Juraichari Upazila Health Complex | Health Bulletin 2015 |
Preface
It is our great pleasure to let you know that Jurachari Upazila Health complex is going to publish “Local Health bulletin 2015. 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.
Juraichari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Juraichari
Organization Code
10001074
Name of UHFPO Dr. Bipash khisa
Land Phone No. 1
Land Phone No. 2
FAX No.
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 Upazila 4
No. of Households in the Upazila 5,309
Population in the Upazila 28,671
Area of Upazila in sq km 606.05
Juraichari 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
10
No. of OPD at Sadar Upazila Health Facility
0
0
No. of Union Sub-Centres
1
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
0
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
2
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
3
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
0
0
No. of NGO Clinics/Facilities
0
0
Juraichari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 714
Under 5 Mortality Rate: 11.204 (Per 1,000 live births)
Infant Mortality Rate: 2.801 (Per 1,000 live births)
Neonatal Mortality Rate: 2.801 (Per 1,000 live births)
Still Birth Rate: 5.602 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 2,642
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months): 0%
Juraichari 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:
3
Total No. of Recipients Who Took at least one ANC:
785
Total Number of Deliveries:
718
Valid TT Coverage: 14.00 %
Maternal Mortality Ratio (MMR) is:
420.17 per 100,000 live births.
Juraichari 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
3,063
2,817
5,880
488
410
898
6,778
394
111
505
15
15
30
535
Union Sub-Centres
1,246
1,285
2,531
107
174
281
2,812
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
Community Clinics
1,968
2,665
4,633
243
254
497
5,130
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
Juraichari 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
157
139
296
39
26
65
361
1
2
3
1
1
2
5
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
Juraichari 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
354
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
70
19.77
2
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
35
9.89
3
A99 Unspecified viral haemorrhagic fever
I: Certain infectious and parasitic diseases
28
7.91
4
J16 Pneumonia due to other infectious organisms, NEC
X: Diseases of the respiratory system
27
7.63
5
B50 Plasmodium falciparum malaria
I: Certain infectious and parasitic diseases
17
4.80
6
J45 Asthma
X: Diseases of the respiratory system
17
4.80
7
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
9
2.54
8
A010 Typhoid fever
I: Certain infectious and parasitic diseases
8
2.26
9
T793 Post-traumatic wound infection, NEC
XIX: Injury, poisoning and certain other consequences of external causes
7
1.98
10
Y04 Assault by bodily force
XX: External causes of morbidity and mortality
6
1.69
Juraichari 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
2
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
T571 Phosphorus and its compounds
XIX: Injury, poisoning and certain other consequences of external causes
1
50.00
2
A150 Tuberculosis of lung, confirmed by sputum microscopy with or without culture
I: Certain infectious and parasitic diseases
1
50.00
3
XIX: Injury, poisoning and certain other consequences of external causes
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 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
31.00
Coverage of households having access to sanitary latrines (%)
34.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
1,693
Bed Occupancy Rates (%)
46.38
Average Length of Hospital Stay (No. of days per patient)
4.78
Hospital Death Rate (%)
0.56
Juraichari Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
67
Juraichari 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
10
4
0
6
60.00
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
11
5
3
15.79
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
3
3
0
0
0.00
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
1
0
0
0.00
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 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
14
8
0
6
42.86
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 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
4
4
10
4
0
0
0
0
4
Nurse
0
0
0
0
8
3
0
0
2
3
4
Medical Assistant
0
0
4
2
2
1
0
0
3
2
0
Medical Technologist
0
0
1
0
7
6
0
0
0
0
0
CHCP
7
7
0
0
0
0
0
0
0
0
2
HI
0
0
0
0
1
0
0
0
0
0
0
AHI
0
0
0
0
2
2
0
0
0
0
0
HA
0
0
0
0
10
9
0
0
0
0
0
Juraichari 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)
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 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
0
0
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Juraichari 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)
0
0
0
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
3
1
0
2
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Juraichari 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
0
0
0
0
0
Vehicles
Ambulance
0
0
0
0
0
Juraichari 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)
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)
8
7
0
1
0
Laptop
7
6
0
1
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
5
0
0
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
0
0
1
0
Juraichari 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
0
0
0
0
0
Mobile phone
1
1
0
0
0
Total
36
31
0
5
0
Juraichari Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Juraichari Upazila Health Complex
Countless necessary and burning issues have been compiled together for Jurachari Upazila Health Complex .
1. The main burning issue 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 floor of whole building. In one word it is uninhabitable and irreparable as well. The same condition apply to Doctors and others staffs quarters .
2. Health service delivery at UHC is some what difficult due to scarcity of rooms.
3. Post of Junior Consultants remained vacant for a long time.
4. Many surgical operations and EmOc activities could not be provided due to lack of trained manpower and logistic.
5. We have very limited laboratory services .
6. Though radiology is a necessary service. We have no Radiology Unit.
7. Due to very poor internet network service at Jurachari we can not receive and send necessary information in time. So on line activities could not be executed in due time.
9. We have achieved 98% EPI coverage in 2014 which is quite satisfactory.
10. Though Community Clinic services are quite satisfactory. Existing 03 (three) CC are not sufficient for providing necessary service in whole upazila.
11. One of the important issues is the Electricity problem. Due to frequent interrupted power supply hospital service and official activities could not be
done properly.
12. There is no water supply system in UHC, which is very necessary.
There are some important issues which are main constrains for providing good health services. So we are looking forward to paying special attention by the higher authority on flowing matters for better health service in this upazila .
a) Immediate construction of a new UHC building.
b) Providing generator.
c) Arranging water supply at UHC.
c) Expanding of CC services in all wards.
