Thakurgaon District Hospital | Health Bulletin 2015 |
Preface
I am happy to see that a Health Bulletin of health services of Thakurgaon District 2015 is going to be published. This Bulletin will deliver the statistical information of different health programs. A section of the Health Bulletin will also cover morbidity and mortality data. The bulletin also contains the MDG 4 and MDG 5 which will help to localize the MDG targets. A large number of people seek health care from private providers and their data has been inadequately covered. However, despite some limitations the contents of this Health Bulletin are rich and useful to provide an overview of the health situation of the district.I am sure that the health policy makers, planners and program managers will definitely see this Health Bulletin as one of the good resources of the health sector of Thakurgaon district. I am deeply indebted and grateful to all those who contributed to this Bulletin. Finally I would like to congratulate the initiator of the Health Bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr.Md.NuzrulIslam Superintendent
Thakurgaon District Hospital
Thakurgaon District Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Thakurgaon
Organization Code
10001687
Name of Superitendent Dr. Md. Nazrul Islam
Land Phone No. 1
0561-052021
Land Phone No. 2
FAX No. 56153460
Mobile No. 01820520010
Email thakurgaon@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 24.0000 And Long: 88.0000
Thakurgaon 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
Thakurgaon District Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 2,110
Total No. of Children Treated under IMCI Program 5,235
Neonatal Mortality Rate (NMR) is 132.70 per 1,000 live births
Thakurgaon 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: 1,929
Total Number of Deliveries: 1,526
No. of Maternal Deaths: 6
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
284.36 per 100,000 live births.
Thakurgaon 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
55,702
62,399
118,101
24,210
24,970
49,180
167,281
5,030
1,420
6,450
264
80
344
6,794
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
11,151
8,133
19,284
11,988
6,961
18,949
38,233
192
74
266
233
170
403
669
Thakurgaon 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
22,353
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
6092
27.25
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
5634
25.20
3
Y009 Assault by blunt object, unspecified place
XX: External causes of morbidity and mortality
2333
10.44
4
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
1823
8.16
5
B34 Viral infection of unspecified site
I: Certain infectious and parasitic diseases
1781
7.97
6
V346 Occupant of three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus, passenger, traffic accident
XX: External causes of morbidity and mortality
1757
7.86
7
F419 Anxiety disorder, unspecified
V: Mental and behavioural disorders
843
3.77
8
J118 Influenza with other manifestations, virus not identified
X: Diseases of the respiratory system
775
3.47
9
S098 Other specified injuries of head
XIX: Injury, poisoning and certain other consequences of external causes
662
2.96
10
J219 Acute bronchiolitis, unspecified
X: Diseases of the respiratory system
655
2.93
Thakurgaon 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
455
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
184
40.44
2
P071 Other low birth weight
XVI: Certain conditions originating in the perinatal period
60
13.19
3
J189 Pneumonia, unspecified
XVI: Certain conditions originating in the perinatal period
43
9.45
4
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
32
7.03
5
I249 Acute ischaemic heart disease, unspecified
IX: Diseases of the circulatory system
30
6.59
6
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
29
6.37
7
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
28
6.15
8
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
24
5.27
9
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
14
3.08
10
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
11
2.42
Thakurgaon 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 (%)
94
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.)
102,077
Bed Occupancy Rates (%)
279.66
Average Length of Hospital Stay (No. of days per patient)
4.57
Hospital Death Rate (%)
2.04
Thakurgaon District Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
904
Minor Surgeries
13,226
Thakurgaon District Hospital | Health Bulletin 2015 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
22
12
1
9
40.91
Non Doctor
0
0
0
0
0.00
Class II
38
0
38
0
0.00
Class III
22
16
4
2
9.09
Class IV
21
16
4
1
4.76
Thakurgaon 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
22
13
1
1
Nurse
43
43
4
5
Medical Assistant
0
0
0
0
Medical Technologist
3
3
0
0
Thakurgaon 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)
1
0
1
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
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
2
2
0
0
0
Anesthesia machine without ventilator
5
4
0
1
0
Autoclave
13
11
0
2
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
15
15
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
0
0
0
0
0
Portable OT Light
4
4
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
3
2
0
1
0
Sterilizer
20
20
0
0
0
Sucker machine (electric)
20
20
0
0
0
Ventilator
0
0
0
0
0
Thakurgaon 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
8
6
0
2
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
1
1
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
24
15
0
9
0
Pulse oximeter
6
6
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
1
1
0
0
0
Thakurgaon 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)
3
3
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)
2
2
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
5
2
3
0
0
Phototherapy unit
4
2
1
0
1
Thakurgaon 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
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
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
1
1
3
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
Thakurgaon 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)
7
7
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
0
0
0
0
0
ICT equipment
Computer (desktop)
5
4
1
0
0
Laptop
0
0
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
1
0
0
0
Printer (laser)
3
1
2
0
0
Scanner
0
0
0
0
0
UPS
3
0
2
1
0
Fax
1
0
1
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
0
0
0
0
0
Thakurgaon 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
1
1
0
0
0
Mobile phone
0
0
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
178
141
16
19
2
Thakurgaon District Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Thakurgaon District Hospital
Important information and necessary issues for Thakurgaon District Hospital Ours is a poor country and like other sectors, there is lack of budget allocation in health sector also. Last year we could not meet the peoples need despite our maximum efforts due to many reasons. Here I like mention some important factors which will help us to achieve good results in future. 1) The vacant post should be filled immediately. 2) Our doctor and nurse need more training. 3) Number of community clinic and the bed capacity of the hospitals should be increased. 4) All the repairable equipment's should be repaired as soon as possible finally I am very happy to write this health bulletin of 2015 because this document will help us to compare our progress in upcoming years. This is very useful document and will help public to understand health services and to provide us the useful advice for improvement in future.
