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Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Zanzira Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish the health buletin of Zajira Upazila for the second time.It is a mater of joyfor the health personel.That second time in Bangladesh the Health Buletine is going to be publish.This buletin contains all the health related information of 2013This buletin is published to dessiminate of information of Zajira Upazila to other line department and development partner of health.This health buletin will help us to find constrain and also to see the result and acheivment of 2014 MDG targets can be localized by analising the contained status of MDG 4 and MDG-5. All the health status including save drinking water,sanitation. Sanction and Vacant post are publish in this health buletin of 2014 . I like to take attention of the hgher authority to look in to this issue.I congratulate the initiator of the health buletin software for setting us one step ahead toward disital Bangladesh. Dr Md A. Jabber Hawlader UH&FPO, Zajira,Shariatpur.
Dr Md Abdul Jabber Hawolader
UH&FPO
Zanzira Upazila Health Complex

Zanzira Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaZanzira
Name of UHFPO Dr Md Abdul Jabber Hawolader
Telephone No. 0602756003
FAX No. 0
Mobile No. 01715452070
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
No. of Population in the Upazila 189,633
Area of Upazila in sq km 238.29

Zanzira Upazila Health Complex | Health Bulletin 2014 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 31
No. of Union Sub-Centres 3 0
No. of Union Health and Family Welfare Centres 6 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 21 0
No of Trauma Centres 0 0
No. of MCWCs 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 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,591


Total No. of children treated under IMCI Program 9,943
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 0.65 per 1,000 live births.

Zanzira Upazila Health Complex | Health Bulletin 2014 | Page# 4

Legends

  • R.P.W-
  • Registered Pregnanat Woman
  • 1st ANC-
  • No. of 1st ANC recipients
  • R.P.W-
  • No. of 4th ANC recipients
  • C. Preg-
  • No. of complicated pregnancies
  • N. deli-
  • No. of normal deliveries
  • V. deli-
  • No. of vaginal deliveries
  • C. deli-
  • No. of cesarean deliveries
  • PNC-
  • No. of PNC services provided to mother in the Upazila

Maternal health and MDG-5 (No.) (January-December, 2013)


All ANC Receiptients: 348
Total Number of Deliveries: 5134
No. of Maternal Death: 0
Valid TT Coverage: 79.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 0.00 per 100,000 live births.

Zanzira Upazila Health Complex | Health Bulletin 2014 | Page# 5

No. of OPD & Emergency visits & Deaths at UHC
Health Facility
OPD
Emergency
T (M+F) M F Child (U-5) T (M+F) M F Child (U-5)
Upazila Health Complex 70,620 25,920 44,700 19,523 4,923 2,513 2,410 420
Union Sub-Centres 27,048 9,216 17,832 5,880 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 73,260 28,115 45,145 10,112 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 170,928 63,251 107,677 35,515 4,923 2,513 2,410 420
No. of Admissions & Deaths at UHC
Health Facility
Admission
Death
T (M+F) M F Child (U-5) T (M+F) M F Child (U-5)
Upazila Health Complex 3,725 1,413 2,312 732 20 14 6 6
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 537 323 214 130
Community Clinics 0 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 3,725 1,413 2,312 732 557 337 220 136

Zanzira Upazila Health Complex | Health Bulletin 2014 | Page# 6

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 4711
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 456 9.68
2 K273 Peptic ulcer, site unspecified, acute without haemorrhage or perforation 275 5.84
3 B600 Babesiosis 181 3.84
4 R509 Fever, unspecified 351 7.45
5 J459 Asthma, unspecified 285 6.05
6 Y042 Assault by bodily force, school, other institution and public administrative area 379 8.05
7 Y710 Cardiovascular devices associated with adverse incidents, diagnostic and monitoring devices 182 3.86
8 L110 Acquired keratosis follicularis 79 1.68
9 O680 Labour and delivery complicated by fetal heart rate anomaly 52 1.10
10 V426 Car occupant injured in collision with two- or three-wheeled motor vehicle, passenger, traffic accident 161 3.42

Zanzira Upazila Health Complex | Health Bulletin 2014 | Page# 7

Top 10 diseases according to the number of deaths among admitted patients in the UHC during the reporting period
Total number of Deaths during the reporting period 537
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J16 Pneumonia due to other infectious organisms, NEC 4 0.74
2 L110 Acquired keratosis follicularis 4 0.74
3 Y710 Cardiovascular devices associated with adverse incidents, diagnostic and monitoring devices 5 0.93
4 J459 Asthma, unspecified 3 0.56
5 R509 Fever, unspecified 2 0.37
6 K273 Peptic ulcer, site unspecified, acute without haemorrhage or perforation 2 0.37
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Zanzira Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
Coverage of households having access to sanitary latrines (%) 95.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 11,006
Bed Occupancy Rates (%) 97.00
Average Length of Hospital Stay (No. of days per patient) 2.38
Hospital Death Rate (%) 0.42


Zanzira Upazila Health Complex | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 211

 

Zanzira Upazila Health Complex | Health Bulletin 2014 | Page# 10

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 9 4 1 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 10 0 9 1 10.00
Class III 82 46 19 17 20.73
Class IV 20 11 6 3 15.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 1 0 2 66.67
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 1 2 0 0.00
Rural Dispensaries
Class I Doctor 9 3 0 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 2 2 5 55.56
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 20 10 10 0 0.00
Class IV 0 0 0 0 0.00

 

Zanzira Upazila Health Complex | Health Bulletin 2014 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned (No.) Filled-up (No.) Vacant (No.) Vacancy %
M F
Upazila Total
Class I Doctor 21 8 1 12 57.14
Non Doctor 0 0 0 0 0.00
Class II 10 0 9 1 10.00
Class III 118 63 31 24 20.34
Class IV 23 12 6 5 21.74
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 2014 | Page# 12

Status of Human Resources (No.) (Category wise)
Manpower Community Clinic USC/UHFWC/RD UHC Others IMCI trained Basic EOC trained
Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up
Physician 0 0 12 4 9 5 0 0 2 1
Nurse 0 0 0 0 11 10 0 0 5 2
Medical Assistant 0 0 12 7 2 2 0 0 3 0
Medical Technologist 0 0 0 0 6 5 0 0 0 0
CHCP 21 20 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 1 0 0 0 0
AHI 0 0 0 0 10 10 0 0 0 0
HA 0 0 0 0 50 37 0 0 0 0
CSBA trained*** 0 0 0 0 0 2 0 0 0 0

Zanzira Upazila Health Complex | Health Bulletin 2014 | Page# 13

Existing equipments 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
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 0 0 0 0 0
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 0 0 0 0 0
C-arm 0 0 0 0 0
Mamogram machine 0 0 0 0 0
Dehumidifier 0 0 0 0 0
MRI machine 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 1 0 0 0
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 2014 | Page# 14

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine 0 0 0 0 0
Debrililator 0 0 0 0 0
ECG machine 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 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
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Zanzira Upazila Health Complex | Health Bulletin 2014 | Page# 15

Existing equipments 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
ELISA machine 0 0 0 0 0
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 0 0 0 0 0
Microscope (binocular) 2 2 0 0 0
Obstetric equipment
Fetal Monitor 0 0 0 0 0
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 0 0 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 2014 | Page# 16

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge 0 0 0 0 0
Laminar flow hood 0 0 0 0 0
pH meter 0 0 0 0 0
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 1 1 0 0 0
Blood plasma seperating machine 0 0 0 0 0
Platelet seperating machine 0 0 0 0 0
Deep freeze (plasma) 0 0 0 0 0
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 0 0 0 0 0
Psichiatry equipment
ECT machine 0 0 0 0 0
EEG machine 0 0 0 0 0
Urology equipment
Cystoscopic machine 0 0 0 0 0
Vehicles
Ambulance 1 1 0 0 0
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Zanzira Upazila Health Complex | Health Bulletin 2014 | Page# 17

Existing equipments 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) 8 8 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 8 7 1 0 0
Scanner 0 0 0 0 0
UPS 4 4 0 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 2014 | Page# 18

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
OHP
PA system (Sound) 0 0 0 0 0
Land phone 1 1 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 43 38 5 0 0

Zanzira Upazila Health Complex | Health Bulletin 2014 | Page# 19

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 construction of 50 beded Hospital is going on.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 Md a jabber Hawlader UH&FPO, Zajira,Shariatpur