Bandarban District Hospital | Health Bulletin 2015 |
Preface
It is my pleasure to publish this health bulletin of Sadar Hospital Bandarban.This bulletin contains all the health information of 2014. It is published to disseminate the information of district hospital to other line department and development partners of health.I hope all the information in this bulletin will help for planning and bridging the gaps in health service delivery of district hospital. Government health office produces a number of data in day to day health service delivery, which are stored in files. This health bulletin will reveal the existing health care delivery situation, identity the limitations or constraints and ways to overcome. Finally, I would like to congratulate the initiator of this health bulletin software for setting one step ahead towards digital Bangladesh. Editorial board:
1.Dr. Aung Swi Prue Marma, Resident Medical Officer
2. Mong Chaneo Marma, statistician.
3.Dr.Anup Dewan.
Superintendent
Bandarban District Hospital.
Bandarban District Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Bandarban
Organization Code
10000655
Name of Superitendent Dr.Anup Dewan
Land Phone No. 1
-036162524
Land Phone No. 2
FAX No. 36162622
Mobile No. 01819883494
Email bandarban@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 22.1142 And Long: 92.1356
Bandarban 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
Bandarban District Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 302
Total No. of Children Treated under IMCI Program 838
Neonatal Mortality Rate (NMR) is 26.49 per 1,000 live births
Bandarban 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: 530
Total Number of Deliveries: 304
No. of Maternal Deaths: 0
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
0.00 per 100,000 live births.
Bandarban 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
15,342
22,926
38,268
11,660
7,772
19,432
57,700
6,195
5,731
11,926
4,060
2,186
6,246
18,172
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
3,236
3,372
6,608
1,236
1,013
2,249
8,857
30
21
51
18
13
31
82
Bandarban 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
8,857
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
952
10.75
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
826
9.33
3
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
743
8.39
4
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
691
7.80
5
J171 Pneumonia in viral diseases classified elsewhere
X: Diseases of the respiratory system
631
7.12
6
A010 Typhoid fever
I: Certain infectious and parasitic diseases
587
6.63
7
R100 Acute abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
542
6.12
8
O809 Single spontaneous delivery, unspecified
XV: Pregnancy, childbirth and the puerperium
342
3.86
9
R104 Other and unspecified abdominal pain
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
317
3.58
10
J459 Asthma, unspecified
X: Diseases of the respiratory system
229
2.59
Bandarban 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
82
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
17
20.73
2
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
9
10.98
3
R074 Chest pain, unspecified
X: Diseases of the respiratory system
8
9.76
4
T41 Poisoning by anaesthetics and therapeutic gases
XIX: Injury, poisoning and certain other consequences of external causes
7
8.54
5
D62 Acute posthaemorrhagic anaemia
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
7
8.54
6
P071 Other low birth weight
XVI: Certain conditions originating in the perinatal period
6
7.32
7
J459 Asthma, unspecified
X: Diseases of the respiratory system
5
6.10
8
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
4
4.88
9
B50 Plasmodium falciparum malaria
I: Certain infectious and parasitic diseases
3
3.66
10
A010 Typhoid fever
I: Certain infectious and parasitic diseases
2
2.44
Bandarban District Hospital | Health Bulletin 2015 | Page# 8
Water & sanitation (Whole District)
Indicators
Upazila
Coverage of households having access to safe drinking water (%)
64
Coverage of households having access to sanitary latrines (%)
75
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.)
27,355
Bed Occupancy Rates (%)
74.95
Average Length of Hospital Stay (No. of days per patient)
3.09
Hospital Death Rate (%)
0.93
Bandarban District Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
88
Minor Surgeries
936
Bandarban District Hospital | Health Bulletin 2015 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
21
10
3
8
38.10
Non Doctor
0
0
0
0
0.00
Class II
33
0
28
5
15.15
Class III
18
15
3
0
0.00
Class IV
20
6
14
0
0.00
Bandarban 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
21
14
2
1
Nurse
38
33
16
10
Medical Assistant
0
0
0
0
Medical Technologist
6
6
0
0
Bandarban 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)
2
2
0
0
0
X-ray machine (300 mA)
1
1
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
1
2
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
1
1
0
0
0
Anesthesia machine without ventilator
1
1
0
0
0
Autoclave
2
2
0
0
0
Electric cautery machine
1
0
1
0
0
Diathermy machine
2
0
2
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
0
1
0
0
Portable OT Light
4
2
2
0
0
Fracture table
3
1
2
0
0
Hydrolic OT Table
1
0
1
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
1
1
0
0
0
Bandarban 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
1
0
1
0
0
Ecocardiogram machine
2
0
2
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
2
2
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
2
2
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Bandarban 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
1
1
0
0
0
Centrifuge machine (electric)
3
2
1
0
0
Colorimeter
2
1
1
0
0
Electrolyte analyzer
2
1
1
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)
4
2
1
1
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
2
2
0
0
0
Bandarban 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
1
0
1
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
0
2
0
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
2
1
1
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
0
0
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
3
2
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
Bandarban 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)
6
6
0
0
0
Air conditioner (window)
0
0
0
0
0
Generator
Generator (diesel/petrol)
2
1
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
2
1
1
0
0
ICT equipment
Computer (desktop)
14
13
1
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
6
6
0
0
0
Scanner
1
1
0
0
0
UPS
12
5
7
0
0
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
0
0
0
0
0
Bandarban 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
6
3
3
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
1
0
1
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
110
70
39
1
0
Bandarban District Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Bandarban District Hospital
Important issues and recommendations for Bandarban district hospital:
1. Shortage of human resources: 100 bedded hospital is running with sanctioned post of 50 bedded hospital and with shortage of staffs.A rapidly growing tourist district hospital is running without the placement of the following key positions: Anesthesiologist, Medicine and Orthopedic consultants. Staff pattern should be sanctioned as 100 bedded hospital with immediate placement for smooth running of the hospital.
2. Capacity building: Doctors, nurse & paramedics need to provide and adequate training for smooth discharge of service delivery & up-gradation of new development in medical science. 3. Shortage of equipment & logistics: All essential life saving equipment & logistics related to service delivery should be provided. 4. Encouragement: health care delivery staffs working in this district hospital are most neglected and deprived in all aspects comparing national standard. Incentive system like foreign training, promotion, better posting, appreciation, recognition etc should be provided to encourage them. A systematic and organized health service encouragement scheme or policy can enhance better health care delivery in this district hospital. 5. Infrastructure: (a) Construction of infrastructure considering the requirement of the hospital for better and smooth functioning is crucial. (b) Immediate posting of one anesthesiologist is very crucial for full functioning of EOC.Finally, I am very happy to prepare this health bulletin 2014, because this document will help us to compare our progress in upcoming years and with other district hospital . This bulletin is a very useful document and will help public to understand the health service of the district and to provide useful information & suggestions for further improvement of ongoing health care delivery system of the district in the years coming.
Thank you all
Dr. Anup Dewan
Superintendent
Sadar Hospital
Bandarban Hill Distri
