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Kushtia 250 bed General Hospital | Health Bulletin 2015 |
Preface
I am very glad to know that the e-health bulletin is going to publish from 250 Bedded General Hospital, Kushtia. This health bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of 250 Bedded General Hospital, Kushtia which will help the development partners of health sectors. These data of this bulletin will help for planning and brining the gaps and laps in health services of Kushtia district. This health bulletin will help us to find out different information, results and activities of 2014. E-health bulletin reflects the local MDG target according to MDG-4 and MDG-5. We have published our local health bulletin successfully, last year. We hope and think that we should make our health bulletin better than before. I would like to congrachulate and thank to all the initiators as well as to Proff. Dr. Abul Kalam Azad. ADG (Planning) and Line Director (MIS) of e-health bulletin software for setting us one step ahead towards for making Digital Bangladesh.
Dr. Azizun Nahar
Superintendent
Kushtia 250 bed General Hospital

Kushtia 250 bed General Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the DistrictKushtia
Organization Code 10001862
Name of Superitendent Dr. Azizun Nahar
Land Phone No. 1 071-07171152
Land Phone No. 2 071-07162449
FAX No. 17171152
Mobile No. 01819696256
Email kushtia@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 24.0000 And Long: 23.0000

Kushtia 250 bed General Hospital | Health Bulletin 2015 | Page# 2
Existing health facilities in the District/General Hospital
Facility Type
Total
No. of Beds
District Hospital 1 250

Kushtia 250 bed General Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 2,406


Total No. of Children Treated under IMCI Program 34,225
Neonatal Mortality Rate (NMR) is 9.98 per 1,000 live births

Kushtia 250 bed 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: 10,320
Total Number of Deliveries: 2,524
No. of Maternal Deaths: 9
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is 374.06 per 100,000 live births.

Kushtia 250 bed 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 107,736 111,997 219,733 18,855 19,246 38,101 257,834 11,472 5,868 17,340 1,180 857 2,037 19,377

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 21,030 22,471 43,501 5,986 3,818 9,804 53,305 737 553 1,290 23 12 35 1,325

Kushtia 250 bed 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 53,305
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 8094 15.18
2 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 2373 4.45
3 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 2234 4.19
4 X99 Assault by sharp object XX: External causes of morbidity and mortality 1702 3.19
5 I21 Acute myocardial infarction IX: Diseases of the circulatory system 1501 2.82
6 I11 Hypertensive heart disease IX: Diseases of the circulatory system 1417 2.66
7 J14 Pneumonia due to Haemophilus influenzae X: Diseases of the respiratory system 1323 2.48
8 A41 Other septicaemia I: Certain infectious and parasitic diseases 1128 2.12
9 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 1108 2.08
10 J21 Acute bronchiolitis X: Diseases of the respiratory system 1098 2.06

Kushtia 250 bed 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 1,325
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 141 10.64
2 I46 Cardiac arrest IX: Diseases of the circulatory system 118 8.91
3 I21 Acute myocardial infarction IX: Diseases of the circulatory system 114 8.60
4 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 32 2.42
5 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 27 2.04
6 E10 Insulin-dependent diabetes mellitus IV: Endocrine, nutritional and metabolic diseases 26 1.96
7 R07 Pain in throat and chest XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 25 1.89
8 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 23 1.74
9 G05 Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere VI: Diseases of the nervous system 14 1.06
10 A41 Other septicaemia I: Certain infectious and parasitic diseases 9 0.68

Kushtia 250 bed General Hospital | Health Bulletin 2015 | Page# 8

Water & sanitation (Whole District)
Indicators
Upazila
Coverage of households having access to safe drinking water (%) 81
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.) 171,064
Bed Occupancy Rates (%) 187.47
Average Length of Hospital Stay (No. of days per patient) 3.21
Hospital Death Rate (%) 2.49


Kushtia 250 bed General Hospital | Health Bulletin 2015 | Page# 9

Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries 3,570
Minor Surgeries 8,661

 

Kushtia 250 bed General Hospital | Health Bulletin 2015 | Page# 10

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
Class I Doctor 58 29 11 18 31.03
Non Doctor 1 0 0 1 100.00
Class II 139 5 115 19 13.67
Class III 37 29 4 4 10.81
Class IV 48 25 5 18 37.50

 

Kushtia 250 bed 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 58 30 0 0
Nurse 144 123 0 6
Medical Assistant 0 0 0 0
Medical Technologist 11 11 0 0

Kushtia 250 bed 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) 2 1 1 0 0
X-ray machine (300 mA) 1 1 0 0 0
X-ray machine (500 mA) 1 0 1 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 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 3 2 1 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 1 1 0 0
Anesthesia machine without ventilator 5 3 0 2 0
Autoclave 4 1 3 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 5 3 2 0 0
Operating microscope 2 1 1 0 0
Ceiling mounting OT Light 5 3 0 2 0
Portable OT Light 6 6 0 0 0
Fracture table 1 1 0 0 0
Hydrolic OT Table 8 4 1 3 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 6 5 1 0 0
Ventilator 1 1 0 0 0


Kushtia 250 bed 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 5 4 1 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 2 2 0 0 0
Pulse oximeter 7 3 1 3 0
Dental equipment
Dental unit 2 2 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 2 2 0 0 0


Kushtia 250 bed 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) 1 1 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 3 1 2 0 0
Phototherapy unit 2 1 1 0 0


Kushtia 250 bed 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 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 4 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 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


Kushtia 250 bed 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) 19 18 1 0 0
Air conditioner (window) 14 7 2 5 0
Generator
Generator (diesel/petrol) 4 2 1 1 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) 24 22 2 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 18 9 5 4 0
Scanner 0 0 0 0 0
UPS 10 5 5 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 1 1 0 0 0


Kushtia 250 bed 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) 1 1 0 0 0
Land phone 4 2 2 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 1 1 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 195 139 35 21 0

Kushtia 250 bed General Hospital | Health Bulletin 2015 | Page# 18

Important information and necessary issues for Kushtia 250 bed General Hospital
Here I would like to mention some important factors which will help us to achive better results in future. 1. This 250 Bedded General Hospital is running with 150 Beds hospital manpower. moreover This hospital has been announced Kushtia Medical College Hospital (Temporary Campus). So, The strength of manpower should be raised up to standard setting of 250 Bedded general Hospital.or Medical College Hospital. 2. All the vacant post should be filled up immediatly espacially for the Outsoursing post as well as Sn. Con (Medicine,Surgery,Eye & Peadriatic) and Jn. Con ( Medicine, Anesthesia & Surgery) 3. All of our Doctors, Nurses as well as other heatlh related personnal need more training for incresing capacity building. espacially on IMCI, ARI, Diarrhoea, ICD-10 ect. 4. Bed Occupancy Rate has been raised up to 209.24% in the month of September '2014 . It is heighest BOR in the history of the Hospital, So the number of Beds will be increased from 250 Beds to 500 beds immediately. 5. We need more equipments for serving better treatments.All the repairable instruments should be repaired as early as possible time. Finally I am very happy to write this health bulletin of 250 Beded General Hospital, Kushtia.Because this document will help us to compare our health progress in upcomming years.I must say that it is very usefull document and will help the public to understand health services and to provide us the usefull and valuable advise for better health improvement to the patients in future for making Digital bangladesh. Thank to all.