Netrokona District Hospital | Health Bulletin 2014 |
Preface
Netrokona district is a remote District. It has 10 upazila with 4,48,976 households.Road communication of the villages with upazila head quarter and District head quarter is not well established. Total Khaliazuri upazila and part of Modan, Kolmakanda and Mohangonj upazila is law laying land. In rainy season most of the lands goes under water. The population is around 21,63,702 The over all socio-economic condition is very poor in this district. Two upazilas of the district ( Kolmakanda and Durgapur upazila ) are endemic for Malaria. Most of the people in this district depend on agriculture, fishing and small enterprise business.
Netrokona District Hospital | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the District Netrakona
Name of Superitendent Dr. Shahid Uddin Ahmed
Telephone No. 095161344
FAX No. 0
Mobile No. 01712135270
Email netrokona@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 20.0000 And Long: 87.0000
No. of Unions in the District 86
No. of Households in the District 448,976
No. of Population in the District 2,163,702
Area of District in sq km 281,039.00
Netrokona District Hospital | Health Bulletin 2014 | Page# 2
Existing health facilities in the District /General Hospital
Facility Type
Total
No. of Beds
District Hospital
1
100
Netrokona District Hospital | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,340
Total No. of children treated under IMCI Program 14,994
Fully Vaccinated Children: 0.00
Neonatal Mortality Rate (January-December, 2013)
Netrokona District Hospital | Health Bulletin 2014 | Page# 4
Legends
R.P.W-
Registered Pregnanat Woman
1st ANC-
No. of 1st ANC recipients
R.P.W-
No. of 4th ANC recipients
C. Preg-
No. of complicated pregnancies
N. deli-
No. of normal deliveries
V. deli-
No. of vaginal deliveries
C. deli-
No. of cesarean deliveries
PNC-
No. of PNC services provided to mother
Maternal health and MDG-5 (No.) (January-December, 2013)
All ANC Receiptients No. : 2,249
Total Number of Deliveries: 2,460
No. of Maternal Death: 1
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Netrokona District Hospital | Health Bulletin 2014 | Page# 5
No. of OPD & Emergency visits at District/General Hospital
Health Facility
OPD
Emergency
T
M
F
Child
T
M
F
Child
District Hospital
53,645
24,969
28,676
13,393
38,092
22,274
15,818
5,982
No. of Admissions & Deaths at District/General Hospital
Health Facility
Admission
Death
T
M
F
Child
T
M
F
Child
District Hospital
20,999
8,090
12,909
3,033
140
87
53
63
Netrokona District Hospital | Health Bulletin 2014 | 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
24032
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
4766
19.83
2
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
3062
12.74
3
Y009 Assault by blunt object, unspecified place
1804
7.51
4
B348 Other viral infections of unspecified site
657
2.73
5
V861 Passenger of all-terrain or other off-road motor vehicle injured in traffic accident
510
2.12
6
J189 Pneumonia, unspecified
451
1.88
7
F419 Anxiety disorder, unspecified
447
1.86
8
J459 Asthma, unspecified
341
1.42
9
T609 Pesticide, unspecified
326
1.36
10
D509 Iron deficiency anaemia, unspecified
260
1.08
Netrokona District Hospital | Health Bulletin 2014 | 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
203
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
I694 Sequelae of stroke, not specified as haemorrhage or infarction
23
11.33
2
P219 Birth asphyxia, unspecified
21
10.34
3
I219 Acute myocardial infarction, unspecified
21
10.34
4
J449 Chronic obstructive pulmonary disease, unspecified
20
9.85
5
A419 Septicaemia, unspecified
16
7.88
6
T609 Pesticide, unspecified
13
6.40
7
I249 Acute ischaemic heart disease, unspecified
11
5.42
8
J189 Pneumonia, unspecified
11
5.42
9
N189 Chronic renal failure, unspecified
11
0.00
10
J459 Asthma, unspecified
10
4.93
Netrokona District Hospital | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
0
Coverage of households having access to sanitary latrines (%)
0
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in District Hospital in 365 days (No.)
60,328
Bed Occupancy Rates (%)
165.28
Average Length of Hospital Stay (No. of days per patient)
2.54
Hospital Death Rate (%)
0.85
Netrokona District Hospital | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
715
Minor Surgeries
8794
Netrokona District Hospital | Health Bulletin 2014 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
22
14
2
6
27.27
Non Doctor
0
0
0
0
0.00
Class II
33
0
30
3
9.09
Class III
23
14
5
4
17.39
Class IV
21
16
5
0
0.00
Netrokona District Hospital | Health Bulletin 2014 | Page# 11
Status of Human Resources (Category wise)
Manpower
Hospital total
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
22
16
2
2
Nurse
40
33
4
5
Medical Assistant
0
0
0
0
Medical Technologist
6
6
0
0
Netrokona District Hospital | Health Bulletin 2014 | Page# 12
Existing equipments 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
1
0
0
0
X-ray machine (300 mA)
0
0
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
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
3
2
1
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
3
1
2
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
6
4
0
0
2
Anesthesia machine without ventilator
1
0
1
0
0
Autoclave
7
5
1
0
1
Electric cautery machine
0
0
0
0
0
Diathermy machine
5
3
0
0
2
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
3
2
1
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
4
4
0
0
0
Sterilizer
19
3
2
0
14
Sucker machine (electric)
9
5
2
0
2
Ventilator
1
1
0
0
0
Netrokona District Hospital | Health Bulletin 2014 | Page# 13
Existing equipments 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
2
1
0
0
1
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
6
5
1
0
0
Pulse oximeter
5
2
0
0
3
Dental equipment
Dental unit
2
1
0
1
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Netrokona District Hospital | Health Bulletin 2014 | Page# 14
Existing equipments 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
2
1
0
0
Colorimeter
4
2
0
2
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)
4
2
0
2
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
1
0
1
0
0
Pediatric equipment
Baby incubator
3
0
1
0
2
Phototherapy unit
4
3
1
0
0
Netrokona District Hospital | Health Bulletin 2014 | Page# 15
Existing equipments 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
1
1
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
1
0
1
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
1
1
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
Netrokona District Hospital | Health Bulletin 2014 | Page# 16
Existing equipments at District/General Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Air conditioner
Air conditioner (split type)
8
6
0
2
0
Air conditioner (window)
2
1
1
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
2
2
0
0
0
ICT equipment
Computer (desktop)
14
14
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)
7
7
0
0
0
Scanner
1
1
0
0
0
UPS
14
14
0
0
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
2
2
0
0
0
Multimedia
0
0
0
0
0
Netrokona District Hospital | Health Bulletin 2014 | Page# 17
Existing equipments at District/General Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
OHP
PA system (Sound)
0
0
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
1
1
0
0
0
Video camera
0
0
0
0
0
Total
164
107
22
7
28
Netrokona District Hospital | Health Bulletin 2014 | Page# 18
Important information and necessary issues for Netrokona District Hospital |
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 factors which will help us to achieve good results in future. 1. The Vacant Consultant post should be filled immediately.. 2. Our doctor and nurse need more training on IMCI, Emoc, CBE, VIA and other. 3. All the repairable equipments should be repaired as soon as possible. 4. We need more cleaners and security guard which can be manage from out sourcing fund if available 5. Infrastructure of the hospital is not yet established completely. 6. We need 100 bed staff strength. Finally I am very happy to write this health bulletin of 2013 because this document will help us to compare our progress in upcoming years. This is 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.
