Natore District Hospital | Health Bulletin 2015 |
Preface
I am very much privileged to present the 'Health Bulletin-2014'' of Adhunik Sadar Hospital,Natore. This is a 100 beded hospital providing almost all the services including IMCI-PHN and com-EOC services. Recently this hospital is included into the project 'Vission 2020' of the OP ''National Eye care'',DGHS. The number of service providers, specially Medical officers and fourth class employees are not sufficient enough to serve a huge number of patients who seek treatment into the hospital everyday.Inspite of that,everybody is trying together to make it possible.
I express my thanks and gratitude to all my colleagues for their extreme support and co-operation to publish the bulletin which is also showing a guideline to improve health services in upcoming years. Finally I would like to thank MIS,DGHS for helping us to do a difficult job in the easiest way. I believe that we shall overcome the obstacles the days are not too for when we'll be able to provide a satisfactory service to the people.
Natore District Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Natore
Organization Code
10001433
Name of Superitendent Dr.Azizul Islam
Land Phone No. 1
-077162812
Land Phone No. 2
FAX No. 77166912
Mobile No. 01712218930
Email natore@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 24.4096 And Long: 88.9833
Natore 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
Natore District Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 1,530
Total No. of Children Treated under IMCI Program 22,825
Neonatal Mortality Rate (NMR) is 17.65 per 1,000 live births
Natore 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: 3,668
Total Number of Deliveries: 1,589
No. of Maternal Deaths: 9
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
588.24 per 100,000 live births.
Natore 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
67,326
66,992
134,318
30,612
34,664
65,276
199,594
4,304
4,064
8,368
1,713
2,002
3,715
12,083
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
10,409
10,197
20,606
3,321
3,612
6,933
27,539
141
80
221
23
16
39
260
Natore 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
25,938
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
1995
7.69
2
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
XI: Diseases of the digestive system
1555
6.00
3
Y009 Assault by blunt object, unspecified place
XX: External causes of morbidity and mortality
1361
5.25
4
J459 Asthma, unspecified
X: Diseases of the respiratory system
1206
4.65
5
K600 Acute anal fissure
XI: Diseases of the digestive system
1017
3.92
6
S099 Unspecified injury of head
XIX: Injury, poisoning and certain other consequences of external causes
951
3.67
7
D649 Anaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
943
3.64
8
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
934
3.60
9
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
910
3.51
10
F411 Generalized anxiety disorder
V: Mental and behavioural disorders
779
3.00
Natore 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
260
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I509 Heart failure, unspecified
IX: Diseases of the circulatory system
65
25.00
2
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
37
14.23
3
P219 Birth asphyxia, unspecified
IX: Diseases of the circulatory system
30
11.54
4
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
24
9.23
5
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
20
7.69
6
J459 Asthma, unspecified
X: Diseases of the respiratory system
16
6.15
7
K92 Other diseases of digestive system
XI: Diseases of the digestive system
13
5.00
8
R17 Unspecified jaundice
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
11
4.23
9
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
9
3.46
10
D649 Anaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
9
3.46
Natore District 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 (%)
100
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.)
65,475
Bed Occupancy Rates (%)
179.38
Average Length of Hospital Stay (No. of days per patient)
2.52
Hospital Death Rate (%)
1.00
Natore District Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
1,389
Minor Surgeries
1,101
Natore District Hospital | Health Bulletin 2015 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
33
16
3
14
42.42
Non Doctor
2
1
0
1
50.00
Class II
55
3
51
1
1.82
Class III
25
16
4
5
20.00
Class IV
65
15
28
22
33.85
Natore 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
33
23
4
0
Nurse
60
57
3
5
Medical Assistant
0
0
0
0
Medical Technologist
3
3
0
0
Natore 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)
0
0
0
0
0
X-ray machine (300 mA)
1
1
0
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)
1
1
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
0
3
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
4
2
2
0
0
Autoclave
7
4
3
0
0
Electric cautery machine
6
4
2
0
0
Diathermy machine
6
2
4
0
0
Operating microscope
1
1
0
0
0
Ceiling mounting OT Light
5
4
1
0
0
Portable OT Light
11
7
4
0
0
Fracture table
1
0
1
0
0
Hydrolic OT Table
4
4
0
0
0
Sterilizer
9
4
5
0
0
Sucker machine (electric)
23
19
4
0
0
Ventilator
0
0
0
0
0
Natore 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
0
0
0
0
0
ECG machine
5
2
1
2
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
31
19
0
12
0
Pulse oximeter
6
2
4
0
0
Dental equipment
Dental unit
2
0
1
1
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Natore 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)
6
4
2
0
0
Colorimeter
2
1
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)
4
4
0
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
1
1
0
0
0
Pediatric equipment
Baby incubator
2
0
2
0
0
Phototherapy unit
0
0
0
0
0
Natore 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
4
3
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
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
5
2
1
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
Natore 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)
13
12
1
0
0
Air conditioner (window)
9
9
0
0
0
Generator
Generator (diesel/petrol)
1
0
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
2
1
1
0
0
ICT equipment
Computer (desktop)
14
14
0
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
0
1
0
0
UPS
11
11
0
0
0
Fax
1
1
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
1
1
0
0
0
Internet wireless line
2
1
1
0
0
Multimedia
0
0
0
0
0
Natore 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)
1
1
0
0
0
Land phone
2
2
0
0
0
Mobile phone
1
1
0
0
0
Photocopier machine
1
0
1
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
220
153
50
17
0
Natore District Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Natore District Hospital
Adhunik Sadar Hospital ,Natore is still for behind a ''Modern Hospital''.The space of the existing building is not sufficient & Electric & Sanitary lines are defective which need immediate replacement . Shortage of ambulance ,generator,X-ray machine,air conditioner,dehumidifier etc hampers good service delivery,Good infrastructure,sufficient manpower and necessary equipments are essential for improvement of hospital services.
