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 glad and honored to publish this health bulletin of 250-bed general hospital,Noakhali.Here we have tried our best to provide all the health related information, logistics and services available in this hospital . This bulletin was published by coordination with other department and development partners of health. I would like to congratulate and give hearty thanks to the initiators of health bulletin software. It will help us to run forward for achieving the goal of "Digital Bangladesh". . DR MD KHALIL ULLAH Superintendent Noakhali 250 bed General Hospital

DR MD KHALIL ULLAHIM
Superitendent
Noakhali 250 Bed General Hospital
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

2

EDITORIAL BOARD

Chief Editor

DR MD KHALIL ULLAH, Superintendent


Special Acknowledgement

1. Mohammed kamrul Hasan, Statistician

Editors

1. DR SAYED MOHEUDDIN ABDUL AZIM, RMO


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 Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

3

Basic Information
Name of the District Noakhali
Organization Code 10001049
Name of Superitendent DR MD KHALIL ULLAHIM
Land Phone No. 1 032161333
Land Phone No. 2 032162027
FAX No. 032161008
Mobile No. 01715241399
Email noakhali@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 22.8720 And Long: 91.0884
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

4

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

5

No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 3,514



Neonatal Mortality Rate: 35.0 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 26,401
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

7

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

Indicator Hospital Total
Reg. Pregnent Women 6528
At least 1 ANC 6528
ANCs (4+) 3248
Normal Delivery 1700
Cesarean Section 1983
Other Assisted Delivery 60
PNC Within 2 days 3743
Maternal Death 23
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 24121 22561 46,682 65989 82225 148,214 90110 104786 194896
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 21045 18112 39,157 10125 9079 19,204 31170 27191 58361
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 6684 8526 15,210 16114 15459 31,573 22798 23985 46783
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 174 118 292 378 315 693 552 433 985
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

12

Morbidity Profile

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

Total No. of admitted patients reviewed for under five morbidity profile 14108
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1532 10.9
2 J189 J189 Pneumonia, unspecified 1347 9.5
3 P21 P21 Birth asphyxia 1246 8.8
4 P07 P07 Disorders related to short gestation and low birth weight, NEC 1141 8.1
5 A419 A419 Septicaemia, unspecified 1038 7.4

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 16581
No. ICD-10 Code Disease name No. of Cases %
1 R509 R509 Fever, unspecified 2318 14.0
2 Y09 Y09 Assault by unspecified means 1801 10.9
3 J44 J44 Other chronic obstructive pulmonary disease 1560 9.4
4 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1378 8.3
5 I219 I219 Acute myocardial infarction, unspecified 1138 6.9
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

13

Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 282
No. ICD-10 Code Disease name No. of Cases %
1 P210 P210 Severe birth asphyxia 48 17.0
2 J189 J189 Pneumonia, unspecified 41 14.5
3 A419 A419 Septicaemia, unspecified 38 13.5
4 P070 P070 Extremely low birth weight 36 12.8
5 E43 E43 Unspecified severe protein-energy malnutrition 35 12.4

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 23
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 10 43.5
2 O15 O15 Eclampsia 7 30.4
3 O649 O649 Obstructed labour due to malposition and malpresentation, unspecified 1 4.3
4 O009 O009 Ectopic pregnancy, unspecified 1 4.3
5 O06 O06 Unspecified abortion 1 4.3
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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) 505
No. ICD-10 Code Disease name No. of Cases %
1 I219 I219 Acute myocardial infarction, unspecified 45 8.9
2 S069 S069 Intracranial injury, unspecified 40 7.9
3 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 39 7.7
4 T600 T600 Organophosphate and carbamate insecticides 38 7.5
5 I50 I50 Heart failure 34 6.7
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

15

Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 159062
Bed Occupancy Rates (%) 174.3
Average Length of Hospital Stay (No. of days per patient) 3.4
Hospital Death Rate (%) 2.1
Surgeries done in the Hospital
Type No.
Major Surgeries 3318
Minor Surgeries 13921
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 0 8 1 9 -9 0.0
Grade 5 0 10 1 11 -11 0.0
Grade 6 0 4 1 5 -5 0.0
Grade 7 0 4 2 6 -6 0.0
Grade 8 0 19 2 21 -21 0.0
Grade 9 0 6 12 18 -18 0.0
Grade 10 0 4 75 79 -79 0.0
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 0 0 0 0 0 0.0
Grade 12 0 2 0 2 -2 0.0
Grade 13 0 0 1 1 -1 0.0
Grade 14 0 4 0 4 -4 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 0 8 1 9 -9 0.0
Grade 17 0 30 8 38 -38 0.0
Grade 18 0 1 0 1 -1 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 0 30 5 35 -35 0.0
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 8 1 9
Grade 5 10 1 11
Grade 6 4 1 5
Grade 7 4 2 6
Grade 8 19 2 21
Grade 9 6 12 18
Grade 10 4 75 79
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

19

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 2 0 2
Grade 13 0 1 1
Grade 14 4 0 4
Grade 15 0 0 0
Grade 16 8 1 9
Grade 17 30 8 38
Grade 18 1 0 1
Grade 19 0 0 0
Grade 20 30 5 35
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 49 9 7
Nurse 139 104 16 21
Medical Assistant 0 0 0 0
Medical Technologist 10 7 0 0
Total 207 160 25 28
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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) 2 1 1 0 4
X-ray machine (300 mA) 2 2 0 0 4
X-ray machine (500 mA) 2 1 0 0 3
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 1 1 0 0 2
Dental X-ray unit 1 1 0 0 2
Spiral CT Scan 0 0 0 0 0
C-arm 0 0 0 0 0
Mamogram machine 1 0 1 0 2
Dehumidifier 0 0 0 0 0
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 7 5 1 1 14
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 0 0 0 0 0
Anesthesia machine without ventilator 6 3 1 2 12
Autoclave 24 10 1 2 37
Electric cautery machine 5 5 0 0 10
Diathermy machine 5 3 1 1 10
Operating microscope 1 1 0 0 2
Ceiling mounting OT Light 5 3 1 1 10
Portable OT Light 5 4 0 1 10
Fracture table 1 1 0 0 2
Hydrolic OT Table 7 2 0 2 11
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 2 2 0 0 4
Sucker machine (electric) 45 10 18 7 80
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 1 1 0 4
ECG machine 4 2 1 0 7
Echocardiogram machine 1 0 1 0 2
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 40 10 10 5 65
Pulse oximeter 7 4 3 0 14
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 3 2 1 0 6
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 1 1 0 0 2
Centrifuge machine (electric) 8 1 0 0 9
Colorimeter 2 1 0 0 3
Electrolyte analyzer 2 0 1 0 3
ELISA machine 2 1 0 0 3
Gas analyzer 1 0 1 0 2
Hormone analyzer 1 0 1 0 2
Blood cell counter 0 0 0 0 0
Microscope (binocular) 1 1 0 0 2
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 1 1 0 0 2
Retinoscope 2 0 1 0 3
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 14 4 1 1 20
Phototherapy unit 4 2 0 2 8
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 1 0 1 0 2
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 2 1 0 7
Blood plasma separating machine 0 0 0 0 0
Platelet separating machine 0 0 0 0 0
Deep freeze (plasma) 1 0 0 0 1
Deep freeze (RBC) 1 0 0 0 1
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 0 1 0 3
Bus 0 0 0 0 0
Jeep 1 0 0 0 1
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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) 8 6 2 0 16
Air conditioner (window) 13 12 1 0 26
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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) 3 2 0 0 5
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 Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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) 41 15 4 0 60
Laptop 4 0 0 0 4
Printer (dot matrix) 1 0 1 0 2
Printer (inkjet) 1 0 0 0 1
Printer (laser) 6 3 2 0 11
Scanner 1 0 0 0 1
UPS 17 8 0 4 29
Fax 1 0 0 0 1
Intercom 120 0 0 0 120
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

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 0 0
Multimedia 2 0 0 2 4
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 10 8 0 2 20
Mobile phone 1 0 0 0 1
Photocopier machine 2 1 0 0 3
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

39

Important information and necessary issues you want to raise
Noakhali is a district of 9 upazillas. Its total area is about 3616 sq.km. It has 8 municipality, 91 unions and 786 villages. Total populations are about 3504000 . About 72% people of this district is literate . It is surrounding by feni and comilla at north, laxmipur at the west, the bay of bangle at the south. All the upazillas are very accessible through Road and highways. 250-bed general hospital is securing the peoples health and well being at Noakhali, laxmipur as well as feni . Its total services are divided into outdoor, emergency and indoor facilities. It has Medicine,Surgery,Gynae and obs, Pediatrics, E N T, Eye,Orthopedics,Cardiology,Skin & VD departments. We have routine operation as well as emergency operative facilities 24 hour round the clock and 30 days a month. We are enriched with experienced doctors along with young and energetic medical officers who are providing health care services to all patients attending the hospital throughout day and night. Though it is a 250 bed hospital but its infrastructure and man power belongs to 150 bed. So this facility is not adequate to provide proper healthcare to the patients.More over we have to face and manage the patients of Noakhali medical college hospital, as our hospital is currently acting as its temporary campus. There is daily number of admitted patients is about 550. For better management we need adequate man power and infrastructure facilities. We need upgraded diagnostic and therapeutic facilities like CT scan,MRI, Autoanalizer, Infusion pump etc. We also need new departments like CCU, ICU, HDU,Dialysis and Burn unit. With all our short comings we are trying to provide better health care each day and looking forward towards better future with more opportunities for patients with digital technologies.
Local Health Bulletin 2016 for Noakhali 250 Bed General Hospital, Noakhali Sadar, Noakhali

40