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Mohakhali, Dhaka-1212

Jhenaidah Civil Surgeon Office | Health Bulletin 2015 |
Preface
It gives me much pleasure and pride to learn that annual Health Bulletin is going to publish from Jhenaidah district. “Health is Wealth” goes the proverb,and obviously it is the primary concern of an individual as well as a nation. If a citizen is healthy, is an asset to the nation, if not, is the burden to it. This data-base software is filled in and published by the Statistical Section of Civil Surgeon Office, Jhenidah. The Health Bulletin is composed for providing information to the health planners, Program Managers and all Health Care Providers (HCP) working at various level of health system. It is true that reporting and recording is the mirror of an actual situation. We hope, we have already achieved some positive changes which will Inspire us to reach the goal and develop the quality up to the mark. I express my heartiest feelings to Prof. Dr. Abul Kalam Azad, Additional Director General (Planning & Development) and Director of MIS, Health,DGHS, Mohakhali, Dhaka 1212 and Divisional Director (Health) Khulna Division, Khulna as well as his officers and staff who encouraged and guided my subordinates to compose of this great work.
Dr. Md. Abdus Salam
Civil Surgeon
Jhenaidah Civil Surgeon Office

Jhenaidah Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. Md. Abdus Salam
Organization Code 10001775
Name of District Jhenaidah
Land Phone No. 1 -045162311
Land Phone No. 2
FAX No. 45162311
Mobile No. 01711860455
Email jhenaidah@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 23.0000 And Long: 89.0000
No. of Upazila in the District6
No. of Households in the District 352,840
Population in the District 1,857,149
Area of District in sq km 2,024

Jhenaidah Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital 0 0
District Hospital 1 100
General Hospital 0 0
Upazila Health Complexes 6 250
No. of Union Sub-Centres 13 0
No. of Rural/Urban/Thana Dispensaries 6 0
No. of Community Clinics 171 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 20
No. of Chest Disease Clinic (TB Clinics/Hospitals) 0 0
No. of Private Clinics/Facilities 75 750
No. of NGO Clinics/Facilities 3 30
No. of Other Hospitals

Jhenaidah Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 32,855


Total No. of children treated under IMCI Program 182,579
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (NMR) is 6.51 per 1,000 live births.

Jhenaidah Civil Surgeon Office | Health Bulletin 2015 | Page# 4
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;

Maternal health and MDG-5 (Whole District) (Jan-Dec, 2014)


Total No. of Recipients Who Took at least one ANC: 30,230
Total Number of Deliveries: 32,916
No. of Maternal Deaths: 27
Valid TT Coverage: 87.00 %
Maternal Mortality Ratio (MMR) is 82.18 per 100,000 live births.

Jhenaidah Civil Surgeon Office | Health Bulletin 2015 | Page# 5
No. of OPD & Emergency visits (Whole District)
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
District Hospital 65,483 88,520 154,003 38,387 0 38,387 192,390 17,527 15,810 33,337 8,141 0 8,141 41,478
Upazila Health Complex 70,641 124,880 195,521 31,598 23,787 55,385 250,906 19,865 17,856 37,721 11,454 8,956 20,410 58,131
Union Sub-Centres 43,216 64,383 107,599 12,598 13,362 25,960 133,559 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
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 314,772 694,233 1,009,005 64,253 71,733 135,986 1,144,991 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
10 Bed Hospitals 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Hospitals 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Jhenaidah Civil Surgeon Office | Health Bulletin 2015 | Page# 6
No. of Admissions & Deaths (Whole District)
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
District Hospital 7,209 17,269 24,478 3,427 0 3,427 27,905 127 170 297 85 0 85 382
Upazila Health Complex 11,106 18,566 29,672 4,568 4,689 9,257 38,929 91 59 150 27 21 48 198
Union Sub-Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs 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
Total 18,315 35,835 54,150 7,995 4,689 12,684 66,834 218 229 447 112 21 133 580

Jhenaidah Civil Surgeon Office | Health Bulletin 2015 | Page# 7

Top 10 diseases according to the number of patients admitted in all facilities in the district
Total number of admitted patients during the reporting period 66,834
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 10258 15.35
2 Y068 By other specified persons XX: External causes of morbidity and mortality 4941 7.39
3 J153 Pneumonia due to streptococcus, group B X: Diseases of the respiratory system 4912 7.35
4 B820 Intestinal helminthiasis, unspecified I: Certain infectious and parasitic diseases 4623 6.92
5 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 3911 5.85
6 A010 Typhoid fever I: Certain infectious and parasitic diseases 3762 5.63
7 V021 Pedestrian injured in collision with two- or three-wheeled motor vehicle, traffic accident XX: External causes of morbidity and mortality 2489 3.72
8 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 2292 3.43
9 F412 Mixed anxiety and depressive disorder V: Mental and behavioural disorders 2205 3.30
10 J450 Predominantly allergic asthma X: Diseases of the respiratory system 1856 2.78

Jhenaidah Civil Surgeon Office | Health Bulletin 2015 | Page# 8

Top 10 diseases according to the number of deaths among admitted patients in all facilities in the district
Total number of Deaths during the reporting period 578
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I611 Intracerebral haemorrhage in hemisphere, cortical IX: Diseases of the circulatory system 89 15.40
2 T441 Other parasympathomimetics [cholinergics] XIX: Injury, poisoning and certain other consequences of external causes 51 8.82
3 J459 Asthma, unspecified IX: Diseases of the circulatory system 45 7.79
4 G09 Sequelae of inflammatory diseases of central nervous system VI: Diseases of the nervous system 44 7.61
5 D500 Iron deficiency anaemia secondary to blood loss (chronic) III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 31 5.36
6 J631 Bauxite fibrosis (of lung) X: Diseases of the respiratory system 28 4.84
7 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 26 4.50
8 J019 Acute sinusitis, unspecified X: Diseases of the respiratory system 25 4.33
9 E110 Non-insulin-dependent diabetes mellitus with coma IV: Endocrine, nutritional and metabolic diseases 22 3.81
10 P289 Respiratory condition of newborn, unspecified XVI: Certain conditions originating in the perinatal period 19 3.29

Jhenaidah Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 99
Coverage of households having access to sanitary latrines (%) 84
Surgeries & Interventions done in District
Type
No.
Major Surgeries 6,397
Minor Surgeries 8,113
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 211 97 35 79 37.44
Non Doctor 4 4 0 0 0.00
Class II 124 4 113 7 5.65
Class III 577 338 118 121 20.97
Class IV 156 110 17 29 18.59

Jhenaidah Civil Surgeon Office | Health Bulletin 2015 | Page# 10
Status of Human Resources (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 70 57 114 71 40 16 4 4 0
Nurse 0 0 0 0 77 70 48 48 0 7 10
Medical Assistant 0 0 70 70 10 10 0 0 31 0 0
Medical Technologist 0 0 0 0 45 33 8 6 0 0 0
CHCP 178 172 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 16 11 0 0 0 0 0
AHI 0 0 0 0 49 49 0 0 0 0 0
HA 0 0 0 0 239 178 0 0 0 0 0

Jhenaidah Civil Surgeon Office | Health Bulletin 2015 | Page# 11
Existing equipment at Civil Surgeon Office
Equipment Total (No.) Functional (No.) Non-functional Not Installed
Repairable (No.) Non-repairable (No.)
Vehicles
Ambulance 0 0 0 0 0
Bus 0 0 0 0 0
Jeep 2 1 0 1 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Jhenaidah Civil Surgeon Office | Health Bulletin 2015 | Page# 12

Existing equipment at Civil Surgeon Office
Equipment Total (No.) Functional (No.) Non-functional Not Installed
Repairable (No.) Non-repairable (No.)
Air conditioner
Air conditioner (split type) 0 0 0 0 0
Air conditioner (window) 6 0 0 0 6
Generator
Generator (diesel/petrol) 0 0 0 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) 6 5 1 0 0
Laptop 3 2 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 2 1 0 0
Scanner 1 1 0 0 0
UPS 6 1 1 0 4
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


Jhenaidah Civil Surgeon Office | Health Bulletin 2015 | Page# 13

Existing equipment at Civil Surgeon Office
Equipment Total (No.) Functional (No.) Non-functional Not Installed
Repairable (No.) Non-repairable (No.)
OHP 0 0 0 0 0
PA system (Sound) 0 0 0 0 0
Land phone 2 2 0 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 31 16 4 1 10

Jhenaidah Civil Surgeon Office | Health Bulletin 2015 | Page# 14

Important information and necessary issues for Jhenaidah Civil Surgeon Office
1. On 8th October 2013 Honorable Prime Minister declared Jhenaidah District Hospital from 100 bed to 250 bed. But no activities yet seen regarding this declaration. 2. No Physician is recruited in Shishu Hospital (25 bed) till now. Only outdoor is kept functioning by using local resources. 3. 73 Physician post is vacant out of 211. 3. No manpower recruited in MATS till now. Admission is taken every year. All the activities of MATS are running at the 40 seated female hostel. Remaining buildings are occupied by RAB-6 Jhenaidah since its beginning. 4. There is no EPI store in Jhenaidah District. 5. ORS Plant Factory is handed over on 23/8/2012 no manpower has been recruited. 6. DRS is not spacious and thus hampers normal storage.