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Jaldhaka Upazila Health Complex | Health Bulletin 2015 |
Preface
It is a pleasure to me that health bulletin of Jaldhaka UHC for 2015 has prepared.In this bulletin we have shown the activities performed in last year both preventive and curative services.The health services like OPD. Indoor,MNCH and various preventive measures that performed last year updated. This health bulletin shows the information of safe drinking water and sanitary latrines in this upazila and also shows the present staff position. Consultants Anesthesia & Gynae have been posted as cesarean Operations is going on in jaldhaka UHC as this Upazilla is under EOC services. Last Year We performed 21 cesarean Operations. Finally I thanks Director MIS and his team to provide Tele medicine services in Jaldhaka Upazilla through Upazilla Health Complex.
Dr. Md.Mahabub Hasan
UH&FPO
Jaldhaka Upazila Health Complex

Jaldhaka Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Jaldhaka
Organization Code 10001455
Name of UHFPO Dr. Md.Mahabub Hasan
Land Phone No. 1 -0552464024
Land Phone No. 2
FAX No.
Mobile No. 01712178270
Email jaldhaka@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 26.0230 And Long: 89.0050
No. of Unions in the Upazila12
No. of Households in the Upazila 78,469
Population in the Upazila 359,682
Area of Upazila in sq km 312.55

Jaldhaka 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 3 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 1 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 36 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

Jaldhaka Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,612


Under 5 Mortality Rate: 38.623 (Per 1,000 live births)
Infant Mortality Rate: 34.025 (Per 1,000 live births)
Neonatal Mortality Rate: 27.588 (Per 1,000 live births)
Still Birth Rate: 34.157 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 27,664
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 93%

Jaldhaka 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: 11
Total No. of Recipients Who Took at least one ANC: 8,872
Total Number of Deliveries: 7,843
Valid TT Coverage: 85.00 %
Maternal Mortality Ratio (MMR) is: 144.51 per 100,000 live births.

Jaldhaka 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 14,856 16,221 31,077 5,896 6,507 12,403 43,480 3,650 4,367 8,017 1,190 1,410 2,600 10,617
Union Sub-Centres 3,663 4,298 7,961 2,119 2,305 4,424 12,385 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 1,840 2,438 4,278 2,212 1,520 3,732 8,010 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 112,811 242,363 355,174 19,964 20,904 40,868 396,042 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

Jaldhaka 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 6,281 7,429 13,710 3,018 4,671 7,689 21,399 12 9 21 3 6 9 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

Jaldhaka 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 21,399
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1688 7.89
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 1662 7.77
3 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 1522 7.11
4 F412 Mixed anxiety and depressive disorder V: Mental and behavioural disorders 620 2.90
5 J459 Asthma, unspecified X: Diseases of the respiratory system 681 3.18
6 A010 Typhoid fever I: Certain infectious and parasitic diseases 648 3.03
7 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 540 2.52
8 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 302 1.41
9 K35 Acute appendicitis XI: Diseases of the digestive system 126 0.59
10 T375 Antiviral drugs XIX: Injury, poisoning and certain other consequences of external causes 120 0.56

Jaldhaka 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 30
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 R560 Febrile convulsions XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 6 20.00
2 J22 Unspecified acute lower respiratory infection X: Diseases of the respiratory system 5 16.67
3 J459 Asthma, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 3 10.00
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 3 10.00
5 T375 Antiviral drugs XIX: Injury, poisoning and certain other consequences of external causes 2 6.67
6 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 1 3.33
7 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 1 3.33
8 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 1 3.33
9 G463 Brain stem stroke syndrome VI: Diseases of the nervous system 1 3.33
10 I21 Acute myocardial infarction IX: Diseases of the circulatory system 1 3.33

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 95.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 21,399
Bed Occupancy Rates (%) 117.25
Average Length of Hospital Stay (No. of days per patient) 1.00
Hospital Death Rate (%) 0.14


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 23
Minor Surgeries 50

 

Jaldhaka 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 10 4 3 3 30.00
Non Doctor 0 0 0 0 0.00
Class II 10 1 6 3 30.00
Class III 81 63 18 0 0.00
Class IV 19 12 6 1 5.26
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 1 0 1 0 0.00
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
Rural Dispensaries
Class I Doctor 3 2 0 1 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 2 0 4 66.67
Class IV 3 2 1 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 18 18 0 0.00
Class IV 0 0 0 0 0.00

 

Jaldhaka 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 22 12 6 4 18.18
Non Doctor 0 0 0 0 0.00
Class II 10 1 6 3 30.00
Class III 97 57 18 22 22.68
Class IV 23 14 8 1 4.35
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

 

Jaldhaka 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 10 7 0 0 0 1 0
Nurse 0 0 0 0 10 7 0 0 3 3 0
Medical Assistant 0 0 12 9 2 2 0 0 4 0 0
Medical Technologist 0 0 4 1 8 5 0 0 0 0 0
CHCP 36 36 0 0 0 0 0 0 0 0 3
HI 0 0 0 0 3 1 0 0 0 0 0
AHI 0 0 0 0 10 7 0 0 0 0 0
HA 0 0 0 0 47 39 0 0 0 0 12

Jaldhaka 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) 4 1 0 3 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 3 1 2 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 1 1 0 0
Electric cautery machine 1 0 1 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 2 1 1 0 0
Ceiling mounting OT Light 3 2 1 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 3 0 0 0
Sterilizer 2 1 1 0 0
Sucker machine (electric) 4 4 0 0 0
Ventilator 0 0 0 0 0


Jaldhaka 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 3 3 0 0 0
Pulse oximeter 1 0 1 0 0
Dental equipment
Dental unit 2 1 0 1 0


Jaldhaka 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 1 1 0 0 0
Centrifuge machine (electric) 3 2 1 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 1 0 1 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Jaldhaka 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 1 1 0 0 0
Vehicles
Ambulance 2 1 0 1 0


Jaldhaka 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) 2 2 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 7 6 0 1 0
Laptop 42 41 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 6 3 0 3 0
Printer (laser) 5 3 2 0 0
Scanner 1 1 0 0 0
UPS 7 6 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 2 2 0 0 0
Multimedia 1 1 0 0 0


Jaldhaka 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 0 1 0 0
Mobile phone 1 1 0 0 0
Total 121 97 14 10 0

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

Important information and necessary issues for Jaldhaka Upazila Health Complex
Last year we provided comprehensive EOC services as EOC pair was posted. You will be happy to know that last year in 2015 jaldhaka Upazila (as a whole Nilphamari District) attained 88% (FVC) in EPI proggram . Which is the Highest in Rangpur Division. I like to mention that jaldhaka UHC is Serving as 50 beded Hospital with the man power of 31 Beded Hospital. Finally I hope that we will Provide better Curative an preventive Services in 2016. An on a words to attend the target of MDG4&5. Thank You. .