Nilphamari District Hospital | Health Bulletin 2015 |
Preface
I am feeling proud that I have taken part to publish this health bulletin.this bulletin contains all the possible health related information of this hospital of 2014.With the information of this bulletin which is going to be published the development partners and other line departments will be able to know the actual condition of this hospital and the problems the authority is facing.How the hospital is running with so many limitations!
Nilphamari District Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Nilphamari
Organization Code
10001464
Name of Superitendent Dr. Md. Abdur Rashid
Land Phone No. 1
0551-061222
Land Phone No. 2
FAX No. 55161218
Mobile No. 01712225524
Email nilphamari@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 25.5400 And Long: 88.5000
Nilphamari 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
Nilphamari District Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 2,012
Total No. of Children Treated under IMCI Program 460
Neonatal Mortality Rate (NMR) is 37.28 per 1,000 live births
Nilphamari 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: 3,269
Total Number of Deliveries: 2,091
No. of Maternal Deaths: 2
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
99.40 per 100,000 live births.
Nilphamari 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
46,044
51,913
97,957
10,290
15,831
26,121
124,078
13,800
18,118
31,918
4,012
3,614
7,626
39,544
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
8,966
15,538
24,504
3,567
2,389
5,956
30,460
65
59
124
52
44
96
220
Nilphamari 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
30,460
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
4472
14.68
2
A92 Other mosquito-borne viral fevers
I: Certain infectious and parasitic diseases
2688
8.82
3
J12 Viral pneumonia, NEC
X: Diseases of the respiratory system
2538
8.33
4
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
2278
7.48
5
X85 Assault by drugs, medicaments and biological substances
XX: External causes of morbidity and mortality
2265
7.44
6
J44 Other chronic obstructive pulmonary disease
X: Diseases of the respiratory system
537
1.76
7
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
471
1.55
8
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
467
1.53
9
J20 Acute bronchitis
X: Diseases of the respiratory system
299
0.98
10
O04 Medical abortion
XV: Pregnancy, childbirth and the puerperium
288
0.95
Nilphamari 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
220
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
44
20.00
2
P22 Respiratory distress of newborn
XVI: Certain conditions originating in the perinatal period
25
11.36
3
X44 Accidental poisoning by and exposure to other and unspecified drugs, medicaments and biological substances
XVI: Certain conditions originating in the perinatal period
14
6.36
4
J12 Viral pneumonia, NEC
X: Diseases of the respiratory system
13
5.91
5
J45 Asthma
X: Diseases of the respiratory system
13
5.91
6
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
12
5.45
7
P070 Extremely low birth weight
XVI: Certain conditions originating in the perinatal period
11
5.00
8
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
10
4.55
9
J10 Influenza due to identified influenza virus
X: Diseases of the respiratory system
7
3.18
10
I11 Hypertensive heart disease
IX: Diseases of the circulatory system
5
2.27
Nilphamari District Hospital | Health Bulletin 2015 | Page# 8
Water & sanitation (Whole District)
Indicators
Upazila
Coverage of households having access to safe drinking water (%)
100
Coverage of households having access to sanitary latrines (%)
87
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.)
62,579
Bed Occupancy Rates (%)
171.45
Average Length of Hospital Stay (No. of days per patient)
2.05
Hospital Death Rate (%)
0.72
Nilphamari District Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
50
Nilphamari 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
9
1
11
52.38
Non Doctor
0
0
0
0
0.00
Class II
35
1
27
7
20.00
Class III
18
9
1
8
44.44
Class IV
21
12
9
0
0.00
Nilphamari 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
10
1
1
Nurse
35
27
0
5
Medical Assistant
0
0
0
0
Medical Technologist
6
3
0
0
Nilphamari 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)
1
1
0
0
0
X-ray machine (500 mA)
0
0
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
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
1
1
0
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
2
2
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
1
1
0
0
0
Anesthesia machine without ventilator
1
1
0
0
0
Autoclave
4
4
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
10
10
0
0
0
Sucker machine (electric)
0
0
0
0
0
Ventilator
0
0
0
0
0
Nilphamari 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
4
4
0
0
0
Pulse oximeter
2
2
0
0
0
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
Nilphamari 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)
4
2
2
0
0
Colorimeter
2
1
1
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)
2
2
0
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
2
2
0
0
0
Phototherapy unit
1
1
0
0
0
Nilphamari 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
1
0
0
0
Laminar flow hood
0
0
0
0
0
pH meter
0
0
0
0
0
Hemoglobin photometer
1
1
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
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
1
1
0
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
Nilphamari 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)
0
0
0
0
0
Air conditioner (window)
4
4
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)
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
2
2
0
0
0
UPS
10
10
0
0
0
Fax
1
1
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
Nilphamari 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
1
1
0
0
0
Mobile phone
2
1
1
0
0
Photocopier machine
1
1
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
97
91
6
0
0
Nilphamari District Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Nilphamari District Hospital
We want to give service to all people of Nilphamari specially the poor and ultra poor.But deu to shortage of man power inall level we are unable to do this sire as per desire of general people.It was a 50 Bed hospital in the year 2002 upgreaded to 100 Bed hospital in the year 2003 with manpower of 50 Bed set up.At present the number of Doctors are only 14 ,though it is 21 in 50 Bed set up.But the Hospital is overloaded.Now the Bed occupancy rate 171%.At the there is no restriction of visitors in entering the hospital.So it is not possible to maintainthe cleanliness of the hospital properly.Shortage of doctors,paramedics and other class four employees is another and major bar for giving proper service to the patients.So we need proper number of manpower.
