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Kaliganj Upazila Health Complex- Satkhira | Health Bulletin 2015 |
Preface
It is our pleasure to give opportunity for publishing the "Health Bulletin-2015" of kaliganj Upazila health complex, Satkhira. All the health related information of 2014 about our upazila have been depicted in this issue. This bulletin disseminates all the relevant information and messages of health to other line department 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 upazilla. This bulletin will allow us to find contents and also to observe the results and achievements of 2014. I hope the higher authority of health department will look into this issue and take necessary actions to step forward for MDG5 goals. Finally I would to give much appreciation to the initiator and innovator of health bulletin software for setting us one step ahead toward "Digital Bangladesh".
Dr. Provat Kumar Das
UH&FPO
Kaliganj Upazila Health Complex- Satkhira

Kaliganj Upazila Health Complex- Satkhira | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Kaliganj
Organization Code 10002212
Name of UHFPO Dr. Provat Kumar Das
Land Phone No. 1 04725-056030
Land Phone No. 2
FAX No.
Mobile No. 01710887202
Email kaliganjs@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.0000 And Long: 89.0000
No. of Unions in the Upazila12
No. of Households in the Upazila 63,007
Population in the Upazila 297,694
Area of Upazila in sq km 333.79

Kaliganj Upazila Health Complex- Satkhira | 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 8 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 4 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 32 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 20
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 9 0
No. of NGO Clinics/Facilities 0 0

Kaliganj Upazila Health Complex- Satkhira | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,234


Under 5 Mortality Rate: 6.687 (Per 1,000 live births)
Infant Mortality Rate: 5.541 (Per 1,000 live births)
Neonatal Mortality Rate: 4.012 (Per 1,000 live births)
Still Birth Rate: 4.585 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 24,584
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%

Kaliganj Upazila Health Complex- Satkhira | 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: 2
Total No. of Recipients Who Took at least one ANC: 6,005
Total Number of Deliveries: 5,334
Valid TT Coverage: 87.00 %
Maternal Mortality Ratio (MMR) is: 38.21 per 100,000 live births.

Kaliganj Upazila Health Complex- Satkhira | 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 10,277 23,688 33,965 3,962 3,948 7,910 41,875 1,104 1,411 2,515 252 203 455 2,970
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) 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 77,685 170,976 248,661 12,351 13,379 25,730 274,391 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) 277 6,789 7,066 1,106 1,098 2,204 9,270 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 Upazila Health Complex- Satkhira | 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 914 1,865 2,779 167 143 310 3,089 3 7 10 1 0 1 11
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 329 329 0 0 0 329 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

Kaliganj Upazila Health Complex- Satkhira | 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 3,089
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 T149 Injury, unspecified XIX: Injury, poisoning and certain other consequences of external causes 621 20.10
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 297 9.61
3 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 265 8.58
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 201 6.51
5 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 200 6.47
6 K37 Unspecified appendicitis XI: Diseases of the digestive system 99 3.20
7 A010 Typhoid fever I: Certain infectious and parasitic diseases 71 2.30
8 V099 Pedestrian injured in unspecified transport accident XX: External causes of morbidity and mortality 68 2.20
9 J189 Pneumonia, unspecified X: Diseases of the respiratory system 49 1.59
10 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 42 1.36

Kaliganj Upazila Health Complex- Satkhira | 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 11
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I509 Heart failure, unspecified IX: Diseases of the circulatory system 4 36.36
2 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 3 27.27
3 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 1 9.09
4 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 1 9.09
5 T509 Other and unspecified drugs, medicaments and biological substances XIX: Injury, poisoning and certain other consequences of external causes 1 9.09
6 T887 Unspecified adverse effect of drug or medicament XIX: Injury, poisoning and certain other consequences of external causes 1 9.09
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Kaliganj Upazila Health Complex- Satkhira | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 94.00
Coverage of households having access to sanitary latrines (%) 84.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 16,393
Bed Occupancy Rates (%) 89.82
Average Length of Hospital Stay (No. of days per patient) 5.31
Hospital Death Rate (%) 0.36


Kaliganj Upazila Health Complex- Satkhira | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 354
Minor Surgeries 1,692

 

Kaliganj Upazila Health Complex- Satkhira | 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 3 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 12 0 10 2 16.67
Class III 84 50 17 17 20.24
Class IV 19 13 4 2 10.53
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 2 1 1 25.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 5 0 3 37.50
Class IV 4 4 0 0 0.00
Rural Dispensaries
Class I Doctor 8 5 0 3 37.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 3 3 2 25.00
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 36 20 14 2 5.56
Class IV 0 0 0 0 0.00

 

Kaliganj Upazila Health Complex- Satkhira | 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 11 4 6 28.57
Non Doctor 0 0 0 0 0.00
Class II 12 0 10 2 16.67
Class III 100 62 20 18 18.00
Class IV 23 17 4 2 8.70
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 Upazila Health Complex- Satkhira | 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 12 8 9 7 0 0 1 1 0
Nurse 0 0 0 0 12 10 0 0 6 3 0
Medical Assistant 0 0 12 10 2 1 0 0 5 0 0
Medical Technologist 0 0 4 2 8 7 0 0 0 0 0
CHCP 36 34 0 0 0 0 0 0 0 0 6
HI 0 0 0 0 3 2 0 0 0 0 0
AHI 0 0 0 0 10 8 0 0 0 0 1
HA 0 0 0 0 50 43 0 0 0 0 15

Kaliganj Upazila Health Complex- Satkhira | 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 1 0 0 0
Ultrasonogram machine 2 1 0 1 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 0 0 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 0 0 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


Kaliganj Upazila Health Complex- Satkhira | 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 1 1 0 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Kaliganj Upazila Health Complex- Satkhira | 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) 3 2 0 1 0
Colorimeter 3 2 1 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 2 0 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Kaliganj Upazila Health Complex- Satkhira | 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 2 0 0 0


Kaliganj Upazila Health Complex- Satkhira | 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) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 3 3 0 0 0
ICT equipment
Computer (desktop) 5 4 1 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Kaliganj Upazila Health Complex- Satkhira | 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 0 0 1 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 52 45 4 3 0

Kaliganj Upazila Health Complex- Satkhira | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Kaliganj Upazila Health Complex- Satkhira
In 2014 our performances in all respects reached a level which is more than average in comparison to previous years. Our upazilla has got LLP, DAAR, upazilla health system, HSS & several other projects. Still we are not able to say that our performances are upto the mark. It is because of (1) Acute shortage of HRD as for example, no paired surgeons & any junior consultant posted here. (2) Want of some specific instruments & particularly a heavy generator needed for 24 hrs. electricity supply. We are still positive and hopeful. This document will also help the people to make them understand about health services & to provide us to useful advice for improvement of life in future.