Netrokona District Hospital | Health Bulletin 2015 |
Preface
Netrokona district is a remote District. It has 10 upazila with 4,49,322 households. Road communication of the villages with upazila head quarter and District head quarter is not well established. Total Khaliazuri upazila and part of modan, Kalmakanda and Mohangonj upazila is low lying land. In rainy season most of the lands goes under water. The population is around 22,23,393. The over all socio-economic condition is very poor in this district. Two upazilas of the district ( Kolmakanda and Durgapur upazila ) are endemic for Malaria. Most of the people in this district depend on agriculture, fishing and small enterprise business.
Netrokona District Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Netrakona
Organization Code
10000496
Name of Superitendent Dr. Bijan Kanti Sarker
Land Phone No. 1
0951-095161344
Land Phone No. 2 0951-095161234
FAX No. 0
Mobile No. 01712006814
Email netrokona@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 24.5217 And Long: 90.4356
Netrokona 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
Netrokona District Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 2,689
Total No. of Children Treated under IMCI Program 32,827
Neonatal Mortality Rate (NMR) is 23.06 per 1,000 live births
Netrokona 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: 1,914
Total Number of Deliveries: 2,890
No. of Maternal Deaths: 8
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
297.51 per 100,000 live births.
Netrokona 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
28,911
28,639
57,550
9,162
8,741
17,903
75,453
26,759
20,446
47,205
4,033
3,017
7,050
54,255
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
7,899
13,781
21,680
2,807
1,663
4,470
26,150
93
56
149
63
34
97
246
Netrokona 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
26,150
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
XI: Diseases of the digestive system
3646
13.94
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
3580
13.69
3
Y009 Assault by blunt object, unspecified place
XX: External causes of morbidity and mortality
2069
7.91
4
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
1137
4.35
5
B348 Other viral infections of unspecified site
I: Certain infectious and parasitic diseases
900
3.44
6
F419 Anxiety disorder, unspecified
V: Mental and behavioural disorders
667
2.55
7
J459 Asthma, unspecified
X: Diseases of the respiratory system
640
2.45
8
V861 Passenger of all-terrain or other off-road motor vehicle injured in traffic accident
XX: External causes of morbidity and mortality
595
2.28
9
T609 Pesticide, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
441
1.69
10
O054 Other abortion, incomplete, without complication
XV: Pregnancy, childbirth and the puerperium
407
1.56
Netrokona 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
246
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
P219 Birth asphyxia, unspecified
XVI: Certain conditions originating in the perinatal period
38
15.45
2
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
23
9.35
3
I694 Sequelae of stroke, not specified as haemorrhage or infarction
XVI: Certain conditions originating in the perinatal period
21
8.54
4
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
21
8.54
5
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
20
8.13
6
J459 Asthma, unspecified
X: Diseases of the respiratory system
14
5.69
7
I119 Hypertensive heart disease without (congestive) heart failure
IX: Diseases of the circulatory system
11
4.47
8
D509 Iron deficiency anaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
11
4.47
9
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
9
3.66
10
I249 Acute ischaemic heart disease, unspecified
IX: Diseases of the circulatory system
7
2.85
Netrokona 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.)
65,925
Bed Occupancy Rates (%)
180.62
Average Length of Hospital Stay (No. of days per patient)
2.52
Hospital Death Rate (%)
0.94
Netrokona District Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
788
Minor Surgeries
29,993
Netrokona 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
1
6
27.27
Non Doctor
0
0
0
0
0.00
Class II
35
0
32
3
8.57
Class III
21
14
3
4
19.05
Class IV
21
14
5
2
9.52
Netrokona 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
16
5
2
Nurse
40
33
4
5
Medical Assistant
0
0
0
0
Medical Technologist
6
6
0
0
Netrokona 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
0
1
0
0
X-ray machine (300 mA)
0
0
0
0
0
X-ray machine (500 mA)
1
0
1
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
3
2
1
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
1
0
0
0
1
Anesthesia machine without ventilator
4
4
0
0
0
Autoclave
8
7
0
0
1
Electric cautery machine
0
0
0
0
0
Diathermy machine
8
8
0
0
0
Operating microscope
1
1
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
1
0
1
0
0
Fracture table
2
2
0
0
0
Hydrolic OT Table
2
1
1
0
0
Sterilizer
13
13
0
0
0
Sucker machine (electric)
14
14
0
0
0
Ventilator
1
1
0
0
0
Netrokona 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
5
3
1
1
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
1
1
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
19
9
2
8
0
Pulse oximeter
3
0
0
0
3
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
Netrokona 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)
3
2
1
0
0
Colorimeter
4
2
0
1
1
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)
2
2
0
0
0
Obstetric equipment
Fetal Monitor
1
1
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
1
1
0
0
0
Pediatric equipment
Baby incubator
5
3
0
1
1
Phototherapy unit
6
4
1
0
1
Netrokona 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
4
3
1
0
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
0
0
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
5
3
0
1
1
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
1
1
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
Netrokona 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)
8
6
0
2
0
Air conditioner (window)
4
3
0
0
1
Generator
Generator (diesel/petrol)
2
1
0
0
1
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
1
1
0
0
0
ICT equipment
Computer (desktop)
14
12
0
2
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
7
5
0
2
0
Scanner
1
1
0
0
0
UPS
14
12
0
2
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
0
0
0
0
0
Netrokona 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
4
0
4
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
1
0
1
0
0
Digital camera
1
1
0
0
0
Video camera
0
0
0
0
0
Total
185
137
17
20
11
Netrokona District Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Netrokona District Hospital
Last year we could not provide our maximum efforts to improve the health status due to many reasons. Here I like to mention some important approaches which will help us to achieve good results in future. 1. The vacant Consultant, MO, EMO, Dental Surgeon posts should be field immediately. 2. There is no Sanction post for Ward Master, Statistician, Security Guard, Mali, Ward Boy, Aya. So we need more Cleaners, Security Guard, Mali, Aya, Ward Master, Which can be managed from out sourcing fund if available. 3. All the repairable equipments should be repaired as soon as possible. 4. Infrastructure of the hospital is not yet established completely. Incomplete Infrastructure for 100 bedded hospital should be completed on urgent basis. 5. We need 100 bed staff strength. Currently we have organogram for 50 bed hospital. We have diet allocation for 100 bed capacity. Depending on the Bed Occupancy Rate and Average length of hospital stay, I request to increase the hospital capacity up to 250 bed. Finally I am very happy to write this Health Bulletin of 2015 because this document will help us to compare our progress in upcoming years. This is a very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future. Urgent steps should be taken to complete the infrastructure of the hospital.
