Munshiganj District Hospital | Health Bulletin 2015 |
Preface
It is a great pleasure for me that the Health Bulletin of General Hospital, Munshiganj is being published featuring the performances of this organization in 2014. I believe that it surely help assess the progress that we've made in this year. I would rather take it as a benchmark for the credibility of all the employee of this organization. In this year we've tried to scale up the coverage of services and to enhance the performances successfully by implementing the health interventions. We were very careful and aware of incorporating the correct, classified and accurate data in this edition. Lastly I would like to gratefully thanks and convey my regards to MIS for their supportive help and to the initiators and the people working behind this monstrous task.
Munshiganj District Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Munshiganj
Organization Code
10000328
Name of Superitendent Dr. Md. Shahidul Islam
Land Phone No. 1
-027610477
Land Phone No. 2
FAX No. 27610424
Mobile No. 01684422305
Email munshiganj@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 23.3246 And Long: 90.3256
Munshiganj District Hospital | Health Bulletin 2015 | Page# 2
Existing health facilities in the District/General Hospital
Facility Type
Total
No. of Beds
District Hospital
1
100
Munshiganj District Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 779
Total No. of Children Treated under IMCI Program 33,066
Neonatal Mortality Rate (NMR) is 6.42 per 1,000 live births
Munshiganj District Hospital | 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 for the Facility (Jan-Dec, 2014)
Total No. of Recipients Who Took at least one ANC: 8,657
Total Number of Deliveries: 1,011
No. of Maternal Deaths: 0
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
0.00 per 100,000 live births.
Munshiganj District Hospital | Health Bulletin 2015 | Page# 5
No. of OPD & Emergency visits at District/General Hospital
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)
G. Total
M
F
T (M+F)
M
F
T (M+F)
G. Total
District Hospital
36,157
47,132
83,289
9,602
9,976
19,578
102,867
23,115
24,472
47,587
6,743
6,614
13,357
60,944
No. of Admissions & Deaths at District/General Hospital
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)
G. Total
M
F
T (M+F)
M
F
T (M+F)
G. Total
District Hospital
6,800
7,129
13,929
692
780
1,472
15,401
38
25
63
8
13
21
84
Munshiganj District Hospital | Health Bulletin 2015 | Page# 6
Top 10 diseases according to the number of patients admitted in the District/General Hospital during the reporting period
Total number of admitted patients during the reporting period
15,401
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
2221
14.42
2
T00 Superficial injuries involving multiple body regions
XIX: Injury, poisoning and certain other consequences of external causes
1251
8.12
3
J459 Asthma, unspecified
X: Diseases of the respiratory system
838
5.44
4
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
542
3.52
5
T47 Poisoning by agents primarily affecting the gastrointestinal system
XIX: Injury, poisoning and certain other consequences of external causes
508
3.30
6
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
492
3.19
7
K37 Unspecified appendicitis
XI: Diseases of the digestive system
312
2.03
8
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
278
1.81
9
V861 Passenger of all-terrain or other off-road motor vehicle injured in traffic accident
XX: External causes of morbidity and mortality
253
1.64
10
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
231
1.50
Munshiganj District Hospital | Health Bulletin 2015 | Page# 7
Top 10 diseases according to the number of deaths among admitted patients in the District/General Hospital during the reporting period
Total number of Deaths during the reporting period
84
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
N189 Chronic renal failure, unspecified
XIV: Diseases of the genitourinary system
16
19.05
2
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X: Diseases of the respiratory system
8
9.52
3
J459 Asthma, unspecified
XIV: Diseases of the genitourinary system
7
8.33
4
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
5
5.95
5
D77 Other disorders of blood and blood-forming organs in diseases classified elsewhere
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
5
5.95
6
I516 Cardiovascular disease, unspecified
IX: Diseases of the circulatory system
4
4.76
7
J121 Respiratory syncytial virus pneumonia
X: Diseases of the respiratory system
3
3.57
8
T47 Poisoning by agents primarily affecting the gastrointestinal system
XIX: Injury, poisoning and certain other consequences of external causes
3
3.57
9
R100 Acute abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
3
3.57
10
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
2
2.38
Munshiganj District Hospital | Health Bulletin 2015 | Page# 8
Water & sanitation (Whole District)
Indicators
Upazila
Coverage of households having access to safe drinking water (%)
0
Coverage of households having access to sanitary latrines (%)
0
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.)
37,332
Bed Occupancy Rates (%)
102.28
Average Length of Hospital Stay (No. of days per patient)
2.42
Hospital Death Rate (%)
0.55
Munshiganj District Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
668
Minor Surgeries
863
Munshiganj District Hospital | Health Bulletin 2015 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
22
15
2
5
22.73
Non Doctor
0
0
0
0
0.00
Class II
33
5
27
1
3.03
Class III
20
15
2
3
15.00
Class IV
21
10
11
0
0.00
Munshiganj District Hospital | Health Bulletin 2015 | Page# 11
Status of Human Resources (Category wise)
Manpower
Hospital total
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
22
17
1
1
Nurse
38
34
1
7
Medical Assistant
0
0
0
0
Medical Technologist
3
3
0
0
Munshiganj District Hospital | Health Bulletin 2015 | Page# 12
Existing equipment at District/General Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Radiology equipment
X-ray machine (100 mA)
1
1
0
0
0
X-ray machine (300 mA)
1
1
0
0
0
X-ray machine (500 mA)
0
0
0
0
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
1
1
0
0
0
Dental X-ray unit
0
0
0
0
0
Spiral CT Scan
0
0
0
0
0
C-arm
0
0
0
0
0
Mamogram machine
0
0
0
0
0
Dehumidifier
0
0
0
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
4
3
1
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
5
4
1
0
0
Autoclave
5
2
3
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
5
3
2
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
1
0
0
0
Portable OT Light
2
1
1
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
6
4
2
0
0
Ventilator
0
0
0
0
0
Munshiganj District Hospital | Health Bulletin 2015 | Page# 13
Existing equipment at District/General Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine
0
0
0
0
0
Debrililator
0
0
0
0
0
ECG machine
4
1
3
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
8
2
6
0
0
Pulse oximeter
7
6
0
1
0
Dental equipment
Dental unit
1
1
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Munshiganj District Hospital | Health Bulletin 2015 | Page# 14
Existing equipment at District/General Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Lab equipment
Biochemical auto-analyzer
0
0
0
0
0
Centrifuge machine (electric)
2
1
0
1
0
Colorimeter
2
2
0
0
0
Electrolyte analyzer
0
0
0
0
0
ELISA machine
0
0
0
0
0
Gas analyzer
0
0
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
0
0
0
0
0
Microscope (binocular)
3
2
1
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
0
0
0
0
0
Pediatric equipment
Baby incubator
2
1
1
0
0
Phototherapy unit
1
0
1
0
0
Munshiganj District Hospital | Health Bulletin 2015 | Page# 15
Existing equipment at District/General Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge
0
0
0
0
0
Laminar flow hood
0
0
0
0
0
pH meter
0
0
0
0
0
Hemoglobin photometer
0
0
0
0
0
Blood bank refrigerator
2
1
1
0
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
1
1
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
1
1
0
0
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
0
0
0
0
0
Urology equipment
Cystoscopic machine
0
0
0
0
0
Vehicles
Ambulance
2
2
0
0
0
Bus
0
0
0
0
0
Jeep
0
0
0
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Munshiganj District Hospital | Health Bulletin 2015 | Page# 16
Existing equipment at District/General Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Air conditioner
Air conditioner (split type)
4
3
1
0
0
Air conditioner (window)
11
10
1
0
0
Generator
Generator (diesel/petrol)
1
1
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)
12
10
2
0
0
Laptop
0
0
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
3
1
2
0
0
Scanner
2
2
0
0
0
UPS
12
10
0
2
0
Fax
1
0
1
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
0
0
0
0
0
Munshiganj District Hospital | Health Bulletin 2015 | Page# 17
Existing equipment at District/General Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
OHP
0
0
0
0
0
PA system (Sound)
0
0
0
0
0
Land phone
3
2
1
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
1
1
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
122
87
31
4
0
Munshiganj District Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Munshiganj District Hospital
Functionally this is a 100 bedded hospital though, the staff structure remain unchanged as of 50 bedded hospital. Consequently, this is the major setback to come across in uphold the performance and in achieving desirable goals. It is mentionable that the approval and sanction of manpower for 100 bed hospital is under process. It's so difficult to manage the added pressure of increasing incoming patients. Out of 02 (two) ambulances, 01 (one) ambulance is already proclaimed condemn and the other ambulance is running with service interruption. The added pressure of carrying patients will be resulted it into invalidation soon. So, 01 (One) ambulance is needed urgently. 01 (One) computer is not working completely and another one is damaged partly which were used for official purpose. So, 02 (Two) new P.Cs and 01 (One) Laptop are required immediately. There is a generator supplied and installed for uninterrupted power supply. But the allocation for fuel is insufficient to run it on smoothly. Up and above, accommodation facility for the doctors is another major crisis of this organization. There is only one staff quarter consisting of two units for class 1 officers. I hope higher authority will pay attention in this regard. Nevertheless, with all these limitations the organization is progressing satisfactorily.
