Kushtia 250 bed General Hospital | Health Bulletin 2014 |
Preface
I am very glad to know that the e-health bulletin is going to publish from 250 Bedded General Hospital, Kushtia. This health bulletin contains all the heath related information of 2013. This bulletin is published to disseminate the information of 250 Bedded General Hospital, Kushtia which will help the development partners of health sectors. These data of this bulletin will help for planning and brining the gaps and laps in health services of Kushtia district. This health bulletin will help us to find out different information, results and activities of 2013. E-health bulletin reflects the local MDG target according to MDG-4 and MDG-5. We have published our local health bulletin successfully, last year. We hope and think that we will make our health bulletin better than before. I would like to congrachulate and thank to all the initiators as well as to Proff. Dr. Abul Kalam Azad. ADG (Planning) and Line Director (MIS) of e-health bulletin software for setting us one step ahead towards for making Digital Bangladesh.
Kushtia 250 bed General Hospital | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the District Kushtia
Name of Superitendent Dr. Azizun Nahar
Telephone No. 07171152
FAX No. 62431
Mobile No. 01888196962
Email kushtia@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 24.0000 And Long: 23.0000
No. of Unions in the District 61
No. of Households in the District 435,300
No. of Population in the District 2,041,492
Area of District in sq km 1,690.50
Kushtia 250 bed General Hospital | Health Bulletin 2014 | Page# 2
Existing health facilities in the District /General Hospital
Facility Type
Total
No. of Beds
District Hospital
1
250
Kushtia 250 bed General Hospital | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,546
Total No. of children treated under IMCI Program 58,792
Fully Vaccinated Children: 0.00
Neonatal Mortality Rate (January-December, 2013)
Kushtia 250 bed 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. : 4,618
Total Number of Deliveries: 2,638
No. of Maternal Death: 10
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Kushtia 250 bed 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
188,996
83,849
105,147
71,963
12,607
7,634
4,973
3,869
No. of Admissions & Deaths at District/General Hospital
Health Facility
Admission
Death
T
M
F
Child
T
M
F
Child
District Hospital
35,893
18,119
17,774
10,105
988
607
381
102
Kushtia 250 bed 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
45998
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
4875
10.60
2
V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified
2337
5.08
3
I64 Stroke, not specified as haemorrhage or infarction
2182
4.74
4
I21 Acute myocardial infarction
2118
4.60
5
X99 Assault by sharp object
2098
4.56
6
F41 Other anxiety disorders
1536
3.34
7
K27 Peptic ulcer, site unspecified
1228
2.67
8
J21 Acute bronchiolitis
1062
2.31
9
T60 Toxic effect of pesticides
1015
2.21
10
A41 Other septicaemia
967
2.10
Kushtia 250 bed 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
1257
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
I21 Acute myocardial infarction
163
12.97
2
I51 Complications and ill-defined descriptions of heart disease
155
12.33
3
I64 Stroke, not specified as haemorrhage or infarction
88
7.00
4
T60 Toxic effect of pesticides
42
3.34
5
I50 Heart failure
31
2.47
6
V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified
28
2.23
7
G05 Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere
26
2.07
8
J44 Other chronic obstructive pulmonary disease
17
1.35
9
P21 Birth asphyxia
16
0.00
10
R57 Shock, NEC
11
0.88
Kushtia 250 bed General Hospital | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
79
Coverage of households having access to sanitary latrines (%)
78
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in District Hospital in 365 days (No.)
157,071
Bed Occupancy Rates (%)
172.24
Average Length of Hospital Stay (No. of days per patient)
3.42
Hospital Death Rate (%)
2.80
Kushtia 250 bed General Hospital | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
3196
Minor Surgeries
8479
Kushtia 250 bed 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
57
34
10
13
22.81
Non Doctor
1
0
1
0
0.00
Class II
112
6
106
0
0.00
Class III
41
32
4
5
12.20
Class IV
48
22
5
21
43.75
Kushtia 250 bed 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
57
44
0
0
Nurse
121
117
0
6
Medical Assistant
0
0
0
0
Medical Technologist
14
14
0
0
Kushtia 250 bed 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)
2
1
1
0
0
X-ray machine (300 mA)
1
1
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
1
C-arm
0
0
0
0
0
Mamogram machine
0
0
0
0
0
Dehumidifier
2
2
0
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
3
2
1
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
3
1
1
0
1
Anesthesia machine without ventilator
5
5
0
0
0
Autoclave
3
2
1
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
5
4
1
0
0
Operating microscope
1
1
0
0
0
Ceiling mounting OT Light
5
3
0
2
0
Portable OT Light
0
0
0
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
8
4
1
3
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
5
5
0
0
0
Ventilator
1
1
0
0
0
Kushtia 250 bed 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
4
2
0
0
2
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
1
0
0
0
1
Holter monitor
0
0
0
0
0
Nebulizer machine
2
2
0
0
0
Pulse oximeter
4
3
1
0
0
Dental equipment
Dental unit
3
2
0
1
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
2
2
0
0
0
Kushtia 250 bed 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)
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)
0
0
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
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Kushtia 250 bed 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
1
1
0
0
0
Laminar flow hood
0
0
0
0
0
pH meter
1
1
0
0
0
Hemoglobin photometer
0
0
0
0
0
Blood bank refrigerator
4
4
0
0
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
1
1
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
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
Kushtia 250 bed 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)
36
18
17
1
0
Air conditioner (window)
14
7
2
5
0
Generator
Generator (diesel/petrol)
4
2
1
1
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)
44
22
10
2
10
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
18
9
5
4
0
Scanner
0
0
0
0
0
UPS
10
5
5
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
2
1
1
0
0
Multimedia
0
0
0
0
0
Kushtia 250 bed 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)
2
1
1
0
0
Land phone
4
2
2
0
0
Mobile phone
1
0
1
0
0
Photocopier machine
2
1
1
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
215
126
55
20
14
Kushtia 250 bed General Hospital | Health Bulletin 2014 | Page# 18
Important information and necessary issues for Kushtia 250 bed General Hospital |
Here I would like to mention some important factors which will help us to achive better results in future.
1. This 250 Bedded General Hospital is running with 150 Beds hospital manpower. moreover This hospital has been announced Kushtia Medical College Hospital (Temporary Campus). So, The strength of manpower should be raised up to standard setting of 250 Bedded general Hospital.or Medical College Hospital.
2. All the vacant post should be filled up immediatly espacially for the Outsoursing post.
3. All of our Doctors, Nurses as well as other heatlh related personnal need more training for incresing capasity building. espacially on IMCI, ARI, Diarrhoea, ICD-10 ect.
4. Bed Occupancy Rate has been raised up to 195.38% in the month of March'2014 . It is heighest BOR in the history of the Hospital, So the number of Beds will be increased from 250 Beds to 500 beds immediately.
5. We need more equipments for serving better treatments.All the repairable instruments should be repaired as early as possible time.
Finaly I am very happy to write this health bulletin of 250 Beded General Hospital, Kushtia.Because this document will help us to compare our health progress in upcomming years.I must say that it is very usefull document and will help the public to understand health services and to provide us the usefull and valuable advise for better health improvement to the patients in future for making Digital bangladesh. Thank to all.
