Comilla General Hospital | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of General Hospital, Comilla. This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of General Hospital, Comilla to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this hospital Government health office has many data stored in the fine. This health bulletin will help us to find constrains and also to see the results and achievements of 2014. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the Hospital. All the sanctioned and vacant posts are published in this bulletin of 2014. I like to take attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Comilla General Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Comilla
Organization Code
10000864
Name of Superitendent Dr. Md. Muzib Rahman
Land Phone No. 1
-08176762
Land Phone No. 2
FAX No. 8154054
Mobile No. 01712078619
Email comilla@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 23.4547 And Long: 91.1811
Comilla General Hospital | Health Bulletin 2015 | Page# 2
Existing health facilities in the District/General Hospital
Facility Type
Total
No. of Beds
District Hospital
1
100
Comilla General Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 758
Total No. of Children Treated under IMCI Program 6,840
Neonatal Mortality Rate (NMR) is 11.87 per 1,000 live births
Comilla General 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: 5,583
Total Number of Deliveries: 772
No. of Maternal Deaths: 0
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
0.00 per 100,000 live births.
Comilla General 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
32,692
45,024
77,716
1,890
1,509
3,399
81,115
9,261
6,515
15,776
2,470
2,008
4,478
20,254
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
6,473
4,366
10,839
4,030
4,200
8,230
19,069
6
11
17
10
2
12
29
Comilla General 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
8,230
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
594
7.22
2
O06 Unspecified abortion
XV: Pregnancy, childbirth and the puerperium
581
7.06
3
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
199
2.42
4
X85 Assault by drugs, medicaments and biological substances
XX: External causes of morbidity and mortality
191
2.32
5
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
XI: Diseases of the digestive system
118
1.43
6
T609 Pesticide, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
107
1.30
7
O669 Obstructed labour, unspecified
XV: Pregnancy, childbirth and the puerperium
96
1.17
8
K35 Acute appendicitis
XI: Diseases of the digestive system
78
0.95
9
O074 Failed medical abortion, without complication
XV: Pregnancy, childbirth and the puerperium
63
0.77
10
J450 Predominantly allergic asthma
X: Diseases of the respiratory system
61
0.74
Comilla General 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
29
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I509 Heart failure, unspecified
IX: Diseases of the circulatory system
7
24.14
2
R090 Asphyxia
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
5
17.24
3
E146 Unspecified diabetes mellitus with other specified complications
IX: Diseases of the circulatory system
4
13.79
4
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
3
10.34
5
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
2
6.90
6
J961 Chronic respiratory failure
X: Diseases of the respiratory system
2
6.90
7
Q210 Ventricular septal defect
XVII: Congenital malformations, deformations and chromosomal abnormalities
2
6.90
8
J459 Asthma, unspecified
X: Diseases of the respiratory system
1
3.45
9
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
1
3.45
10
C950 Acute leukaemia of unspecified cell type
II: Neoplasms
1
3.45
Comilla General Hospital | Health Bulletin 2015 | Page# 8
Water & sanitation (Whole District)
Indicators
Upazila
Coverage of households having access to safe drinking water (%)
97
Coverage of households having access to sanitary latrines (%)
98
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.)
30,309
Bed Occupancy Rates (%)
83.04
Average Length of Hospital Stay (No. of days per patient)
3.68
Hospital Death Rate (%)
0.35
Comilla General Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
1,060
Minor Surgeries
1,609
Comilla General Hospital | Health Bulletin 2015 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
33
21
9
3
9.09
Non Doctor
0
0
0
0
0.00
Class II
79
3
71
5
6.33
Class III
28
13
7
8
28.57
Class IV
44
30
11
3
6.82
Comilla General Hospital | Health Bulletin 2015 | Page# 11
Status of Human Resources (Category wise)
Manpower
Hospital total
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
33
31
0
0
Nurse
79
74
0
9
Medical Assistant
0
0
0
0
Medical Technologist
3
3
0
0
Comilla General 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)
0
0
0
0
0
X-ray machine (300 mA)
1
0
0
1
0
X-ray machine (500 mA)
1
0
1
0
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
0
0
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
5
5
0
0
0
Anesthesia machine without ventilator
3
3
0
0
0
Autoclave
7
3
4
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
6
3
3
0
0
Operating microscope
1
0
1
0
0
Ceiling mounting OT Light
0
0
0
0
0
Portable OT Light
6
6
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
4
4
0
0
0
Sterilizer
4
2
0
2
0
Sucker machine (electric)
6
3
3
0
0
Ventilator
0
0
0
0
0
Comilla General 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
2
1
1
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
12
12
0
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
1
1
0
0
0
Comilla General 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
2
0
0
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)
0
0
0
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
1
0
1
0
0
Pediatric equipment
Baby incubator
3
2
0
1
0
Phototherapy unit
1
1
0
0
0
Comilla General 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
1
1
0
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
1
0
0
1
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
5
1
1
3
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
Comilla General 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)
1
0
1
0
0
Air conditioner (window)
7
7
0
0
0
Generator
Generator (diesel/petrol)
3
3
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
11
11
0
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)
6
4
0
2
0
Scanner
1
1
0
0
0
UPS
11
11
0
0
0
Fax
1
0
0
1
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
Comilla General 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
4
0
0
0
Mobile phone
1
1
0
0
0
Photocopier machine
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
129
99
18
12
0
Comilla General Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Comilla General Hospital
Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve good results in the future.
1. All the vacant post should be filled up immediately, Specially class 3rth and class 4th .
2. Our doctor and nurse need more training on IMCI.
3. The bed capacity should be increased in the general hospital, comilla from 100 to 250.
4. All the repairable medical equipment's should be repaired as soon as possible , if repair is not possible than the equipment should be replaced as soon as possible (X-ray machine)by the DGHS and related authorities
5. Training of non-trained personnel should be done step by step.
Finally I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in the future.
