Noakhali 250 bed General Hospital | Health Bulletin 2015 |
Preface
We are very glad and honored to publish this health bulletin of 250-bed general hospital,Noakhali.Here we have tried our best to provide all the health related information, logistics and services available in this hospital . This bulletin was published by coordination with other department and development partners of health. I would like to congratulate and give hearty thanks to the initiators of health bulletin software. It will help us to run forward for achieving the goal of "Digital Bangladesh".
Dr A.B M AHSAN ULLAH KHAN
Superintendent, 250 bed general hospital,Noakhali.
Noakhali 250 bed General Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Noakhali
Organization Code
10001049
Name of Superitendent Dr A B M AHSAN ULLAH KHAN
Land Phone No. 1
-061333
Land Phone No. 2
FAX No. 61008
Mobile No. 01730324774
Email Noakhali@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 22.5200 And Long: 91.0500
Noakhali 250 bed General Hospital | Health Bulletin 2015 | Page# 2
Existing health facilities in the District/General Hospital
Facility Type
Total
No. of Beds
District Hospital
1
250
Noakhali 250 bed General Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 3,001
Total No. of Children Treated under IMCI Program 20,013
Neonatal Mortality Rate (NMR) is 15.66 per 1,000 live births
Noakhali 250 bed General 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: 5,884
Total Number of Deliveries: 3,228
No. of Maternal Deaths: 27
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
899.70 per 100,000 live births.
Noakhali 250 bed General 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
64,634
83,292
147,926
23,248
23,447
46,695
194,621
18,112
15,398
33,510
9,079
7,844
16,923
50,433
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
16,221
14,977
31,198
6,831
5,106
11,937
43,135
349
299
648
95
75
170
818
Noakhali 250 bed General 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
43,135
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J46 Status asthmaticus
X: Diseases of the respiratory system
2295
5.32
2
J219 Acute bronchiolitis, unspecified
X: Diseases of the respiratory system
2145
4.97
3
S069 Intracranial injury, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
2075
4.81
4
A010 Typhoid fever
I: Certain infectious and parasitic diseases
1908
4.42
5
H259 Senile cataract, unspecified
VII: Diseases of the eye and adnexa
1811
4.20
6
I213 Acute transmural myocardial infarction of unspecified site
IX: Diseases of the circulatory system
1766
4.09
7
S723 Fracture of shaft of femur
XIX: Injury, poisoning and certain other consequences of external causes
1652
3.83
8
O669 Obstructed labour, unspecified
XV: Pregnancy, childbirth and the puerperium
1578
3.66
9
O061 Unspecified abortion, incomplete, complicated by delayed or excessive haemorrhage
XV: Pregnancy, childbirth and the puerperium
1415
3.28
10
A081 Acute gastroenteropathy due to Norwalk agent
I: Certain infectious and parasitic diseases
1211
2.81
Noakhali 250 bed General 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
804
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X: Diseases of the respiratory system
51
6.34
2
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
47
5.85
3
G039 Meningitis, unspecified
X: Diseases of the respiratory system
42
5.22
4
J219 Acute bronchiolitis, unspecified
X: Diseases of the respiratory system
38
4.73
5
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
32
3.98
6
P210 Severe birth asphyxia
XVI: Certain conditions originating in the perinatal period
29
3.61
7
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
25
3.11
8
S069 Intracranial injury, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
23
2.86
9
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
22
2.74
10
A35 Other tetanus
I: Certain infectious and parasitic diseases
22
2.74
Noakhali 250 bed General Hospital | Health Bulletin 2015 | Page# 8
Water & sanitation (Whole District)
Indicators
Upazila
Coverage of households having access to safe drinking water (%)
80
Coverage of households having access to sanitary latrines (%)
99
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.)
153,991
Bed Occupancy Rates (%)
168.76
Average Length of Hospital Stay (No. of days per patient)
3.57
Hospital Death Rate (%)
1.86
Noakhali 250 bed General Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
3,156
Minor Surgeries
1,641
Noakhali 250 bed General Hospital | Health Bulletin 2015 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
57
41
6
10
17.54
Non Doctor
0
0
0
0
0.00
Class II
139
8
105
26
18.71
Class III
34
19
5
10
29.41
Class IV
76
47
11
18
23.68
Noakhali 250 bed General 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
47
8
6
Nurse
139
113
15
35
Medical Assistant
0
0
0
0
Medical Technologist
6
4
0
0
Noakhali 250 bed General 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)
2
1
1
0
0
X-ray machine (300 mA)
2
2
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
1
0
1
0
0
Dehumidifier
0
0
0
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
7
5
1
1
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
6
3
1
2
0
Autoclave
24
10
1
2
11
Electric cautery machine
5
5
0
0
0
Diathermy machine
5
3
1
1
0
Operating microscope
1
1
0
0
0
Ceiling mounting OT Light
5
3
1
1
0
Portable OT Light
5
4
0
1
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
7
2
0
2
3
Sterilizer
2
2
0
0
0
Sucker machine (electric)
45
10
18
7
10
Ventilator
0
0
0
0
0
Noakhali 250 bed General 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
3
1
2
0
0
Ecocardiogram machine
1
0
1
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
40
10
10
5
15
Pulse oximeter
7
4
3
0
0
Dental equipment
Dental unit
1
0
1
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
3
2
1
0
0
Noakhali 250 bed General 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
1
0
0
0
Centrifuge machine (electric)
8
1
0
0
7
Colorimeter
2
1
0
1
0
Electrolyte analyzer
2
0
1
0
1
ELISA machine
2
1
0
0
1
Gas analyzer
1
0
1
0
0
Hormone analyzer
1
0
1
0
0
Blood cell counter
0
0
0
0
0
Microscope (binocular)
1
1
0
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
1
1
0
0
0
Retinoscope
2
0
1
0
1
Pediatric equipment
Baby incubator
14
4
1
1
8
Phototherapy unit
4
2
0
2
0
Noakhali 250 bed General 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
0
1
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
2
1
1
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
2
0
1
1
0
Bus
0
0
0
0
0
Jeep
1
1
0
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Noakhali 250 bed General 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)
8
8
0
0
0
Air conditioner (window)
13
12
1
0
0
Generator
Generator (diesel/petrol)
3
2
0
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)
21
17
2
2
0
Laptop
1
1
0
0
0
Printer (dot matrix)
1
0
1
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
6
5
0
1
0
Scanner
1
1
0
0
0
UPS
12
10
0
2
0
Fax
1
1
0
0
0
Intercom
48
48
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
1
1
0
0
0
Multimedia
2
2
0
0
0
Noakhali 250 bed General 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
10
8
1
1
0
Mobile phone
2
2
0
0
0
Photocopier machine
2
1
1
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
359
208
58
36
57
Noakhali 250 bed General Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Noakhali 250 bed General Hospital
Noakhali is a district of 9 upazillas. Its total area is about 3616 sq.km. It has 8 municipality, 91 unions and 786 villages. Total populations are about 3504000 . About 72% people of this district is literate . It is surrounding by feni and comilla at north, laksmipur at the west, the bay of bangle at the south. All the upazillas are very accessible through Road and highways. 250-bed general hospital is securing the peoples health and well being at Noakhali, laksmipur as well as feni . Its total services are divided into outdoor, emergency and indoor facilities. It has Medicine,Surgery,Gynae and obs, Pediatrics, ENT, Eye,Orthopedics,Cardiology,Skin & VD departments. We have routine operation as well as emergency operative facilities 24 hour round the clock and 30 days a month. We are enriched with experienced doctors along with young and energetic medical officers who are providing health care services to all patients attending the hospital throughout day and night.
Though it is a 250 bed hospital but its infrastructure and man power belongs to 150 bed. So this facility is not adequate to provide proper healthcare to the patients.More over we have to face and manage the patients of Noakhali medical college hospital, as our hospital is currently acting as its temporary campus. There is daily number of admitted patients is about 550. For better management we need adequate man power and infrastructure facilities. We need upgraded diagnostic and therapeutic facilities like CT scan,MRI, Autoanalizer, Infusion pump etc. We also need new departments like CCU, ICU, HDU and Burn unit. With all our short comings we are trying to provide better health care each day and looking forward towards better future with more opportunities for patients with digital technologies.
