Coxs Bazar 250 Bed District Sadar Hospital | Health Bulletin 2015 |
Preface
It is my pleasure to publish this health bulletin of Sadar Hospital Cox's Bazar.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 data in day to day health service delivery, which are stored in file. 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 us one step ahead towards digital Bangladesh.
Coxs Bazar 250 Bed District Sadar Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Cox's Bazar
Organization Code
10000922
Name of Superitendent Dr.Ratan Chowdhury
Land Phone No. 1
0341-034163884
Land Phone No. 2 0341-034164044
FAX No. 34163906
Mobile No. 01715729217
Email coxsbazar@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 21.8243 And Long: 91.9850
Coxs Bazar 250 Bed District Sadar Hospital | Health Bulletin 2015 | Page# 2
Existing health facilities in the District/General Hospital
Facility Type
Total
No. of Beds
District Hospital
1
250
Coxs Bazar 250 Bed District Sadar Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 2,999
Total No. of Children Treated under IMCI Program 21,927
Neonatal Mortality Rate (NMR) is 13.67 per 1,000 live births
Coxs Bazar 250 Bed District Sadar 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: 4,400
Total Number of Deliveries: 3,175
No. of Maternal Deaths: 19
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
633.54 per 100,000 live births.
Coxs Bazar 250 Bed District Sadar 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
44,764
71,359
116,123
50,773
55,004
105,777
221,900
7,155
9,578
16,733
5,441
6,104
11,545
28,278
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
10,634
14,897
25,531
8,829
9,566
18,395
43,926
265
239
504
153
167
320
824
Coxs Bazar 250 Bed District Sadar 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
19,593
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
5836
29.79
2
Y04 Assault by bodily force
XX: External causes of morbidity and mortality
3195
16.31
3
B839 Helminthiasis, unspecified
I: Certain infectious and parasitic diseases
2031
10.37
4
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
1912
9.76
5
J45 Asthma
X: Diseases of the respiratory system
1693
8.64
6
J21 Acute bronchiolitis
X: Diseases of the respiratory system
1392
7.10
7
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
1375
7.02
8
T300 Burn of unspecified body region, unspecified degree
XIX: Injury, poisoning and certain other consequences of external causes
858
4.38
9
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
791
4.04
10
D50 Iron deficiency anaemia
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
510
2.60
Coxs Bazar 250 Bed District Sadar 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
385
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
86
22.34
2
J45 Asthma
X: Diseases of the respiratory system
79
20.52
3
I64 Stroke, not specified as haemorrhage or infarction
X: Diseases of the respiratory system
61
15.84
4
I501 Left ventricular failure
IX: Diseases of the circulatory system
34
8.83
5
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
27
7.01
6
P210 Severe birth asphyxia
XVI: Certain conditions originating in the perinatal period
23
5.97
7
K769 Liver disease, unspecified
XI: Diseases of the digestive system
15
3.90
8
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
12
3.12
9
P36 Bacterial sepsis of newborn
XVI: Certain conditions originating in the perinatal period
11
2.86
10
E46 Unspecified protein-energy malnutrition
IV: Endocrine, nutritional and metabolic diseases
10
2.60
Coxs Bazar 250 Bed District Sadar Hospital | Health Bulletin 2015 | Page# 8
Water & sanitation (Whole District)
Indicators
Upazila
Coverage of households having access to safe drinking water (%)
98
Coverage of households having access to sanitary latrines (%)
94
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.)
115,569
Bed Occupancy Rates (%)
126.65
Average Length of Hospital Stay (No. of days per patient)
5.90
Hospital Death Rate (%)
1.96
Coxs Bazar 250 Bed District Sadar Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
956
Minor Surgeries
1,198
Coxs Bazar 250 Bed District Sadar Hospital | Health Bulletin 2015 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
62
30
4
28
45.16
Non Doctor
0
0
0
0
0.00
Class II
96
1
67
28
29.17
Class III
36
17
0
19
52.78
Class IV
47
18
7
22
46.81
Coxs Bazar 250 Bed District Sadar Hospital | Health Bulletin 2015 | Page# 11
Status of Human Resources (Category wise)
Manpower
Hospital total
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
62
34
1
1
Nurse
74
64
1
6
Medical Assistant
0
0
0
0
Medical Technologist
11
8
0
0
Coxs Bazar 250 Bed District Sadar 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)
0
0
0
0
0
X-ray machine (500 mA)
2
1
0
1
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
2
2
0
0
0
Dental X-ray unit
1
1
0
0
0
Spiral CT Scan
0
0
0
0
1
C-arm
0
0
0
0
0
Mamogram machine
0
0
0
0
0
Dehumidifier
2
2
0
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
5
3
0
2
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
1
0
0
0
1
Anesthesia machine without ventilator
9
5
3
1
0
Autoclave
6
5
1
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
8
5
3
0
0
Operating microscope
2
2
0
0
0
Ceiling mounting OT Light
6
4
2
0
0
Portable OT Light
5
4
1
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
8
6
1
1
0
Sterilizer
5
5
0
0
0
Sucker machine (electric)
12
10
2
0
0
Ventilator
4
4
0
0
0
Coxs Bazar 250 Bed District Sadar 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
2
0
1
1
0
ECG machine
5
2
3
0
0
Ecocardiogram machine
1
1
0
0
0
Cardiac monitor
6
6
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
15
10
5
0
0
Pulse oximeter
8
4
4
0
0
Dental equipment
Dental unit
3
3
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
2
2
0
0
0
Coxs Bazar 250 Bed District Sadar 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)
2
2
0
0
0
Colorimeter
2
2
0
0
0
Electrolyte analyzer
2
1
1
0
0
ELISA machine
0
0
0
0
0
Gas analyzer
2
1
1
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
5
3
2
0
0
Phototherapy unit
4
4
0
0
0
Coxs Bazar 250 Bed District Sadar 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
1
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
6
6
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
0
1
0
Bus
0
0
0
0
0
Jeep
1
1
0
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Coxs Bazar 250 Bed District Sadar 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)
30
27
1
2
0
Air conditioner (window)
20
19
1
0
0
Generator
Generator (diesel/petrol)
3
2
0
1
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
4
4
0
0
0
ICT equipment
Computer (desktop)
23
20
3
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
1
1
0
0
0
Printer (inkjet)
1
1
0
0
0
Printer (laser)
13
10
3
0
0
Scanner
0
0
0
0
0
UPS
13
8
5
0
0
Fax
2
1
1
0
0
Intercom
24
24
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
1
1
0
0
0
Multimedia
1
1
0
0
0
Coxs Bazar 250 Bed District Sadar 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
2
2
0
0
0
PA system (Sound)
0
0
0
0
0
Land phone
6
6
0
0
0
Mobile phone
1
1
0
0
0
Photocopier machine
2
1
1
0
0
Digital camera
2
2
0
0
0
Video camera
0
0
0
0
0
Total
306
248
47
10
1
Coxs Bazar 250 Bed District Sadar Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Coxs Bazar 250 Bed District Sadar Hospital
Important issues and recommendations for Cox's Bazar district hospital:
1. Shortage of human resources: 250 bedded hospital is running with sanctioned post of 100 bedded hospital and with shortage of staffs. Staff pattern should be sanctioned as 250 bedded hospital with immediate placement for smooth running of the hospital.
2. Capacity building: Doctors, nurse & paramedics need to provide adequate training for smooth 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 of 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) Immediate construction or arrangement of separate post operative block construction is very important .
(b) Creation of separate IMCI and Nutrition corner.
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 & suggestion for further improvement of ongoing health care delivery system of the district in the years coming.
