Pabna 250 bed General Hospital | Health Bulletin 2015 |
Preface
This bulletin contains all health related informations of 250 bedded General Hospital,
Pabna from January-December 2014. It will reflect a clear picture of service provided to the patients. Progress of performance can be evaluated from a comparison to the report of 2013. Even our sincere endevour in all avenues of our service was not up to satisfactory level. Ofcourse we shall say about our bottle necks regarding shortage of support personnels. Hope to improve the total service with the best effort & team spirit.
In addition we invite criticisms & suggestions from different personnel’s & institution’s with a target to improve total health care service . For this reason we attend different social seminar on the health topic , publish health related articles in different social magazine & souvenirs , circulate our mobile telephone numbers (MIS mobile ) . We are always updated with ministry of health & DG. Health via e-mail. Last year was the year of our recognition i HSS where Pabna General Hospital stood Champion in the competition among all District Hospitals and awarded health ministry National Championship award-2014.
My gratitade to all doctors & support personnel’s of this hospital for their kind co-operation for better hospital management.
Pabna 250 bed General Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Pabna
Organization Code
10001484
Name of Superitendent Dr. Narayan Chandra Dey
Land Phone No. 1
0731-066110
Land Phone No. 2 0731-65062
FAX No. 63006
Mobile No. 01711286070
Email pabna@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 24.0167 And Long: 89.2445
Pabna 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
Pabna 250 bed General Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 6,557
Total No. of Children Treated under IMCI Program 22,401
Neonatal Mortality Rate (NMR) is 62.07 per 1,000 live births
Pabna 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: 19,635
Total Number of Deliveries: 6,706
No. of Maternal Deaths: 24
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
366.02 per 100,000 live births.
Pabna 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
86,036
65,990
152,026
9,868
9,507
19,375
171,401
15,095
14,133
29,228
1,570
1,456
3,026
32,254
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
24,285
32,748
57,033
9,360
5,799
15,159
72,192
395
307
702
266
156
422
1,124
Pabna 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
72,152
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
8369
11.60
2
K273 Peptic ulcer, site unspecified, acute without haemorrhage or perforation
XI: Diseases of the digestive system
4578
6.34
3
J159 Bacterial pneumonia, unspecified
X: Diseases of the respiratory system
3584
4.97
4
X999 Assault by sharp object, unspecified place
XX: External causes of morbidity and mortality
2585
3.58
5
V04 Pedestrian injured in collision with heavy transport vehicle or bus
XX: External causes of morbidity and mortality
2389
3.31
6
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
2358
3.27
7
J459 Asthma, unspecified
X: Diseases of the respiratory system
1724
2.39
8
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
1524
2.11
9
T571 Phosphorus and its compounds
XIX: Injury, poisoning and certain other consequences of external causes
864
1.20
10
D60 Acquired pure red cell aplasia [erythroblastopenia]
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
860
1.19
Pabna 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
1,124
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
181
16.10
2
P070 Extremely low birth weight
XVI: Certain conditions originating in the perinatal period
147
13.08
3
I219 Acute myocardial infarction, unspecified
XVI: Certain conditions originating in the perinatal period
107
9.52
4
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
103
9.16
5
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
49
4.36
6
J159 Bacterial pneumonia, unspecified
X: Diseases of the respiratory system
40
3.56
7
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
30
2.67
8
T571 Phosphorus and its compounds
XIX: Injury, poisoning and certain other consequences of external causes
29
2.58
9
G042 Bacterial meningoencephalitis and meningomyelitis, NEC
VI: Diseases of the nervous system
26
2.31
10
S069 Intracranial injury, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
15
1.33
Pabna 250 bed General 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 (%)
100
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.)
152,458
Bed Occupancy Rates (%)
167.08
Average Length of Hospital Stay (No. of days per patient)
2.72
Hospital Death Rate (%)
2.00
Pabna 250 bed General Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
2,115
Minor Surgeries
1,700
Pabna 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
29
11
17
29.82
Non Doctor
1
0
1
0
0.00
Class II
140
12
83
45
32.14
Class III
34
24
7
3
8.82
Class IV
52
33
11
8
15.38
Pabna 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
41
0
1
Nurse
146
101
0
5
Medical Assistant
0
0
0
0
Medical Technologist
6
6
6
6
Pabna 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)
1
1
0
0
0
X-ray machine (300 mA)
2
2
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
1
C-arm
0
0
0
0
0
Mamogram machine
0
0
0
0
0
Dehumidifier
3
1
2
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
3
0
3
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
3
3
0
0
0
Anesthesia machine without ventilator
5
4
1
0
0
Autoclave
8
5
3
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
4
3
1
0
0
Operating microscope
1
0
1
0
0
Ceiling mounting OT Light
3
3
0
0
0
Portable OT Light
2
1
1
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
8
8
0
0
0
Sterilizer
3
2
1
0
0
Sucker machine (electric)
12
10
2
0
0
Ventilator
1
1
0
0
0
Pabna 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
0
0
0
0
0
ECG machine
5
4
1
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
3
3
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
8
5
3
0
0
Pulse oximeter
5
3
2
0
0
Dental equipment
Dental unit
1
1
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
2
2
0
0
0
Pabna 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
0
0
0
0
0
Centrifuge machine (electric)
2
2
0
0
0
Colorimeter
3
3
0
0
0
Electrolyte analyzer
0
0
0
0
0
ELISA machine
1
1
0
0
0
Gas analyzer
1
1
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
1
1
0
0
0
Microscope (binocular)
3
2
1
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
5
0
5
0
0
Phototherapy unit
2
2
0
0
0
Pabna 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
0
0
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
3
2
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
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
8
2
1
5
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
Pabna 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)
9
7
2
0
0
Air conditioner (window)
13
11
2
0
0
Generator
Generator (diesel/petrol)
4
2
2
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
12
10
2
0
0
ICT equipment
Computer (desktop)
20
18
2
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
3
0
3
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
10
10
0
0
0
Scanner
1
1
0
0
0
UPS
0
0
0
0
0
Fax
2
1
1
0
0
Intercom
20
20
0
0
0
Internet fixed line
1
1
0
0
0
Internet wireless line
1
1
0
0
0
Multimedia
1
1
0
0
0
Pabna 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
4
4
0
0
0
Mobile phone
1
1
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
224
175
44
5
0
Pabna 250 bed General Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Pabna 250 bed General Hospital
Mid level doctors such as assistant register in Labor & Gynae ward and Medicin ward
is not posted yet. As previous reports no of Nurses should be increased. Patients referred from O.P.D are attended by specialists (Consultants , Asstt. Prof & Assosciate Prof.) everyday in all disciplines. As reported before we don’t have any
office vehicle (Car/Jeep/Micro bus) for even doctors immergeny trasportation. At
Present most of the patients referred from this hospital is of RTA ё Head injury. Only a single CT scan availability may reduce this no. of referred patients. So we need a
CT scan in this hospital badly. Our x- ray machine are very old we can convert our machine into CR x-ray.
Irrespective of all bottlenecks our team work is very good to serve the patients
& humanity. Hope for the best outcome in future inshahallah.
