Dinajpur General Hospital | Health Bulletin 2015 |
Preface
I am very much glad to publish health bulletin for the year 2014 of 250 Bedded General Hospital Dinajpur.It contains all health related necessary information. This bulletin contains the status of MDG-4 and MDG-5, which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the district which will help us and our development partners for proper planing & improvement of health service delivery system. I like to request to the higher authority to look into the issue of manpower including doctors shortage. Finally I express my cordial thanks & gratitude to director of MIS & all technical hands of MIS for their kind co- operation.
Dr. Sultan Md. Shamsuzzaman
superintendent
General hospital
Dinajpur
Dinajpur General Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Dinajpur
Organization Code
10001214
Name of Superitendent Dr.Sultan Md Shamsuzzaman
Land Phone No. 1
-053164023
Land Phone No. 2
FAX No. 0
Mobile No. 01711632283
Email dinajpur@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 25.3734 And Long: 88.3814
Dinajpur 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
Dinajpur General Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 1,043
Total No. of Children Treated under IMCI Program 3,052
Neonatal Mortality Rate (NMR) is 6.71 per 1,000 live births
Dinajpur 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: 1,022
Total Number of Deliveries: 1,043
No. of Maternal Deaths: 2
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
191.75 per 100,000 live births.
Dinajpur 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
90,302
49,280
139,582
11,407
9,530
20,937
160,519
12,101
9,045
21,146
2,611
1,120
3,731
24,877
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
6,636
5,016
11,652
1,125
931
2,056
13,708
26
19
45
8
7
15
60
Dinajpur 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
13,708
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
2413
17.60
2
J459 Asthma, unspecified
X: Diseases of the respiratory system
903
6.59
3
Y009 Assault by blunt object, unspecified place
XX: External causes of morbidity and mortality
464
3.38
4
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
292
2.13
5
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
208
1.52
6
E148 Unspecified diabetes mellitus with unspecified complications
IV: Endocrine, nutritional and metabolic diseases
204
1.49
7
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
184
1.34
8
D649 Anaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
162
1.18
9
A010 Typhoid fever
I: Certain infectious and parasitic diseases
161
1.17
10
D569 Thalassaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
124
0.90
Dinajpur 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
60
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J969 Respiratory failure, unspecified
X: Diseases of the respiratory system
17
28.33
2
J459 Asthma, unspecified
X: Diseases of the respiratory system
8
13.33
3
I679 Cerebrovascular disease, unspecified
X: Diseases of the respiratory system
6
10.00
4
N189 Chronic renal failure, unspecified
XIV: Diseases of the genitourinary system
5
8.33
5
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
5
8.33
6
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
4
6.67
7
P219 Birth asphyxia, unspecified
XVI: Certain conditions originating in the perinatal period
3
5.00
8
P073 Other preterm infants
XVI: Certain conditions originating in the perinatal period
2
3.33
9
I501 Left ventricular failure
IX: Diseases of the circulatory system
2
3.33
10
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
1
1.67
Dinajpur General 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 (%)
83
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.)
63,370
Bed Occupancy Rates (%)
69.45
Average Length of Hospital Stay (No. of days per patient)
4.62
Hospital Death Rate (%)
0.44
Dinajpur General Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
1,791
Minor Surgeries
765
Dinajpur General Hospital | Health Bulletin 2015 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
35
21
7
7
20.00
Non Doctor
0
0
0
0
0.00
Class II
108
5
63
40
37.04
Class III
24
16
3
5
20.83
Class IV
72
56
13
3
4.17
Dinajpur 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
35
21
0
1
Nurse
108
68
2
5
Medical Assistant
0
0
0
0
Medical Technologist
3
3
0
0
Dinajpur 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)
1
1
0
0
0
X-ray machine (300 mA)
1
1
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)
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
3
2
1
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
10
1
2
7
0
Autoclave
9
3
6
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
3
3
0
0
0
Operating microscope
1
1
0
0
0
Ceiling mounting OT Light
3
3
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
3
3
0
0
0
Sterilizer
9
8
0
1
0
Sucker machine (electric)
19
14
5
0
0
Ventilator
0
0
0
0
0
Dinajpur 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
0
0
0
0
0
ECG machine
3
2
1
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
18
12
6
0
0
Pulse oximeter
11
3
8
0
0
Dental equipment
Dental unit
1
1
0
0
0
Gastroeneterology equipment
Endoscopy machine
1
1
0
0
0
Laparoscopic machine
1
1
0
0
0
Dinajpur 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
0
0
0
0
0
Centrifuge machine (electric)
10
4
6
0
0
Colorimeter
2
2
0
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
2
1
1
0
0
Microscope (binocular)
6
5
0
1
0
Obstetric equipment
Fetal Monitor
2
2
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
2
2
0
0
0
Pediatric equipment
Baby incubator
1
0
0
1
0
Phototherapy unit
1
1
0
0
0
Dinajpur 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
1
0
0
0
Laminar flow hood
0
0
0
0
0
pH meter
1
1
0
0
0
Hemoglobin photometer
0
0
0
0
0
Blood bank refrigerator
1
1
0
0
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
1
1
0
0
0
Deep freeze (plasma)
1
1
0
0
0
Deep freeze (RBC)
1
1
0
0
0
Refrigerator
7
7
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
1
0
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
Dinajpur 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)
5
4
1
0
0
Air conditioner (window)
7
5
0
2
0
Generator
Generator (diesel/petrol)
0
0
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
2
0
0
2
0
ICT equipment
Computer (desktop)
19
17
0
2
0
Laptop
1
1
0
0
0
Printer (dot matrix)
1
0
0
1
0
Printer (inkjet)
4
4
0
0
0
Printer (laser)
2
1
0
1
0
Scanner
0
0
0
0
0
UPS
19
18
0
1
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
Dinajpur 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
1
1
0
0
0
Mobile phone
1
1
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
206
149
38
19
0
Dinajpur General Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Dinajpur General Hospital
In 2014 we could not reached to our goal in health status due to several factors .So I like to suggest some important issues which will help to achieve our goal for the improvement of health status in up coming year.
(i) Manpower should be filled up at an emergency basis.
(ii) Vacant post should filled up immediately.
(iii) Trained doctors & nurses( specially on EOC & IMCI) should be posted as early as possible.
(iv) All kind of repairable equipments should be repaired as soon as possible.
Finally It's my pleasure to prepare & write last year health status at this bulletin which will help us to compare our progress in upcoming year. This is very useful document & will help the people to understand health services & to provide us the useful advice for improvement in future.