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

Preface

I am Dr.Prodhan Md.Abul Kalam Azad, Civil Surgeon Cum Superintendent, Adunik sadar Hospital, Chapainawabganj. It is Very Pleasure to me to publish the health bulletin in 4th time of this institution. Dr.Prodhan Md.Abul Kalam Azad, Civil Surgeon Cum Superintendent, Adunik sadar Hospital,Chapainawabganj

Dr. Prodhan Md. Abul Kalam Azad
Superitendent
Chapai Nawabganj District Hospital

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EDITORIAL BOARD

Chief Editor


Dr. Prodhan Md. Abul Kalam Azad, Civil Surgeon Cum Superrintendent


Editors


1. Dr. Ayesha Julekha, RMO

Contributors


1. Md. Abdur Razzak, Statistician incharge


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 Chapai Nawabganj
Organization Code 10001186
Name of Superitendent Dr. Prodhan Md. Abul Kalam Azad
Land Phone No. 1 78152489
Land Phone No. 2 078152207
FAX No. 0781-52489
Mobile No. 01871507820
Email chapainawabganj@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 24.7520 And Long: 88.2850

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
District Hospital 01 100

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 2,191



Neonatal Mortality Rate: 65.3 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 12,249

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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 2950
At least 1 ANC 2950
ANCs (4+) 1500
Normal Delivery 1863
Cesarean Section 180
Other Assisted Delivery 210
PNC Within 2 days 2043
Maternal Death 06

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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 14040 23538 37,578 51335 97148 148,483 65375 120686 186061

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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 3934 3444 7,378 7378 14430 21,808 11312 17874 29186

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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 3143 2531 5,674 9649 10584 20,233 12792 13115 25907

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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 122 67 189 74 49 123 196 116 312

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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 18387
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2670 14.5
2 P21 P21 Birth asphyxia 1890 10.3
3 J14 J14 Pneumonia due to Haemophilus influenzae 1229 6.7
4 A41 A41 Other septicaemia 247 1.3
5 P070 P070 Extremely low birth weight 127 0.7

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 7520
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3627 48.2
2 J45 J45 Asthma 122 1.6
3 I21 I21 Acute myocardial infarction 110 1.5
4 I10 I10 Essential (primary) hypertension 108 1.4
5 I208 I208 Other forms of angina pectoris 71 0.9

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 178
No. ICD-10 Code Disease name No. of Cases %
1 P21 P21 Birth asphyxia 62 34.8
2 E639 E639 Nutritional deficiency, unspecified 32 18.0
3 Q210 Q210 Ventricular septal defect 22 12.4
4 O60 O60 Preterm delivery 20 11.2
5 A41 A41 Other septicaemia 18 10.1

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 6
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 4 66.7
2 O149 O149 Pre-eclampsia, unspecified 2 33.3
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) 127
No. ICD-10 Code Disease name No. of Cases %
1 I21 I21 Acute myocardial infarction 35 27.6
2 I50 I50 Heart failure 8 6.3
3 I10 I10 Essential (primary) hypertension 7 5.5
4 J44 J44 Other chronic obstructive pulmonary disease 7 5.5
5 J45 J45 Asthma 5 3.9

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 67670
Bed Occupancy Rates (%) 185.4
Average Length of Hospital Stay (No. of days per patient) 2.6
Hospital Death Rate (%) 1.2
Surgeries done in the Hospital
Type No.
Major Surgeries 1101
Minor Surgeries 4680

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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 11 2 0 2 9 81.8
Grade 6 12 5 2 7 5 41.7
Grade 7 3 0 0 0 3 100.0
Grade 8 1 0 0 0 1 100.0
Grade 9 17 4 2 6 11 64.7
Grade 10 37 5 32 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 12 9 1 10 2 16.7
Grade 12 3 0 0 0 3 100.0
Grade 13 1 0 0 0 1 100.0
Grade 14 3 2 0 2 1 33.3
Grade 15 5 3 0 3 2 40.0
Grade 16 6 6 0 6 0 0.0
Grade 17 17 4 0 4 13 76.5
Grade 18 0 0 0 0 0 0.0
Grade 19 1 0 0 0 1 100.0
Grade 20 22 10 6 16 6 27.3

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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 2 0 2
Grade 5 4 0 4
Grade 6 1 2 3
Grade 7 1 1 2
Grade 8 1 12 13
Grade 9 1 6 7
Grade 10 1 9 10

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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 0 0 0 0
Nurse 0 0 0 0
Medical Assistant 0 0 0 0
Medical Technologist 0 0 0 0
Total 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
X-ray machine (100 mA) 1 0 0 0 1
X-ray machine (300 mA) 1 0 0 0 1
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 1 0 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 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.)
Radiology equipment
MRI machine 0 0 0 0 0
Ultrasonogram machine 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
Anesthesia machine with ventilator 1 2 0 1 4
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 8 10 0 0 18
Electric cautery machine 1 1 0 0 2
Diathermy machine 1 1 1 0 3
Operating microscope 0 1 0 0 1
Ceiling mounting OT Light 4 1 0 0 5
Portable OT Light 2 1 0 0 3
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 0 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.)
Anesthesiology/surgical equipment
Sterilizer 10 4 0 0 14
Sucker machine (electric) 8 2 0 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.)
Cardiology equipment
Coronary angiogram machine 0 0 0 0 0
Debrililator 0 0 0 0 0
ECG machine 3 3 0 0 6
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 1 0 0 0 1
Holter monitor 0 0 0 0 0
Nebulizer machine 10 0 0 0 10
Pulse oximeter 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.)
Dental equipment
Dental unit 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.)
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 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.)
Lab equipment
Biochemical auto-analyzer 0 0 0 0 0
Centrifuge machine (electric) 3 0 0 0 3
Colorimeter 2 3 0 0 5
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) 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.)
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 1 0 0 0 1
Phototherapy unit 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.)
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 1 1 0 0 2
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) 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 2 0 2 0 4
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) 8 3 0 0 11
Air conditioner (window) 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.)
Generator
Generator (diesel/petrol) 1 1 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) 9 1 0 0 10
Laptop 1 0 0 0 1
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 3 0 0 6
Scanner 0 0 0 0 0
UPS 2 2 0 0 4
Fax 0 1 0 1 2
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) 1 0 0 0 1
Multimedia 1 0 0 0 1
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 2 0 0 0 2
Mobile phone 1 0 0 0 1
Photocopier machine 0 1 0 0 1
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 very necessary to create 2 or more statistical posts for district hospital. Because without statistical personnel it is very difficult to submit onlive data entry as health bulletin or similar others in this regard. Thank you all. Dr.Prodan Abul kalam Azad Civil Surgeon Cum Superrintendent Adunik Sadar Hospital, Chapainawabganj.

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