Khulna General Hospital | Health Bulletin 2014 |
Preface
It is a memorable event for me that health bulletin-2013, Which is a publication of general hospital, Khulna is going to be displayed. I would like to pay my gratitude to management information system of DGHS for this time-fitting notion. I believe this type of bulletin detailing with data availability and quality will play an effective role in nourishing digital system across the health care network. Disinclined flaws are not unlikely as because of our first experience. But I hope there will be enough scope for perfection in the future health bulletin. I am grateful to my colleagues and staffs who were associated with this health bulletin 2013.
Khulna General Hospital | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the District Khulna
Name of Superitendent Dr. Md.Yeasin Ali Sorder
Telephone No. 041721128
FAX No. 41721128
Mobile No. 01827523576
Email khulna@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 22.8177 And Long: 89.5678
No. of Unions in the District 68
No. of Households in the District 530,498
No. of Population in the District 3,237,190
Area of District in sq km 43,932.25
Khulna General Hospital | Health Bulletin 2014 | Page# 2
Existing health facilities in the District /General Hospital
Facility Type
Total
No. of Beds
District Hospital
1
150
Khulna General Hospital | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 604
Total No. of children treated under IMCI Program 2,487
Fully Vaccinated Children: 0.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 0.00 per 1,000 live births.
Khulna 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. : 3,671
Total Number of Deliveries: 4,462
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.
Khulna 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
140,755
52,336
88,419
20,424
9,512
5,316
4,196
2,248
No. of Admissions & Deaths at District/General Hospital
Health Facility
Admission
Death
T
M
F
Child
T
M
F
Child
District Hospital
8,786
3,479
5,307
1,830
108
66
42
18
Khulna 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
8786
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
D46 Myelodysplastic syndromes
990
11.27
2
K28 Gastrojejunal ulcer
910
10.36
3
J45 Asthma
895
10.19
4
I15 Secondary hypertension
760
8.65
5
R17 Unspecified jaundice
655
7.46
6
X86 Assault by corrosive substance
416
4.73
7
H57 Other disorders of eye and adnexa
240
2.73
8
V03 Pedestrian injured in collision with car, pick-up truck or van
210
2.39
9
I98 Other disorders of circulatory system in diseases classified elsewhere
195
2.22
10
T36 Poisoning by systemic antibiotics
85
0.97
Khulna 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
108
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
R073 Other chest pain
18
16.67
2
I981 Cardiovascular disorders in other infectious and parasitic diseases classified elsewhere
18
16.67
3
D467 Other myelodysplastic syndromes
16
14.81
4
J451 Nonallergic asthma
13
12.04
5
I41 Myocarditis in diseases classified elsewhere
12
11.11
6
I13 Hypertensive heart and renal disease
10
9.26
7
B96 Other bacterial agents as the cause of diseases classified to other chapters
9
8.33
8
J06 Acute upper respiratory infections of multiple and unspecified sites
6
5.56
9
T36 Poisoning by systemic antibiotics
5
0.00
10
I50 Heart failure
2
1.85
Khulna General 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 (%)
94
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in District Hospital in 365 days (No.)
44,158
Bed Occupancy Rates (%)
80.70
Average Length of Hospital Stay (No. of days per patient)
5.44
Hospital Death Rate (%)
1.22
Khulna General Hospital | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
1224
Minor Surgeries
14244
Khulna 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
34
20
12
2
5.88
Non Doctor
0
0
0
0
0.00
Class II
123
2
121
0
0.00
Class III
29
15
8
6
20.69
Class IV
56
35
17
4
7.14
Khulna 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
34
32
4
5
Nurse
135
129
4
15
Medical Assistant
0
0
0
0
Medical Technologist
7
7
0
0
Khulna 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
0
0
1
0
X-ray machine (300 mA)
1
0
1
0
0
X-ray machine (500 mA)
2
2
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
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
2
1
1
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
2
0
2
0
0
Anesthesia machine without ventilator
4
4
0
0
0
Autoclave
3
1
1
1
0
Electric cautery machine
3
2
1
0
0
Diathermy machine
4
1
3
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
4
4
0
0
0
Sterilizer
20
12
8
0
0
Sucker machine (electric)
10
8
2
0
0
Ventilator
0
0
0
0
0
Khulna 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
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
12
12
0
0
0
Pulse oximeter
3
1
2
0
0
Dental equipment
Dental unit
1
0
1
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
1
1
0
0
0
Khulna 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)
2
2
0
0
0
Colorimeter
2
2
0
0
0
Electrolyte analyzer
0
0
0
0
0
ELISA machine
1
1
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
3
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
2
2
0
0
0
Khulna 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
3
3
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
2
2
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
Khulna 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)
10
10
0
0
0
Air conditioner (window)
3
3
0
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
0
0
0
0
0
ICT equipment
Computer (desktop)
17
15
0
2
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
7
5
0
2
0
Scanner
0
0
0
0
0
UPS
12
9
0
3
0
Fax
1
1
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
1
1
0
0
0
Internet wireless line
1
1
0
0
0
Multimedia
0
0
0
0
0
Khulna 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
11
11
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
168
134
23
11
0
Khulna General Hospital | Health Bulletin 2014 | Page# 18
Important information and necessary issues for Khulna General Hospital |
150 Bed Hospital, Khulna is running with High bed occupancy Rate, But hospital facility is limited due to A)Shortage of Manpower B)Absent of ICU & CCU C) Neurology & Cardiology Department D) No Residence for RMO,Doctors and Staff E) Facility for doctors absolute such as 1. no Conference room for Doctors 2. In educate sitting arrange for doctors and 3. No toilet Facility.