Gaibandha District Hospital | Health Bulletin 2015 |
Preface
Quality health service delivery is yet a challange in my hospital deu to many reasors. We need to overcome same important constraints spccialy the acute human resours crisis as an immediate measure . The vacant post should be filed and manpower for 100 bedded hospital should be provided immediately . Our Doctors & Nurses need more training on IMCI & EmOC . All the repairable equipments should be repaird as soon as possible . MSR storage facility is indeguate. Condemnation of rejected/nonfunctional goods is to be done immadiatly. Finally I am very happy to publish this health bulletin of 2014 because this ducument will help us to compare our progress in upcoming years.
Gaibandha District Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Gaibandha
Organization Code
10001254
Name of Superitendent DR. Nirmalendu Chowdhury( Acting)
Land Phone No. 1
-054161516
Land Phone No. 2
FAX No. 0
Mobile No. 01713790533
Email gaibandha@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 20.0000 And Long: 87.0000
Gaibandha 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
Gaibandha District Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 1,326
Total No. of Children Treated under IMCI Program 6,127
Neonatal Mortality Rate (NMR) is 66.37 per 1,000 live births
Gaibandha 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: 3,001
Total Number of Deliveries: 1,375
No. of Maternal Deaths: 3
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
226.24 per 100,000 live births.
Gaibandha 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
47,459
61,627
109,086
13,797
17,600
31,397
140,483
21,010
20,815
41,825
4,310
1,463
5,773
47,598
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
7,005
8,080
15,085
3,595
1,105
4,700
19,785
173
65
238
84
52
136
374
Gaibandha 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
54,210
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
R100 Acute abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1302
2.40
2
R073 Other chest pain
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
390
0.72
3
D569 Thalassaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
530
0.98
4
Y009 Assault by blunt object, unspecified place
XX: External causes of morbidity and mortality
385
0.71
5
P219 Birth asphyxia, unspecified
XVI: Certain conditions originating in the perinatal period
615
1.13
6
J069 Acute upper respiratory infection, unspecified
X: Diseases of the respiratory system
395
0.73
7
P369 Bacterial sepsis of newborn, unspecified
XVI: Certain conditions originating in the perinatal period
330
0.61
8
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
270
0.50
9
V99 Unspecified transport accident
XX: External causes of morbidity and mortality
90
0.17
10
P071 Other low birth weight
XVI: Certain conditions originating in the perinatal period
120
0.22
Gaibandha 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
374
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
R090 Asphyxia
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
56
14.97
2
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
50
13.37
3
J449 Chronic obstructive pulmonary disease, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
45
12.03
4
P22 Respiratory distress of newborn
XVI: Certain conditions originating in the perinatal period
20
5.35
5
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
19
5.08
6
A099 Gastroenteritis and colitis of unspecified origin
I: Certain infectious and parasitic diseases
15
4.01
7
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
14
3.74
8
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
10
2.67
9
D649 Anaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
11
2.94
10
I516 Cardiovascular disease, unspecified
IX: Diseases of the circulatory system
9
2.41
Gaibandha District Hospital | Health Bulletin 2015 | Page# 8
Water & sanitation (Whole District)
Indicators
Upazila
Coverage of households having access to safe drinking water (%)
83
Coverage of households having access to sanitary latrines (%)
80
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.)
54,210
Bed Occupancy Rates (%)
148.52
Average Length of Hospital Stay (No. of days per patient)
1.00
Hospital Death Rate (%)
0.69
Gaibandha District Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
423
Minor Surgeries
376
Gaibandha District Hospital | Health Bulletin 2015 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
42
10
5
27
64.29
Non Doctor
0
0
0
0
0.00
Class II
39
4
29
6
15.38
Class III
33
20
2
11
33.33
Class IV
25
15
3
7
28.00
Gaibandha 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
42
15
2
4
Nurse
37
33
2
2
Medical Assistant
0
0
0
0
Medical Technologist
6
6
0
0
Gaibandha 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)
0
0
0
0
0
X-ray machine (300 mA)
0
0
0
0
0
X-ray machine (500 mA)
1
1
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
1
1
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
3
1
2
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
4
2
2
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
3
1
2
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
6
2
4
0
0
Operating microscope
1
1
0
0
0
Ceiling mounting OT Light
3
3
0
0
0
Portable OT Light
7
4
3
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
8
6
2
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
6
4
2
0
0
Ventilator
1
1
0
0
0
Gaibandha 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
2
2
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
0
3
5
0
Pulse oximeter
4
4
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
Gaibandha 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
3
2
0
1
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)
2
2
0
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
1
1
0
0
0
Pediatric equipment
Baby incubator
2
1
1
0
0
Phototherapy unit
1
1
0
0
0
Gaibandha 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
2
2
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)
0
0
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
3
2
0
1
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
Gaibandha 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)
5
5
0
0
0
Air conditioner (window)
11
9
2
0
0
Generator
Generator (diesel/petrol)
2
2
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)
12
12
0
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
0
0
0
0
0
UPS
0
0
0
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
Gaibandha 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
2
2
0
0
0
Mobile phone
1
0
0
1
0
Photocopier machine
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
124
89
27
8
0
Gaibandha District Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Gaibandha District Hospital
Quality Service dalivary and Patients satisfaction is always the biggest chalange in the goverment hospitals even in the most resourceful ones. Gaibandha Adhunik sadar hospital was upgraded from 50 bed hospital to 100 bed hospital more than a decade before but still run by the incomplete manpower setup of 50 bed hospital. The number of cleaners is inadequate with no post for the Sequrity gwrds. Infrastructural limitations and dispossal of old/damaged goods are other important issues. In these circumstances itwas very hard for the service providers to deliver quality service to the patients inspite of their utmost effort. Still then I am pleased to say that service delivery in all sections of my hospital is incrasing both quantitatively and qualitatively. I hope that the service delivery in my hospital will be further improved if the above mentioned issues are adressed positively in the up coming days . Finally I am happy to publish the health bulletin 2015
.
