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Thakurgaon District Hospital | Health Bulletin 2015 |
Preface
I am happy to see that a Health Bulletin of health services of Thakurgaon District 2015 is going to be published. This Bulletin will deliver the statistical information of different health programs. A section of the Health Bulletin will also cover morbidity and mortality data. The bulletin also contains the MDG 4 and MDG 5 which will help to localize the MDG targets. A large number of people seek health care from private providers and their data has been inadequately covered. However, despite some limitations the contents of this Health Bulletin are rich and useful to provide an overview of the health situation of the district.I am sure that the health policy makers, planners and program managers will definitely see this Health Bulletin as one of the good resources of the health sector of Thakurgaon district. I am deeply indebted and grateful to all those who contributed to this Bulletin. Finally I would like to congratulate the initiator of the Health Bulletin software for setting us one step ahead toward Digital Bangladesh. Dr.Md.NuzrulIslam Superintendent Thakurgaon District Hospital
Dr. Md. Nazrul Islam
Superintendent
Thakurgaon District Hospital

Thakurgaon District Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the DistrictThakurgaon
Organization Code 10001687
Name of Superitendent Dr. Md. Nazrul Islam
Land Phone No. 1 0561-052021
Land Phone No. 2
FAX No. 56153460
Mobile No. 01820520010
Email thakurgaon@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 24.0000 And Long: 88.0000

Thakurgaon 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

Thakurgaon District Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 2,110


Total No. of Children Treated under IMCI Program 5,235
Neonatal Mortality Rate (NMR) is 132.70 per 1,000 live births

Thakurgaon 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: 1,929
Total Number of Deliveries: 1,526
No. of Maternal Deaths: 6
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is 284.36 per 100,000 live births.

Thakurgaon 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 55,702 62,399 118,101 24,210 24,970 49,180 167,281 5,030 1,420 6,450 264 80 344 6,794

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 11,151 8,133 19,284 11,988 6,961 18,949 38,233 192 74 266 233 170 403 669

Thakurgaon 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 22,353
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J189 Pneumonia, unspecified X: Diseases of the respiratory system 6092 27.25
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 5634 25.20
3 Y009 Assault by blunt object, unspecified place XX: External causes of morbidity and mortality 2333 10.44
4 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 1823 8.16
5 B34 Viral infection of unspecified site I: Certain infectious and parasitic diseases 1781 7.97
6 V346 Occupant of three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus, passenger, traffic accident XX: External causes of morbidity and mortality 1757 7.86
7 F419 Anxiety disorder, unspecified V: Mental and behavioural disorders 843 3.77
8 J118 Influenza with other manifestations, virus not identified X: Diseases of the respiratory system 775 3.47
9 S098 Other specified injuries of head XIX: Injury, poisoning and certain other consequences of external causes 662 2.96
10 J219 Acute bronchiolitis, unspecified X: Diseases of the respiratory system 655 2.93

Thakurgaon 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 455
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 184 40.44
2 P071 Other low birth weight XVI: Certain conditions originating in the perinatal period 60 13.19
3 J189 Pneumonia, unspecified XVI: Certain conditions originating in the perinatal period 43 9.45
4 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 32 7.03
5 I249 Acute ischaemic heart disease, unspecified IX: Diseases of the circulatory system 30 6.59
6 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 29 6.37
7 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 28 6.15
8 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 24 5.27
9 I21 Acute myocardial infarction IX: Diseases of the circulatory system 14 3.08
10 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 11 2.42

Thakurgaon District 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.) 102,077
Bed Occupancy Rates (%) 279.66
Average Length of Hospital Stay (No. of days per patient) 4.57
Hospital Death Rate (%) 2.04


Thakurgaon District Hospital | Health Bulletin 2015 | Page# 9

Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries 904
Minor Surgeries 13,226

 

Thakurgaon District Hospital | Health Bulletin 2015 | Page# 10

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
Class I Doctor 22 12 1 9 40.91
Non Doctor 0 0 0 0 0.00
Class II 38 0 38 0 0.00
Class III 22 16 4 2 9.09
Class IV 21 16 4 1 4.76

 

Thakurgaon 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 22 13 1 1
Nurse 43 43 4 5
Medical Assistant 0 0 0 0
Medical Technologist 3 3 0 0

Thakurgaon 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) 1 0 1 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 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 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 2 2 0 0 0
Anesthesia machine without ventilator 5 4 0 1 0
Autoclave 13 11 0 2 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 15 15 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 4 4 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 2 0 1 0
Sterilizer 20 20 0 0 0
Sucker machine (electric) 20 20 0 0 0
Ventilator 0 0 0 0 0


Thakurgaon 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 8 6 0 2 0
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 1 1 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 24 15 0 9 0
Pulse oximeter 6 6 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


Thakurgaon 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 3 0 0 0
Colorimeter 1 1 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) 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 5 2 3 0 0
Phototherapy unit 4 2 1 0 1


Thakurgaon 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 0 0 0 0 0
Blood bank refrigerator 3 2 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 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 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


Thakurgaon 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) 7 7 0 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 2 1 0 0 1
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 5 4 1 0 0
Laptop 0 0 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 3 1 2 0 0
Scanner 0 0 0 0 0
UPS 3 0 2 1 0
Fax 1 0 1 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 0 0 0 0 0


Thakurgaon 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 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 178 141 16 19 2

Thakurgaon District Hospital | Health Bulletin 2015 | Page# 18

Important information and necessary issues for Thakurgaon District Hospital
Important information and necessary issues for Thakurgaon District Hospital Ours is a poor country and like other sectors, there is lack of budget allocation in health sector also. Last year we could not meet the peoples need despite our maximum efforts due to many reasons. Here I like mention some important factors which will help us to achieve good results in future. 1) The vacant post should be filled immediately. 2) Our doctor and nurse need more training. 3) Number of community clinic and the bed capacity of the hospitals should be increased. 4) All the repairable equipment's should be repaired as soon as possible finally I am very happy to write this health bulletin of 2015 because this document will help us to compare our progress in upcoming years. This is very useful document and will help public to understand health services and to provide us the useful advice for improvement in future.