Narail District Hospital | Health Bulletin 2014 |
Preface
This is my great pleasure to publish this HEALTH BULLETIN 2014 of District Narail.This bulletin contains all the health related information of 2013.It is published to disseminate the information of district to other department and development partners of health.For health bulletin we gather data from wide range of sources across the district .The health managers,officers and respective health personels all over the district were engaged to prepare this report.I hope all the information of this bulletin will be helpful for planning and bridging the gaps in the health services of this district. This is an important publication and we use it as our reference of health data.we use health bulletin to understand how much progress we made in the past year in the health sector. we also understand through this bulletin where we made little progress ,where we need to pay more attention and where we could do better. The health bulletin 2014 will contribute to improving transparency about health issues of the country .The bulletin contains the status of MDG-4 & MDG-5 which will help to locate the MDG targets.Out of seven Health Institutions in Bangladesh two institutions of Narail District i.e. Sadar Hospital and Lohagara Upazila Health Complex,Narail have recently been selected for getting award for observing “Safe Motherhood Day’’in 2013. In Narail District Many Post of Doctors are lying vacant.So we have to face a lot of problems in delivering health services to the people. The sanctioned and vacant posts are published in this bulletin.I like to take attention of the higher authority to look after this burning issue.I express my sincere thanks to Professor Dr. Abul Kalam Azad, Additional director general (planning & development)and Line director of MIS Health for providing his moral support.Positive attitude towards development of this health bulletin.This is my responsibility to thank all the team member of MIS Health for their continuous effort and creation .
Narail District Hospital | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the District Narail
Name of Superitendent Dr. Rashid Ahmed
Telephone No. 048163345
FAX No. 0
Mobile No. 01712501068
Email narail@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 23.0000 And Long: 89.0000
No. of Unions in the District 0
No. of Households in the District 0
No. of Population in the District 0
Area of District in sq km 990.00
Narail 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
Narail District Hospital | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 1,250
Total No. of children treated under IMCI Program 7,633
Fully Vaccinated Children: 0.00
Neonatal Mortality Rate (January-December, 2013)
Narail 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. : 1,225
Total Number of Deliveries: 1,288
No. of Maternal Death: 1
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Narail 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
84,493
39,934
44,559
19,844
11,584
7,004
4,580
4,017
No. of Admissions & Deaths at District/General Hospital
Health Facility
Admission
Death
T
M
F
Child
T
M
F
Child
District Hospital
15,364
6,818
8,546
2,848
208
123
85
72
Narail 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
15364
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
O65 Obstructed labour due to maternal pelvic abnormality
2755
17.93
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
1732
11.27
3
Y00 Assault by blunt object
1084
7.06
4
J06 Acute upper respiratory infections of multiple and unspecified sites
863
5.62
5
T600 Organophosphate and carbamate insecticides
427
2.78
6
J45 Asthma
421
2.74
7
D539 Nutritional anaemia, unspecified
197
1.28
8
I10 Essential (primary) hypertension
115
0.75
9
H10 Conjunctivitis
97
0.63
10
P599 Neonatal jaundice, unspecified
42
0.27
Narail 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
208
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
I679 Cerebrovascular disease, unspecified
40
19.23
2
P21 Birth asphyxia
22
10.58
3
P07 Disorders related to short gestation and low birth weight, NEC
17
8.17
4
P369 Bacterial sepsis of newborn, unspecified
10
4.81
5
I21 Acute myocardial infarction
10
4.81
6
T60 Toxic effect of pesticides
9
4.33
7
I50 Heart failure
9
4.33
8
D539 Nutritional anaemia, unspecified
6
2.88
9
J45 Asthma
5
0.00
10
N18 Chronic renal failure
5
2.40
Narail District Hospital | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
70
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.)
47,479
Bed Occupancy Rates (%)
130.07
Average Length of Hospital Stay (No. of days per patient)
3.49
Hospital Death Rate (%)
1.35
Narail District Hospital | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
848
Minor Surgeries
6423
Narail 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
10
2
27
69.23
Non Doctor
1
0
1
0
0.00
Class II
41
0
40
1
2.44
Class III
35
15
5
15
42.86
Class IV
25
14
7
4
16.00
Narail 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
12
1
2
Nurse
48
48
5
20
Medical Assistant
0
0
0
0
Medical Technologist
6
6
0
1
Narail 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)
2
1
1
0
0
X-ray machine (300 mA)
0
0
0
0
0
X-ray machine (500 mA)
1
1
0
0
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
2
1
1
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
1
0
1
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
2
2
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
6
2
3
0
1
Autoclave
7
6
1
0
0
Electric cautery machine
3
1
2
0
0
Diathermy machine
4
0
4
0
0
Operating microscope
2
0
1
0
1
Ceiling mounting OT Light
3
2
1
0
0
Portable OT Light
3
2
1
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
10
9
0
0
1
Sterilizer
5
3
2
0
0
Sucker machine (electric)
12
8
4
0
0
Ventilator
2
1
0
0
1
Narail 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
1
1
1
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
1
0
0
0
1
Holter monitor
0
0
0
0
0
Nebulizer machine
10
1
5
4
0
Pulse oximeter
6
4
2
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
Narail 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
2
1
1
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)
4
2
1
0
1
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
2
2
0
0
0
Phototherapy unit
3
3
0
0
0
Narail 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
2
2
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
3
3
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
Narail 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)
13
11
0
0
2
Air conditioner (window)
7
6
1
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
8
7
1
0
0
ICT equipment
Computer (desktop)
4
3
1
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)
7
4
0
2
1
Scanner
0
0
0
0
0
UPS
5
4
1
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
Narail 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
1
1
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
162
110
36
7
9
Narail District Hospital | Health Bulletin 2014 | Page# 18
Important information and necessary issues for Narail District Hospital |
Caesarean Section in all upazila & District Hospital is going on smoothly .
• Normal delivery in Lohagora UHC sharply increased
• Normal delivery started on CC
• Confidence of the doctors and nurses has increased after “Life Saving Skill” training
• Referral due to obstetrical complication decreased as doctors and nurses can manage more obstetrical
complication after “Life Saving Skill” training
• Local recruitment of doctors, nurses and supporting staffs under MNHI fund supports Hospital Management.
• Private CSBA working in the community .
• Referral from community area is increased the linkage between Hospital and community.
• MNH services increased in all facilities.
• MIS system markedly improved due to supply of Desktop Computer, laptop, modem, webcam and other
necessary supplies .
• Community Groups are more aware about management of CC and the health facility of the pregnant women.
• Institutional delivery has been increased significantly by trained manpower.
• Construction/ reconstruction works need to be finished ASAP
• 100 beded hospital is running with 50 beded manpower. Manpower need to be sanctioned for 100 bed hospital
• Gynecologist, Surgeon and Anesthetist need to be ensured for 24/7 service in DH and UHC.
• Waste disposal system should be improved
