Magura District Hospital | Health Bulletin 2015 |
Preface
“Service to mankind is service to God” the theme and spirit, which we believe in. Magura Sadar Hospital is the heart of the Health services in this district. 24 hours, 365 days in a year it works & carries 2 to 2.5 folds loads than it’s capacity. Long felt necessity to highlight annual performances of this hospital becomes true by publishing this local Health Bulletin 2015, which is an act of pleasure for me and my efficient colleagues. This bulletin contains most of the health related information of 2013 performed at Sadar Hospital, Magura. It is published to disseminate the information of Sadar Hospital Magura to other line department and development partners of health. Success, achievement, constraints and status of MDG-4,5 is briefly reflected here. It also includes human resource situation of Sadar Hospital, Magura, so that, the appropriate authority can take necessary action to fulfill the existing vacancies for better and smooth running of this hospital. I acknowledge with sincere gratitude to the DGHS for rendering conceptual financial and technical support in publishing this local Health Bulletin. Congratulations to the initiators of the Health Bulletin Software for setting us one step ahead towards Digital Bangladesh.
Magura District Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Magura
Organization Code
10001876
Name of Superitendent Dr.F B M ABDUL LOTIF
Land Phone No. 1
-048862443
Land Phone No. 2
FAX No. 48863439
Mobile No. 01711267140
Email magura@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 23.2910 And Long: 89.2630
Magura 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
Magura District Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 1,885
Total No. of Children Treated under IMCI Program 52,087
Neonatal Mortality Rate (NMR) is 51.46 per 1,000 live births
Magura 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: 2,908
Total Number of Deliveries: 1,892
No. of Maternal Deaths: 7
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
371.35 per 100,000 live births.
Magura 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
68,133
70,647
138,780
25,001
27,057
52,058
190,838
4,088
4,444
8,532
240
346
586
9,118
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
9,816
12,377
22,193
4,490
2,543
7,033
29,226
258
132
390
79
47
126
516
Magura 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
29,226
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
3225
11.03
2
Y04 Assault by bodily force
XX: External causes of morbidity and mortality
1770
6.06
3
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
1353
4.63
4
V87 Traffic accident of specified type but victim's mode of transport unknown
XX: External causes of morbidity and mortality
1064
3.64
5
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
982
3.36
6
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
828
2.83
7
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
811
2.77
8
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
705
2.41
9
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
705
2.41
10
S72 Fracture of femur
XIX: Injury, poisoning and certain other consequences of external causes
559
1.91
Magura 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
516
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I639 Cerebral infarction, unspecified
IX: Diseases of the circulatory system
98
18.99
2
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
82
15.89
3
T60 Toxic effect of pesticides
IX: Diseases of the circulatory system
34
6.59
4
A415 Septicaemia due to other Gram-negative organisms
I: Certain infectious and parasitic diseases
31
6.01
5
N189 Chronic renal failure, unspecified
XIV: Diseases of the genitourinary system
30
5.81
6
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
26
5.04
7
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
26
5.04
8
I46 Cardiac arrest
IX: Diseases of the circulatory system
23
4.46
9
V87 Traffic accident of specified type but victim's mode of transport unknown
XX: External causes of morbidity and mortality
18
3.49
10
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
17
3.29
Magura 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 (%)
100
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.)
95,157
Bed Occupancy Rates (%)
260.70
Average Length of Hospital Stay (No. of days per patient)
3.26
Hospital Death Rate (%)
1.77
Magura District Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
1,052
Minor Surgeries
14,851
Magura District Hospital | Health Bulletin 2015 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
29
16
5
8
27.59
Non Doctor
0
0
0
0
0.00
Class II
77
1
76
0
0.00
Class III
24
19
3
2
8.33
Class IV
62
38
18
6
9.68
Magura 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
0
0
4
4
Nurse
77
77
2
6
Medical Assistant
0
0
0
0
Medical Technologist
3
3
0
0
Magura 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
1
0
0
0
X-ray machine (300 mA)
2
0
2
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
0
1
0
0
Dental X-ray unit
2
0
2
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
0
2
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
4
3
1
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
3
2
1
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
5
3
2
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
3
2
1
0
0
Portable OT Light
3
2
1
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
7
5
2
0
0
Sterilizer
3
2
1
0
0
Sucker machine (electric)
18
15
3
0
0
Ventilator
0
0
0
0
0
Magura 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
3
3
0
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
1
1
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
3
3
0
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
0
0
0
0
0
Magura 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
2
2
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)
6
3
2
1
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
2
2
0
0
0
Phototherapy unit
2
2
0
0
0
Magura 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
2
2
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
2
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)
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
3
1
1
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
Magura 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
11
2
0
0
Air conditioner (window)
3
3
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
4
4
0
0
0
ICT equipment
Computer (desktop)
15
5
0
0
10
Laptop
1
1
0
0
0
Printer (dot matrix)
2
2
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
3
3
0
0
0
Scanner
1
1
0
0
0
UPS
3
1
2
0
0
Fax
2
1
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
Magura 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
3
3
0
0
0
Mobile phone
0
0
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
142
99
31
2
10
Magura District Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Magura District Hospital
Magura District Hospital is the most potential health facility in the district. Though it is hundred beded hospital, on an average 200-250 patients stay here daily . That is why the on going activities of 250 beded hospital project should be implemented as early as possible. This hospital is adjacent to Dhaka –Khulna highway. A large number of Road traffic accident patients come here daily for emergency service. So establishment of Trauma center at Magura is the emergency and heartiest demand of peoples of Magura. It is a comprehensive EOC facility. So the flow of pregnant women and child patients are increasing remarkably. To achieve the MDG-4 & 5. Vacant posts should be filled up, related wards and operation theater should be renovated in modern way with air conditioner in emergency basis until the 250 beded hospital project is completed.