Brahmanbaria 250 bed District Sadar Hospital | Health Bulletin 2015 |
Preface
This is a new inovation and unique thought of present government to make Digital Bangladesh within the year 2021. I feel proud and honored to be a part of this excellent information system organized by DGHS . I also very glad to be published this bulletin about Brahmanbaria district hospital the year 2014 (January- December) . This bulletin contains all the health related information of this district hospital 2014.It is published to disseminate the information of Brahmanbaria district to other department and heath related development partners and also health department of other district which can initiate and inter district communication to provide data and suggestions for the development of the health care system of the all districts of while bangladesh. I hope, all this data provided in this bulletin will help for planning and for the upcoming year and also identify the pitfalls and lacking of current year which can help us to rectify and make opportunity to share this with others.Thus it can help us to identify the strengths,weakness,opportunities and threats related to service delivery which would guide to take necessary action for further improvement.the MDG 4 and MDG 5 which will to localize the MDG targets.finlay i would like to give my heart full thanks to all the people who worked for this bulletin to make it perfect informative and easy to realize.
Brahmanbaria 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Brahmanbaria
Organization Code
10000672
Name of Superitendent Dr.Akbar hossain chowdhory
Land Phone No. 1
-085159282
Land Phone No. 2
FAX No. 0
Mobile No. 01730324766
Email brahmanbaria@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 23.9641 And Long: 91.1103
Brahmanbaria 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
Brahmanbaria 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: 1,084
Total No. of Children Treated under IMCI Program 2,382
Neonatal Mortality Rate (NMR) is 68.27 per 1,000 live births
Brahmanbaria 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: 16,780
Total Number of Deliveries: 1,131
No. of Maternal Deaths: 5
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
461.25 per 100,000 live births.
Brahmanbaria 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
117,948
112,523
230,471
19,201
28,131
47,332
277,803
26,948
28,211
55,159
10,480
4,979
15,459
70,618
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
35,463
27,196
62,659
11,821
11,656
23,477
86,136
209
146
355
179
46
225
580
Brahmanbaria 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
86,136
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
6358
7.38
2
V02 Pedestrian injured in collision with two- or three-wheeled motor vehicle
XX: External causes of morbidity and mortality
5443
6.32
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
5225
6.07
4
N18 Chronic renal failure
XIV: Diseases of the genitourinary system
4205
4.88
5
P071 Other low birth weight
XVI: Certain conditions originating in the perinatal period
3256
3.78
6
O72 Postpartum haemorrhage
XV: Pregnancy, childbirth and the puerperium
2612
3.03
7
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
2420
2.81
8
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
2355
2.73
9
P219 Birth asphyxia, unspecified
XVI: Certain conditions originating in the perinatal period
2245
2.61
10
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
2116
2.46
Brahmanbaria 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
511
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
66
12.92
2
V02 Pedestrian injured in collision with two- or three-wheeled motor vehicle
XX: External causes of morbidity and mortality
61
11.94
3
X69 Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances
XX: External causes of morbidity and mortality
58
11.35
4
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
57
11.15
5
N18 Chronic renal failure
XIV: Diseases of the genitourinary system
56
10.96
6
R100 Acute abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
48
9.39
7
P219 Birth asphyxia, unspecified
XVI: Certain conditions originating in the perinatal period
47
9.20
8
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
42
8.22
9
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
40
7.83
10
J069 Acute upper respiratory infection, unspecified
X: Diseases of the respiratory system
36
7.05
Brahmanbaria 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 (%)
70
Coverage of households having access to sanitary latrines (%)
83
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.)
93,136
Bed Occupancy Rates (%)
102.07
Average Length of Hospital Stay (No. of days per patient)
1.08
Hospital Death Rate (%)
0.59
Brahmanbaria 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
2,642
Minor Surgeries
3,844
Brahmanbaria 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
58
36
7
15
25.86
Non Doctor
3
2
0
1
33.33
Class II
136
4
79
53
38.97
Class III
39
26
5
8
20.51
Class IV
66
46
18
2
3.03
Brahmanbaria 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
57
43
0
1
Nurse
141
84
0
0
Medical Assistant
0
0
0
0
Medical Technologist
8
6
0
0
Brahmanbaria 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)
2
1
0
1
0
X-ray machine (500 mA)
1
1
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
1
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
3
2
0
1
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
7
4
3
0
0
Anesthesia machine without ventilator
1
0
1
0
0
Autoclave
7
2
5
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
6
3
0
0
3
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
1
0
0
0
Portable OT Light
4
2
2
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
7
3
3
1
0
Sterilizer
3
1
0
2
0
Sucker machine (electric)
9
2
0
1
6
Ventilator
1
1
0
0
0
Brahmanbaria 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
0
0
0
0
0
ECG machine
4
2
1
1
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
2
1
0
0
1
Holter monitor
0
0
0
0
0
Nebulizer machine
1
1
0
0
0
Pulse oximeter
4
3
1
0
0
Dental equipment
Dental unit
2
1
1
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
1
1
0
0
0
Brahmanbaria 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)
3
2
1
0
0
Colorimeter
3
2
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)
2
1
1
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
2
2
0
0
0
Pediatric equipment
Baby incubator
2
0
0
2
0
Phototherapy unit
1
0
1
0
0
Brahmanbaria 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
1
1
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
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
1
0
2
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
Brahmanbaria 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)
23
16
7
0
0
Air conditioner (window)
12
9
3
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)
15
15
0
0
0
Laptop
0
0
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
4
4
0
0
0
Scanner
0
0
0
0
0
UPS
4
1
1
2
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
Brahmanbaria 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
0
0
0
0
0
PA system (Sound)
1
1
0
0
0
Land phone
2
2
0
0
0
Mobile phone
1
1
0
0
0
Photocopier machine
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
153
98
32
13
10
Brahmanbaria 250 bed District Sadar Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Brahmanbaria 250 bed District Sadar Hospital
Though our efforts was maximum to improve the health care delivery system in Brahmanbaria 250 bed District Sadar Hospital but due to some unsolved reasons. It was not up to our satisfaction. So I would to like to mention some recommendation & suggestion to improve the health status of the Brahmanbaria District.
The vacant post should be filled up immediately. All health care providers including Doctors, Nurse need more training. All the repairable equipments should be repaired as soon as possible. New medical equipment including CT Scan should provided. Infrastructure of health care facilities should be developed separate IPS should be supplied to operation theater and different wards.
