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Zanzira Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish the health bulletin of Zajira Upazila for the fourth time.This bulletin contains all the health related information of 2014This bulletin is published to desiminate of information of Zajira Upazila to other line department and development partner of health.This health bulletin will help us to find constraint and also to see the result and achievment of 2015. MDG targets can be localized by analysing the contained status of MDG 4 anmd MDG-5. Sanction and Vacant post are published in this health bulletin of 2015 . I like to take attention of the higher authority to look in to this issue.I congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bangladesh.
Dr Munir Ahmad Khan
UH&FPO
Zanzira Upazila Health Complex

Zanzira Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Zanzira
Organization Code 10000563
Name of UHFPO Dr Munir Ahmad Khan
Land Phone No. 1 0602-0602756003
Land Phone No. 2
FAX No.
Mobile No. 01715586393
Email zajira@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.2120 And Long: 90.3475
No. of Unions in the Upazila12
No. of Households in the Upazila 36,483
Population in the Upazila 189,633
Area of Upazila in sq km 241.04

Zanzira 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 3 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) 6 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 21 0
No of Trauma Centres 1 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

Zanzira Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,760


Under 5 Mortality Rate: 10.294 (Per 1,000 live births)
Infant Mortality Rate: 6.723 (Per 1,000 live births)
Neonatal Mortality Rate: 2.521 (Per 1,000 live births)
Still Birth Rate: 1.050 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 10,593
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 0%

Zanzira 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: 3
Total No. of Recipients Who Took at least one ANC: 4,760
Total Number of Deliveries: 5,213
Valid TT Coverage: 95.00 %
Maternal Mortality Ratio (MMR) is: 63.03 per 100,000 live births.

Zanzira 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 21,509 40,892 62,401 8,880 8,895 17,775 80,176 2,021 1,806 3,827 611 707 1,318 5,145
Union Sub-Centres 7,310 16,909 24,219 4,012 4,061 8,073 32,292 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 26,960 53,213 80,173 5,536 5,414 10,950 91,123 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

Zanzira 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 1,571 2,366 3,937 635 703 1,338 5,275 15 9 24 3 3 6 30
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

Zanzira 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 5,275
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 556 10.54
2 K273 Peptic ulcer, site unspecified, acute without haemorrhage or perforation XI: Diseases of the digestive system 310 5.88
3 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 31 0.59
4 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 595 11.28
5 J459 Asthma, unspecified X: Diseases of the respiratory system 335 6.35
6 Y042 Assault by bodily force, school, other institution and public administrative area XX: External causes of morbidity and mortality 435 8.25
7 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 189 3.58
8 L25 Unspecified contact dermatitis XII: Diseases of the skin and subcutaneous tissue 95 1.80
9 O680 Labour and delivery complicated by fetal heart rate anomaly XV: Pregnancy, childbirth and the puerperium 62 1.18
10 V426 Car occupant injured in collision with two- or three-wheeled motor vehicle, passenger, traffic accident XX: External causes of morbidity and mortality 171 3.24

Zanzira 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 554
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J16 Pneumonia due to other infectious organisms, NEC X: Diseases of the respiratory system 5 0.90
2 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 12 2.17
3 X: Diseases of the respiratory system 0 0.00
4 J459 Asthma, unspecified X: Diseases of the respiratory system 6 1.08
5 S09 Other and unspecified injuries of head XIX: Injury, poisoning and certain other consequences of external causes 1 0.18
6 K255 Gastric ulcer, chronic or unspecified with perforation XI: Diseases of the digestive system 1 0.18
7 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 5 0.90
8 0 0.00
9 0 0.00
10 0 0.00

Zanzira Upazila Health Complex | 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 (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,114
Bed Occupancy Rates (%) 107.06
Average Length of Hospital Stay (No. of days per patient) 2.37
Hospital Death Rate (%) 0.56


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 310

 

Zanzira 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 0 8 2 20.00
Class III 84 54 27 3 3.57
Class IV 20 12 7 1 5.00
Union Health & Family Welfare Center (under DGHS)
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 3 0 3 50.00
Class IV 3 0 2 1 33.33
Rural Dispensaries
Class I Doctor 9 6 2 1 11.11
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 1 1 7 77.78
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 21 10 9 2 9.52
Class IV 0 0 0 0 0.00

 

Zanzira 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 5 4 19.05
Non Doctor 0 0 0 0 0.00
Class II 10 0 8 2 20.00
Class III 120 68 37 15 12.50
Class IV 23 12 9 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

 

Zanzira 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 12 11 9 6 0 0 2 1 0
Nurse 0 0 0 0 11 9 0 0 5 1 0
Medical Assistant 0 0 12 4 2 2 0 0 4 0 0
Medical Technologist 0 0 0 0 6 5 0 0 0 0 0
CHCP 21 19 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 1 0 0 0 0 2
AHI 0 0 0 0 10 10 0 0 0 0 0
HA 0 0 0 0 50 45 0 0 0 0 0

Zanzira 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 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 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 1 1 0 0 0
Ceiling mounting OT Light 1 0 0 0 1
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Zanzira 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 1 1 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


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


Zanzira 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 0 0 0 0 0
Vehicles
Ambulance 1 1 0 0 0


Zanzira 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) 1 0 1 0 0
Generator
Generator (diesel/petrol) 2 0 2 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 10 9 1 0 0
Laptop 27 27 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 4 1 0 0
Scanner 1 1 0 0 0
UPS 10 9 1 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


Zanzira 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 76 68 7 0 1

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

Important information and necessary issues for Zanzira Upazila Health Complex
Zajira Upazila is one of the remotest Upazila of Dhaka Division.Zajira is situated over the Padma river.Internal communication of the Upazil is very poor.There is only Government Hospital in this upazila and No other private and NGO health centre.Throuh Health Complex and other Union sub centre and community clinic .Doctor and CHCP are giving general Health service to the people.There is no consultant except gynocolozy. So consultant service is deprived.Zajira Health complex is 31 beded Hospital and 50 beded Hospital has been complited .Considering above mensioned constaint as UH&FPO of this poor area.I would like to request my Higer authority to enrice this Health complex with modern equipments ,consultant and other menpower to save this people. With thanks Dr Munir Ahmad Khan UH&FPO, Zajira,Shariatpur