Jagannathpur Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this Health Bulletin of Jagannathpur Upazila . This Bulletin contains all the Health related information of 2014. The Bulletin is published to disseminate the infomation of Jagannathpur Upazila to other line department and departmental partners Health. Jagannathpur Upazila is the South point of district & 40 km. from district headquarter. It has 40,048 households out of 9 Union. 6 Union are hard to reach and enough haor & river. total population 2,85,378 & area 376.91sq km. most areas of the Upazila is haor, Bowar and low lying area @ communication here is dificult during dry season. Peoples here is dependent on boat in rainy season & on foot on dry season.
Jagannathpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Jagannathpur
Organization Code
10002149
Name of UHFPO Dr. S.M. Abdul Hakim
Land Phone No. 1
-01730324745
Land Phone No. 2
FAX No.
Mobile No.
01710354268
Email jagannathpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.7793 And
Long:
91.5633
No. of Unions in the Upazila 9
No. of Households in the Upazila 40,048
Population in the Upazila 285,378
Area of Upazila in sq km 376.16
Jagannathpur 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
5
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
3
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
24
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
Jagannathpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,707
Under 5 Mortality Rate: 14.273 (Per 1,000 live births)
Infant Mortality Rate: 11.678 (Per 1,000 live births)
Neonatal Mortality Rate: 9.861 (Per 1,000 live births)
Still Birth Rate: 4.931 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 34,325
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 0%
Jagannathpur 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:
6
Total No. of Recipients Who Took at least one ANC:
7,431
Total Number of Deliveries:
7,780
Valid TT Coverage: 23.00 %
Maternal Mortality Ratio (MMR) is:
77.85 per 100,000 live births.
Jagannathpur 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
16,074
25,703
41,777
5,719
5,878
11,597
53,374
2,341
2,210
4,551
699
603
1,302
5,853
Union Sub-Centres
11,749
14,703
26,452
4,920
5,039
9,959
36,411
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
52,655
97,866
150,521
7,781
8,452
16,233
166,754
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
Jagannathpur 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
2,032
2,542
4,574
713
645
1,358
5,932
5
6
11
7
8
15
26
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
Jagannathpur 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
5,916
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A009 Cholera, unspecified
I: Certain infectious and parasitic diseases
1321
22.33
2
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
48
0.81
3
K35.9 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
16
0.27
4
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
837
14.15
5
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
11
0.19
6
J459 Asthma, unspecified
X: Diseases of the respiratory system
158
2.67
7
K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation
XI: Diseases of the digestive system
562
9.50
8
O669 Obstructed labour, unspecified
XV: Pregnancy, childbirth and the puerperium
40
0.68
9
O721 Other immediate postpartum haemorrhage
XV: Pregnancy, childbirth and the puerperium
28
0.47
10
X999 Assault by sharp object, unspecified place
XX: External causes of morbidity and mortality
304
5.14
Jagannathpur 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
26
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
13
50.00
2
P219 Birth asphyxia, unspecified
XVI: Certain conditions originating in the perinatal period
1
3.85
3
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X: Diseases of the respiratory system
5
19.23
4
J459 Asthma, unspecified
X: Diseases of the respiratory system
4
15.38
5
K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation
XI: Diseases of the digestive system
1
3.85
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Jagannathpur 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 (%)
90.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
11,402
Bed Occupancy Rates (%)
62.48
Average Length of Hospital Stay (No. of days per patient)
1.93
Hospital Death Rate (%)
0.44
Jagannathpur Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
0
Jagannathpur 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
21
12
3
6
28.57
Non Doctor
0
0
0
0
0.00
Class II
15
0
5
10
66.67
Class III
91
54
9
28
30.77
Class IV
29
5
4
20
68.97
Union Health & Family Welfare Center (under DGHS)
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
3
0
0
3
100.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
5
2
0
3
60.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
10
7
0
3
30.00
Class IV
5
1
0
4
80.00
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
24
11
12
1
4.17
Class IV
0
0
0
0
0.00
Jagannathpur 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
29
16
3
10
34.48
Non Doctor
0
0
0
0
0.00
Class II
15
0
5
10
66.67
Class III
128
65
21
42
32.81
Class IV
34
5
4
25
73.53
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
Jagannathpur 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
8
2
21
15
0
0
1
0
0
Nurse
0
0
0
0
16
5
0
0
0
2
0
Medical Assistant
0
0
8
5
2
2
0
0
4
2
0
Medical Technologist
0
0
5
2
10
2
0
0
0
0
0
CHCP
24
23
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
0
0
3
3
0
0
0
AHI
0
0
0
0
0
0
10
10
0
0
0
HA
0
0
0
0
0
0
50
34
0
0
0
Jagannathpur 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)
1
0
0
1
0
X-ray machine (300 mA)
1
0
1
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
1
1
0
0
0
Autoclave
1
1
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
1
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
2
2
0
0
0
Sterilizer
3
3
0
0
0
Sucker machine (electric)
3
2
1
0
0
Ventilator
0
0
0
0
0
Jagannathpur 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
2
1
1
0
0
Pulse oximeter
3
3
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Jagannathpur 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)
1
1
0
0
0
Colorimeter
1
0
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
2
1
1
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
1
1
0
0
0
Jagannathpur 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
2
1
1
0
0
Vehicles
Ambulance
3
0
1
2
0
Jagannathpur 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)
5
2
3
0
0
Generator
Generator (diesel/petrol)
2
1
0
1
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
2
2
0
0
0
ICT equipment
Computer (desktop)
8
3
2
0
3
Laptop
3
1
2
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
3
3
0
0
0
Printer (laser)
5
4
0
0
1
Scanner
2
2
0
0
0
UPS
8
5
0
0
3
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
Jagannathpur 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)
1
0
1
0
0
Land phone
1
0
1
0
0
Mobile phone
1
1
0
0
0
Total
75
48
16
4
7
Jagannathpur Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Jagannathpur Upazila Health Complex
Aim to be improved the fallowing Service:
1) Improved Service for maternal & neonatal health.
2) Aseptic normal delivery to be increase.
3) Management of the complication like:
a) APH
b) PPH
c) Obstracted labour
d) Eclampsia
e) Pre eclamsia
4) Emergency Operation like LUCS. Leparotomy ect.
5) Management of the Asplyxiated neonatal baby.
Drow back for important :-
1)Shortage of Aya, clener, Nurses, etc. to be filled immediate.
2) Fill up the post of Gynocologist, Anesthetist.
3) O.T. Light & O.T. table should be installed immediately.
4) O.T. Machine may be reccreted.
with improvment of all this critaria we will be able to improve over all services of the hospital & this rentder better services for the patient of the localety.