Lalmonirhat District Hospital | Health Bulletin 2015 |
Preface
The Health Population and Nutrition Sector Development Program (HPNSDP) has been initiated by The Ministry of Health and Family Welfare, Government of Bangladesh for a period of five years from July 2011 to June 2016. There are 32 Operational Plans (OPs). Health Information Systems and e-Health (HIS-EH) one of them.I am delighted that the Local Health Bulletin is going to be published from The Office of Superintendent District Hospital, Lalmonirhat.This Health Bulletin is of the year of 2014 and there are available data for the period of January 2014 to December 2014. It is expected that this Health Bulletin will help us to understand progressing trend.From this lesson, we would be benefited in achieving the goal. I hope that the facility specific data will guide and help the policy makers and other concerned to take future step in improving the Health Services.I like to thank all who were involved in developing and editing The Health Bulletin and special thanks to MIS, DGHS for providing technical and financial support.
Dr. Nuruzzaman Ahmed,
Superintendent, District Hospital,
Lalmonirhat.
Lalmonirhat District Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Lalmonirhat
Organization Code
10001353
Name of Superitendent Dr. Nuruzzaman Ahmed
Land Phone No. 1
0591-061429
Land Phone No. 2 0591-61254
FAX No. 0
Mobile No. 01712080990
Email lalmonirhat@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 25.9194 And Long: 89.4559
Lalmonirhat District Hospital | Health Bulletin 2015 | Page# 2
Existing health facilities in the District/General Hospital
Facility Type
Total
No. of Beds
District Hospital
1
100
Lalmonirhat District Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 721
Total No. of Children Treated under IMCI Program 7,364
Neonatal Mortality Rate (NMR) is 51.32 per 1,000 live births
Lalmonirhat 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: 2,149
Total Number of Deliveries: 759
No. of Maternal Deaths: 1
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
138.70 per 100,000 live births.
Lalmonirhat 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
48,421
54,229
102,650
4,209
3,145
7,354
110,004
8,068
6,711
14,779
2,567
2,745
5,312
20,091
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
3,564
5,668
9,232
1,568
908
2,476
11,708
37
36
73
26
16
42
115
Lalmonirhat 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
11,708
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y009 Assault by blunt object, unspecified place
XX: External causes of morbidity and mortality
1559
13.32
2
J22 Unspecified acute lower respiratory infection
X: Diseases of the respiratory system
823
7.03
3
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
781
6.67
4
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
482
4.12
5
V861 Passenger of all-terrain or other off-road motor vehicle injured in traffic accident
XX: External causes of morbidity and mortality
343
2.93
6
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
309
2.64
7
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
231
1.97
8
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
148
1.26
9
K273 Peptic ulcer, site unspecified, acute without haemorrhage or perforation
XI: Diseases of the digestive system
115
0.98
10
F411 Generalized anxiety disorder
V: Mental and behavioural disorders
106
0.91
Lalmonirhat 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
115
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
18
15.65
2
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
11
9.57
3
I461 Sudden cardiac death, so described
XVI: Certain conditions originating in the perinatal period
8
6.96
4
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
6
5.22
5
P011 Fetus and newborn affected by premature rupture of membranes
XVI: Certain conditions originating in the perinatal period
5
4.35
6
J46 Status asthmaticus
X: Diseases of the respiratory system
5
4.35
7
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
5
4.35
8
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
4
3.48
9
Q210 Ventricular septal defect
XVII: Congenital malformations, deformations and chromosomal abnormalities
4
3.48
10
J129 Viral pneumonia, unspecified
X: Diseases of the respiratory system
4
3.48
Lalmonirhat District Hospital | Health Bulletin 2015 | Page# 8
Water & sanitation (Whole District)
Indicators
Upazila
Coverage of households having access to safe drinking water (%)
99
Coverage of households having access to sanitary latrines (%)
95
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.)
33,617
Bed Occupancy Rates (%)
92.10
Average Length of Hospital Stay (No. of days per patient)
2.87
Hospital Death Rate (%)
0.98
Lalmonirhat District Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
190
Minor Surgeries
658
Lalmonirhat District Hospital | Health Bulletin 2015 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
39
8
3
28
71.79
Non Doctor
1
0
0
1
100.00
Class II
32
6
26
0
0.00
Class III
36
21
4
11
30.56
Class IV
25
16
4
5
20.00
Lalmonirhat 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
39
11
0
1
Nurse
37
33
2
2
Medical Assistant
0
0
0
0
Medical Technologist
9
4
0
0
Lalmonirhat 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)
2
1
1
0
0
X-ray machine (300 mA)
2
1
1
0
0
X-ray machine (500 mA)
0
0
0
0
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
2
2
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
3
1
2
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
3
1
0
1
1
Autoclave
5
2
0
3
0
Electric cautery machine
6
3
0
2
1
Diathermy machine
1
0
0
1
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
3
2
0
1
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
3
3
0
0
0
Sterilizer
2
0
2
0
0
Sucker machine (electric)
7
5
0
2
0
Ventilator
1
0
0
0
1
Lalmonirhat 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
1
0
0
1
0
ECG machine
3
1
2
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
2
2
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
3
1
0
2
0
Gastroeneterology equipment
Endoscopy machine
1
0
0
0
1
Laparoscopic machine
0
0
0
0
0
Lalmonirhat 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
1
1
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
0
0
0
0
0
Microscope (binocular)
3
3
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
1
2
0
0
Phototherapy unit
3
3
0
0
0
Lalmonirhat 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
2
1
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
3
2
0
1
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
0
1
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
Lalmonirhat 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)
4
4
0
0
0
Air conditioner (window)
0
0
0
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
1
1
0
0
0
ICT equipment
Computer (desktop)
14
11
3
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
7
5
2
0
0
Scanner
1
1
0
0
0
UPS
9
9
0
0
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
2
2
0
0
0
Multimedia
0
0
0
0
0
Lalmonirhat 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
2
2
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
118
80
18
15
5
Lalmonirhat District Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Lalmonirhat District Hospital
(1) Lalmonirhat District Hospital is Women Friendly Hospital. (2) Inadequate doctor posting, specially Sr. Consultant, Jr. consultant. (3) Lalmonirhat District Hospital is Comprehensive EmOC facilities. 24/7 EmOC Services are not available in district hospital. (4) Inadequate Cleaner, Aya and other supporting staff of the district hospital, but No Security guard available here. (5) District Hospital situated in one end of the district and distance of the Upazila like 12 kms, 35 kms, 65 kms, 85 kms from the district H.Q. (6) Most of people are not aware about ANC, PNC and institutional delivery. (7) This year this hospital upgraded from 100 bed to 250 bed. But infrastructure is to be built. (8) Manpower not sanctioned. (9) Due to lack of manpower SCANU could not be start.
Thanks to all. Dr. Nuruzzaman Ahmed, Superintendent, District Hospital, Lalmonirhat.
