Jhikargacha Upazila Health Complex | Health Bulletin 2015 |
Preface
We are delighted to publish the health bulletin of Jhikargacha upazila for the 4th time.This bulletin contains all the health related informations of this upazila of yr 2014.This bulletin is published to disseminate the informations of this upazila to other line departments and development partners of Health service.I hope all the informations of this bulletin will help for planning and bridging the gaps in health services of this upazila.Government health offices have many data stored in the files.This health bulletin will help us to find constraints and also to see the results and achievements of 2014.The bulletin contains the status of MDG4 and MDG5 which will help us to fix up the local targets.This health bulletin has also the informations on safe drinking water and sanitation status of the upazila.All the Sanctioned and vaccant posts are published in this bulletin.I like to draw attention of the higher authority to look into this issue.Finally I would like to congratulate the initiator of the health bulletin software for helping us to go one step ahead towards Digital Bangladesh.
Jhikargacha Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Jhikargacha
Organization Code
10001759
Name of UHFPO Dr.Sanjoy Kumar Pathak
Land Phone No. 1
-0422571333
Land Phone No. 2
FAX No.
Mobile No.
01716798748
Email jhikargacha@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
23.1045 And
Long:
89.1093
No. of Unions in the Upazila 11
No. of Households in the Upazila 72,380
Population in the Upazila 293,348
Area of Upazila in sq km 342.00
Jhikargacha 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
8
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
10
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
0
0
No. of Rural/Urban/Thana Health Centers
3
0
No. of Community Clinics
30
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
8
85
No. of NGO Clinics/Facilities
0
0
Jhikargacha Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,671
Under 5 Mortality Rate: 11.814 (Per 1,000 live births)
Infant Mortality Rate: 10.404 (Per 1,000 live births)
Neonatal Mortality Rate: 7.935 (Per 1,000 live births)
Still Birth Rate: 9.698 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 29,345
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 94%
Jhikargacha 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:
6
Total No. of Recipients Who Took at least one ANC:
5,614
Total Number of Deliveries:
5,745
Valid TT Coverage: 76.00 %
Maternal Mortality Ratio (MMR) is:
105.80 per 100,000 live births.
Jhikargacha 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
14,696
24,504
39,200
6,580
8,498
15,078
54,278
6,105
4,757
10,862
783
1,176
1,959
12,821
Union Sub-Centres
6,297
10,501
16,798
2,819
3,642
6,461
23,259
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)
14,920
45,990
60910
9,200
13,802
23,002
83,912
0
0
0
0
0
0
23,002
Community Clinics
51,486
114,903
166,389
18,022
23,659
41,681
208,070
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
3,825
5,072
8,897
872
1,222
2,094
10,991
1,045
1,430
2,475
440
505
945
3,420
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Jhikargacha 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
1,122
2,520
3,642
322
483
805
4,447
1
2
3
0
0
0
3
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
1,020
1,503
2,523
450
404
854
3,377
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Jhikargacha 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
4,449
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
822
18.48
2
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
678
15.24
3
V283 Motorcycle rider injured in noncollision transport accident, while boarding or alighting
XX: External causes of morbidity and mortality
547
12.29
4
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
411
9.24
5
R50 Fever of unknown origin
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
372
8.36
6
J459 Asthma, unspecified
X: Diseases of the respiratory system
298
6.70
7
K277 Peptic ulcer, site unspecified, chronic without haemorrhage or perforation
XI: Diseases of the digestive system
277
6.23
8
A010 Typhoid fever
I: Certain infectious and parasitic diseases
204
4.59
9
J069 Acute upper respiratory infection, unspecified
X: Diseases of the respiratory system
198
4.45
10
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
109
2.45
Jhikargacha 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
3
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
O149 Pre-eclampsia, unspecified
XV: Pregnancy, childbirth and the puerperium
1
33.33
2
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
1
33.33
3
J449 Chronic obstructive pulmonary disease, unspecified
XV: Pregnancy, childbirth and the puerperium
1
33.33
4
0
0.00
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Jhikargacha Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
95.00
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.)
10,747
Bed Occupancy Rates (%)
58.89
Average Length of Hospital Stay (No. of days per patient)
2.42
Hospital Death Rate (%)
0.07
Jhikargacha Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
287
Minor Surgeries
2,340
Jhikargacha 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
6
3
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
13
0
13
0
0.00
Class III
72
41
10
21
29.17
Class IV
19
9
3
7
36.84
Union Health & Family Welfare Center (under DGHS)
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
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
4
0
2
33.33
Class IV
3
3
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
35
16
16
3
8.57
Class IV
0
0
0
0
0.00
Jhikargacha 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
0
0
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
13
0
13
0
0.00
Class III
128
82
22
24
18.75
Class IV
22
16
5
1
4.55
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
Jhikargacha 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
11
10
10
10
0
0
0
1
0
Nurse
0
0
0
0
12
12
0
0
0
2
0
Medical Assistant
0
0
11
11
2
2
0
0
1
0
0
Medical Technologist
0
0
0
0
6
6
0
0
0
0
0
CHCP
35
32
0
0
0
0
0
0
0
0
2
HI
0
0
0
0
3
3
0
0
0
0
0
AHI
0
0
0
0
8
5
0
0
0
0
0
HA
0
0
0
0
39
27
0
0
0
0
6
Jhikargacha 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)
2
1
0
1
0
Ultrasonogram machine
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
2
2
0
0
0
Autoclave
4
2
1
1
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
4
3
1
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
1
1
0
0
Sterilizer
4
2
2
0
0
Sucker machine (electric)
8
3
5
0
0
Ventilator
0
0
0
0
0
Jhikargacha 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
2
0
1
0
Pulse oximeter
1
0
1
0
0
Dental equipment
Dental unit
1
1
0
0
0
Jhikargacha 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
1
1
0
0
Pediatric equipment
Baby incubator
1
0
1
0
0
Phototherapy unit
0
0
0
0
0
Jhikargacha 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
0
0
0
0
0
Refrigerator
1
1
0
0
0
Vehicles
Ambulance
1
1
0
0
0
Jhikargacha 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
1
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
1
1
0
0
0
ICT equipment
Computer (desktop)
8
6
2
0
0
Laptop
35
35
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
4
2
2
0
0
Scanner
1
1
0
0
0
UPS
8
3
3
2
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
1
1
0
0
0
Internet wireless line
36
36
0
0
0
Multimedia
1
0
1
0
0
Jhikargacha 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
143
114
23
6
0
Jhikargacha Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Jhikargacha Upazila Health Complex
Jhikargacha Upazila Health department has done very well in the last year to uplift the national achievement in health sector,although some constraints had a negative impact on our achievement.We have a 50 beded hospital very nice to look at but no manpower has been allocated yet to run the hospital well.Moreover,the support staff posts are not fulfilled.We have only two sweepers to keep the hospital building and premises clean.We have no mali,only 4 MLSS.Out of 39 ,we have only 27 Health Assistants,2 Health inspectors out of 3,5 AHI out of 8.We are to work with many other limitations.To go fast in health sector in the race of building Digital Bangladesh,all the vacant posts should be fulfilled immediately.Lastly I humbly request all my colleagues,to give their heartiest services for our people to help them live healthily.Thanking again everybody.
Dr Sanjoy Kumar Pathak,
Upazila Health and Family Planning Officer,
Jhikargacha,Jessore.