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Thakurgaon District Hospital | Health Bulletin 2014 |
Preface
I am happy to see that a Health Bulletin of health services of Thakurgaon District 2014 is going to be published. This Bulletin will deliver the statistical information of different health programs. A section of the Health Bulletin will also cover morbidity and mortality data. The bulletin also contains the MDG 4 and MDG 5 which will help to localize the MDG targets. A large number of people seek health care from private providers and their data has been inadequately covered. However, despite some limitations the contents of this Health Bulletin are rich and useful to provide an overview of the health situation of the district.I am sure that the health policy makers, planners and program managers will definitely see this Health Bulletin as one of the good resources of the health sector of Thakurgaon district. I am deeply indebted and grateful to all those who contributed to this Bulletin. Finally I would like to congratulate the initiator of the Health Bulletin software for setting us one step ahead toward Digital Bangladesh. Dr. Md.Afzal Hossain Tarafdar Civilsurgeon/Superintendent Thakurgaon District Hospital
Dr. Md. Afzal Hossain Tarafdar
Superintendent
Thakurgaon District Hospital

Thakurgaon District Hospital | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the DistrictThakurgaon
Name of Superitendent Dr. Md. Afzal Hossain Tarafdar
Telephone No. 056152021
FAX No. 56153460
Mobile No. 01712768589
Email thakurgaon@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 24.0000 And Long: 88.0000
No. of Unions in the District51
No. of Households in the District 341,439
No. of Population in the District 1,456,501
Area of District in sq km 1,810.00

Thakurgaon 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

Thakurgaon District Hospital | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,077


Total No. of children treated under IMCI Program 2,959
Fully Vaccinated Children: 0.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 159.85 per 1,000 live births.

Thakurgaon 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. : 6,252
Total Number of Deliveries: 2,125
No. of Maternal Death: 6
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 288.88 per 100,000 live births.

Thakurgaon 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 111,696 43,949 67,747 38,953 6,216 4,748 1,468 459

No. of Admissions & Deaths at District/General Hospital
Health Facility
Admission
Death
T M F Child T M F Child
District Hospital 17,120 7,462 9,658 17,481 251 142 109 384

Thakurgaon 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 34601
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1 A099 Gastroenteritis and colitis of unspecified origin 5367 15.51
2 J189 Pneumonia, unspecified 4724 13.65
3 Y009 Assault by blunt object, unspecified place 1831 5.29
4 V346 Occupant of three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus, passenger, traffic accident 1806 5.22
5 A419 Septicaemia, unspecified 1577 4.56
6 B34 Viral infection of unspecified site 1457 4.21
7 F419 Anxiety disorder, unspecified 1202 3.47
8 J219 Acute bronchiolitis, unspecified 808 2.34
9 B770 Ascariasis with intestinal complications 609 1.76
10 I10 Essential (primary) hypertension 577 1.67

Thakurgaon 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 635
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1 P210 Severe birth asphyxia 158 24.88
2 P071 Other low birth weight 94 14.80
3 A419 Septicaemia, unspecified 41 6.46
4 I249 Acute ischaemic heart disease, unspecified 38 5.98
5 I679 Cerebrovascular disease, unspecified 34 5.35
6 I249 Acute ischaemic heart disease, unspecified 32 5.04
7 J459 Asthma, unspecified 18 2.83
8 I219 Acute myocardial infarction, unspecified 14 2.20
9 T600 Organophosphate and carbamate insecticides 14 0.00
10 V346 Occupant of three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus, passenger, traffic accident 8 1.26

Thakurgaon District Hospital | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 96
Coverage of households having access to sanitary latrines (%) 91


Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in District Hospital in 365 days (No.) 83,478
Bed Occupancy Rates (%) 228.89
Average Length of Hospital Stay (No. of days per patient) 2.15
Hospital Death Rate (%) 1.67


Thakurgaon District Hospital | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries 1056
Minor Surgeries 12114

 

Thakurgaon 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 13 1 8 36.36
Non Doctor 0 0 0 0 0.00
Class II 38 0 38 0 0.00
Class III 22 16 4 2 9.09
Class IV 21 13 3 5 23.81

 

Thakurgaon 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 22 14 2 2
Nurse 43 43 2 4
Medical Assistant 0 0 0 0
Medical Technologist 3 3 0 0

Thakurgaon 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 0 1 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 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 0 0 0 0 0
MRI machine 0 0 0 0 0
Ultrasonogram machine 3 1 2 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 2 0 0 0
Anesthesia machine without ventilator 5 4 0 1 0
Autoclave 13 11 0 2 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 15 15 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 4 4 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 2 0 1 0
Sterilizer 20 20 0 0 0
Sucker machine (electric) 20 20 0 0 0
Ventilator 0 0 0 0 0


Thakurgaon 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 8 6 0 2 0
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 1 1 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 24 15 0 9 0
Pulse oximeter 6 6 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


Thakurgaon 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 3 0 0 0
Colorimeter 1 1 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 1 1 0 0 0
Pediatric equipment
Baby incubator 5 2 3 0 0
Phototherapy unit 4 2 1 0 1


Thakurgaon 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 3 2 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 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 5 1 1 3 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


Thakurgaon 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) 7 7 0 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 2 1 0 0 1
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 5 4 1 0 0
Laptop 0 0 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 3 1 2 0 0
Scanner 0 0 0 0 0
UPS 3 0 2 1 0
Fax 1 0 1 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 0 0 0 0 0


Thakurgaon 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 0 1 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 178 141 16 19 2

Thakurgaon District Hospital | Health Bulletin 2014 | Page# 18

Important information and necessary issues for Thakurgaon District Hospital |
 Important information and necessary issues for Thakurgaon District Hospital Ours is a poor country and like other sectors, there is lack of budget allocation in health sector also. Last year we could not meet the peoples need despite our maximum efforts due to many reasons. Here I like mention some important factors which will help us to achieve good results in future. 1) The vacant post should be filled immediately. 2) Our doctor and nurse need more training. 3) Number of community clinic and the bed capacity of the hospitals should be increased. 4) All the repairable equipment's should be repaired as soon as possible finally I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years. This is very useful document and will help public to understand health services and to provide us the useful advice for improvement in future.