Rangamati General Hospital | Health Bulletin 2014 |
Preface
It is a great pleasure for me to publish the 3nd health bulletin on the Rangamati General Hospital. This health bulletin 2014 contains all health related information of Rangamati General Hospital for the year 2013. I hope all the stakeholders will be benefited from the information given here. And the planners and the development partners will find way to overcome constraints and drawbacks of the institution. By comparing with the previous health bulletin 2013one can find overall trend in admission and death from various diseases and thereby decide where to give emphasis for betterment of services. As like the previous health bulletin 2013, this bulletin also includes the present status of MDG4 and MDG5 as well as the sanctioned and vacant posts of different staffs. I hope the publication of this bulletin will be continued in the future that will ultimately help improving the health services in the locality.
Rangamati General Hospital | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the District Rangamati
Name of Superitendent Dr. Md. Mostafizur Rahaman
Telephone No. 035162119
FAX No. 0
Mobile No. 01712092795
Email rangamati@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 24.0000 And Long: 94.0000
No. of Unions in the District 0
No. of Households in the District 0
No. of Population in the District 0
Area of District in sq km 0.00
Rangamati General Hospital | Health Bulletin 2014 | Page# 2
Existing health facilities in the District /General Hospital
Facility Type
Total
No. of Beds
District Hospital
1
100
Rangamati General Hospital | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 582
Total No. of children treated under IMCI Program 9,767
Fully Vaccinated Children: 0.00
Neonatal Mortality Rate (January-December, 2013)
Rangamati General 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. : 14
Total Number of Deliveries: 604
No. of Maternal Death: 1
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Rangamati General 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
36,210
16,114
20,096
16,828
3,312
2,241
1,071
1,320
No. of Admissions & Deaths at District/General Hospital
Health Facility
Admission
Death
T
M
F
Child
T
M
F
Child
District Hospital
7,604
3,374
4,230
2,020
97
65
32
44
Rangamati General 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
2013
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
893
44.36
2
J18 Pneumonia, organism unspecified
574
28.51
3
V892 Person injured in unspecified motor-vehicle accident, traffic
402
19.97
4
Y09 Assault by unspecified means
386
19.18
5
B349 Viral infection, unspecified
218
10.83
6
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
197
9.79
7
J45 Asthma
168
8.35
8
T609 Pesticide, unspecified
163
8.10
9
O06 Unspecified abortion
150
7.45
10
K27 Peptic ulcer, site unspecified
127
6.31
Rangamati General 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
2013
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
23
1.14
2
J189 Pneumonia, unspecified
16
0.79
3
P369 Bacterial sepsis of newborn, unspecified
15
0.75
4
I64 Stroke, not specified as haemorrhage or infarction
10
0.50
5
I219 Acute myocardial infarction, unspecified
9
0.45
6
G039 Meningitis, unspecified
6
0.30
7
T609 Pesticide, unspecified
5
0.25
8
K566 Other and unspecified intestinal obstruction
4
0.20
9
I509 Heart failure, unspecified
4
0.00
10
V892 Person injured in unspecified motor-vehicle accident, traffic
4
0.20
Rangamati General 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.)
24,967
Bed Occupancy Rates (%)
68.40
Average Length of Hospital Stay (No. of days per patient)
2.62
Hospital Death Rate (%)
1.50
Rangamati General Hospital | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
95
Minor Surgeries
213
Rangamati General 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
31
10
4
17
54.84
Non Doctor
0
0
0
0
0.00
Class II
72
2
62
8
11.11
Class III
22
11
5
6
27.27
Class IV
45
24
10
11
24.44
Rangamati General Hospital | Health Bulletin 2014 | Page# 11
Status of Human Resources (Category wise)
Manpower
Hospital total
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
31
14
0
0
Nurse
72
64
3
0
Medical Assistant
0
0
0
0
Medical Technologist
7
5
0
0
Rangamati General 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)
2
2
0
0
0
X-ray machine (500 mA)
0
0
0
0
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
0
0
0
0
0
Dental X-ray unit
1
0
1
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
2
2
0
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
2
1
1
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
6
4
2
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
3
2
1
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
4
4
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
1
0
0
0
Portable OT Light
6
6
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
10
6
0
4
0
Sucker machine (electric)
11
5
6
0
0
Ventilator
0
0
0
0
0
Rangamati General 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
4
1
3
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
1
1
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
6
4
2
0
0
Pulse oximeter
2
1
1
0
0
Dental equipment
Dental unit
3
2
0
1
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Rangamati General 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)
5
2
3
0
0
Colorimeter
2
1
1
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)
3
2
1
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
4
2
2
0
0
Phototherapy unit
3
3
0
0
0
Rangamati General 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
0
0
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
1
1
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
3
1
2
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
1
1
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
Rangamati General 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)
3
2
1
0
0
Air conditioner (window)
7
4
3
0
0
Generator
Generator (diesel/petrol)
2
0
2
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
4
1
3
0
0
ICT equipment
Computer (desktop)
5
5
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)
3
3
0
0
0
Scanner
0
0
0
0
0
UPS
4
4
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
Rangamati General 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
3
3
0
0
0
Mobile phone
1
0
1
0
0
Photocopier machine
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
126
84
37
5
0
Rangamati General Hospital | Health Bulletin 2014 | Page# 18
Important information and necessary issues for Rangamati General Hospital |
Last year we could not give optimum services to the beneficiaries. Many major surgical cases, some cardiac and pediatric cases had to refer to tertiary hospital . Here i would like to mention some important factors which will help us to give our maximum efforts improve the health status and to achieve good results in future. 1. The vacant post specially consultant orthopedic, consultant Pediatric, consultant Cardiology should be filled immediately . 2. Doctors and nurses need more training specially on IMCI . 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.
