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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.
Dr.Sanjoy Kumar Pathak
UH&FPO
Jhikargacha Upazila Health Complex

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 Upazila11
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.