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Zokiganj Upazila Health Complex | Health Bulletin 2015 |
Preface
The Health Bulletin Containing all Health related information of 2014 of Zakiganj Upazilla which is the Farthest Upazilla from district headquarter.This will critically help us to analyze our health care delivery and also for future planning. We have highlighted our achievements as well as our needs which might hinder our progression and would like to draw attention to our authority to look into the issue. I would like to appreciate hard work for our people who has tried hard for this Health Bulletin software. Dr. Md. Nazmul Hasan. UH&FPO Zakiganj Upazila Health Complex
Dr. Md.Nazmul Hasan.
UH&FPO
Zokiganj Upazila Health Complex

Zokiganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Zakigang
Organization Code 10002204
Name of UHFPO Dr. Md.Nazmul Hasan.
Land Phone No. 1 08232-056051
Land Phone No. 2
FAX No. 0823256051
Mobile No. 01712162454
Email zakiganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.8800 And Long: 92.3600
No. of Unions in the Upazila9
No. of Households in the Upazila 44,419
Population in the Upazila 251,254
Area of Upazila in sq km 274.25

Zokiganj 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 31
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 2 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) 6 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 26 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 2 0

Zokiganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,163


Under 5 Mortality Rate: 18.009 (Per 1,000 live births)
Infant Mortality Rate: 15.776 (Per 1,000 live births)
Neonatal Mortality Rate: 14.519 (Per 1,000 live births)
Still Birth Rate: 2.373 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 61,808
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):

Zokiganj 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: 12
Total No. of Recipients Who Took at least one ANC: 3,537
Total Number of Deliveries: 7,171
Valid TT Coverage: 55.00 %
Maternal Mortality Ratio (MMR) is: 167.53 per 100,000 live births.

Zokiganj 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 22,281 36,915 59,196 4,462 4,511 8,973 68,169 7,752 6,977 14,729 1,306 1,293 2,599 17,328
Union Sub-Centres 15,613 25,363 40,976 3,010 3,045 6,055 47,031 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 102,912 161,584 264,496 21,470 21,676 43,146 307,642 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

Zokiganj 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 2,233 3,636 5,869 513 522 1,035 6,904 13 11 24 8 12 20 44
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

Zokiganj 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 7,006
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A009 Cholera, unspecified I: Certain infectious and parasitic diseases 1749 24.96
2 J22 Unspecified acute lower respiratory infection X: Diseases of the respiratory system 1293 18.46
3 K259 Gastric ulcer, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 887 12.66
4 A010 Typhoid fever I: Certain infectious and parasitic diseases 552 7.88
5 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 310 4.42
6 F604 Histrionic personality disorder V: Mental and behavioural disorders 206 2.94
7 O063 Unspecified abortion, incomplete, with other and unspecified complications XV: Pregnancy, childbirth and the puerperium 177 2.53
8 I119 Hypertensive heart disease without (congestive) heart failure IX: Diseases of the circulatory system 60 0.86
9 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 48 0.69
10 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 34 0.49

Zokiganj 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 44
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 P399 Infection specific to the perinatal period, unspecified XVI: Certain conditions originating in the perinatal period 10 22.73
2 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 7 15.91
3 I619 Intracerebral haemorrhage, unspecified XVI: Certain conditions originating in the perinatal period 5 11.36
4 P369 Bacterial sepsis of newborn, unspecified XVI: Certain conditions originating in the perinatal period 4 9.09
5 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 4 9.09
6 P36 Bacterial sepsis of newborn XVI: Certain conditions originating in the perinatal period 4 9.09
7 J459 Asthma, unspecified X: Diseases of the respiratory system 3 6.82
8 J22 Unspecified acute lower respiratory infection X: Diseases of the respiratory system 3 6.82
9 P109 Unspecified intracranial laceration and haemorrhage due to birth injury XVI: Certain conditions originating in the perinatal period 3 6.82
10 X040 Exposure to ignition of highly flammable material, home XX: External causes of morbidity and mortality 1 2.27

Zokiganj Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
Coverage of households having access to sanitary latrines (%) 97.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 10,213
Bed Occupancy Rates (%) 90.26
Average Length of Hospital Stay (No. of days per patient) 1.46
Hospital Death Rate (%) 0.63


Zokiganj Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 657

 

Zokiganj 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 6 3 1 10.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 5 6 54.55
Class III 85 55 7 23 27.06
Class IV 19 13 2 4 21.05
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 7 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 2 0 5 71.43
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 2 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 1 1 25.00
Class IV 2 2 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 26 10 15 1 3.85
Class IV 0 0 0 0 0.00

 

Zokiganj 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 19 15 3 1 5.26
Non Doctor 0 0 0 0 0.00
Class II 11 0 5 6 54.55
Class III 122 70 23 29 23.77
Class IV 21 15 2 4 19.05
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

 

Zokiganj 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 2 2 10 9 0 0 2 2 0
Nurse 0 0 0 0 12 5 0 0 3 3 1
Medical Assistant 0 0 9 4 2 2 0 0 3 0 0
Medical Technologist 0 0 0 0 6 3 0 0 0 0 0
CHCP 26 25 0 0 0 0 0 0 25 0 0
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 10 10 0 0 0 0 0
HA 0 0 0 0 50 38 0 0 0 0 3

Zokiganj 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) 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 0 0 0 0 0
Autoclave 1 1 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 2 2 0 0 0
Sucker machine (electric) 2 0 1 1 0
Ventilator 0 0 0 0 0


Zokiganj 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 1 1 1 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Zokiganj 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) 1 0 1 0 0
Colorimeter 2 2 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 4 1 0 3 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Zokiganj 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 2 0 0 2 0


Zokiganj 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) 1 0 0 1 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) 8 7 1 0 0
Laptop 30 20 10 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 8 6 2 0 0
Scanner 1 1 0 0 0
UPS 8 6 2 0 0
Fax 1 0 1 0 0
Intercom 1 0 0 1 0
Internet fixed line 0 0 0 0 0
Internet wireless line 29 28 1 0 0
Multimedia 1 1 0 0 0


Zokiganj 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 111 80 22 9 0

Zokiganj Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Zokiganj Upazila Health Complex
Zakiganj Upazilla is the remotest Upazilla among Sylhet and patients are having most of the treatments from our UHC, but limitation of the number of nurses is a major issue. Facility of quarters for doctors and nurses are limited and existing structures are very near to collapse we hope related authorities well look in to the matter that many persons from Jessor to Dinajpur are working in Zakiganj, As they are posted, with their families but living status is probably worst in Bangladesh. Thank you. Dr. Md. Nazmul Hasan UH&FPO Zakiganj, Sylhet