Nilphamari District Hospital | Health Bulletin 2014 |
Preface
I am feeling proud that I have taken part to publish this health bulletin.this bulletin contains all the possible health related information of this hospital of 2012.With the information of this bulletin which is going to be published the develpoment partners and other line departments will be able to know the actual condition of this hospital and the problems the authority is facing.How the hospital is running with so many limitations!
Nilphamari District Hospital | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the District Nilphamari
Name of Superitendent Dr. Sneha Kanti Chakma
Telephone No. 055161222
FAX No. 55161218
Mobile No. 01715191373
Email nilphamari@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 25.5400 And Long: 88.5040
No. of Unions in the District 61
No. of Households in the District 382,892
No. of Population in the District 1,945,930
Area of District in sq km 1,643.90
Nilphamari 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
Nilphamari District Hospital | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 1,973
Total No. of children treated under IMCI Program 420
Fully Vaccinated Children: 0.00
Neonatal Mortality Rate (January-December, 2013)
Nilphamari 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. : 8,145
Total Number of Deliveries: 2,022
No. of Maternal Death: 3
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Nilphamari 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
75,391
32,798
42,593
50,200
29,942
12,995
16,947
6,698
No. of Admissions & Deaths at District/General Hospital
Health Facility
Admission
Death
T
M
F
Child
T
M
F
Child
District Hospital
25,349
9,011
16,338
2,870
140
61
79
61
Nilphamari 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
14308
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
3863
27.00
2
A98 Other viral haemorrhagic fevers, NEC
2471
17.27
3
X85 Assault by drugs, medicaments and biological substances
2318
16.20
4
K27 Peptic ulcer, site unspecified
1870
13.07
5
J12 Viral pneumonia, NEC
1976
13.81
6
I15 Secondary hypertension
462
3.23
7
H269 Cataract, unspecified
400
2.80
8
V892 Person injured in unspecified motor-vehicle accident, traffic
369
2.58
9
O021 Missed abortion
296
2.07
10
J46 Status asthmaticus
256
1.79
Nilphamari 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
74
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
J12 Viral pneumonia, NEC
38
51.35
2
I15 Secondary hypertension
14
18.92
3
K27 Peptic ulcer, site unspecified
9
12.16
4
J46 Status asthmaticus
6
8.11
5
O021 Missed abortion
2
2.70
6
A09 Diarrhoea and gastroenteritis of presumed infectious origin
1
1.35
7
I46 Cardiac arrest
1
1.35
8
H17 Corneal scars and opacities
1
1.35
9
A20 Plague
1
0.00
10
D63 Anaemia in chronic diseases classified elsewhere
1
1.35
Nilphamari District Hospital | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
85
Coverage of households having access to sanitary latrines (%)
87
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in District Hospital in 365 days (No.)
58,192
Bed Occupancy Rates (%)
159.43
Average Length of Hospital Stay (No. of days per patient)
1.92
Hospital Death Rate (%)
0.55
Nilphamari District Hospital | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
612
Nilphamari 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
21
12
2
7
33.33
Non Doctor
0
0
0
0
0.00
Class II
35
1
32
2
5.71
Class III
18
9
1
8
44.44
Class IV
21
10
10
1
4.76
Nilphamari 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
21
14
1
1
Nurse
35
33
0
5
Medical Assistant
0
0
0
0
Medical Technologist
6
3
0
0
Nilphamari 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)
1
1
0
0
0
Dental X-ray unit
0
0
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
1
1
0
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
2
2
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
1
1
0
0
0
Anesthesia machine without ventilator
1
1
0
0
0
Autoclave
4
4
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
10
10
0
0
0
Sucker machine (electric)
0
0
0
0
0
Ventilator
0
0
0
0
0
Nilphamari 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
1
1
0
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
4
4
0
0
0
Pulse oximeter
2
2
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Nilphamari 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)
0
0
0
0
0
Colorimeter
0
0
0
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)
2
2
0
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
2
2
0
0
0
Phototherapy unit
1
1
0
0
0
Nilphamari 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
1
1
0
0
0
Laminar flow hood
0
0
0
0
0
pH meter
1
1
0
0
0
Hemoglobin photometer
1
1
0
0
0
Blood bank refrigerator
1
1
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
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
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
Nilphamari 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)
0
0
0
0
0
Air conditioner (window)
4
4
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
0
0
0
0
0
ICT equipment
Computer (desktop)
12
12
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)
6
6
0
0
0
Scanner
2
2
0
0
0
UPS
10
10
0
0
0
Fax
1
1
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
Nilphamari 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
1
1
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
1
1
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
89
89
0
0
0
Nilphamari District Hospital | Health Bulletin 2014 | Page# 18
Important information and necessary issues for Nilphamari District Hospital |
We want to give service to all people of Nilphamari specially the poor and ultra poor.But deu to shortage of man power inall level we are unable to do this sire as per desire of general people.It was a 50 Bed hospital in the year 2002 upgreaded to 100 Bed hospital in the year 2003 with manpower of 50 Bed set up.At present the number of Doctors are only 14 ,though it is 21 in 50 Bed set up.But the Hospital is overloaded.Now the Bed occupancy rate 159%.At the there is no restriction of visitors in entering the hospital.So it is not possible to maintainthe cleanliness of the hospital properly.Shortage of doctors,paramedics and other class four employees is another and major bar for giving proper service to the patients.So we need proper number of manpower.
