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Joypurhat District Hospital | Health Bulletin 2015 |
Preface
By the grace of almighty, we have been able to publish health bulletin District hospital, Joypurhat. The purpose of this type of bulletin is to disseminate information on different activities done throughout a whole year to the government offices, local elites & the authority concerned . This bulletin will provide a over all picture of performances which is the result of collective efforts by our efficient & learned consultants, devoted medical officers, dutiful nurses & other employes. From this bulletin one can get an idea about no of OPD patient, no of inpatient , Number of operated patient in a year. This publication will also reflect the incidence of disease, cause of mortality & morbidity of patient in a secondary level hospital. Finely I would like to ofter thanks to Line Director MIS. DGHS for providing necessary support. Dr.Mohammad Ali, Superintendent Modernized District Hospital, Joypurhat.
DR. MOHAMMAD ALI
Superintendent
Joypurhat District Hospital

Joypurhat District Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the DistrictJoypurhat
Organization Code 10001298
Name of Superitendent DR. MOHAMMAD ALI
Land Phone No. 1 0571-057162220
Land Phone No. 2 0571-057162585
FAX No. 57162220
Mobile No. 01712269950
Email joypurhat@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 24.0000 And Long: 0.0000

Joypurhat District Hospital | Health Bulletin 2015 | Page# 2
Existing health facilities in the District/General Hospital
Facility Type
Total
No. of Beds
District Hospital 1 150

Joypurhat District Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 2,968


Total No. of Children Treated under IMCI Program 9,138
Neonatal Mortality Rate (NMR) is 33.69 per 1,000 live births

Joypurhat 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: 3,025
Total Number of Deliveries: 2,979
No. of Maternal Deaths: 6
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is 202.16 per 100,000 live births.

Joypurhat 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 59,575 105,850 165,425 17,600 15,284 32,884 198,309 1,440 1,107 2,547 250 212 462 3,009

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 8,459 13,048 21,507 1,924 1,252 3,176 24,683 202 131 333 72 53 125 458

Joypurhat 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 24,687
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 2423 9.81
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1024 4.15
3 T009 Multiple superficial injuries, unspecified XIX: Injury, poisoning and certain other consequences of external causes 925 3.75
4 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 735 2.98
5 M809 Unspecified osteoporosis with pathological fracture XIII: Diseases of the musculoskeletal system and connective tissue 591 2.39
6 J459 Asthma, unspecified X: Diseases of the respiratory system 517 2.09
7 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 498 2.02
8 D509 Iron deficiency anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 410 1.66
9 K358 Acute appendicitis, other and unspecified XI: Diseases of the digestive system 402 1.63
10 I119 Hypertensive heart disease without (congestive) heart failure IX: Diseases of the circulatory system 364 1.47

Joypurhat 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 458
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 68 14.85
2 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 40 8.73
3 I159 Secondary hypertension, unspecified XVI: Certain conditions originating in the perinatal period 27 5.90
4 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 27 5.90
5 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 25 5.46
6 J459 Asthma, unspecified X: Diseases of the respiratory system 21 4.59
7 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 16 3.49
8 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 8 1.75
9 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 8 1.75
10 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 6 1.31

Joypurhat District Hospital | Health Bulletin 2015 | Page# 8

Water & sanitation (Whole District)
Indicators
Upazila
Coverage of households having access to safe drinking water (%) 100
Coverage of households having access to sanitary latrines (%) 86


Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.) 65,380
Bed Occupancy Rates (%) 119.42
Average Length of Hospital Stay (No. of days per patient) 2.65
Hospital Death Rate (%) 1.86


Joypurhat District Hospital | Health Bulletin 2015 | Page# 9

Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries 1,520
Minor Surgeries 1,259

 

Joypurhat District Hospital | Health Bulletin 2015 | Page# 10

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
Class I Doctor 43 23 5 15 34.88
Non Doctor 2 0 0 2 100.00
Class II 76 1 68 7 9.21
Class III 27 21 2 4 14.81
Class IV 48 27 4 17 35.42

 

Joypurhat 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 43 28 0 0
Nurse 81 72 0 0
Medical Assistant 0 0 0 0
Medical Technologist 3 3 0 0

Joypurhat 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) 3 3 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 2 2 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 0 0 0 0 0
Anesthesia machine without ventilator 5 5 0 0 0
Autoclave 2 1 0 1 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 7 4 3 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 4 4 0 0 0
Fracture table 2 1 1 0 0
Hydrolic OT Table 6 3 3 0 0
Sterilizer 2 1 1 0 0
Sucker machine (electric) 5 3 2 0 0
Ventilator 1 1 0 0 0


Joypurhat 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 4 2 0 2 0
ECG machine 10 5 2 3 0
Ecocardiogram machine 2 1 1 0 0
Cardiac monitor 8 4 4 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 4 4 0 0 0
Pulse oximeter 2 1 1 0 0
Dental equipment
Dental unit 2 1 1 0 0
Gastroeneterology equipment
Endoscopy machine 1 1 0 0 0
Laparoscopic machine 2 2 0 0 0


Joypurhat 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 0 0 0 0 0
Centrifuge machine (electric) 1 1 0 0 0
Colorimeter 4 2 1 1 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 2 0 0 0
Obstetric equipment
Fetal Monitor 0 0 0 0 0
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 0 0 0 0 0
Pediatric equipment
Baby incubator 3 2 1 0 0
Phototherapy unit 3 2 1 0 0


Joypurhat 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 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 3 3 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) 1 1 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 3 2 1 0 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


Joypurhat 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) 20 11 9 0 0
Air conditioner (window) 30 23 7 0 0
Generator
Generator (diesel/petrol) 2 0 2 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 3 2 1 0 0
ICT equipment
Computer (desktop) 17 16 0 1 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 0 1 0
Printer (laser) 11 8 3 0 0
Scanner 0 0 0 0 0
UPS 4 2 0 2 0
Fax 1 1 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


Joypurhat 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 3 3 0 0 0
Mobile phone 1 1 0 0 0
Photocopier machine 2 0 2 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 201 143 47 11 0

Joypurhat District Hospital | Health Bulletin 2015 | Page# 18

Important information and necessary issues for Joypurhat District Hospital
1) No store house for unserviceable goods. 2) 20 (twenty) post of Cleaner (Out sorusing are lying vacant. 3) 04 (four) post of consultant remaining vacant. 4) 05 (Five) post of Emergency Medical Officer remaining vacant. 5) Quick response of H E D not available for repair work. Suggestions to improve service 1) Fund for small repair works should be allotted. 2) Regular transfer of all categories staffs should be done. 3) Post of Indoor Medical Officer should be created. 4) Post of Junior Mechanic should be created. 5) Extension of hospital building is necessary. 6) Police force is to be deployed for control of visitor & violence.