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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

This is my great Pleasure to Publish this health Bulletin-2016 of Narsingdi Sadar Hospital which Contains all the health related information of 2015. It is published to disseminate the information of our Hospital. This is the mirror of our activities of the year 2015. We gather data from wide range, analyze them and prepare reports. We use health bulletin to understand how much progress we made in the past year in our Narsingdi Sadar Hospital. I hear by inform that the hospital stood second in District hospital category in HSS and awarded. This is an important publication by which we understand how much progress we made, where we need to pay more attention and where we could do better. I express my sincere thanks to Professor DR. Abul Kalam Azad, ADG & Director of MIS health for providing his moral support & positive attitude to do so. May our hospital live long and progress day by day Thanks to All.

Dr Putul Roy
Superitendent
Narsingdi District Hospital

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EDITORIAL BOARD

Chief Editor


Dr Putul Roy, Supeirntendent


Special Acknowledgement


1. Muhammad Nazrul Islam, Bir Protik, Hon'ble State Minister, Ministry of Water Resources, Govt. of the People's Republic of Bangladesh

Editors


1. Dr Syed Amirul Huque, R.M.O

2. Md Shah Alam, Health Educator

Contributors


1. Dr Mohsin Uddin Ahmed, Jr.Consultant

2. Dr. Asim Kumar Saha, Jr. Consultant

3. Dr. Shekhar Kumar Mondal, Jr.Consultant

4. Md. Dewan Ali, Head Assistant

5. Nomita Rani Addo, Nursing Supervisor


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 Narsingdi
Organization Code 10000452
Name of Superitendent Dr Putul Roy
Land Phone No. 1 29462092
Land Phone No. 2 9462006
FAX No. N/A
Mobile No. 01797000888
Email narsingdi@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 23.9992 And Long: 90.7913

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
District Hospital 1 100

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 923



Neonatal Mortality Rate: 75.8 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 48,757

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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 2351
At least 1 ANC 2351
ANCs (4+) 1498
Normal Delivery 791
Cesarean Section 182
Other Assisted Delivery 19
PNC Within 2 days 1088
Maternal Death 2

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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 22830 21927 44,757 31609 32014 63,623 54439 53941 108380

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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 6252 6139 12,391 21736 21176 42,912 27988 27315 55303

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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 993 918 1,911 3511 3326 6,837 4504 4244 8748

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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 41 50 91 46 38 84 87 88 175

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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 1911
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 577 30.2
2 J189 J189 Pneumonia, unspecified 370 19.4
3 J459 J459 Asthma, unspecified 120 6.3
4 R509 R509 Fever, unspecified 85 4.4
5 A060 A060 Acute amoebic dysentery 28 1.5

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 6837
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 670 9.8
2 B349 B349 Viral infection, unspecified 580 8.5
3 J189 J189 Pneumonia, unspecified 422 6.2
4 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 280 4.1
5 T509 T509 Other and unspecified drugs, medicaments and biological substances 130 1.9

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 91
No. ICD-10 Code Disease name No. of Cases %
1 P210 P210 Severe birth asphyxia 28 30.8
2 A419 A419 Septicaemia, unspecified 16 17.6
3 P072 P072 Extreme immaturity 14 15.4
4 J189 J189 Pneumonia, unspecified 8 8.8
5 Q249 Q249 Congenital malformation of heart, unspecified 5 5.5

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 2
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 01 50.0
2 O041 O041 Medical abortion, incomplete, complicated by delayed or excessive haemorrhage 01 50.0
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) 68
No. ICD-10 Code Disease name No. of Cases %
1 J440 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection 08 11.8
2 J64 J64 Unspecified pneumoconiosis 06 8.8
3 I21 I21 Acute myocardial infarction 04 5.9
4 J80 J80 Adult respiratory distress syndrome 03 4.4
5 N179 N179 Acute renal failure, unspecified 02 2.9

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 26833
Bed Occupancy Rates (%) 73.5
Average Length of Hospital Stay (No. of days per patient) 3.1
Hospital Death Rate (%) 2.0
Surgeries done in the Hospital
Type No.
Major Surgeries 485
Minor Surgeries 833

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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 0 0 0 0 0 0.0
Grade 5 4 3 1 4 0 0.0
Grade 6 7 7 0 7 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 8 7 1 8 0 0.0
Grade 9 0 0 0 0 0 0.0
Grade 10 80 12 66 78 2 2.5

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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 8 8 0 8 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 2 1 1 2 0 0.0
Grade 15 5 4 1 5 0 0.0
Grade 16 5 1 2 3 2 40.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 21 12 9 21 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 3 0 3
Grade 5 3 1 4
Grade 6 4 0 4
Grade 7 9 1 10
Grade 8 4 13 17
Grade 9 1 3 4
Grade 10 11 51 62

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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 1 0 1
Grade 12 5 1 6
Grade 13 1 1 2
Grade 14 0 1 1
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 8 8 16
Grade 18 2 0 2
Grade 19 0 0 0
Grade 20 1 2 3

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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 19 19 4 0
Nurse 80 78 3 9
Medical Assistant 0 0 0 0
Medical Technologist 3 3 0 0
Total 102 100 7 9

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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) 1 0 1 0 2
X-ray machine (500 mA) 1 0 1 0 2
X-ray machine (digital) 2 1 1 0 4
X-ray machine (portable) 0 0 0 0 0
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 1 1 0 4

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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 2 1 0 6
Anesthesia machine without ventilator 21 12 9 0 42
Autoclave 0 0 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 6 2 3 1 12
Operating microscope 1 1 0 0 2
Ceiling mounting OT Light 1 0 1 0 2
Portable OT Light 5 2 3 0 10
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 4

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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 1 0 1 0 2
Sucker machine (electric) 4 3 1 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 3 2 1 0 6
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 0 0 0 0 0
Pulse oximeter 3 1 2 0 6

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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 2 0 2 0 4

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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 0 0 0 0 0
Laparoscopic machine 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.)
Lab equipment
Biochemical auto-analyzer 0 0 0 0 0
Centrifuge machine (electric) 1 1 0 0 2
Colorimeter 4 1 3 0 8
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) 5 1 4 0 10

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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 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.)
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 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.)
Pediatric equipment
Baby incubator 4 1 3 0 8
Phototherapy 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.)
Blood bank equipment
Blood bag 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 0 0 0 0 0
Blood plasma separating machine 3 2 1 0 6
Platelet separating machine 0 0 0 0 0
Deep freeze (plasma) 0 0 0 0 0
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 1 0 1 0 2
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) 1 1 0 0 2
Air conditioner (window) 10 5 5 0 20

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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 1 1 0 4
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) 15 12 3 2 32
Laptop 4 4 4 0 12
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 1 1 0 6
Scanner 0 0 0 0 0
UPS 0 0 0 0 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 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
Internet wireless line (Modem) 0 0 0 0 0
Multimedia 0 0 0 0 0
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 0 0 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

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Important information and necessary issues you want to raise
1) No store house for unserviceable goods. 2) 20 (twenty) post of Cleaner is Necessary. 3) 06 (six) post of consultant remaining vacant. 4) 01(One) post of Emergency Medical Officer remaining vacant. 5) Quick response of H E D not available for repair work. Suggestions to improve service 1) Fund for small repair works should be allotted. 2) Regular transfer of all categories staffs should be done. 3) Post of Indoor Medical Officer should be created. 4) Post of Statistical Officer should be created. 5) Extension of hospital building is necessary. 6) Police force is to be deployed for control of visitor & violenc

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