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HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

I am very glad to publish the Health Bulletin/2016 of 300 Bedded Hospital, Narayanganj. It contains almost all health related informations of this institution in 2015. It will disseminate the vital informations to other line departments & development partners. I hope, all these informations & datas will help for future planning and bridging the gaps of our services. Moreover, it will help us to find out the constrains as well as achievements of health status of MDG4 & MDG5 which will guide us to reach the targets. Manpowers, infrastructures & logistic supports must be enhanced to deliver the better services in the coming days. In fine, I would like to give my cordial thanks to MIS for arrranging such type of conference every year

Dr.Nitish Kanti Debnath
Superitendent
Narayanganj 300 Bed Hospital

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EDITORIAL BOARD

Editors


1. sohel rana, Office Assistent

2. nurunnahar, statical assistant(CC)


Certificate of Authentication

We, the above members of the Editorial Board, hereby certify that we collectively examined the content and data used in this LHB 2016 and to the best of our knowledge they represent the true picture of the local situation.

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Basic Information
Name of the District Narayanganj
Organization Code 10000425
Name of Superitendent Dr.Nitish Kanti Debnath
Land Phone No. 1 7643622
Land Phone No. 2 7630521
FAX No. 7643622
Mobile No. 01715399038
Email narayanganjd@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 23.6316 And Long: 90.4974

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
District Hospital 01 300

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 1,167



Neonatal Mortality Rate: 0.0 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 1

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No. of Maternal Health Services Provided (Jan-Dec, 2015)
R.P.W. (No.) : Reg. Pregnent Women; 1st ANC (No.) : At least 1 ANC; 4th ANC (No.) : ANCs (4+); N.deli(No.) : Normal Delivery; C.deli(No.) : Cesarean Section; O.deli(No.) : Other Assisted Delivery; PNC(No.) : PNC Within 2 days;

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No. of Maternal Health Services Provided (Jan-Dec, 2015)

Indicator Hospital Total
Reg. Pregnent Women 8825
At least 1 ANC 4415
ANCs (4+) 1022
Normal Delivery 507
Cesarean Section 671
Other Assisted Delivery 3
PNC Within 2 days 1241
Maternal Death 1

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility OPD visits (Year 2023)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
District Hospital 15415 16241 31,656 103692 147993 251,685 119107 164234 283341

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility Emergency visits (Year 2023)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
District Hospital 1032 1459 2,491 24623 26461 51,084 25655 27920 53575

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility Admissions (Year 2023)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
District Hospital 353 352 705 3458 4226 7,684 3811 4578 8389

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility In Patient deaths (Year 2023)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
District Hospital 0 0 0 18 12 30 18 12 30

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Morbidity Profile

Top (5) causes of child morbidity (age <= 5 years)

Total No. of admitted patients reviewed for under five morbidity profile 896
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 324 36.2
2 J21 J21 Acute bronchiolitis 168 18.8
3 A01 A01 Typhoid and paratyphoid fevers 156 17.4
4 D56 D56 Thalassaemia 140 15.6
5 P36 P36 Bacterial sepsis of newborn 108 12.1

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 346
No. ICD-10 Code Disease name No. of Cases %
1 E14 E14 Unspecified diabetes mellitus 106 30.6
2 I50 I50 Heart failure 90 26.0
3 K27 K27 Peptic ulcer, site unspecified 52 15.0
4 I24 I24 Other acute ischaemic heart diseases 52 15.0
5 J18 J18 Pneumonia, organism unspecified 46 13.3

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Mortality Profile

Top (5) causes of death for age <= 5 years

Total No. of cases reviewed for age <= 5 years
No. ICD-10 Code Disease name No. of Cases %
1
2
3
4
5

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 01
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 01 100.0
2 0.0
3 0.0
4 0.0
5 0.0

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Mortality Profile

Top (5) causes of death between ages 30 & 70 years

Total No. of cases reviewed for causes of death (30 to 70 years) 32
No. ICD-10 Code Disease name No. of Cases %
1 I24 I24 Other acute ischaemic heart diseases 10 31.3
2 J44 J44 Other chronic obstructive pulmonary disease 08 25.0
3 K72 K72 Hepatic failure, NEC 05 15.6
4 E14 E14 Unspecified diabetes mellitus 05 15.6
5 N18 N18 Chronic renal failure 4 12.5

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 88168
Bed Occupancy Rates (%) 80.5
Average Length of Hospital Stay (No. of days per patient) 10.5
Hospital Death Rate (%) 0.4
Surgeries done in the Hospital
Type No.
Major Surgeries 826
Minor Surgeries 3536

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
DH/GH
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 6 5 1 6 0 0.0
Grade 5 7 5 2 7 0 0.0
Grade 6 3 3 0 3 0 0.0
Grade 7 34 27 7 34 0 0.0
Grade 8 45 5 40 45 0 0.0
Grade 9 19 4 14 18 1 5.3
Grade 10 37 11 26 37 0 0.0

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
DH/GH
Grade 11 10 10 0 10 0 0.0
Grade 12 08 6 2 8 0 0.0
Grade 13 12 9 3 12 0 0.0
Grade 14 02 1 1 2 0 0.0
Grade 15 05 4 1 5 0 0.0
Grade 16 1 1 0 1 0 0.0
Grade 17 86 59 27 86 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 15 9 6 15 0 0.0
Grade 20 02 2 0 2 0 0.0

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
DH/GH
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 1 0 1
Grade 5 11 1 12
Grade 6 5 1 6
Grade 7 15 13 28
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
DH/GH
Grade 11 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0

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Status of Human Resources under DGHS updated during this report preparation
Man
power
Hospital
Total
IM-
CI
Trai-
ned
Basic
EOC
Trai-
ned
San-
cti-
on-
ed
Fill-
ed-
up
Physician 50 47 4 2
Nurse 106 92 6 0
Medical Assistant 0 0 0 0
Medical Technologist 10 10 0 0
Total 166 149 10 2

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Radiology equipment
X-ray machine (100 mA) 0 0 0 0 0
X-ray machine (300 mA) 0 1 0 0 1
X-ray machine (500 mA) 1 0 0 0 1
X-ray machine (digital) 1 0 0 0 1
X-ray machine (portable) 0 1 0 0 1
Dental X-ray unit 0 0 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

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Radiology equipment
MRI machine 0 0 0 0 0
Ultrasonogram machine 2 0 0 0 2

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 3 0 0 0 3
Anesthesia machine without ventilator 1 4 0 0 5
Autoclave 3 0 0 0 3
Electric cautery machine 1 0 1 0 2
Diathermy machine 2 2 1 0 5
Operating microscope 1 0 1 0 2
Ceiling mounting OT Light 4 0 0 0 4
Portable OT Light 1 0 0 0 1
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 0 0 0 1

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Anesthesiology/surgical equipment
Sterilizer 8 2 0 0 10
Sucker machine (electric) 7 1 0 0 8

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Cardiology equipment
Coronary angiogram machine 0 0 0 0 0
Debrililator 0 0 0 0 0
ECG machine 4 2 0 0 6
Echocardiogram machine 1 0 0 0 1
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 10 0 0 0 10
Pulse oximeter 2 0 0 0 2

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Dental equipment
Dental unit 1 1 0 0 2

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Gastroeneterology equipment
Endoscopy machine 1 0 0 0 1
Laparoscopic machine 2 1 0 0 3

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Lab equipment
Biochemical auto-analyzer 1 1 0 0 2
Centrifuge machine (electric) 1 0 0 0 1
Colorimeter 1 0 0 0 1
Electrolyte analyzer 0 0 0 0 0
ELISA machine 0 1 0 0 1
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 1 0 0 0 1
Microscope (binocular) 2 0 0 0 2

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Obstetric equipment
Fetal monitor 1 0 0 0 1

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Ophthalmic equipment
FACO machine 1 0 0 0 1
Retinoscope 1 0 0 0 1

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 1 0 1 0 2

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Blood bank equipment
Blood bag centrifuge 1 0 0 0 1
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 0 1 0 3
Blood plasma separating machine 0 0 0 0 0
Platelet separating machine 0 0 0 0 0
Deep freeze (plasma) 3 0 0 0 3
Deep freeze (RBC) 0 0 0 0 0

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Urology equipment
Cystoscopic machine 0 0 0 0 0

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Vehicles
Ambulance 4 1 0 0 5
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Air conditioner
Air conditioner (split type) 12 0 0 0 12
Air conditioner (window) 12 2 0 0 14

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Generator
Generator (diesel/petrol) 2 0 0 0 2
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
ICT equipment
Computer (desktop) 18 4 1 0 23
Laptop 1 1 0 0 2
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 2
Printer (laser) 4 2 0 0 6
Scanner 0 0 0 0 0
UPS 10 2 4 0 16
Fax 1 0 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 1 0 0 0 1

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
ICT equipment
Internet wireless line (Modem) 1 0 0 0 1
Multimedia 0 0 0 0 0
OHP 0 0 0 0 0
PA system 1 0 0 0 1
Land phone 2 0 0 0 2
Mobile phone 0 0 0 0 0
Photocopier machine 1 1 0 0 2
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0

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Important information and necessary issues you want to raise
It is to be mentioned that Narayanganj 200 Bedded hospital was converted into 300 one on 02/09/2013. But stil now all resources remain same as before. So, we have to serve with these limited resources. But Health Services Management Committee of this institution is very active & regular meeting is held. With the help of this high profile committee we have already achieved following materials :- (1) 2 new Ambulances (2) 63 CCTV Cameras (3) 1 Deep tubewell (4) 4 Digital Attedance Machines (5) 1 Modern Conference Room (6) 70 Ceiling Fans etc. Reqirements & demands :- (1) 1 complete Cardiac Unit (2) 1 Trauma Centre (3) 1 Blood Bank (4) 1 Car for Medical Superintendent (DD) (5) 1 Dialysis Centre (6) 1 Burn Unit (7) Convertion to a Medical College.

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