Feedback
HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

Netrokona, situated at the Northeast corner of Bangladesh is a district of natural beauty. The District presents a wonderful Hills of China Clay at Bijoypur in Durgapur Upazila. There is an aboriginal Cultural Acadamy at Birishiri in Durgapur. An old Religious Holly Place, Hazrat Sha Sultan Camruddin Rumi (R:)’s Mazar Shorif present at Madanpur, in this District. Ithas an area of 2841.39 sq. kilometers with Population of 22,53,853. It has 10 Upazilas, 05 Pourashavas, 86 unions, 258 Wards and 4,49,322 Households, It has a district hospital of 100 beds (Under Construction) With best regards to our father of the nation Bangabandhu Sheikh Mujibur Brahman whose inspiration makes our health service available up to Upazila level. Hence I would like to thank his efficient daughter, Honorable Prime Minister Sheikh Hasina for spreading health service up to village level, even up to house to house, through community clinic establishment. Road communication of the villages with Upazilas and District head quarter is not satisfactory. Total khaliajuri Upazila and some parts of madan, Mohangonj and Kalmakanda Upazila are low lying lands. In the rainy season most of the land goes under water. Out of ten two Upazillas Kalmakanda and khaliajuri hard to reach area. Two upazilas of the district (Durgapur and Kalmakanda) was endemic for Malaria but now we are in pre-elimination stage. Most of the people of this District depend on agriculture, fishing and small enterprise business. No Large Scale industries yet not established here, but surplus paddy production is at Netrokona. Majority Infrastructer facilities (about 314 in health and family sectors) is wrecked condition. This facilities need immediate renovation, maintenance and extension. I hope all this information, will help us for planning and bridging the laps & gaps in health services of this Adhunik Sadar Hospital, Netrokona.

Dr. Bijan Kanti Sarker
Superitendent
Netrokona District Hospital
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

2

EDITORIAL BOARD

Chief Editor

Dr. Bijan Kanti Sarker, Civil Surgeon Cum Superintendent, Adhunik Sadar Hospital, Netrokona


Special Acknowledgement

1. Dr. Mustafizur Rahman, RMO & Focal Point

Editors

1. Dr. Nazrul Islam Fakir, Senior Consultant (Paed)

2. Dr. Ranjan Kumar Kormoker, Junior Consultant (Gynae & Obs)

3. Dr. Mustafizur Rahman, RMO & Focal Point

4. Nasima Akther Khanom, Statistical Assistant Incharge

Contributors

1. Jhunu Rani Shaha, Nursing Supervizer

2. Mira Deb, Nursing Supervizer

3. Uttom Kumar Ghosh, Head Assistant Cum Accountant


Certificate of Authentication

We, the above members of the Editorial Board, hereby certify that we collectively examined the content and data used in this LHB 2016 and to the best of our knowledge they represent the true picture of the local situation.

Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

3

Basic Information
Name of the District Netrakona
Organization Code 10000496
Name of Superitendent Dr. Bijan Kanti Sarker
Land Phone No. 1 95161344
Land Phone No. 2 095161277
FAX No. N/A
Mobile No. 01711408176
Email netrokona@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 24.8070 And Long: 90.8294
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

4

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
District Hospital 1 100
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

5

No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 2,869



Neonatal Mortality Rate: 24.1 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 28,533
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

6

No. of Maternal Health Services Provided (Jan-Dec, 2015)
R.P.W. (No.) : Reg. Pregnent Women; 1st ANC (No.) : At least 1 ANC; 4th ANC (No.) : ANCs (4+); N.deli(No.) : Normal Delivery; C.deli(No.) : Cesarean Section; O.deli(No.) : Other Assisted Delivery; PNC(No.) : PNC Within 2 days;

Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

7

No. of Maternal Health Services Provided (Jan-Dec, 2015)

Indicator Hospital Total
Reg. Pregnent Women 2789
At least 1 ANC 2789
ANCs (4+) 451
Normal Delivery 2068
Cesarean Section 891
Other Assisted Delivery 61
PNC Within 2 days 3327
Maternal Death 0
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

8

No. of OPD & Emergency visits, Admissions & Deaths
Health Facility OPD visits (Year 2023)
Male
(Age
<= 5)		 Female
(Age
<= 5)		 Total Male
(Age
> 5)		 Female
(Age
> 5)		 Total Grand-Total
Male Female Both
District Hospital 8016 9444 17,460 28355 29461 57,816 36371 38905 75276
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

9

No. of OPD & Emergency visits, Admissions & Deaths
Health Facility Emergency visits (Year 2023)
Male
(Age
<= 5)		 Female
(Age
<= 5)		 Total Male
(Age
> 5)		 Female
(Age
> 5)		 Total Grand-Total
Male Female Both
District Hospital 4055 3128 7,183 28845 27030 55,875 32900 30158 63058
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

10

No. of OPD & Emergency visits, Admissions & Deaths
Health Facility Admissions (Year 2023)
Male
(Age
<= 5)		 Female
(Age
<= 5)		 Total Male
(Age
> 5)		 Female
(Age
> 5)		 Total Grand-Total
Male Female Both
District Hospital 2790 1583 4,373 8184 15450 23,634 10974 17033 28007
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

11

No. of OPD & Emergency visits, Admissions & Deaths
Health Facility In Patient deaths (Year 2023)
Male
(Age
<= 5)		 Female
(Age
<= 5)		 Total Male
(Age
> 5)		 Female
(Age
> 5)		 Total Grand-Total
Male Female Both
District Hospital 56 41 97 75 55 130 131 96 227
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

12

Morbidity Profile

Top (5) causes of child morbidity (age <= 5 years)

Total No. of admitted patients reviewed for under five morbidity profile 4373
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1412 32.3
2 J189 J189 Pneumonia, unspecified 599 13.7
3 A419 A419 Septicaemia, unspecified 445 10.2
4 B348 B348 Other viral infections of unspecified site 123 2.8
5 E43 E43 Unspecified severe protein-energy malnutrition 55 1.3

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 15524
No. ICD-10 Code Disease name No. of Cases %
1 K279 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 2546 16.4
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1977 12.7
3 Y009 Y009 Assault by blunt object, unspecified place 1452 9.4
4 B348 B348 Other viral infections of unspecified site 496 3.2
5 F419 F419 Anxiety disorder, unspecified 421 2.7
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

13

Mortality Profile

Top (5) causes of death for age <= 5 years

Total No. of cases reviewed for age <= 5 years 97
No. ICD-10 Code Disease name No. of Cases %
1 P219 P219 Birth asphyxia, unspecified 47 48.5
2 J189 J189 Pneumonia, unspecified 19 19.6
3 A419 A419 Septicaemia, unspecified 16 16.5
4 P071 P071 Other low birth weight 08 8.2
5 E43 E43 Unspecified severe protein-energy malnutrition 03 3.1

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths
No. ICD-10 Code Disease name No. of Cases %
1
2
3
4
5
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

14

Mortality Profile

Top (5) causes of death between ages 30 & 70 years

Total No. of cases reviewed for causes of death (30 to 70 years) 116
No. ICD-10 Code Disease name No. of Cases %
1 I68 I68 Cerebrovascular disorders in diseases classified elsewhere 33 28.4
2 I219 I219 Acute myocardial infarction, unspecified 15 12.9
3 J459 J459 Asthma, unspecified 15 12.9
4 J449 J449 Chronic obstructive pulmonary disease, unspecified 14 12.1
5 N18 N18 Chronic renal failure 10 8.6
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

15

Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 62588
Bed Occupancy Rates (%) 171.5
Average Length of Hospital Stay (No. of days per patient) 2.2
Hospital Death Rate (%) 0.8
Surgeries done in the Hospital
Type No.
Major Surgeries 891
Minor Surgeries 42461
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

16

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
DH/GH
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 0 0 0 0 0 0.0
Grade 5 03 02 0 2 1 33.3
Grade 6 07 03 01 4 3 42.9
Grade 7 01 01 0 1 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 11 06 03 9 2 18.2
Grade 10 35 0 30 30 5 14.3
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

17

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
DH/GH
Grade 11 08 06 02 8 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 02 02 0 2 0 0.0
Grade 15 05 01 0 1 4 80.0
Grade 16 06 05 01 6 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 21 16 05 21 0 0.0
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

18

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
DH/GH
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 05 0 5
Grade 6 0 01 1
Grade 7 03 02 5
Grade 8 01 08 9
Grade 9 05 09 14
Grade 10 03 15 18
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

19

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
DH/GH
Grade 11 01 01 2
Grade 12 02 0 2
Grade 13 03 01 4
Grade 14 01 0 1
Grade 15 0 0 0
Grade 16 02 0 2
Grade 17 07 02 9
Grade 18 01 0 1
Grade 19 08 03 11
Grade 20 0 0 0
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

20

Status of Human Resources under DGHS updated during this report preparation
Man
power		 Hospital
Total		 IM-
CI
Trai-
ned		 Basic
EOC
Trai-
ned
San-
cti-
on-
ed		 Fill-
ed-
up
Physician 22 16 3 2
Nurse 40 31 5 5
Medical Assistant 0 0 0 0
Medical Technologist 6 6 0 0
Total 68 53 8 7
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

21

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Radiology equipment
X-ray machine (100 mA) 0 1 0 0 1
X-ray machine (300 mA) 0 0 0 0 0
X-ray machine (500 mA) 0 1 0 0 1
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 0 1 0 0 1
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 0 0 0 0 0
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

22

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Radiology equipment
MRI machine 0 0 0 0 0
Ultrasonogram machine 0 3 0 0 3
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

23

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 2 0 0 4
Anesthesia machine without ventilator 0 0 0 1 1
Autoclave 5 1 0 1 7
Electric cautery machine 0 1 0 0 1
Diathermy machine 6 1 0 0 7
Operating microscope 2 2 0 0 4
Ceiling mounting OT Light 3 2 0 0 5
Portable OT Light 5 0 0 0 5
Fracture table 1 0 0 0 1
Hydrolic OT Table 0 2 0 0 2
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

24

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Anesthesiology/surgical equipment
Sterilizer 3 0 1 0 4
Sucker machine (electric) 9 1 2 1 13
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

25

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Cardiology equipment
Coronary angiogram machine 0 0 0 0 0
Debrililator 0 0 0 0 0
ECG machine 3 1 0 0 4
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 6 0 7 13 26
Pulse oximeter 0 0 0 4 4
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

26

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Dental equipment
Dental unit 1 1 0 0 2
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

27

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

28

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Lab equipment
Biochemical auto-analyzer 0 0 0 0 0
Centrifuge machine (electric) 3 2 0 0 5
Colorimeter 1 1 2 0 4
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 4
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

29

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Obstetric equipment
Fetal monitor 0 0 0 0 0
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

30

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Ophthalmic equipment
FACO machine 1 0 0 0 1
Retinoscope 1 0 0 0 1
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

31

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Pediatric equipment
Baby incubator 0 0 04 01 5
Phototherapy unit 04 0 01 01 6
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

32

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Blood bank equipment
Blood bag centrifuge 0 0 0 0 0
Laminar flow hood 0 0 0 0 0
pH meter 0 0 0 0 0
Hemoglobin photometer 1 0 0 0 1
Blood bank refrigerator 3 1 0 0 4
Blood plasma separating machine 0 0 0 0 0
Platelet separating machine 0 0 0 0 0
Deep freeze (plasma) 0 0 0 1 1
Deep freeze (RBC) 0 0 0 0 0
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

33

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Urology equipment
Cystoscopic machine 0 0 0 0 0
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

34

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Vehicles
Ambulance 1 1 0 0 2
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

35

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Air conditioner
Air conditioner (split type) 8 4 2 1 15
Air conditioner (window) 2 2 0 0 4
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

36

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Generator
Generator (diesel/petrol) 0 1 0 1 2
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 2 0 0 0 2
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

37

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
ICT equipment
Computer (desktop) 12 0 2 20 34
Laptop 4 0 0 0 4
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 1 0 2 7
Scanner 1 0 0 0 1
UPS 0 0 0 10 10
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

38

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
ICT equipment
Internet wireless line (Modem) 2 0 0 0 2
Multimedia 0 0 0 0 0
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 1 3 0 0 4
Mobile phone 0 0 1 0 1
Photocopier machine 1 0 0 0 1
Digital camera 1 0 0 0 1
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

39

Important information and necessary issues you want to raise
In spite of having much sincerity, last year we could not provide our maximum efforts to improve the health status due to many reasons. Here I like to mention some important approaches which will help us to achieve good impacts in health status of Netrokona in future. 1. The vacant Sr. Con Surgery- 01 person, Junior Con. ENT, EYE, Orthopedics- 03 persons, EMO o1 Person, Dental Surgeon 01 person, Staff Nurse-05 persons and Assistant. Nurse-04 persons posts should be filled up immediately. 2. There is no Sanctioned post for Ward Masters, Statisticians, Security Guards, Malis, Ward Boys, Ayas and cleaners. So we need immediate above mentioned manpower for smooth Running of Hospital and Compliance of Patients. 3. All the repairable equipment should be repaired as soon as possible. 4. Emergency Basis an Ambulance is necessary. Infrastructure for 100 bedded hospital will be completed by July/2016. 5. We need 100 bed staff strength. Currently we have organogram for 50 bedded hospital. We have diet with medicine allocation of 100 bed capacity. 6. Bed Occupancy Rate of this district Hospital 171.5 that is beyond the capacity of this Hospital. So the patients : Compliance are not satisfactory. I request to increase the hospital capacity from 100 beds with manpower and up to 250 beds 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 a very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future. Urgent steps should be taken to complete the infrastructure of the hospital from 100 to 250 bedded stage with establishment with one Medical College and Hospital, One Institute of Health Technology for Creation of Supplementary/Ancillary technical staffs with better idea of employment of Middle level educated people for the purpose of eradication of poverty. Wishing all Sound health and longivity.
Local Health Bulletin 2016 for Netrokona District Hospital, Netrokona Sadar, Netrakona

40