Gaibandha District Hospital | Health Bulletin 2014 |
Preface
Quality health service delivery is yet a challange in my hospital deu to many reasors. We need to overcome same important constraints spccialy the acute human resours crisis as an immediate measure . The vacant post should be filed and manpower for 100 bedded hospital should be provided immediately . Our Doctors & Nurses need more training on IMCI & EmOC . All the repairable equipments should be repaird as soon as possible . MSR storage facility is indeguate. Condemnation of rejected/nonfunctional goods is to be done immadiatly. Finally I am very happy to publish this health bulletin of 2013 because this ducument will help us to compare our progress in upcoming years.
Gaibandha District Hospital | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the District Gaibandha
Name of Superitendent DR. MD. AHAD ALI
Telephone No. 054161516
FAX No. 0
Mobile No. 01556308014
Email gaibandha@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 20.0000 And Long: 87.0000
No. of Unions in the District 82
No. of Households in the District 0
No. of Population in the District 0
Area of District in sq km 2,729.00
Gaibandha 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
Gaibandha District Hospital | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 1,380
Total No. of children treated under IMCI Program 2,230
Fully Vaccinated Children: 0.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 77.54 per 1,000 live births.
Gaibandha 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. : 2,547
Total Number of Deliveries: 1,464
No. of Maternal Death: 0
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
0.00 per 100,000 live births.
Gaibandha 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
84,288
34,670
49,618
24,499
40,363
24,112
16,251
4,109
No. of Admissions & Deaths at District/General Hospital
Health Facility
Admission
Death
T
M
F
Child
T
M
F
Child
District Hospital
47,008
18,333
28,675
4,154
307
239
68
144
Gaibandha 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
51162
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
R100 Acute abdomen
1213
2.37
2
R073 Other chest pain
385
0.75
3
D569 Thalassaemia, unspecified
545
1.07
4
Y009 Assault by blunt object, unspecified place
375
0.73
5
P219 Birth asphyxia, unspecified
612
1.20
6
J069 Acute upper respiratory infection, unspecified
380
0.74
7
P369 Bacterial sepsis of newborn, unspecified
320
0.63
8
J189 Pneumonia, unspecified
260
0.51
9
V99 Unspecified transport accident
86
0.17
10
P071 Other low birth weight
113
0.22
Gaibandha 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
551
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
P219 Birth asphyxia, unspecified
85
15.43
2
P369 Bacterial sepsis of newborn, unspecified
45
8.17
3
J189 Pneumonia, unspecified
25
4.54
4
P071 Other low birth weight
20
3.63
5
R073 Other chest pain
17
3.09
6
I679 Cerebrovascular disease, unspecified
12
2.18
7
J459 Asthma, unspecified
9
1.63
8
I139 Hypertensive heart and renal disease, unspecified
5
0.91
9
T600 Organophosphate and carbamate insecticides
3
0.00
10
0
0.00
Gaibandha District Hospital | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
83
Coverage of households having access to sanitary latrines (%)
80
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in District Hospital in 365 days (No.)
51,162
Bed Occupancy Rates (%)
140.00
Average Length of Hospital Stay (No. of days per patient)
4.66
Hospital Death Rate (%)
1.07
Gaibandha District Hospital | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
482
Minor Surgeries
452
Gaibandha 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
4
4
18.18
Non Doctor
0
0
0
0
0.00
Class II
32
3
29
0
0.00
Class III
21
16
3
2
9.52
Class IV
19
15
4
0
0.00
Gaibandha 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
0
0
0
0
Nurse
0
0
0
0
Medical Assistant
0
0
0
0
Medical Technologist
0
0
0
0
Gaibandha 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)
0
0
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
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
3
1
2
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
4
2
2
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
3
1
2
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
6
2
4
0
0
Operating microscope
1
1
0
0
0
Ceiling mounting OT Light
3
3
0
0
0
Portable OT Light
7
4
3
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
8
6
2
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
6
4
2
0
0
Ventilator
1
1
0
0
0
Gaibandha 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
5
4
1
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
8
0
3
5
0
Pulse oximeter
4
4
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
1
1
0
0
0
Gaibandha 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
3
2
0
1
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)
2
2
0
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
2
1
1
0
0
Phototherapy unit
1
1
0
0
0
Gaibandha 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
2
2
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)
0
0
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
1
1
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
2
0
1
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
Gaibandha 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)
2
2
0
0
0
Air conditioner (window)
9
7
2
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
1
0
0
1
0
ICT equipment
Computer (desktop)
3
3
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)
2
2
0
0
0
Scanner
0
0
0
0
0
UPS
0
0
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
1
1
0
0
0
Multimedia
0
0
0
0
0
Gaibandha 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
2
2
0
0
0
Mobile phone
1
0
0
1
0
Photocopier machine
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
108
72
27
9
0
Gaibandha District Hospital | Health Bulletin 2014 | Page# 18
Important information and necessary issues for Gaibandha District Hospital |
Quality Service dalivary and Patients satisfaction is always the biggest chalange in the goverment hospitals even in the most resourceful ones. Gaibandha Adhunik sadar hospital was upgraded from 50 bed hospital to 100 bed hospital more than a decade before but still run by the incomplete manpower setup of 50 bed hospital. The number of cleaners is inadequate with no post for the Sequrity gwrds. Infrastructural limitations and dispossal of old/damaged goods are other important issues. In these circumstances itwas very hard for the service providers to deliver quality service to the patients inspite of their utmost effort. Still then I am pleased to say that service delivery in all sections of my hospital is incrasing both quantitatively and qualitatively. I hope that the service delivery in my hospital will be further improved if the above mentioned issues are adressed positively in the up coming days . Finally I am happy to publish the health bulletin 2014
.