Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 |
Preface
We are very happy to publish the 4th edition of Local Health Bulletin from 250 Bed District Hospital Kishoreganj for the year 2015. Along with information of 250 Bed District Hospital Kishoreganj this bulletin also contains some health related data of the district including basic demography, health facilities, resources, performance, strength and weakness. This Bulletin will disseminate health information in people of district as well as in health service providers. This will help better utilization and further quantitative and qualitative improvement of health service in the district. We acknowledge the support and service of our colleagues in preparing this bulletin.
We thank and express our heart-felt gratitude towards MOHFW and DGHS, in particular, MIS, DGHS for this very praiseworthy step to continue to publish Local Health Bulletin by developing a Soft- ware Format. This will sustain the effort of Health Department in building Digital Bangladesh,also create an oppurtutinity for continuous improvement in management of and service discharged by health facilities.
Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Kishorgonj
Organization Code
10000243
Name of Superitendent Dr. Mukhlesur Rahman Khan
Land Phone No. 1
-094161776
Land Phone No. 2
FAX No. 0
Mobile No. 01712629025
Email kishoreganj@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 24.2634 And Long: 90.4634
Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 2
Existing health facilities in the District/General Hospital
Facility Type
Total
No. of Beds
District Hospital
1
250
Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 3,571
Total No. of Children Treated under IMCI Program 28,654
Neonatal Mortality Rate (NMR) is 63.57 per 1,000 live births
Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 4
R.P.W.: Registered Pregnant Women;
1st ANC: No. of 1st ANC recipients;
4th ANC: No. of 4th ANC recipients;
C. Preg.: No. of complicated pregnancy;
N.V. deli.: No. of normal deliveries;
C. deli.: No. of cesarean deliveries;
O. deli.: No. of other deliveries;
PNC: No. of PNC services provided to the mothers;
Maternal health and MDG-5 for the Facility (Jan-Dec, 2014)
Total No. of Recipients Who Took at least one ANC: 7,148
Total Number of Deliveries: 3,624
No. of Maternal Deaths: 9
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
252.03 per 100,000 live births.
Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 5
No. of OPD & Emergency visits at District/General Hospital
Health Facility
OPD
Emergency
Above 5 Yr
Below 5 Yr
Above 5 Yr
Below 5 Yr
.
M
F
T (M+F)
M
F
T (M+F)
G. Total
M
F
T (M+F)
M
F
T (M+F)
G. Total
District Hospital
120,237
114,324
234,561
15,775
12,879
28,654
263,215
21,987
11,649
33,636
6,517
5,212
11,729
45,365
No. of Admissions & Deaths at District/General Hospital
Health Facility
Admission
Death
Above 5 Yr
Below 5 Yr
Above 5 Yr
Below 5 Yr
.
M
F
T (M+F)
M
F
T (M+F)
G. Total
M
F
T (M+F)
M
F
T (M+F)
G. Total
District Hospital
23,555
18,844
42,399
6,528
4,214
10,742
53,141
223
184
407
157
139
296
703
Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 | 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
53,141
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
5647
10.63
2
J21 Acute bronchiolitis
X: Diseases of the respiratory system
2576
4.85
3
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
2478
4.66
4
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
2208
4.15
5
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
1840
3.46
6
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
1413
2.66
7
V195 Passenger injured in collision with other and unspecified motor vehicles in traffic accident
XX: External causes of morbidity and mortality
1259
2.37
8
J45 Asthma
X: Diseases of the respiratory system
1197
2.25
9
M966 Fracture of bone following insertion of orthopaedic implant, joint prosthesis, or bone plate
XIII: Diseases of the musculoskeletal system and connective tissue
1103
2.08
10
P07 Disorders related to short gestation and low birth weight, NEC
XVI: Certain conditions originating in the perinatal period
839
1.58
Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 | 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
703
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
P210 Severe birth asphyxia
XVI: Certain conditions originating in the perinatal period
151
21.48
2
I694 Sequelae of stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
113
16.07
3
I21 Acute myocardial infarction
XVI: Certain conditions originating in the perinatal period
53
7.54
4
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
49
6.97
5
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X: Diseases of the respiratory system
44
6.26
6
P07 Disorders related to short gestation and low birth weight, NEC
XVI: Certain conditions originating in the perinatal period
41
5.83
7
P369 Bacterial sepsis of newborn, unspecified
XVI: Certain conditions originating in the perinatal period
34
4.84
8
I501 Left ventricular failure
IX: Diseases of the circulatory system
20
2.84
9
G05 Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere
VI: Diseases of the nervous system
17
2.42
10
J21 Acute bronchiolitis
X: Diseases of the respiratory system
12
1.71
Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 8
Water & sanitation (Whole District)
Indicators
Upazila
Coverage of households having access to safe drinking water (%)
98
Coverage of households having access to sanitary latrines (%)
71
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.)
135,725
Bed Occupancy Rates (%)
148.74
Average Length of Hospital Stay (No. of days per patient)
2.55
Hospital Death Rate (%)
1.32
Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
2,587
Minor Surgeries
8,008
Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
89
28
10
51
57.30
Non Doctor
2
2
0
0
0.00
Class II
81
6
57
18
22.22
Class III
48
22
4
22
45.83
Class IV
64
12
7
45
70.31
Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 11
Status of Human Resources (Category wise)
Manpower
Hospital total
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
89
38
2
1
Nurse
78
64
6
7
Medical Assistant
0
0
0
0
Medical Technologist
11
3
0
0
Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 12
Existing equipment 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
0
1
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)
1
1
0
0
0
Dental X-ray unit
1
0
1
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
5
2
3
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
2
1
0
0
1
Anesthesia machine without ventilator
12
11
1
0
0
Autoclave
10
8
2
0
0
Electric cautery machine
1
1
0
0
0
Diathermy machine
11
8
2
0
1
Operating microscope
2
2
0
0
0
Ceiling mounting OT Light
16
13
3
0
0
Portable OT Light
10
8
2
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
13
11
2
0
0
Sterilizer
11
8
3
0
0
Sucker machine (electric)
30
23
7
0
0
Ventilator
2
2
0
0
0
Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 13
Existing equipment 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
2
1
1
0
0
ECG machine
9
6
2
0
1
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
2
2
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
48
15
10
23
0
Pulse oximeter
5
3
2
0
0
Dental equipment
Dental unit
2
2
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
1
1
0
0
0
Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 14
Existing equipment 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)
5
4
1
0
0
Colorimeter
8
5
3
0
0
Electrolyte analyzer
1
0
1
0
0
ELISA machine
0
0
0
0
0
Gas analyzer
1
1
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
0
0
0
0
0
Microscope (binocular)
5
3
0
0
2
Obstetric equipment
Fetal Monitor
1
1
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
2
2
0
0
0
Pediatric equipment
Baby incubator
4
3
0
1
0
Phototherapy unit
8
7
0
1
0
Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 15
Existing equipment 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
6
5
1
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
2
1
1
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
Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 16
Existing equipment at District/General Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Air conditioner
Air conditioner (split type)
30
30
0
0
0
Air conditioner (window)
9
9
0
0
0
Generator
Generator (diesel/petrol)
3
2
0
0
1
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
2
1
1
0
0
ICT equipment
Computer (desktop)
20
16
0
3
1
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
10
6
1
1
2
Scanner
1
1
0
0
0
UPS
12
12
0
0
0
Fax
1
0
1
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
3
3
0
0
0
Multimedia
1
1
0
0
0
Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 17
Existing equipment at District/General Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
OHP
1
1
0
0
0
PA system (Sound)
0
0
0
0
0
Land phone
2
1
1
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
3
0
3
0
0
Digital camera
1
1
0
0
0
Video camera
0
0
0
0
0
Total
348
253
56
30
9
Kishoreganj 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Kishoreganj 250 bed District Sadar Hospital
250 Bed District hospital,Kishoreganj has been transformed to 250 bed from 100 Bed Sadar Hospital in 2007. Sadar Hospital was transformed from 50 bed to 100 bed in 2000 under a development project. No 3rd class and 4th class employee could be employed in that development project due to some legal suit by one candidate. The case is still under trial at High Court, after recent transformation from 100 bed to 250 bed some post of Consultant,Medical Officer and some 3rd class post are filled-up from time to time but most of the other posts are still vacant. So this hospital is suffering from shortage of Doctors, Nurse, 3rd and 4th class employee, in particular cleaner, aya, security guards. Despite of shortage of doctors,Nurse and support Staff in our hospital we are running a 10 Bed Neonatal Ward (Alternative Special Care Newborn Unit- SCANU), 10 Bed Cardio Pulmonary Ward (Alternative CCU) and a Dedicated 20 Bed Post-Operative Gynae-Obstetric ward. Again, in spite of all the short-comings we received the prize of Best District Hospital in 2008 and 2009 in EOC performance. Shortage of Nurse, Aya, Cleaner and Security guard should be met urgently.
Thanks
(Dr. Mukhlesur Rahman Khan)
Superintendent
250 Bed District Hospital Kishoreganj
