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

Jaldhaka Upazila Health Complex | Health Bulletin 2014 |
Preface
This is the third time we are going to publish the HEALTH BULLETIN of Nilphamari District and it is my pleasure that I have the opportunity to take part in publishing this bulletin for consecutive third time. In comprison of the first one this bulletin is more mature and informative . We have lot of limitations in defferent side in spite of that we have lot of acheivement . We should let all the people know about this wonderful acheivements and this Bulletin will play vital role in it . It will help us to know about the gaps in our performance and also to compare our status regarding health service and acheivments with other districts. It will also help the policy makers to take dicission in giving inputs to upgrade of this district . With this Health Bulletin we can prove that we are in the right track in acheiving the goal of MDG 4 and MDG 5 in spite of our limitation in different sectors. Dr.Sneha kanti Chakma Civil Surgeon Nilphamari
Dr. Md.Mahabub Hasan
UH&FPO
Jaldhaka Upazila Health Complex

Jaldhaka Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaJaldhaka
Name of UHFPO Dr. Md.Mahabub Hasan
Telephone No. 0552464024
FAX No. 0
Mobile No. 01017121782
Email jaldhaka@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 94.0000
No. of Unions in the Upazila12
No. of Households in the Upazila 7,400
No. of Population in the Upazila 346,559
Area of Upazila in sq km 33,165.00

Jaldhaka 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 50
No. of Union Sub-Centres 3 0
No. of Union Health and Family Welfare Centres 1 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 33 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

Jaldhaka Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 7,442


Total No. of children treated under IMCI Program 25,184
Fully Vaccinated Children: 95.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 29.97 per 1,000 live births.

Jaldhaka 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: 35316
Total Number of Deliveries: 37112
No. of Maternal Death: 61
Valid TT Coverage: 10.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 819.67 per 100,000 live births.

Jaldhaka 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 23,054 10,820 12,234 11,566 7,030 2,920 4,110 1,730
Union Sub-Centres 10,756 4,354 6,402 4,910 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 6,671 2,310 4,361 810 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 396,572 136,628 259,944 57,520 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 437,053 154,112 282,941 74,806 7,030 2,920 4,110 1,730
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 14,482 5,270 9,212 3,390 25 11 14 17
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 14,482 5,270 9,212 3,390 25 11 14 17

Jaldhaka 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 0
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1420 0.00
2 J189 Pneumonia, unspecified 862 0.00
3 A010 Typhoid fever 643 0.00
4 J459 Asthma, unspecified 541 0.00
5 N739 Female pelvic inflammatory disease, unspecified 501 0.00
6 N390 Urinary tract infection, site not specified 482 0.00
7 V011 Pedestrian injured in collision with pedal cycle, traffic accident 318 0.00
8 F412 Mixed anxiety and depressive disorder 270 0.00
9 K35 Acute appendicitis 196 0.00
10 T375 Antiviral drugs 790 0.00

Jaldhaka 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 42
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J22 Unspecified acute lower respiratory infection 11 26.19
2 J129 Viral pneumonia, unspecified 4 9.52
3 I10 Essential (primary) hypertension 4 9.52
4 H522 Astigmatism 4 9.52
5 A01 Typhoid and paratyphoid fevers 4 9.52
6 P210 Severe birth asphyxia 3 7.14
7 J459 Asthma, unspecified 2 4.76
8 A87 Viral meningitis 2 4.76
9 J18 Pneumonia, organism unspecified 1 2.38
10 T375 Antiviral drugs 1 2.38

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 80.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 17,872
Bed Occupancy Rates (%) 0.01
Average Length of Hospital Stay (No. of days per patient) 0.00
Hospital Death Rate (%) 0.00


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 241

 

Jaldhaka 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 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
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 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
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 0 0 0 0 0.00
Class IV 0 0 0 0 0.00

 

Jaldhaka 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 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
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

 

Jaldhaka 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 61 17 90 33 21 14 5 3
Nurse 0 0 0 0 142 93 35 230 0 7
Medical Assistant 0 0 61 21 10 7 0 0 30 0
Medical Technologist 0 0 22 10 46 32 6 5 0 0
CHCP 177 174 0 0 0 0 0 0 0 0
HI 0 0 0 0 17 12 0 0 0 0
AHI 0 0 0 0 51 48 0 0 0 0
HA 0 0 0 0 253 200 0 0 0 0
CSBA trained*** 47 47 0 0 0 0 0 0 0 0

Jaldhaka 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) 16 8 5 3 0
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 2 1 1 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 6 3 1 0 2
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 14 7 5 2 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 20 10 7 0 3
Electric cautery machine 2 1 1 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 6 3 3 0 0
Portable OT Light 6 4 2 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 1 1 0 0
Sterilizer 8 4 2 2 0
Sucker machine (electric) 12 6 4 2 0
Ventilator 10 5 3 2 0


Jaldhaka 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 3 3 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 20 10 7 3 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 2 1 0 1 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Jaldhaka 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) 10 5 5 0 0
Colorimeter 10 5 5 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) 15 8 6 1 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 2 1 1 0 0
Phototherapy unit 0 0 0 0 0


Jaldhaka 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 4 2 2 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 2 1 1 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 16 8 5 3 0
Bus 0 0 0 0 0
Jeep 4 2 1 0 1
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Jaldhaka 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) 20 10 9 1 0
Generator
Generator (diesel/petrol) 12 6 6 0 0
Generator (gas) 0 0 0 0 0
Solar panel 2 1 1 0 0
IPS 6 3 3 0 0
ICT equipment
Computer (desktop) 90 45 43 1 1
Laptop 406 203 198 4 1
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 6 3 0 3 0
Printer (laser) 79 40 35 1 3
Scanner 14 7 7 0 0
UPS 76 38 34 0 4
Fax 2 1 1 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 20 10 10 0 0
Multimedia 9 8 0 1 0


Jaldhaka 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 20 10 7 3 0
Mobile phone 7 0 7 0 0
Photocopier machine 2 1 0 1 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 963 485 429 34 15

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

Important information and necessary issues for Jaldhaka Upazila Health Complex |
 Nilphamari District Hospital is one of the remotest district Hospital in Bangladesh .It is facing lot of problems like manpower in different areas . We have shortage of consultant ,doctors & nursing staffs and other staffs .We can not give proper service to the poor people of this remotest area as we have no Medicine,Surgery ,Anesthesia, & Pathology consultant. As a secondary Hospital the presence of above consultant is inevitable . So that vacant post should be fulfilled immediately . Nursing staff is very essential for the good service in the hospital .There is overload of the patient shortage of Nursing staff. So it is not possible to give proper service in the Hospital. Overload of visitors always makes the hospital crowded. which hampers the proper environment of the hospital & it is due the shortage of class iv employees in the hospital. As 100 bed hospital short at lest 3 three Night guard necessary for the security of the hospital & 2 (two) gardener is require for the beautification of the hospital.