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

Preface

We are very happy to publish Local health Bulletin from 250 Bedded District Hospital, Tangail for the year 2016. Along with information of 250 Bed District Hospital, Tangail this bulletin also contains some health related data of the Tangail 250 bed District Hospital including basic demography, health facilities, resources, performance, strength and weakness. This Bulletin will disseminate health information to people of Tangail 250 bed District Hospital as well as to health service providers. This will help better utilization and further quantitative and qualitative improvement of health service in the Tangail 250 bed District Hospital. We acknowledge the support and service of our colleagues in preparing this Bulletin. We congratulate and express our heart-felt gratitude towards MOHFW and DGHS, in particular, MIS, DGHS for this very praiseworthy step to publish Local Health Bulletin by developing a Soft ware Format. This will be a big leap forward in building Digital Bangladesh. (Dr. Nur Mohammad) Superintendent 250 Bed District Hospital, Tangail.

Dr.Nur Mohammad
Superitendent
Tangail 250 Bed District Hospital
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

2

EDITORIAL BOARD

Chief Editor

Dr. Nur Mohammad, Superintendent


Special Acknowledgement

1. Dr. Nur Mohammad, Superintendent

Editors

1. Dr. Md.Rafiqul Islam Mia, Assistant Director

Contributors

1. Dr. Md. Abul Farez, Sr. Consultant(Paed)

2. Dr.Khan Md. Saiduzzaman, Sr. Consultant(Medi)

3. Dr. Jakeya Rashid, Jr. Consultant(Gynea)

4. Dr. Mohammad Abdus Sobhan, RMO (Incharge)

5. Md. Shariful Islam, Statistical Assistant


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.

Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

3

Basic Information
Name of the District Tangail
Organization Code 10000647
Name of Superitendent Dr.Nur Mohammad
Land Phone No. 1 092163027
Land Phone No. 2 092163438
FAX No. 92161710
Mobile No. 01711043042
Email tangail@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 24.2475 And Long: 89.9210
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

4

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
District Hospital 1 250
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

5

No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 4,523



Neonatal Mortality Rate: 95.5 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 30,821
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

6

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;

Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

7

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

Indicator Hospital Total
Reg. Pregnent Women 4914
At least 1 ANC 4914
ANCs (4+) 3701
Normal Delivery 1439
Cesarean Section 3077
Other Assisted Delivery 7
PNC Within 2 days 4523
Maternal Death 2
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

8

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 110022 145310 255,332 23897 17995 41,892 133919 163305 297224
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

9

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 23207 10281 33,488 3932 3829 7,761 27139 14110 41249
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

10

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 25490 27776 53,266 5145 5483 10,628 30635 33259 63894
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

11

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 336 170 506 479 408 887 815 578 1393
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

12

Morbidity Profile

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

Total No. of admitted patients reviewed for under five morbidity profile 10628
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2481 23.3
2 J189 J189 Pneumonia, unspecified 990 9.3
3 J219 J219 Acute bronchiolitis, unspecified 549 5.2
4 P369 P369 Bacterial sepsis of newborn, unspecified 360 3.4
5 P219 P219 Birth asphyxia, unspecified 336 3.2

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 24511
No. ICD-10 Code Disease name No. of Cases %
1 X999 X999 Assault by sharp object, unspecified place 1920 7.8
2 V736 V736 Bus occupant injured in collision with car, pick-up truck or van, passenger, traffic accident 1650 6.7
3 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1490 6.1
4 I159 I159 Secondary hypertension, unspecified 1038 4.2
5 I679 I679 Cerebrovascular disease, unspecified 978 4.0
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

13

Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 506
No. ICD-10 Code Disease name No. of Cases %
1 P210 P210 Severe birth asphyxia 222 43.9
2 P071 P071 Other low birth weight 114 22.5
3 P369 P369 Bacterial sepsis of newborn, unspecified 92 18.2
4 J189 J189 Pneumonia, unspecified 44 8.7
5 P916 P916 Hypoxic ischaemic encephalopathy of newborn 18 3.6

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 I469 I469 Cardiac arrest, unspecified 1 50.0
2 N189 N189 Chronic renal failure, unspecified 1 50.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

14

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) 787
No. ICD-10 Code Disease name No. of Cases %
1 I219 I219 Acute myocardial infarction, unspecified 180 22.9
2 I679 I679 Cerebrovascular disease, unspecified 156 19.8
3 J440 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection 120 15.2
4 I159 I159 Secondary hypertension, unspecified 96 12.2
5 V736 V736 Bus occupant injured in collision with car, pick-up truck or van, passenger, traffic accident 38 4.8
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

15

Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 154776
Bed Occupancy Rates (%) 169.6
Average Length of Hospital Stay (No. of days per patient) 2.4
Hospital Death Rate (%) 2.2
Surgeries done in the Hospital
Type No.
Major Surgeries 5956
Minor Surgeries 6809
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

16

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 1 1 0 1 0 0.0
Grade 5 13 6 0 6 7 53.8
Grade 6 15 11 1 12 3 20.0
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 31 11 11 22 9 29.0
Grade 10 134 19 115 134 0 0.0
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

17

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
DH/GH
Grade 11 12 10 2 12 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 5 4 1 5 0 0.0
Grade 15 1 1 0 1 0 0.0
Grade 16 13 8 2 10 3 23.1
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 4 1 0 1 3 75.0
Grade 20 45 28 14 42 3 6.7
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

18

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 4 0 4
Grade 5 9 1 10
Grade 6 2 0 2
Grade 7 12 2 14
Grade 8 4 23 27
Grade 9 10 17 27
Grade 10 4 105 109
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

19

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
DH/GH
Grade 11 3 2 5
Grade 12 0 0 0
Grade 13 5 1 6
Grade 14 1 0 1
Grade 15 4 0 4
Grade 16 5 2 7
Grade 17 27 8 35
Grade 18 0 0 0
Grade 19 3 1 4
Grade 20 1 0 1
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

20

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 58 39 2 0
Nurse 141 138 6 6
Medical Assistant 0 0 2 0
Medical Technologist 11 11 0 0
Total 210 188 10 6
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

21

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 1 0 1
X-ray machine (300 mA) 0 0 0 0 0
X-ray machine (500 mA) 1 1 1 0 3
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 1 0 0 0 1
Dental X-ray unit 1 0 0 0 1
Spiral CT Scan 0 0 0 0 0
C-arm 1 0 0 0 1
Mamogram machine 0 0 0 0 0
Dehumidifier 0 0 0 0 0
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

22

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 1 2 0 0 3
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

23

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 5 0 0 0 5
Autoclave 4 2 0 0 6
Electric cautery machine 1 0 0 0 1
Diathermy machine 6 0 2 0 8
Operating microscope 2 1 0 0 3
Ceiling mounting OT Light 8 0 0 0 8
Portable OT Light 7 3 2 0 12
Fracture table 1 0 0 0 1
Hydrolic OT Table 7 4 1 0 12
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

24

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 0 0 0 8
Sucker machine (electric) 9 3 3 0 15
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

25

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 2 0 0 0 2
ECG machine 2 1 0 1 4
Echocardiogram machine 0 0 0 1 1
Cardiac monitor 2 0 0 0 2
Holter monitor 2 0 0 0 2
Nebulizer machine 22 5 10 0 37
Pulse oximeter 5 2 0 0 7
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

26

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 0 1 0 2
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

27

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 0 0 1 0 1
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

28

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 1 1
Centrifuge machine (electric) 6 3 0 0 9
Colorimeter 1 1 0 0 2
Electrolyte analyzer 0 0 1 0 1
ELISA machine 1 0 0 0 1
Gas analyzer 1 0 0 0 1
Hormone analyzer 0 0 0 0 0
Blood cell counter 1 0 0 0 1
Microscope (binocular) 6 4 0 0 10
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

29

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
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

30

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 1 1 0 2
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

31

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 9 0 0 0 9
Phototherapy unit 4 0 0 0 4
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

32

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 4 7 0 0 11
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 4 1 0 0 5
Blood plasma separating machine 0 0 0 0 0
Platelet separating machine 0 0 0 0 0
Deep freeze (plasma) 0 0 0 0 0
Deep freeze (RBC) 0 0 0 0 0
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

33

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
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

34

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Vehicles
Ambulance 2 1 0 0 3
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

35

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) 10 1 1 0 12
Air conditioner (window) 36 8 5 0 49
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

36

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) 1 0 0 1 2
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

37

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) 32 0 0 20 52
Laptop 4 0 0 0 4
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 13 0 0 0 13
Printer (laser) 5 0 0 0 5
Scanner 2 0 0 0 2
UPS 10 0 0 0 10
Fax 1 0 0 0 1
Intercom 0 31 0 0 31
Internet fixed line 1 0 0 0 1
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

38

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 1 1
Multimedia 1 0 0 0 1
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 7 0 0 0 7
Mobile phone 1 0 0 0 1
Photocopier machine 1 1 0 0 2
Digital camera 1 0 0 0 1
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

39

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
Local Health Bulletin 2016 for Tangail 250 Bed District Hospital, Tangail Sadar, Tangail

40