Jaldhaka Upazila Health Complex | Health Bulletin 2015 |
Preface
It is a pleasure to me that health bulletin of Jaldhaka UHC for 2015 has prepared.In this bulletin we have shown the activities performed in last year both preventive and curative services.The health services like OPD. Indoor,MNCH and various preventive measures that performed last year updated. This health bulletin shows the information of safe drinking water and sanitary latrines in this upazila and also shows the present staff position. Consultants Anesthesia & Gynae have been posted as cesarean Operations is going on in jaldhaka UHC as this Upazilla is under EOC services. Last Year We performed 21 cesarean Operations. Finally I thanks Director MIS and his team to provide Tele medicine services in Jaldhaka Upazilla through Upazilla Health Complex.
Jaldhaka Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Jaldhaka
Organization Code
10001455
Name of UHFPO Dr. Md.Mahabub Hasan
Land Phone No. 1
-0552464024
Land Phone No. 2
FAX No.
Mobile No.
01712178270
Email jaldhaka@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
26.0230 And
Long:
89.0050
No. of Unions in the Upazila 12
No. of Households in the Upazila 78,469
Population in the Upazila 359,682
Area of Upazila in sq km 312.55
Jaldhaka 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
50
No. of OPD at Sadar Upazila Health Facility
0
0
No. of Union Sub-Centres
3
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
1
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
0
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
36
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
Jaldhaka Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,612
Under 5 Mortality Rate: 38.623 (Per 1,000 live births)
Infant Mortality Rate: 34.025 (Per 1,000 live births)
Neonatal Mortality Rate: 27.588 (Per 1,000 live births)
Still Birth Rate: 34.157 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 27,664
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 93%
Jaldhaka 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:
11
Total No. of Recipients Who Took at least one ANC:
8,872
Total Number of Deliveries:
7,843
Valid TT Coverage: 85.00 %
Maternal Mortality Ratio (MMR) is:
144.51 per 100,000 live births.
Jaldhaka 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
14,856
16,221
31,077
5,896
6,507
12,403
43,480
3,650
4,367
8,017
1,190
1,410
2,600
10,617
Union Sub-Centres
3,663
4,298
7,961
2,119
2,305
4,424
12,385
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
1,840
2,438
4,278
2,212
1,520
3,732
8,010
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
112,811
242,363
355,174
19,964
20,904
40,868
396,042
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
Jaldhaka 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
6,281
7,429
13,710
3,018
4,671
7,689
21,399
12
9
21
3
6
9
30
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
Jaldhaka 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
21,399
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
1688
7.89
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
1662
7.77
3
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
1522
7.11
4
F412 Mixed anxiety and depressive disorder
V: Mental and behavioural disorders
620
2.90
5
J459 Asthma, unspecified
X: Diseases of the respiratory system
681
3.18
6
A010 Typhoid fever
I: Certain infectious and parasitic diseases
648
3.03
7
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
540
2.52
8
V011 Pedestrian injured in collision with pedal cycle, traffic accident
XX: External causes of morbidity and mortality
302
1.41
9
K35 Acute appendicitis
XI: Diseases of the digestive system
126
0.59
10
T375 Antiviral drugs
XIX: Injury, poisoning and certain other consequences of external causes
120
0.56
Jaldhaka 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
30
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
R560 Febrile convulsions
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
6
20.00
2
J22 Unspecified acute lower respiratory infection
X: Diseases of the respiratory system
5
16.67
3
J459 Asthma, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
3
10.00
4
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
3
10.00
5
T375 Antiviral drugs
XIX: Injury, poisoning and certain other consequences of external causes
2
6.67
6
P210 Severe birth asphyxia
XVI: Certain conditions originating in the perinatal period
1
3.33
7
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
1
3.33
8
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
1
3.33
9
G463 Brain stem stroke syndrome
VI: Diseases of the nervous system
1
3.33
10
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
1
3.33
Jaldhaka Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
100.00
Coverage of households having access to sanitary latrines (%)
95.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
21,399
Bed Occupancy Rates (%)
117.25
Average Length of Hospital Stay (No. of days per patient)
1.00
Hospital Death Rate (%)
0.14
Jaldhaka Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
23
Minor Surgeries
50
Jaldhaka 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
3
3
30.00
Non Doctor
0
0
0
0
0.00
Class II
10
1
6
3
30.00
Class III
81
63
18
0
0.00
Class IV
19
12
6
1
5.26
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
1
0
1
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
1
0
0
0.00
Rural Dispensaries
Class I
Doctor
3
2
0
1
33.33
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
2
0
4
66.67
Class IV
3
2
1
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
36
18
18
0
0.00
Class IV
0
0
0
0
0.00
Jaldhaka 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
22
12
6
4
18.18
Non Doctor
0
0
0
0
0.00
Class II
10
1
6
3
30.00
Class III
97
57
18
22
22.68
Class IV
23
14
8
1
4.35
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 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
12
11
10
7
0
0
0
1
0
Nurse
0
0
0
0
10
7
0
0
3
3
0
Medical Assistant
0
0
12
9
2
2
0
0
4
0
0
Medical Technologist
0
0
4
1
8
5
0
0
0
0
0
CHCP
36
36
0
0
0
0
0
0
0
0
3
HI
0
0
0
0
3
1
0
0
0
0
0
AHI
0
0
0
0
10
7
0
0
0
0
0
HA
0
0
0
0
47
39
0
0
0
0
12
Jaldhaka 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)
4
1
0
3
0
Ultrasonogram machine
1
1
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
3
1
2
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
2
1
1
0
0
Electric cautery machine
1
0
1
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
2
1
1
0
0
Ceiling mounting OT Light
3
2
1
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
3
3
0
0
0
Sterilizer
2
1
1
0
0
Sucker machine (electric)
4
4
0
0
0
Ventilator
0
0
0
0
0
Jaldhaka 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
3
3
0
0
0
Pulse oximeter
1
0
1
0
0
Dental equipment
Dental unit
2
1
0
1
0
Jaldhaka 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
1
1
0
0
0
Centrifuge machine (electric)
3
2
1
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
2
1
0
1
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Jaldhaka 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
1
1
0
0
0
Refrigerator
1
1
0
0
0
Vehicles
Ambulance
2
1
0
1
0
Jaldhaka 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)
2
2
0
0
0
Generator
Generator (diesel/petrol)
1
1
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
7
6
0
1
0
Laptop
42
41
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
6
3
0
3
0
Printer (laser)
5
3
2
0
0
Scanner
1
1
0
0
0
UPS
7
6
1
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
2
2
0
0
0
Multimedia
1
1
0
0
0
Jaldhaka 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
1
0
1
0
0
Mobile phone
1
1
0
0
0
Total
121
97
14
10
0
Jaldhaka Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Jaldhaka Upazila Health Complex
Last year we provided comprehensive EOC services as EOC pair was posted. You will be happy to know that last year in 2015 jaldhaka Upazila (as a whole Nilphamari District) attained 88% (FVC) in EPI proggram . Which is the Highest in Rangpur Division. I like to mention that jaldhaka UHC is Serving as 50 beded Hospital with the man power of 31 Beded Hospital. Finally I hope that we will Provide better Curative an preventive Services in 2016. An on a words to attend the target of MDG4&5. Thank You. .