
Bed Occupancy Rates (%)
47.91
Average Length of Hospital Stay (No. of days per patient)
0.94
Hospital Death Rate (%)
0.21
Kanaighat Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
1,025
Kanaighat 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
9
4
2
3
33.33
Non Doctor
0
0
0
0
0.00
Class II
10
1
3
6
60.00
Class III
72
57
5
10
13.89
Class IV
19
10
3
6
31.58
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
7
3
3
1
14.29
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
7
4
3
0
0.00
Class IV
0
0
0
0
0.00
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
26
15
10
1
3.85
Class IV
0
0
0
0
0.00
Kanaighat 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
16
8
4
4
25.00
Non Doctor
0
0
0
0
0.00
Class II
10
1
4
5
50.00
Class III
105
76
18
11
10.48
Class IV
19
10
3
6
31.58
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
Kanaighat 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
7
6
9
6
0
0
2
1
0
Nurse
0
0
0
0
11
4
0
0
2
1
0
Medical Assistant
0
0
7
7
2
2
0
0
2
0
0
Medical Technologist
0
0
0
0
8
7
0
0
0
0
0
CHCP
26
25
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
0
AHI
0
0
0
0
8
8
0
0
0
0
0
HA
0
0
0
0
40
33
0
0
0
0
0
Kanaighat 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
0
1
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
1
1
0
0
0
Autoclave
1
1
0
0
0
Electric cautery machine
1
1
0
0
0
Diathermy machine
2
2
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
0
0
1
0
Portable OT Light
2
1
1
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
1
1
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Kanaighat 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
5
1
1
1
2
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Kanaighat 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)
6
1
2
0
3
Colorimeter
4
1
0
0
3
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
3
2
1
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Kanaighat 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
5
3
2
0
0
Vehicles
Ambulance
2
1
1
0
0
Kanaighat 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
2
0
0
1
Generator
Generator (diesel/petrol)
2
0
2
0
0
Generator (gas)
0
0
0
0
0
Solar panel
3
3
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
7
6
1
0
0
Laptop
27
16
11
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
1
0
0
Printer (laser)
5
4
1
0
0
Scanner
1
1
0
0
0
UPS
6
5
1
0
0
Fax
1
0
1
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
26
26
0
0
0
Multimedia
1
1
0
0
0
Kanaighat 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)
1
1
0
0
0
Land phone
1
1
0
0
0
Mobile phone
1
1
0
0
0
Total
128
89
28
2
9
Kanaighat Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Kanaighat Upazila Health Complex
Kanaighat Upazila is one of the remote upazila within Sylhet and most of the patients receiving service from UHC. But shortage number of doctors,nurses is a major issue. Accomodation facilities of all the staff within the complex is not only limited but also the structures are not up to satisfactory level regarding reidence.
Last year we were unable to deliver and provide our service upto the deired level due to many reasons( mainly Anes.&,Gynae obs. consaltant) nurses & other few staff and also suporting equipments(for example X-ray,ECG etc). Here I would like to mention some important factors which will help us to achieve target service.The vaccant post should be filled immediately. Our doctor and nurses need move training(EOC&IMCI). We have need the infrastructural development through establish 50 beded.
