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Pirojpur District Hospital | Health Bulletin 2015 |
Preface
As~salamu~alaikum,Government of the people"s republic of Bangladesh is going to publish Local Health Bulletin. We are going to take part in this efforts. MIS (HEALTH) is heping us to publish this bulletin. To fulfil the target of MDG 4& 5 GOAL we should publish local health bulletin. We have tried our heart and soul to present the data up to date.Our Government is trying to reach the health service at the door of the people. I like to thank honourable Prime Minister of Bangladesh & honourable Health & F.W. Minister.I also like to thank all doctors,Nurses & staff of sadar hospital, Pirojpur for sharing their knowledge to establish this Health Bulletin.
Dr.Muhammad.Fakhrul Alam
Superintendent
Pirojpur District Hospital

Pirojpur District Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the DistrictPirojpur
Organization Code 10002067
Name of Superitendent Dr.Muhammad.Fakhrul Alam
Land Phone No. 1 0-046162233
Land Phone No. 2
FAX No. 46163067
Mobile No. 01711358980
Email pirojpur@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 28.0000 And Long: 87.0000

Pirojpur 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

Pirojpur District Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 465


Total No. of Children Treated under IMCI Program 11,001
Neonatal Mortality Rate (NMR) is 64.52 per 1,000 live births

Pirojpur 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: 1,340
Total Number of Deliveries: 492
No. of Maternal Deaths: 4
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is 860.22 per 100,000 live births.

Pirojpur 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 28,156 38,774 66,930 7,908 5,301 13,209 80,139 12,846 12,516 25,362 4,156 2,560 6,716 32,078

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 4,825 6,324 11,149 2,525 1,220 3,745 14,894 65 59 124 24 16 40 164

Pirojpur 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 14,894
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 2313 15.53
2 Y009 Assault by blunt object, unspecified place XX: External causes of morbidity and mortality 907 6.09
3 J111 Influenza with other respiratory manifestations, virus not identified X: Diseases of the respiratory system 904 6.07
4 J459 Asthma, unspecified X: Diseases of the respiratory system 458 3.08
5 I119 Hypertensive heart disease without (congestive) heart failure IX: Diseases of the circulatory system 398 2.67
6 I694 Sequelae of stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 359 2.41
7 J40 Bronchitis, not specified as acute or chronic X: Diseases of the respiratory system 331 2.22
8 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 327 2.20
9 A010 Typhoid fever I: Certain infectious and parasitic diseases 260 1.75
10 O033 Spontaneous abortion, incomplete, with other and unspecified complications XV: Pregnancy, childbirth and the puerperium 259 1.74

Pirojpur 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 164
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I694 Sequelae of stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 30 18.29
2 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 24 14.63
3 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 13 7.93
4 I208 Other forms of angina pectoris IX: Diseases of the circulatory system 13 7.93
5 J189 Pneumonia, unspecified X: Diseases of the respiratory system 9 5.49
6 J458 Mixed asthma X: Diseases of the respiratory system 7 4.27
7 I959 Hypotension, unspecified IX: Diseases of the circulatory system 6 3.66
8 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 5 3.05
9 T609 Pesticide, unspecified XIX: Injury, poisoning and certain other consequences of external causes 4 2.44
10 J40 Bronchitis, not specified as acute or chronic X: Diseases of the respiratory system 4 2.44

Pirojpur District Hospital | Health Bulletin 2015 | Page# 8

Water & sanitation (Whole District)
Indicators
Upazila
Coverage of households having access to safe drinking water (%) 0
Coverage of households having access to sanitary latrines (%) 0


Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.) 40,604
Bed Occupancy Rates (%) 111.24
Average Length of Hospital Stay (No. of days per patient) 2.73
Hospital Death Rate (%) 1.10


Pirojpur District Hospital | Health Bulletin 2015 | Page# 9

Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries 167
Minor Surgeries 1,698

 

Pirojpur 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 11 3 19 57.58
Non Doctor 1 0 0 1 100.00
Class II 38 1 37 0 0.00
Class III 36 19 8 9 25.00
Class IV 42 12 9 21 50.00

 

Pirojpur 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 14 2 1
Nurse 42 38 4 6
Medical Assistant 0 0 0 0
Medical Technologist 8 6 0 0

Pirojpur 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 0 1 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 1 0 0 0 1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 5 2 3 0 0
Autoclave 5 2 3 0 0
Electric cautery machine 2 1 1 0 0
Diathermy machine 3 1 2 0 0
Operating microscope 1 1 0 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 2 1 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 2 1 0 0
Sterilizer 5 4 1 0 0
Sucker machine (electric) 17 7 10 0 0
Ventilator 1 1 0 0 0


Pirojpur 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 2 1 0 1 0
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 2 1 0 0 1
Holter monitor 0 0 0 0 0
Nebulizer machine 8 8 0 0 0
Pulse oximeter 8 3 2 0 3
Dental equipment
Dental unit 3 2 1 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Pirojpur 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) 2 1 1 0 0
Colorimeter 3 2 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) 1 1 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 1 1 0 0 0
Phototherapy unit 1 0 1 0 0


Pirojpur 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 4 2 2 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 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 2 2 0 0 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


Pirojpur 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) 9 8 1 0 0
Air conditioner (window) 5 4 1 0 0
Generator
Generator (diesel/petrol) 2 1 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 7 7 0 0 0
ICT equipment
Computer (desktop) 14 13 1 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) 8 7 1 0 0
Scanner 2 2 0 0 0
UPS 14 13 1 0 0
Fax 1 0 1 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 1 1 0 0 0
Multimedia 0 0 0 0 0


Pirojpur 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 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 156 111 38 2 5

Pirojpur District Hospital | Health Bulletin 2015 | Page# 18

Important information and necessary issues for Pirojpur District Hospital
Although this hospital is a 100 bedded hospital, yet it is running with 50 bedded manpower. Out of 33 posts of doctors , there are only 12 doctors present in this hospital now. So sufficient manpower should be posted as early as possible. There is no "Identified" medicine store space in this hospital. The postmortem house is above three km away from the hospital. Doctors face a lot of problem during PM due to lack of official vehicle. So a vehicle with fuel is necessary for this purpose. During meeting, workshop and seminar we face a lot of problem due to lack of Multimedia Projector. We also face problem copying different official papers . So we need a multimedia projector and photocopier. Two Ambulances are quite old and it frequently ,it also faces lot of problem during moving. So we need two Ambulance as early as possible.Hospital"s building & residence are now 50- 60% not useable .So it need repairs immediately. A lot of thanks MIS(health) .