Kaliganj Upazilla Health Complex, Lalmonirhat | Health Bulletin 2015 |
Preface
Kaliganj Upazilla Health Complex Health Bulletin 2015
Preface
I am very glad to publish this health bulletin. This bulletin contains all the health related information’s of 2014. This bulletin is published to disseminate the information of kaliganj upazila to other line departments and development partners of health. I hope all the information’s of this bulletin will help for planning and bridging the gaps in health services of the upazila . This health bulletin will help us to find constrains and also to see the result and achievements of 2014 . The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets . This health bulletin also shows the information on safe drinking water and sanitation status of the upazila . All the sanctioned and vacant posts are published in this bulletin of 2014. I like to take attention of the higher authorities to look into of this issue . Finally i would like to congratulate the initiator of this health bulletin software for setting us one step ahead toward Digital Bangladesh.
(Dr.Shah Md. Humayun Kabir)
UH&FPO
Upazila Health Complex
Kaliganj,Lalmonirhat
Kaliganj Upazilla Health Complex, Lalmonirhat | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Kaliganj
Organization Code
10002207
Name of UHFPO Dr.Shah Md.Humayun Kabir
Land Phone No. 1
5520-0592456019
Land Phone No. 2
FAX No.
Mobile No.
01785398370
Email kaliganjl@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
25.9681 And
Long:
89.2040
No. of Unions in the Upazila 8
No. of Households in the Upazila 59,858
Population in the Upazila 276,938
Area of Upazila in sq km 234.90
Kaliganj Upazilla Health Complex, Lalmonirhat | 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)
5
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
7
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
35
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
0
0
Kaliganj Upazilla Health Complex, Lalmonirhat | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,044
Under 5 Mortality Rate: 48.312 (Per 1,000 live births)
Infant Mortality Rate: 31.105 (Per 1,000 live births)
Neonatal Mortality Rate: 23.991 (Per 1,000 live births)
Still Birth Rate: 24.156 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 35,701
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months): 0%
Kaliganj Upazilla Health Complex, Lalmonirhat | 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:
10
Total No. of Recipients Who Took at least one ANC:
6,646
Total Number of Deliveries:
6,144
Valid TT Coverage: 29.00 %
Maternal Mortality Ratio (MMR) is:
165.45 per 100,000 live births.
Kaliganj Upazilla Health Complex, Lalmonirhat | 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
7,519
7,344
14,863
1,440
1,558
2,998
17,861
2,214
2,021
4,235
571
492
1,063
5,298
Union Sub-Centres
15,110
19,062
34,172
2,182
2,271
4,453
38,625
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
62,309
112,908
175,217
13,472
14,778
28,250
203,467
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
Kaliganj Upazilla Health Complex, Lalmonirhat | 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
1,407
1,681
3,088
282
262
544
3,632
15
8
23
3
1
4
27
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
Kaliganj Upazilla Health Complex, Lalmonirhat | 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
3,632
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y009 Assault by blunt object, unspecified place
XX: External causes of morbidity and mortality
1047
28.83
2
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
553
15.23
3
K273 Peptic ulcer, site unspecified, acute without haemorrhage or perforation
XI: Diseases of the digestive system
258
7.10
4
J22 Unspecified acute lower respiratory infection
X: Diseases of the respiratory system
186
5.12
5
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
158
4.35
6
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
107
2.95
7
V395 Passenger injured in collision with other and unspecified motor vehicles in traffic accident
XX: External causes of morbidity and mortality
103
2.84
8
J459 Asthma, unspecified
X: Diseases of the respiratory system
94
2.59
9
O669 Obstructed labour, unspecified
XV: Pregnancy, childbirth and the puerperium
88
2.42
10
O021 Missed abortion
XV: Pregnancy, childbirth and the puerperium
82
2.26
Kaliganj Upazilla Health Complex, Lalmonirhat | 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
27
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J459 Asthma, unspecified
X: Diseases of the respiratory system
7
25.93
2
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
6
22.22
3
R570 Cardiogenic shock
X: Diseases of the respiratory system
3
11.11
4
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
3
11.11
5
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
2
7.41
6
I509 Heart failure, unspecified
IX: Diseases of the circulatory system
1
3.70
7
A150 Tuberculosis of lung, confirmed by sputum microscopy with or without culture
I: Certain infectious and parasitic diseases
1
3.70
8
J129 Viral pneumonia, unspecified
X: Diseases of the respiratory system
1
3.70
9
R100 Acute abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
3.70
10
R568 Other and unspecified convulsions
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
3.70
Kaliganj Upazilla Health Complex, Lalmonirhat | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
99.00
Coverage of households having access to sanitary latrines (%)
96.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
11,985
Bed Occupancy Rates (%)
65.67
Average Length of Hospital Stay (No. of days per patient)
3.30
Hospital Death Rate (%)
0.74
Kaliganj Upazilla Health Complex, Lalmonirhat | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
182
Kaliganj Upazilla Health Complex, Lalmonirhat | Health Bulletin 2015 | Page# 11
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
UHC
Class I
Doctor
21
9
1
11
52.38
Non Doctor
0
0
0
0
0.00
Class II
15
1
12
2
13.33
Class III
79
49
16
14
17.72
Class IV
26
16
6
4
15.38
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
5
2
2
1
20.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
5
1
2
2
40.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
3
2
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
1
0
5
83.33
Class IV
3
2
0
1
33.33
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
35
15
18
2
5.71
Class IV
0
0
0
0
0.00
Kaliganj Upazilla Health Complex, Lalmonirhat | 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
29
14
3
12
41.38
Non Doctor
0
0
0
0
0.00
Class II
15
1
12
2
13.33
Class III
124
67
35
22
17.74
Class IV
29
18
6
5
17.24
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
Kaliganj Upazilla Health Complex, Lalmonirhat | 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
8
7
21
10
0
0
0
0
0
Nurse
0
0
0
0
16
14
0
0
0
0
0
Medical Assistant
0
0
8
3
2
1
0
0
2
0
0
Medical Technologist
0
0
3
1
10
5
0
0
0
0
0
CHCP
35
33
0
0
0
0
0
0
0
0
5
HI
0
0
0
0
3
1
0
0
0
0
0
AHI
0
0
0
0
8
8
0
0
0
0
0
HA
0
0
0
0
40
36
0
0
0
0
6
Kaliganj Upazilla Health Complex, Lalmonirhat | 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
1
0
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
1
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
2
2
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
3
0
3
0
0
Portable OT Light
1
0
1
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
3
2
1
0
0
Sucker machine (electric)
5
5
0
0
0
Ventilator
0
0
0
0
0
Kaliganj Upazilla Health Complex, Lalmonirhat | 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
4
4
0
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Kaliganj Upazilla Health Complex, Lalmonirhat | 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
0
0
0
0
0
Microscope (binocular)
1
0
0
1
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
1
1
0
0
0
Kaliganj Upazilla Health Complex, Lalmonirhat | 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
3
2
1
0
0
Vehicles
Ambulance
2
1
1
0
0
Kaliganj Upazilla Health Complex, Lalmonirhat | 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)
4
4
0
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
2
0
0
0
ICT equipment
Computer (desktop)
8
7
1
0
0
Laptop
36
33
3
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
3
2
1
0
0
Printer (laser)
4
3
1
0
0
Scanner
1
1
0
0
0
UPS
4
4
0
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
35
33
2
0
0
Multimedia
1
1
0
0
0
Kaliganj Upazilla Health Complex, Lalmonirhat | 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
139
120
18
1
0
Kaliganj Upazilla Health Complex, Lalmonirhat | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Kaliganj Upazilla Health Complex, Lalmonirhat
Important information and necessary issues for Kaliganj Upazilla Health Complex
In the year 2014 we could not give our maximum efforts to improve the health status due to many reasons. I like to mention some important factors which will help us to achieve good results in future . Necessary issues that I want to raise are.
1) The vacant posts should be filled up immediately specially those of doctors, nurses.and other 3rd &4rth Class Employee.
2) Training of doctors & nurses on IMCI & EOC.
3) All the repairable equipments should be repaired urgently .
4) We are urgent need repair of the x-ray machine. which is out of order from the very beginning of setting from many years (We have written several time to CMSD)
5) Water Pump is out of order for 2 years.(We have already writtenly Informed to the Health Engineering Department.)
6) Roads & Hospital boundary shpuld be repair by Health Engineering Department very urgently.
7) Some Community Clinic should be repair immediately by Health Engineering Department.
8) We have already received 1 (one) New ambulance from CMSD, 35 Laptop,34 Modem & 1 PDA from MIS in this year 2014.Which is reported in this Health Bulletin 2014
This document will help us to compare our progress in upcoming years .This will help the public to understand health services and to provide us the useful advice for improvement in future.
Finally I am very happy to Publish this health bulletin of 2014 Which is Published in 2015
