Tangail 250 bed District Hospital | Health Bulletin 2015 |
Preface
We are very happy to publish Local health Bulletin from 250 Bedded District Hospital, Tangail for the year 2015. Along with information of 250 Bed District Hospital, Tangail this bulletin also contains some health related data of the Tangail 250 bed District Hospital including basic demography, health facilities, resources, performance, strength and weakness. This Bulletin will disseminate health information to people of Tangail 250 bed District Hospital as well as to health service providers. This will help better utilization and further quantitative and qualitative improvement of health service in the Tangail 250 bed District Hospital. We acknowledge the support and service of our colleagues in preparing this Bulletin. We congratulate and express our heart-felt gratitude towards MOHFW and DGHS, in particular, MIS, DGHS for this very praiseworthy step to publish Local Health Bulletin by developing a Soft ware Format. This will be a big leap forward in building Digital Bangladesh.
(Dr. Nur Mohammad)
Superintendent
250 Bed District Hospital, Tangail.
Tangail 250 bed District Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Tangail
Organization Code
10000647
Name of Superitendent Dr.Nur Mohammad
Land Phone No. 1
0921-063027
Land Phone No. 2 0921-63438
FAX No. 92161710
Mobile No. 01711043042
Email tangail@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 24.2637 And Long: 89.2527
Tangail 250 bed District Hospital | Health Bulletin 2015 | Page# 2
Existing health facilities in the District/General Hospital
Facility Type
Total
No. of Beds
District Hospital
1
250
Tangail 250 bed District Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 4,112
Total No. of Children Treated under IMCI Program 27,644
Neonatal Mortality Rate (NMR) is 111.87 per 1,000 live births
Tangail 250 bed District 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: 3,021
Total Number of Deliveries: 4,206
No. of Maternal Deaths: 5
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
121.60 per 100,000 live births.
Tangail 250 bed District 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
93,792
123,874
217,666
20,372
15,340
35,712
253,378
19,784
8,764
28,548
3,352
3,264
6,616
35,164
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
23,988
26,140
50,128
4,842
5,160
10,002
60,130
406
206
612
345
294
639
1,251
Tangail 250 bed District 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
60,130
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
4774
7.94
2
X999 Assault by sharp object, unspecified place
XX: External causes of morbidity and mortality
2796
4.65
3
K566 Other and unspecified intestinal obstruction
XI: Diseases of the digestive system
2675
4.45
4
V736 Bus occupant injured in collision with car, pick-up truck or van, passenger, traffic accident
XX: External causes of morbidity and mortality
2648
4.40
5
I619 Intracerebral haemorrhage, unspecified
IX: Diseases of the circulatory system
1217
2.02
6
K35 Acute appendicitis
XI: Diseases of the digestive system
985
1.64
7
J440 Chronic obstructive pulmonary disease with acute lower respiratory infection
X: Diseases of the respiratory system
873
1.45
8
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
844
1.40
9
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
819
1.36
10
O040 Medical abortion, incomplete, complicated by genital tract and pelvic infection
XV: Pregnancy, childbirth and the puerperium
648
1.08
Tangail 250 bed District 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
1,251
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
275
21.98
2
P071 Other low birth weight
XVI: Certain conditions originating in the perinatal period
129
10.31
3
I619 Intracerebral haemorrhage, unspecified
XVI: Certain conditions originating in the perinatal period
124
9.91
4
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
79
6.31
5
J440 Chronic obstructive pulmonary disease with acute lower respiratory infection
X: Diseases of the respiratory system
68
5.44
6
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
63
5.04
7
P369 Bacterial sepsis of newborn, unspecified
XVI: Certain conditions originating in the perinatal period
54
4.32
8
V736 Bus occupant injured in collision with car, pick-up truck or van, passenger, traffic accident
XX: External causes of morbidity and mortality
42
3.36
9
E108 Insulin-dependent diabetes mellitus with unspecified complications
IV: Endocrine, nutritional and metabolic diseases
34
2.72
10
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
23
1.84
Tangail 250 bed District Hospital | Health Bulletin 2015 | Page# 8
Water & sanitation (Whole District)
Indicators
Upazila
Coverage of households having access to safe drinking water (%)
95
Coverage of households having access to sanitary latrines (%)
82
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.)
144,106
Bed Occupancy Rates (%)
157.92
Average Length of Hospital Stay (No. of days per patient)
2.40
Hospital Death Rate (%)
2.08
Tangail 250 bed District Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
5,633
Minor Surgeries
12,995
Tangail 250 bed District Hospital | Health Bulletin 2015 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
58
34
9
15
25.86
Non Doctor
1
0
1
0
0.00
Class II
117
12
105
0
0.00
Class III
37
25
6
6
16.22
Class IV
50
29
14
7
14.00
Tangail 250 bed District Hospital | Health Bulletin 2015 | Page# 11
Status of Human Resources (Category wise)
Manpower
Hospital total
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
58
43
2
0
Nurse
123
120
6
6
Medical Assistant
0
0
0
0
Medical Technologist
11
11
0
0
Tangail 250 bed District 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
0
0
1
0
X-ray machine (300 mA)
0
0
0
0
0
X-ray machine (500 mA)
2
1
0
1
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
2
2
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
2
2
0
0
0
Anesthesia machine without ventilator
4
4
0
0
0
Autoclave
5
3
2
0
0
Electric cautery machine
1
1
0
0
0
Diathermy machine
7
4
3
0
0
Operating microscope
2
2
0
0
0
Ceiling mounting OT Light
6
6
0
0
0
Portable OT Light
3
3
0
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
3
3
0
0
0
Sucker machine (electric)
8
5
3
0
0
Ventilator
0
0
0
0
0
Tangail 250 bed District 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
2
2
0
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
2
2
0
0
0
Holter monitor
2
2
0
0
0
Nebulizer machine
11
6
5
0
0
Pulse oximeter
5
4
1
0
0
Dental equipment
Dental unit
2
1
0
0
1
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
1
1
0
0
0
Tangail 250 bed District 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
1
0
0
0
1
Centrifuge machine (electric)
8
5
3
0
0
Colorimeter
2
1
1
0
0
Electrolyte analyzer
1
0
1
0
0
ELISA machine
1
0
1
0
0
Gas analyzer
0
0
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
1
0
0
0
1
Microscope (binocular)
6
3
3
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
2
1
1
0
0
Pediatric equipment
Baby incubator
9
9
0
0
0
Phototherapy unit
4
4
0
0
0
Tangail 250 bed District 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
11
4
7
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
4
3
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
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
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
Tangail 250 bed District 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)
12
7
4
0
1
Air conditioner (window)
49
33
16
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
3
0
3
0
0
ICT equipment
Computer (desktop)
32
22
0
0
10
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
4
4
0
0
0
Printer (laser)
12
12
0
0
0
Scanner
1
1
0
0
0
UPS
10
10
0
0
0
Fax
2
1
1
0
0
Intercom
62
31
31
0
0
Internet fixed line
1
0
1
0
0
Internet wireless line
11
11
0
0
0
Multimedia
1
1
0
0
0
Tangail 250 bed District 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
0
0
0
0
0
PA system (Sound)
0
0
0
0
0
Land phone
7
7
0
0
0
Mobile phone
1
1
0
0
0
Photocopier machine
2
1
1
0
0
Digital camera
1
1
0
0
0
Video camera
0
0
0
0
0
Total
348
240
91
2
15
Tangail 250 bed District Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Tangail 250 bed District Hospital
100 Bedded District Hospital, Tangail has been transformed into 250 bed General Hospital in 2008 But sanctioned post of various categories of staffs for 250 Bedded General Hospital were not according to the standard manpower set up needed for 250 bedded hospital. So a large gap was prevailing from the very beginning leading to a burden to a satisfactory health care service.More over,about 15-17 posts of doctors out of 58 posts are remaining vacant more or less continuously. The provision of maintenance & repair of electromedical equipment should be one stop service. Otherwise continuation of quality & standard service would not be possible. Another area of our burden is the number of bed sanction as well as the space constructed. In 250 Bedded General Hospital the standard space should be 2,00,000 Lac Sq feet but the existing space is 95,00,000 Sq feet. In the hospital there is 250 bed but daily indoor patient 450-525 and their attendants make a huge crowd leading to a critical work environment. All doctor can not be accommodated within the campus residence. So some doctors are remaining out side the campus. In case of emergency management specially at night, they have to come from a distance on foot having no car, no CNG/Auto rickshaw. So this hospital is always running with a shortage of Doctors,same is the case with 3rd & 4th class employee in particular cleaner, aya, security guards. Shortage should be met urgently.This institution requires CT Scan, Digital X ray machine and a vehicle for doctors for emergency service.There is lacking of waiting rooms for the patients. There is no wide spaced veranda for the attendants for sitting/Eating.
The drainage system, Sanitary system were made according to 100 bedded hospital, but now it needs to renovate for 250 bedded hospital.These all are great challenges for Quality health service.
