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Jholakathi Civil Surgeon Office | Health Bulletin 2015 |
Preface
It is a great pleasure for me to publish this health bulletin of jhalokathi district from the CIVIL Surgeon office on health services of the district .This bulletin contains the health related information of 2014 of different upazillas and other hospitals under Jhalokathi district in a consolidated form. I hope this bulletin will disseminate the information of the health service of jhalokathi district to others and hopefully the devlopment partners will be benefitted to acqire information about us. I wish all the information of this bulletin will help for planning and bridging the gaps in health service of this district. This health bulletin will help us to find constraints and also to see the results and achievements ot 2014 The bulletin contains the status of MDG-4 & MDG-5 Which will help to localize the MDG Targates . This health bulletin has also the information on safe drinking water and sanitation status of the district .All the sanctioned and vaccant posts are published in this bulletin of 2014 .I Like to take attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us on step ahead towards digital Bangladesh . Dr.Abdur Rahim Civilsurgeon, Jhalakati.
Dr.Abdur Rahim
Civil Surgeon
Jholakathi Civil Surgeon Office

Jholakathi Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr.Abdur Rahim
Organization Code 10002024
Name of District Jhalokati
Land Phone No. 1 0498-049863362
Land Phone No. 2
FAX No. 49863418
Mobile No. 01716244677
Email jhalokathi@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 22.6427 And Long: 90.2026
No. of Upazila in the District4
No. of Households in the District 136,648
Population in the District 693,509
Area of District in sq km 759

Jholakathi Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital 0 0
District Hospital 1 100
General Hospital 0 0
Upazila Health Complexes 3 131
No. of Union Sub-Centres 5 0
No. of Rural/Urban/Thana Dispensaries 1 0
No. of Community Clinics 94 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 20
No. of Chest Disease Clinic (TB Clinics/Hospitals) 0 0
No. of Private Clinics/Facilities 7 70
No. of NGO Clinics/Facilities 1 0
No. of Other Hospitals

Jholakathi Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 14,824


Total No. of children treated under IMCI Program 33,897
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (NMR) is 2.29 per 1,000 live births.

Jholakathi Civil Surgeon Office | Health Bulletin 2015 | Page# 4
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;

Maternal health and MDG-5 (Whole District) (Jan-Dec, 2014)


Total No. of Recipients Who Took at least one ANC: 31,550
Total Number of Deliveries: 23,414
No. of Maternal Deaths: 16
Valid TT Coverage: 8.00 %
Maternal Mortality Ratio (MMR) is 107.93 per 100,000 live births.

Jholakathi Civil Surgeon Office | Health Bulletin 2015 | Page# 5
No. of OPD & Emergency visits (Whole District)
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
District Hospital 33,664 17,520 51,184 39,608 18,408 58,016 109,200 4,798 6,629 11,427 842 590 1,432 12,859
Upazila Health Complex 37,280 52,842 90,122 12,726 22,681 35,407 125,529 9,841 7,679 17,520 1,233 1,081 2,314 19,834
Union Sub-Centres 14,758 26,079 40,837 4,725 6,592 11,317 52,154 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 35,214 48,322 83,536 14,287 12,120 26,407 109,943 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
Rural/Urban/Thana Dispensaries 6,987 7,643 14,630 768 682 1,450 16,080 0 0 0 0 0 0 16,080
Community Clinics 184,454 263,727 448,181 23,842 19,758 43,600 491,781 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) 438 13,246 13,684 1,143 1,987 3,130 16,814 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 384 422 806 24 18 42 848 0 0 0 0 0 0 0
10 Bed Hospitals 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Hospitals 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Jholakathi Civil Surgeon Office | Health Bulletin 2015 | Page# 6
No. of Admissions & Deaths (Whole District)
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
District Hospital 5,010 6,939 11,949 638 424 1,062 13,011 33 21 54 2 2 4 58
Upazila Health Complex 4,203 4,595 8,798 526 580 1,106 9,904 24 14 38 2 1 3 41
Union Sub-Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs 0 317 317 0 0 0 317 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 128 1,613 1,741 23 11 34 1,775 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 9,341 13,464 22,805 1,187 1,015 2,202 25,007 57 35 92 4 3 7 99

Jholakathi Civil Surgeon Office | Health Bulletin 2015 | Page# 7

Top 10 diseases according to the number of patients admitted in all facilities in the district
Total number of admitted patients during the reporting period 20,676
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 2723 13.17
2 X85 Assault by drugs, medicaments and biological substances XX: External causes of morbidity and mortality 840 4.06
3 J45 Asthma X: Diseases of the respiratory system 768 3.71
4 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 685 3.31
5 Y00 Assault by blunt object XX: External causes of morbidity and mortality 664 3.21
6 K35 Acute appendicitis XI: Diseases of the digestive system 554 2.68
7 Y04 Assault by bodily force XX: External causes of morbidity and mortality 478 2.31
8 J16 Pneumonia due to other infectious organisms, NEC X: Diseases of the respiratory system 412 1.99
9 H28 Cataract and other disorders of lens in diseases classified elsewhere VII: Diseases of the eye and adnexa 410 1.98
10 V01 Pedestrian injured in collision with pedal cycle XX: External causes of morbidity and mortality 366 1.77

Jholakathi Civil Surgeon Office | Health Bulletin 2015 | Page# 8

Top 10 diseases according to the number of deaths among admitted patients in all facilities in the district
Total number of Deaths during the reporting period 75
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J45 Asthma X: Diseases of the respiratory system 18 24.00
2 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 10 13.33
3 I21 Acute myocardial infarction X: Diseases of the respiratory system 9 12.00
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 8 10.67
5 I50 Heart failure IX: Diseases of the circulatory system 6 8.00
6 J459 Asthma, unspecified X: Diseases of the respiratory system 4 5.33
7 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 4 5.33
8 J15 Bacterial pneumonia, NEC X: Diseases of the respiratory system 3 4.00
9 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 2 2.67
10 J90 Pleural effusion, NEC X: Diseases of the respiratory system 1 1.33

Jholakathi Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98
Coverage of households having access to sanitary latrines (%) 94
Surgeries & Interventions done in District
Type
No.
Major Surgeries 655
Minor Surgeries 1,490
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 103 48 23 32 31.07
Non Doctor 3 1 0 2 66.67
Class II 79 6 72 1 1.27
Class III 398 188 143 67 16.83
Class IV 111 71 16 24 21.62

Jholakathi Civil Surgeon Office | Health Bulletin 2015 | Page# 10
Status of Human Resources (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 37 26 41 18 23 13 10 1 0
Nurse 0 0 0 0 32 32 35 35 2 6 0
Medical Assistant 0 0 35 29 6 6 0 0 35 0 0
Medical Technologist 0 0 0 0 26 11 6 6 0 0 0
CHCP 94 88 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 12 10 0 0 12 0 0
AHI 0 0 0 0 34 32 0 0 29 0 0
HA 0 0 0 0 172 163 0 0 163 0 0

Jholakathi Civil Surgeon Office | Health Bulletin 2015 | Page# 11
Existing equipment at Civil Surgeon Office
Equipment Total (No.) Functional (No.) Non-functional Not Installed
Repairable (No.) Non-repairable (No.)
Vehicles
Ambulance 0 0 0 0 0
Bus 0 0 0 0 0
Jeep 1 1 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Jholakathi Civil Surgeon Office | Health Bulletin 2015 | Page# 12

Existing equipment at Civil Surgeon Office
Equipment Total (No.) Functional (No.) Non-functional Not Installed
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 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 7 7 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) 7 7 0 0 0
Scanner 1 1 0 0 0
UPS 1 1 0 0 0
Fax 1 1 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


Jholakathi Civil Surgeon Office | Health Bulletin 2015 | Page# 13

Existing equipment at Civil Surgeon Office
Equipment Total (No.) Functional (No.) Non-functional Not Installed
Repairable (No.) Non-repairable (No.)
OHP 0 0 0 0 0
PA system (Sound) 1 1 0 0 0
Land phone 1 1 0 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 2 1 1 0 0
Digital camera 1 1 0 0 0
Video camera 0 0 0 0 0
Total 28 27 1 0 0

Jholakathi Civil Surgeon Office | Health Bulletin 2015 | Page# 14

Important information and necessary issues for Jholakathi Civil Surgeon Office
We would like to say that We are going to have few doctors. CHCP appointment has been finished & their training completed. They will help to provide health care at root levels . Need for doctors is a burning issue for our district . Besides sufficient logistic support and supporting staff also required verymuch. To provide better service to the people of the district we need to acknowledge those issues. Once again I want to thank the MIS for taking the legendary steps for publishing this health bulletin of different level of service providing hospitals and taking the country into a different era . Hopefully this bulletin from jhalokathi district will be very beneficial for the general people of the district and the country as well . It will be also beneficial for the administration and devlopment partners to focus on the scopes for improvement .Wish you all the best and looking forward towards publishing the next health bulletin .