Feedback
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 health bulletin for the year 2015 of 250 bedded General Hospital Dinajpur district. It contains all health related necessary information. This bulletin contains the achived MDG-4 and MDG-5. This health bulletin has also the information on safe drinking water and sanitation status of the district which will help us and our development partners for proper planing & improvement of health service delivery system. I like to request to the higher authority to look into the issue of manpower including doctors shortage. Finally I express my cordial thanks & gratitude to director of MIS & all technical hands of MIS for their kind co- operation. Dr. Amalendu Biswas superintendent, General hospital Dinajpur

Dr. Amalendu Biswas
Superitendent
Dinajpur 250 Bed General Hospital

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EDITORIAL BOARD

Chief Editor


Dr. Amalendu Biswas, Superintendent


Editors


1. Dr.Zinat Aman, RMO

Contributors


1. Md. Samsuzzoha, Offices Asstt


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 Dinajpur
Organization Code 10001214
Name of Superitendent Dr. Amalendu Biswas
Land Phone No. 1 053164023
Land Phone No. 2 053165006
FAX No. 053165125
Mobile No. 01716040229
Email dinajpur@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 25.6258 And Long: 88.6368

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
District Hospital 1 250

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 1,025



Neonatal Mortality Rate: 4.9 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 8,418

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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 2258
At least 1 ANC 2258
ANCs (4+) 929
Normal Delivery 382
Cesarean Section 655
Other Assisted Delivery 4
PNC Within 2 days 1300
Maternal Death 0

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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 14283 10583 24,866 90202 48878 139,080 104485 59461 163946

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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 1932 1702 3,634 12336 8263 20,599 14268 9965 24233

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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 1932 1702 3,634 12336 8263 20,599 14268 9965 24233

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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 12 8 20 30 29 59 42 37 79

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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 3634
No. ICD-10 Code Disease name No. of Cases %
1 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 1577 43.4
2 J18 J18 Pneumonia, organism unspecified 760 20.9
3 D56 D56 Thalassaemia 150 4.1
4 A01 A01 Typhoid and paratyphoid fevers 100 2.8
5 D50 D50 Iron deficiency anaemia 70 1.9

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 20599
No. ICD-10 Code Disease name No. of Cases %
1 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 1351 6.6
2 J45 J45 Asthma 619 3.0
3 N39 N39 Other disorders of urinary system 287 1.4
4 I11 I11 Hypertensive heart disease 221 1.1
5 E10 E10 Insulin-dependent diabetes mellitus 136 0.7

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 20
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 5 25.0
2 P36 P36 Bacterial sepsis of newborn 4 20.0
3 P21 P21 Birth asphyxia 2 10.0
4 D50 D50 Iron deficiency anaemia 2 10.0
5 J06 J06 Acute upper respiratory infections of multiple and unspecified sites 1 5.0

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths
No. ICD-10 Code Disease name No. of Cases %
1
2
3
4
5

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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) 59
No. ICD-10 Code Disease name No. of Cases %
1 I120 I120 Hypertensive renal disease with renal failure 19 32.2
2 J44 J44 Other chronic obstructive pulmonary disease 5 8.5
3 J45 J45 Asthma 4 6.8
4 A15 A15 Respiratory tuberculosis, bacteriologically and histologically confirmed 2 3.4
5 B19 B19 Unspecified viral hepatitis 1 1.7

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 58421
Bed Occupancy Rates (%) 64.0
Average Length of Hospital Stay (No. of days per patient) 2.4
Hospital Death Rate (%) 0.3
Surgeries done in the Hospital
Type No.
Major Surgeries 1487
Minor Surgeries 969

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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 3 3 0 3 0 0.0
Grade 5 4 2 2 4 0 0.0
Grade 6 2 2 0 2 0 0.0
Grade 7 7 1 6 7 0 0.0
Grade 8 22 3 19 22 0 0.0
Grade 9 13 1 12 13 0 0.0
Grade 10 24 3 21 24 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 4 4 0 4 0 0.0
Grade 12 5 4 1 5 0 0.0
Grade 13 2 2 0 2 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 2 1 1 2 0 0.0
Grade 16 1 1 0 1 0 0.0
Grade 17 52 44 8 52 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 8 3 5 8 0 0.0
Grade 20 6 6 0 6 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 2 2 4
Grade 6 2 2 4
Grade 7 1 2 3
Grade 8 3 19 22
Grade 9 1 12 13
Grade 10 3 21 24

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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 4 0 4
Grade 12 4 1 5
Grade 13 2 2 4
Grade 14 0 0 0
Grade 15 1 1 2
Grade 16 1 1 2
Grade 17 44 8 52
Grade 18 0 0 0
Grade 19 3 5 8
Grade 20 6 0 6

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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 35 18 0 0
Nurse 129 62 0 0
Medical Assistant 0 0 0 0
Medical Technologist 3 3 0 0
Total 167 83 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) 0 0 1 0 1
X-ray machine (500 mA) 1 0 0 0 1
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 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 1 1 1 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
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 1 2 7 0 10
Autoclave 3 0 6 0 9
Electric cautery machine 0 0 0 0 0
Diathermy machine 3 0 0 0 3
Operating microscope 1 0 0 0 1
Ceiling mounting OT Light 3 0 0 0 3
Portable OT Light 1 1 0 0 2
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 8 0 1 0 9
Sucker machine (electric) 14 5 0 0 19

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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 2 1 0 0 3
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 8 0 0 11

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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 1 0 0 0 1
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) 4 0 6 0 10
Colorimeter 4 0 0 0 4
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 0 1 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.)
Obstetric equipment
Fetal monitor 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.)
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 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.)
Pediatric equipment
Baby incubator 0 1 0 0 1
Phototherapy 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.)
Blood bank equipment
Blood bag centrifuge 1 0 0 0 1
Laminar flow hood 0 0 0 0 0
pH meter 1 0 0 0 1
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 1 0 0 0 1
Blood plasma separating machine 0 0 0 0 0
Platelet separating machine 1 0 0 0 1
Deep freeze (plasma) 1 0 0 0 1
Deep freeze (RBC) 7 0 0 0 7

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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 0 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) 4 1 0 0 5
Air conditioner (window) 5 0 2 0 7

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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) 0 0 0 0 0
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) 17 0 2 0 19
Laptop 1 0 0 0 1
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 4 0 0 0 4
Printer (laser) 1 0 1 0 2
Scanner 0 0 0 0 0
UPS 18 0 1 0 19
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 1 0 0 0 1
Mobile phone 1 0 0 0 1
Photocopier machine 1 0 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
in 2015 we could not reached to our goal in health status due to several factors. so I like to suggest some important issues which will help to achieve our goal for the improvement of health status in up coming year. (i) For a long time 250 beded dinajpur general hospital is delivering health services by 100 beded manpower. (ii) Fulfillment of manpower in an urgent basis is necessary e.g (a) All Medical officer posts & all EMO posts & Anesthetist are vacant (b) All Assistant register posts are vacant (iii) more doctor & nurses should be trained (specially in ICT, EOC & IMCI) iv) All kind of repairable epuipments should be repaired as soon as possible. Finally It's my pleasure to prepare & write last year health status at this bulletin which will help us to compare our progress in upcoming year. This is very useful document & will help the people to understand our health services & to provide us the useful advice for improvement in future.

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