Lalmonirhat District Hospital | Health Bulletin 2014 |
Preface
The Health Population and Nutrition Sector Development Program (HPNSDP) has been initiated by The Ministry of Health and Family Welfare, Government of Bangladesh for a period of five years from July 2011 to June 2016. There are 32 Operational Plans (OPs). Health Information Systems and e-Health (HIS-EH) one of them.I am delighted that the Local Health Bulletin is going to be published from The Office of Superintendent District Hospital Lalmonirhat.This Health Bulletin is the year of 2014 and there are available data for the period of January 2013 to December 2013. It is expected that this Health Bulletin will help us to understand progressing trend.From this lesson, we would be benefited achieving the Goal. I hope that The facility Specific data will guide and help the policy makers and other concerned to take future step in improving the Health Services.I like to thank all who were involved in developing and editing The Health Bulletin and Special thanks to MIS, DGHS for providing technical and financial support.
Dr. A. K. M. Mostafa Kamal
Civil Surgeon & Superintendent District Hospital,
Lalmonirhat.
Lalmonirhat District Hospital | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the District Lalmonirhat
Name of Superitendent Dr. A. K. M. Mostafa Kamal
Telephone No. 059161429
FAX No. 59161444
Mobile No. 01719599394
Email lalmonirhat@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 25.9194 And Long: 89.4559
No. of Unions in the District 45
No. of Households in the District 294,750
No. of Population in the District 1,379,844
Area of District in sq km 1,242.00
Lalmonirhat 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
Lalmonirhat District Hospital | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 712
Total No. of children treated under IMCI Program 5,591
Fully Vaccinated Children: 0.00
Neonatal Mortality Rate (January-December, 2013)
Lalmonirhat 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. : 3,994
Total Number of Deliveries: 773
No. of Maternal Death: 1
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Lalmonirhat 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
96,732
44,416
52,316
5,591
19,529
8,652
10,877
1,564
No. of Admissions & Deaths at District/General Hospital
Health Facility
Admission
Death
T
M
F
Child
T
M
F
Child
District Hospital
9,049
4,015
5,034
1,524
79
42
37
57
Lalmonirhat 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
10573
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
X999 Assault by sharp object, unspecified place
1943
18.38
2
J189 Pneumonia, unspecified
1434
13.56
3
A090 Other and unspecified gastroenteritis and colitis of infectious origin
1084
10.25
4
A010 Typhoid fever
445
4.21
5
K273 Peptic ulcer, site unspecified, acute without haemorrhage or perforation
396
3.75
6
V395 Passenger injured in collision with other and unspecified motor vehicles in traffic accident
334
3.16
7
J459 Asthma, unspecified
295
2.79
8
I119 Hypertensive heart disease without (congestive) heart failure
210
1.99
9
D509 Iron deficiency anaemia, unspecified
112
1.06
10
T600 Organophosphate and carbamate insecticides
63
0.60
Lalmonirhat 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
136
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
J960 Acute respiratory failure
23
16.91
2
R570 Cardiogenic shock
19
13.97
3
P210 Severe birth asphyxia
18
13.24
4
J459 Asthma, unspecified
12
8.82
5
I679 Cerebrovascular disease, unspecified
10
7.35
6
A419 Septicaemia, unspecified
9
6.62
7
J189 Pneumonia, unspecified
6
4.41
8
I509 Heart failure, unspecified
4
2.94
9
J449 Chronic obstructive pulmonary disease, unspecified
3
0.00
10
V395 Passenger injured in collision with other and unspecified motor vehicles in traffic accident
2
1.47
Lalmonirhat District Hospital | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
98
Coverage of households having access to sanitary latrines (%)
90
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in District Hospital in 365 days (No.)
30,667
Bed Occupancy Rates (%)
84.10
Average Length of Hospital Stay (No. of days per patient)
2.90
Hospital Death Rate (%)
0.43
Lalmonirhat District Hospital | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
226
Minor Surgeries
379
Lalmonirhat 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
39
6
0
33
84.62
Non Doctor
1
0
0
1
100.00
Class II
32
6
26
0
0.00
Class III
35
12
2
21
60.00
Class IV
24
11
3
10
41.67
Lalmonirhat 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
39
6
0
1
Nurse
37
33
2
2
Medical Assistant
0
0
0
0
Medical Technologist
9
4
0
0
Lalmonirhat 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)
1
1
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)
2
2
0
0
0
Dental X-ray unit
2
2
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
0
0
0
0
0
Anesthesia machine without ventilator
5
4
1
0
0
Autoclave
7
3
4
0
0
Electric cautery machine
1
1
0
0
0
Diathermy machine
5
3
2
0
0
Operating microscope
1
0
1
0
0
Ceiling mounting OT Light
6
4
1
0
1
Portable OT Light
2
2
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
5
5
0
0
0
Sterilizer
7
3
4
0
0
Sucker machine (electric)
6
5
0
0
1
Ventilator
0
0
0
0
0
Lalmonirhat 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
3
3
0
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
8
4
0
4
0
Pulse oximeter
3
0
3
0
0
Dental equipment
Dental unit
3
1
0
2
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Lalmonirhat 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)
5
4
1
0
0
Colorimeter
4
2
1
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)
10
5
3
2
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
3
2
1
0
0
Phototherapy unit
3
2
1
0
0
Lalmonirhat 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
2
1
1
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
Lalmonirhat 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)
4
4
0
0
0
Air conditioner (window)
2
2
0
0
0
Generator
Generator (diesel/petrol)
3
3
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
1
1
0
0
0
ICT equipment
Computer (desktop)
7
6
0
1
0
Laptop
0
0
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
4
3
0
1
0
Printer (laser)
4
4
0
0
0
Scanner
0
0
0
0
0
UPS
6
6
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
Lalmonirhat 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
0
0
0
0
0
Photocopier machine
2
1
0
1
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
140
99
25
14
2
Lalmonirhat District Hospital | Health Bulletin 2014 | Page# 18
Important information and necessary issues for Lalmonirhat District Hospital |
(1) Lalmonirhat District Hospital is Women Friendly Hospital.
(2) Inadequqte doctor posting, specially Sr. Consultant, Jr. consultant.
(3) Though Lalmonirhat District Hospital is Comprehensive EmOC facilities,but there is no pair doctors. Jr. Consultant (Anaes) is
available.One Jr. Gyno Consultant working here on deputation. 24/7 EmOC Services are not available in district hospital.
(4) Inadequate Cleaner, Aya, Secuirity guard and other supporting staff of the district hospital.
(5) District Hospital situated in one side of the district and distance of the Upazila like 12 kms, 35 kms, 65 kms, 85 kms from the district.
(6) Hard to reach area Dahogram-angorpota 10 beded hospital about 120 kms from the district and doctor posted here absent long time, no administrative action so post of doctor not vacant. One doctor is working there now.
(7) Most of people are not aware about ANC, PNC and institutional delivery.
(8) One laptop received from MIS in this year 2014.
Thanks to all.
Dr. A. K. M. Mostafa Kamal
Superintendent
District Hospital, Lalmonirhat.
