Tangail 250 bed District Hospital | Health Bulletin 2014 |
Preface
We are very happy to publish Local health Bulletin from 250 Bedded District Hospital, Tangail for the year 2014. Along with information of 250 Bed District Hospital, Tangail this bulletin also contains some health related data of the Tangail 250 bed District Hospital including basic demography, health facilities, resources, performance, strength and weakness. This Bulletin will disseminate health information in people of Tangail 250 bed District Hospital as well as in health service providers. This will help better utilization and further quantitative and qualitative improvement of health service in the Tangail 250 bed District Hospital. We acknowledge the support and service of our colleagues in preparing this Bulletin. We congratulate and express our heart-felt gratitude towards MOHFW and DGHS, in particular, MIS, DGHS for this very praiseworthy step to publish Local Health Bulletin by developing a Soft ware Format. This will be a big leap forward in building Digital Bangladesh.
(Dr. Nur Mohammad)
Assistant Director
250 Bed District Hospital, Tangail.
Tangail 250 bed District Hospital | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the District Tangail
Name of Superitendent Dr.Nur Mohammad
Telephone No. 092163027
FAX No. 92161710
Mobile No. 01711043042
Email tangail@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 24.2637 And Long: 89.2527
No. of Unions in the District 111
No. of Households in the District 827,835
No. of Population in the District 3,849,201
Area of District in sq km 3,424.00
Tangail 250 bed District Hospital | Health Bulletin 2014 | Page# 2
Existing health facilities in the District /General Hospital
Facility Type
Total
No. of Beds
District Hospital
1
250
Tangail 250 bed District Hospital | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,842
Total No. of children treated under IMCI Program 19,842
Fully Vaccinated Children: 0.00
Neonatal Mortality Rate (January-December, 2013)
Tangail 250 bed 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. : 3,922
Total Number of Deliveries: 3,932
No. of Maternal Death: 8
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Tangail 250 bed 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
155,279
61,914
93,365
22,293
51,684
27,175
24,509
15,982
No. of Admissions & Deaths at District/General Hospital
Health Facility
Admission
Death
T
M
F
Child
T
M
F
Child
District Hospital
40,880
16,345
24,535
10,113
668
379
289
487
Tangail 250 bed 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
50993
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
4234
8.30
2
X999 Assault by sharp object, unspecified place
2364
4.64
3
K566 Other and unspecified intestinal obstruction
2284
4.48
4
V736 Bus occupant injured in collision with car, pick-up truck or van, passenger, traffic accident
2148
4.21
5
O040 Medical abortion, incomplete, complicated by genital tract and pelvic infection
1188
2.33
6
I619 Intracerebral haemorrhage, unspecified
915
1.79
7
K35 Acute appendicitis
872
1.71
8
J440 Chronic obstructive pulmonary disease with acute lower respiratory infection
683
1.34
9
J189 Pneumonia, unspecified
644
1.26
10
I159 Secondary hypertension, unspecified
609
1.19
Tangail 250 bed 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
1155
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
P210 Severe birth asphyxia
253
21.90
2
P071 Other low birth weight
116
10.04
3
I619 Intracerebral haemorrhage, unspecified
114
9.87
4
I219 Acute myocardial infarction, unspecified
71
6.15
5
J440 Chronic obstructive pulmonary disease with acute lower respiratory infection
56
4.85
6
I159 Secondary hypertension, unspecified
52
4.50
7
P369 Bacterial sepsis of newborn, unspecified
48
4.16
8
V736 Bus occupant injured in collision with car, pick-up truck or van, passenger, traffic accident
35
3.03
9
E108 Insulin-dependent diabetes mellitus with unspecified complications
30
0.00
10
J189 Pneumonia, unspecified
18
1.56
Tangail 250 bed 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.)
133,243
Bed Occupancy Rates (%)
146.00
Average Length of Hospital Stay (No. of days per patient)
2.68
Hospital Death Rate (%)
2.27
Tangail 250 bed District Hospital | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
5305
Minor Surgeries
10426
Tangail 250 bed 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
57
31
9
17
29.82
Non Doctor
1
0
0
1
100.00
Class II
99
10
89
0
0.00
Class III
37
25
6
6
16.22
Class IV
50
26
16
8
16.00
Tangail 250 bed 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
57
40
3
0
Nurse
105
101
6
9
Medical Assistant
0
0
0
0
Medical Technologist
11
11
0
0
Tangail 250 bed 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)
2
1
0
1
0
X-ray machine (300 mA)
0
0
0
0
0
X-ray machine (500 mA)
2
2
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
2
1
1
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
2
1
1
0
0
Anesthesia machine without ventilator
4
4
0
0
0
Autoclave
5
2
3
0
0
Electric cautery machine
1
1
0
0
0
Diathermy machine
7
6
1
0
0
Operating microscope
2
2
0
0
0
Ceiling mounting OT Light
6
6
0
0
0
Portable OT Light
3
0
3
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
3
2
1
0
0
Sucker machine (electric)
14
10
4
0
0
Ventilator
0
0
0
0
0
Tangail 250 bed 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
2
1
1
0
0
ECG machine
4
2
2
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
2
0
2
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
9
1
6
2
0
Pulse oximeter
6
3
3
0
0
Dental equipment
Dental unit
2
1
0
0
1
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
1
1
0
0
0
Tangail 250 bed 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
1
0
1
0
0
Centrifuge machine (electric)
8
5
3
0
0
Colorimeter
2
1
1
0
0
Electrolyte analyzer
1
0
1
0
0
ELISA machine
1
0
1
0
0
Gas analyzer
0
0
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
1
0
0
0
1
Microscope (binocular)
6
3
3
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
2
1
1
0
0
Pediatric equipment
Baby incubator
4
4
0
0
0
Phototherapy unit
2
2
0
0
0
Tangail 250 bed 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
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
2
2
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
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
Tangail 250 bed 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)
12
7
4
0
1
Air conditioner (window)
49
33
16
0
0
Generator
Generator (diesel/petrol)
2
2
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
3
0
3
0
0
ICT equipment
Computer (desktop)
32
22
0
0
10
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
4
4
0
0
0
Printer (laser)
12
12
0
0
0
Scanner
1
1
0
0
0
UPS
10
10
0
0
0
Fax
2
1
1
0
0
Intercom
31
31
0
0
0
Internet fixed line
1
0
1
0
0
Internet wireless line
11
11
0
0
0
Multimedia
0
0
0
0
0
Tangail 250 bed 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
7
7
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
2
1
1
0
0
Digital camera
1
1
0
0
0
Video camera
0
0
0
0
0
Total
302
220
66
3
13
Tangail 250 bed District Hospital | Health Bulletin 2014 | Page# 18
Important information and necessary issues for Tangail 250 bed District Hospital |
100 Bedded District Hospital, Tangail has been transformed into 250 bed General Hospital in 2008 But sanctioned post of various categories for 250 Bedded General Hospital were not according to the standard manpower set up which is published by MIS. So a large gap was prevailing from the very beginning leading to burden to a satisfactory health care service.More over,about 15-17 posts of doctors out of 57 posts are remaining vacant more or less continuously. The provision of maintenance & repair of electromedical equipment should be one stop service. Otherwise continuation of quality & standard service would not be possible. Another area of our burden is the number of bed sanction as well as the space constructed. In 250 Bedded General Hospital the standard space should be 2,00,000 Lac Sq feet but the existing space is 95,00,000 Sq feet. In the hospital there is 250 bed but daily indoor patient 350-450 that is bed occupancy rate 160% and their attendants make a huge crowd leading to a critical work environment. All doctor can not be accommodated within the campus. So some doctors is remaining out side the campus. In case of emergency management specially at night, they have to come from a distance on foot having no car, no CNG/Auto rickshaw. So this hospital is suffering from shortage of Doctors,same is the case with 3rd & 4th class employee in particular cleaner, aya, security guards. Shortage should be met urgently.This institution requires CT Scan, Digital X ray machine and a vehicle for doctors in emergency service.There is lacking of waiting rooms for the patients. There is no wide spaced veranda for the attendants for sitting/Eating.
The drainage system, Sanitary system are made according to 100 bedded hospital, but it needs to renovate for 250 bedded hospital.These all are great challenges for Quality health service.
