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Cox's Bazar 250 Bed District Sadar Hospital | Health Bulletin 2014 |
Preface
It is my pleasure to publish this health bulletin of Sadar Hospital Cox's Bazar.This bulletin contains all the health information of 2013. It is published to disseminate the information of district hospital to other line department and development partners of health.I hope all the information in this bulletin will help for planning and bridging the gaps in health service delivery of district hospital. Government health office produces a number data in day to day health service delivery, which are stored in file. This health bulletin will reveal the existing health care delivery situation, identity the limitations or constraints and ways to overcome. Finally, I would like to congratulate the initiator of this health bulletin software for setting us one step ahead towards digital Bangladesh.
Dr.Ratan Chowdhury
Superintendent
Cox's Bazar 250 Bed District Sadar Hospital

Cox's Bazar 250 Bed District Sadar Hospital | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the DistrictCox's Bazar
Name of Superitendent Dr.Ratan Chowdhury
Telephone No. 034163884
FAX No. 3413906
Mobile No. 01715729217
Email coxsbazar@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 21.8243 And Long: 91.9850
No. of Unions in the District72
No. of Households in the District 393,352
No. of Population in the District 2,478,056
Area of District in sq km 2,254.00

Cox's Bazar 250 Bed District Sadar Hospital | Health Bulletin 2014 | Page# 2
Existing health facilities in the District/General Hospital
Facility Type
Total
No. of Beds
District Hospital 1 250

Cox's Bazar 250 Bed District Sadar Hospital | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,694


Total No. of children treated under IMCI Program 10,106
Fully Vaccinated Children: 0.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 11.51 per 1,000 live births.

Cox's Bazar 250 Bed District Sadar 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. : 7,092
Total Number of Deliveries: 2,874
No. of Maternal Death: 9
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 334.08 per 100,000 live births.

Cox's Bazar 250 Bed District Sadar 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 105,334 40,514 64,820 86,892 9,958 3,830 6,128 9,196

No. of Admissions & Deaths at District/General Hospital
Health Facility
Admission
Death
T M F Child T M F Child
District Hospital 19,668 7,564 12,104 18,156 456 231 225 129

Cox's Bazar 250 Bed District Sadar 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 7254
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1 T00 Superficial injuries involving multiple body regions 1380 19.02
2 I249 Acute ischaemic heart disease, unspecified 1020 14.06
3 F410 Panic disorder [episodic paroxysmal anxiety] 696 9.59
4 O048 Medical abortion, complete or unspecified, with other and unspecified complications 540 7.44
5 A09 Diarrhoea and gastroenteritis of presumed infectious origin 552 7.61
6 I10 Essential (primary) hypertension 384 5.29
7 T06 Other injuries involving multiple body regions, NEC 288 3.97
8 T029 Multiple fractures, unspecified 218 3.01
9 A01 Typhoid and paratyphoid fevers 216 2.98
10 D50 Iron deficiency anaemia 192 2.65

Cox's Bazar 250 Bed District Sadar 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 76
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1 I249 Acute ischaemic heart disease, unspecified 65 85.53
2 G819 Hemiplegia, unspecified 37 48.68
3 T600 Organophosphate and carbamate insecticides 19 25.00
4 I679 Cerebrovascular disease, unspecified 16 21.05
5 I500 Congestive heart failure 13 17.11
6 P369 Bacterial sepsis of newborn, unspecified 9 11.84
7 J189 Pneumonia, unspecified 8 10.53
8 P369 Bacterial sepsis of newborn, unspecified 5 6.58
9 I219 Acute myocardial infarction, unspecified 4 0.00
10 P210 Severe birth asphyxia 4 5.26

Cox's Bazar 250 Bed District Sadar Hospital | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 54
Coverage of households having access to sanitary latrines (%) 76


Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in District Hospital in 365 days (No.) 115,569
Bed Occupancy Rates (%) 126.17
Average Length of Hospital Stay (No. of days per patient) 3.08
Hospital Death Rate (%) 1.59


Cox's Bazar 250 Bed District Sadar Hospital | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries 526
Minor Surgeries 699

 

Cox's Bazar 250 Bed District Sadar 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 62 36 3 23 37.10
Non Doctor 0 0 0 0 0.00
Class II 94 1 68 25 26.60
Class III 36 17 0 19 52.78
Class IV 47 21 7 19 40.43

 

Cox's Bazar 250 Bed District Sadar Hospital | Health Bulletin 2014 | Page# 11

Status of Human Resources (Category wise)
Manpower Hospital total IMCI trained Basic EOC trained
Sanctioned Filled-up
Physician 62 39 1 1
Nurse 74 64 1 6
Medical Assistant 0 0 0 0
Medical Technologist 11 9 0 0

Cox's Bazar 250 Bed District Sadar 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) 3 3 0 0 0
X-ray machine (300 mA) 0 0 0 0 0
X-ray machine (500 mA) 2 1 1 0 0
X-ray machine (digital) 1 1 0 0 0
X-ray machine (portable) 0 0 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 5 5 0 0 0
MRI machine 0 0 0 0 0
Ultrasonogram machine 4 3 1 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 0 1 0 0
Anesthesia machine without ventilator 6 3 3 0 0
Autoclave 5 4 1 0 0
Electric cautery machine 1 1 0 0 0
Diathermy machine 6 5 1 0 0
Operating microscope 7 6 1 0 0
Ceiling mounting OT Light 7 7 0 0 0
Portable OT Light 5 5 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 4 2 2 0 0
Sucker machine (electric) 8 4 4 0 0
Ventilator 0 0 0 0 0


Cox's Bazar 250 Bed District Sadar 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 0 2 0 0
ECG machine 12 6 3 3 0
Ecocardiogram machine 1 1 0 0 0
Cardiac monitor 5 5 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 12 10 2 0 0
Pulse oximeter 7 6 1 0 0
Dental equipment
Dental unit 3 3 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 2 0 2 0 0


Cox's Bazar 250 Bed District Sadar 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 1 0 0 0
Centrifuge machine (electric) 4 2 1 1 0
Colorimeter 2 2 0 0 0
Electrolyte analyzer 2 1 1 0 0
ELISA machine 0 0 0 0 0
Gas analyzer 1 1 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 0 0 0 0 0
Microscope (binocular) 9 7 2 0 0
Obstetric equipment
Fetal Monitor 0 0 0 0 0
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 1 1 0 0 0
Pediatric equipment
Baby incubator 4 2 2 0 0
Phototherapy unit 6 6 0 0 0


Cox's Bazar 250 Bed District Sadar 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 2 1 1 0 0
Blood plasma seperating machine 2 1 1 0 0
Platelet seperating machine 0 0 0 0 0
Deep freeze (plasma) 0 0 0 0 0
Deep freeze (RBC) 2 1 1 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 3 1 1 1 0
Bus 0 0 0 0 0
Jeep 1 1 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Cox's Bazar 250 Bed District Sadar 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) 38 34 2 2 0
Air conditioner (window) 13 12 1 0 0
Generator
Generator (diesel/petrol) 3 2 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 3 3 0 0 0
ICT equipment
Computer (desktop) 23 20 3 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 1 1 0 0 0
Printer (inkjet) 2 2 0 0 0
Printer (laser) 8 6 2 0 0
Scanner 0 0 0 0 0
UPS 25 20 5 0 0
Fax 2 1 1 0 0
Intercom 24 20 4 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 3 3 0 0 0
Multimedia 1 1 0 0 0


Cox's Bazar 250 Bed District Sadar 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 6 6 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 309 247 55 7 0

Cox's Bazar 250 Bed District Sadar Hospital | Health Bulletin 2014 | Page# 18

Important information and necessary issues for Cox's Bazar 250 Bed District Sadar Hospital |
 Important issues and recommendations for Cox's Bazar district hospital: 1. Shortage of human resources: 250 bedded hospital is running with sanctioned post of 100 bedded hospital and with shortage of staffs. Staff pattern should be sanctioned as 250 bedded hospital with immediate placement for smooth running of the hospital. 2. Capacity building: Doctors, nurse & paramedics need to provide adequate training for smooth service delivery & up-gradation of new development in medical science. 3. Shortage of equipment & logistics: All essential life saving equipment & logistics related to service delivery should be provided. 4. Encouragement: health care delivery staffs working in this district hospital are most neglected and deprived of in all aspects comparing national standard. Incentive system like foreign training, promotion, better posting, appreciation, recognition etc should be provided to encourage them. A systematic and organized health service encouragement scheme or policy can enhance better health care delivery in this district hospital. 5. Infrastructure: (a) Immediate construction or arrangement of separate post operative block construction is very important . (b) Creation of separate IMCI and Nutrition corner. Finally, I am very happy to prepare this health bulletin 2013, because this document will help us to compare our progress in upcoming years and with other district hospital . This bulletin is a very useful document and will help public to understand. the health service of the district and to provide useful information & suggestion for further improvement of ongoing health care delivery system of the district in the years coming.