Narail District Hospital | Health Bulletin 2015 |
Preface
This is my great pleasure to publish this HEALTH BULLETIN 2015 of District Narail. This bulletin contains all the health related information of 2014. It is published to disseminate the information of district to other department and development partners of health. For health bulletin we gather data from wide range of sources across the district .The health managers, officers and respective health personnel all over the district were engaged to prepare this report. I hope all the information of this bulletin will be helpful for planning and bridging the gaps in the health services of this district. This is an important publication and we use it as our reference of health data. we use health bulletin to understand how much progress we made in the past year in the health sector. We also understand through this bulletin where we made little progress , where we need to pay more attention and where we could do better. The health bulletin 2015 will contribute to improving transparency about health issues of the country. The bulletin contains the status of MDG-4 & MDG-5 which will help to locate the MDG targets. In Narail District Many Post of Doctors and Employees are lying vacant. So we have to face a lot of problems in delivering health services to the people. The sanctioned and vacant posts are published in this bulletin. I like to take attention of the higher authority to look after this burning issue. I express my sincere thanks to Professor Dr. Abul Kalam Azad, Additional director general (planning & development) and Line director of MIS Health for providing his moral support. Positive attitude towards development of this health bulletin. This is my responsibility to thank all the team member of MIS Health for their continuous effort and creation.
Narail District Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Narail
Organization Code
10001913
Name of Superitendent Dr. Subrata Kumar Saha
Land Phone No. 1
0481-063345
Land Phone No. 2 0481-62214
FAX No. 0
Mobile No. 01712540888
Email narail@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 23.0000 And Long: 89.0000
Narail 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
Narail District Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 1,264
Total No. of Children Treated under IMCI Program 3,639
Neonatal Mortality Rate (NMR) is 39.56 per 1,000 live births
Narail 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: 2,684
Total Number of Deliveries: 1,276
No. of Maternal Deaths: 0
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
0.00 per 100,000 live births.
Narail 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
30,893
55,434
86,327
7,423
8,217
15,640
101,967
5,832
3,979
9,811
1,243
1,014
2,257
12,068
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
5,770
8,287
14,057
2,870
1,683
4,553
18,610
102
74
176
40
35
75
251
Narail 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
15,364
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
2172
14.14
2
O65 Obstructed labour due to maternal pelvic abnormality
XV: Pregnancy, childbirth and the puerperium
1755
11.42
3
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
889
5.79
4
J06 Acute upper respiratory infections of multiple and unspecified sites
X: Diseases of the respiratory system
1000
6.51
5
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
764
4.97
6
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
535
3.48
7
V02 Pedestrian injured in collision with two- or three-wheeled motor vehicle
XX: External causes of morbidity and mortality
509
3.31
8
J45 Asthma
X: Diseases of the respiratory system
425
2.77
9
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
372
2.42
10
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
215
1.40
Narail 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
208
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
G46 Vascular syndromes of brain in cerebrovascular diseases
VI: Diseases of the nervous system
40
19.23
2
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
37
17.79
3
P07 Disorders related to short gestation and low birth weight, NEC
VI: Diseases of the nervous system
27
12.98
4
I50 Heart failure
IX: Diseases of the circulatory system
26
12.50
5
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
20
9.62
6
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
11
5.29
7
Q21 Congenital malformations of cardiac septa
XVII: Congenital malformations, deformations and chromosomal abnormalities
10
4.81
8
A87 Viral meningitis
I: Certain infectious and parasitic diseases
7
3.37
9
P36 Bacterial sepsis of newborn
XVI: Certain conditions originating in the perinatal period
4
1.92
10
J45 Asthma
X: Diseases of the respiratory system
3
1.44
Narail District Hospital | Health Bulletin 2015 | Page# 8
Water & sanitation (Whole District)
Indicators
Upazila
Coverage of households having access to safe drinking water (%)
70
Coverage of households having access to sanitary latrines (%)
91
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.)
59,449
Bed Occupancy Rates (%)
162.87
Average Length of Hospital Stay (No. of days per patient)
3.87
Hospital Death Rate (%)
1.35
Narail District Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
1,053
Minor Surgeries
7,688
Narail District Hospital | Health Bulletin 2015 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
39
12
2
25
64.10
Non Doctor
1
0
1
0
0.00
Class II
44
0
43
1
2.27
Class III
0
0
0
0
0.00
Class IV
0
0
0
0
0.00
Narail 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
39
14
1
1
Nurse
43
43
10
5
Medical Assistant
0
0
0
0
Medical Technologist
6
6
0
0
Narail 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)
2
1
1
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
1
0
1
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
2
2
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
5
5
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
3
3
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
5
3
2
0
0
Operating microscope
3
3
0
0
0
Ceiling mounting OT Light
4
4
0
0
0
Portable OT Light
3
3
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
10
10
0
0
0
Sucker machine (electric)
0
0
0
0
0
Ventilator
0
0
0
0
0
Narail 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
0
2
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
2
2
0
0
Pulse oximeter
0
0
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
Narail 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)
0
0
0
0
0
Colorimeter
0
0
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
0
0
0
0
0
Pediatric equipment
Baby incubator
7
7
0
0
0
Phototherapy unit
0
0
0
0
0
Narail 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
2
2
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
Narail 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)
5
5
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
5
5
0
0
0
ICT equipment
Computer (desktop)
14
9
0
5
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
12
5
4
3
0
Scanner
2
1
0
1
0
UPS
12
9
0
3
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
Narail 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
1
0
0
0
Photocopier machine
1
0
1
0
0
Digital camera
1
1
0
0
0
Video camera
0
0
0
0
0
Total
129
103
12
14
0
Narail District Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Narail District Hospital
