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Juraichari Upazila Health Complex | Health Bulletin 2014 |
Preface
It is our great pleasure to let you know that Jurachari Upazila Health complex is going to publish “Local Health bulletin 2014“. We gave our best effort to provide information regarding health related activities of Jurachari Health Department. Though it is a difficult task, we tried our best to compile and provide accurate information and data, so that it helps all concern of Jurachari Upazila as well as others to evaluate health activities of our department. This is the third edition of Local health bulletin of Jurachari UHC. We are very much encouraged by the positive feedback given by our valuable readers. We will highly appreciate your any valuable suggestion for better quality of this bulletin. Finally I would like to express my thanks and gratitude to all concern in publishing this local Health bulletin, specially Mr. Manoshree Chakma, Statistician who gave his best effort for this publication. With thanks and regards.
Dr. Bipash khisha
UH&FPO
Juraichari Upazila Health Complex

Juraichari Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaJuraichari
Name of UHFPO Dr. Bipash khisha
Telephone No. 00
FAX No. 0
Mobile No. 01817706554
Email jurachari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.6685 And Long: 92.3775
No. of Unions in the Upazila4
No. of Households in the Upazila 5,324
No. of Population in the Upazila 29,139
Area of Upazila in sq km 606.05

Juraichari 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 10
No. of Union Sub-Centres 1 0
No. of Union Health and Family Welfare Centres 2 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 3 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

Juraichari Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 814


Total No. of children treated under IMCI Program 1,549
Fully Vaccinated Children: 81.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 1.23 per 1,000 live births.

Juraichari 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: 566
Total Number of Deliveries: 814
No. of Maternal Death: 3
Valid TT Coverage: 11.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 368.55 per 100,000 live births.

Juraichari 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 6,148 3,142 3,006 927 565 418 147 16
Union Sub-Centres 2,799 1,451 1,348 622 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 3,268 1,481 1,787 968 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 12,215 6,074 6,141 2,517 565 418 147 16
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 354 183 171 44 0 0 0 1
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 0 0 0 0
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 354 183 171 44 0 0 0 1

Juraichari 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 398
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 52 13.07
2 A99 Unspecified viral haemorrhagic fever 31 7.79
3 K27 Peptic ulcer, site unspecified 30 7.54
4 J16 Pneumonia due to other infectious organisms, NEC 22 5.53
5 J450 Predominantly allergic asthma 18 4.52
6 A49 Bacterial infection of unspecified site 15 3.77
7 B50 Plasmodium falciparum malaria 10 2.51
8 Y09 Assault by unspecified means 11 2.76
9 N390 Urinary tract infection, site not specified 9 2.26
10 K35 Acute appendicitis 3 0.75

Juraichari 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 1
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J16 Pneumonia due to other infectious organisms, NEC 1 100.00
2 0 0.00
3 0 0.00
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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 26.00
Coverage of households having access to sanitary latrines (%) 36.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 1,810
Bed Occupancy Rates (%) 49.64
Average Length of Hospital Stay (No. of days per patient) 4.91
Hospital Death Rate (%) 0.25


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 38

 

Juraichari 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 1 0 8 88.89
Non Doctor 0 0 0 0 0.00
Class II 8 1 2 5 62.50
Class III 34 19 8 7 20.59
Class IV 19 10 6 3 15.79
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 0 0 3 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 3 0 1 2 66.67
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 0 0 1 100.00
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 0 0 1 100.00
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 7 3 4 0 0.00
Class IV 0 0 0 0 0.00

 

Juraichari 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 13 1 0 12 92.31
Non Doctor 0 0 0 0 0.00
Class II 8 1 2 5 62.50
Class III 46 23 13 10 21.74
Class IV 20 10 6 4 20.00
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

 

Juraichari 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 4 0 10 1 0 0 0 0
Nurse 0 0 0 0 8 3 0 0 2 2
Medical Assistant 0 0 4 2 2 2 0 0 2 2
Medical Technologist 0 0 1 0 7 7 0 0 0 0
CHCP 7 7 0 0 0 0 0 0 0 0
HI 0 0 0 0 1 0 0 0 0 0
AHI 0 0 0 0 2 2 0 0 0 0
HA 0 0 0 0 10 9 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 8 8 0 0

Juraichari 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) 0 0 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 0 0 0 0 0
Autoclave 0 0 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 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 0 0 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


Juraichari 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 0 0 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Juraichari 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) 0 0 0 0 0
Colorimeter 0 0 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) 3 1 0 2 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


Juraichari 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 0 0 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 0 0 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


Juraichari 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) 0 0 0 0 0
Generator
Generator (diesel/petrol) 0 0 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 2 2 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 7 6 0 1 0
Laptop 7 6 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 3 0 1 0
Scanner 1 1 0 0 0
UPS 5 5 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


Juraichari 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 0 0 0 0 0
Mobile phone 1 1 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 32 27 1 4 0

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

Important information and necessary issues for Juraichari Upazila Health Complex |
 Countless necessary and burning issues here been compiled together for Jurachari Upazila Health Complex . 1. The main burning issues and problem of UHC is the building infrastructure. UHC building is so old and out of order that, it may collapse at any time and may pay some lives at any time . In the rainy season almost all rooms get wet by water from the roof. Lots of cracks and holes are in the wall of whole building. In one word it is uninhabitable and irreparable as well. The same condition apply to Doctors and others staffs quarters . 2. Post of UH&FPO, Junior Consultants and medical officers remained vacant for a long time. 3. New UH&FPO joined on 15th July 2013 . 4. No MO is serving at present. In the year 2013 only one MO had been serving in UHC and recently he transferred out . 5. At present 03(three) SACMO and 03 (three) senior staff nurse are carrying out all outdoor and indoor activities . 6. We are unable to provide major surgical operations and EmOc activities due to lack of trained manpower and logistic. 7. We have very limited lab Services . 8. Though radiology is a necessary service. We have no Radiology Unit. 9. Field service including EPI is satisfactory. MOs are necessary for better monitoring of field activities. 10. Though Community Clinic services are quite satisfactory. Existing 03 (three) CC are not sufficient for providing necessary service in whole upazila. 11. Others issues are Electricity problem. There is no water supply system in UHC, which is very necessary. There are some important issues which are main constrains for providing health services. So we pray and hope that the higher authority will give a special look on flowing matters for better health service in this upazila . a) Immediate construction of a new UHC building. b) Immediate fill up of all vacant posts, specially Doctors . c) Providing generator and water supply. d) Expanding of CC services in all wards of Upazila .