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

Preface

By the grace of almighty, we have been able to publish health bulletin District hospital, Joypurhat. The purpose of this type of bulletin is to disseminate information on different activities done throughout a whole year to the government officers, local elites & the authority concerned . This bulletin will provide a over all picture of performances which is the result of collective efforts by our efficient & learned consultants, devoted medical officers, dutiful nurses & other employes. From this bulletin one can get an idea about no of OPD patient, no of inpatient , Number of operated patient in a year. This publication will also reflect the incidence of disease, cause of mortality & morbidity of patient in a secondary level hospital. Finely I would like to ofter thanks to Line Director MIS. DGHS for providing necessary support. Dr.Mohammad Ali, Superintendent Modernized District Hospital, Joypurhat.

Dr. Mohammad Ali
Superitendent
Joypurhat District Hospital
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

2

EDITORIAL BOARD

Chief Editor

Dr. Mohammad Ali, Superintendent


Editors

1. Dr. Md. Ataur Rahman, 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 Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

3

Basic Information
Name of the District Joypurhat
Organization Code 10001298
Name of Superitendent Dr. Mohammad Ali
Land Phone No. 1 57162220
Land Phone No. 2 N/A
FAX No. 0571-62220
Mobile No. 01712269950
Email joypurhat@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 25.0998 And Long: 89.0299
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

4

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
District Hospital 1 150
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

5

No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 3,227



Neonatal Mortality Rate: 15.5 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 10,954
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

7

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

Indicator Hospital Total
Reg. Pregnent Women 5407
At least 1 ANC 5390
ANCs (4+) 3151
Normal Delivery 2040
Cesarean Section 698
Other Assisted Delivery 22
PNC Within 2 days 2760
Maternal Death 8
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 24110 30302 54,412 56851 105867 162,718 80961 136169 217130
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 3455 4350 7,805 7996 9831 17,827 11451 14181 25632
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 1320 952 2,272 10131 13229 23,360 11451 14181 25632
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 29 40 69 212 106 318 241 146 387
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

12

Morbidity Profile

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

Total No. of admitted patients reviewed for under five morbidity profile 5445
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1573 28.9
2 J189 J189 Pneumonia, unspecified 750 13.8
3 R50 R50 Fever of unknown origin 488 9.0
4 E46 E46 Unspecified protein-energy malnutrition 311 5.7
5 D558 D558 Other anaemias due to enzyme disorders 282 5.2

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 35341
No. ICD-10 Code Disease name No. of Cases %
1 J459 J459 Asthma, unspecified 6481 18.3
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 4847 13.7
3 I119 I119 Hypertensive heart disease without (congestive) heart failure 4717 13.3
4 V892 V892 Person injured in unspecified motor-vehicle accident, traffic 1461 4.1
5 K03 K03 Other diseases of hard tissues of teeth 1121 3.2
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

13

Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 69
No. ICD-10 Code Disease name No. of Cases %
1 P219 P219 Birth asphyxia, unspecified 16 23.2
2 J069 J069 Acute upper respiratory infection, unspecified 14 20.3
3 J189 J189 Pneumonia, unspecified 7 10.1
4 P368 P368 Other bacterial sepsis of newborn 4 5.8
5 P361 P361 Sepsis of newborn due to other and unspecified streptococci 4 5.8

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 8
No. ICD-10 Code Disease name No. of Cases %
1 O159 O159 Eclampsia, unspecified as to time period 3 37.5
2 O441 O441 Placenta praevia with haemorrhage 2 25.0
3 O720 O720 Third-stage haemorrhage 2 25.0
4 D509 D509 Iron deficiency anaemia, unspecified 1 12.5
5 0.0
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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) 310
No. ICD-10 Code Disease name No. of Cases %
1 I64 I64 Stroke, not specified as haemorrhage or infarction 53 17.1
2 I219 I219 Acute myocardial infarction, unspecified 36 11.6
3 I500 I500 Congestive heart failure 31 10.0
4 T600 T600 Organophosphate and carbamate insecticides 13 4.2
5 R570 R570 Cardiogenic shock 12 3.9
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

15

Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 70012
Bed Occupancy Rates (%) 127.9
Average Length of Hospital Stay (No. of days per patient) 2.7
Hospital Death Rate (%) 1.5
Surgeries done in the Hospital
Type No.
Major Surgeries 1791
Minor Surgeries 2644
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 0 0 0 0 0.0
Grade 5 6 5 1 6 0 0.0
Grade 6 7 3 1 4 3 42.9
Grade 7 2 1 0 1 1 50.0
Grade 8 0 0 0 0 0 0.0
Grade 9 30 12 2 14 16 53.3
Grade 10 76 1 71 72 4 5.3
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 8 6 0 6 2 25.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 5 5 0 5 0 0.0
Grade 15 5 3 0 3 2 40.0
Grade 16 9 7 1 8 1 11.1
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 48 27 3 30 18 37.5
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 2 0 2
Grade 5 5 2 7
Grade 6 1 0 1
Grade 7 13 3 16
Grade 8 1 21 22
Grade 9 4 13 17
Grade 10 1 37 38
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

19

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

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 43 25 5 6
Nurse 76 68 12 7
Medical Assistant 0 0 0 0
Medical Technologist 6 6 0 0
Total 125 99 17 13
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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) 3 0 0 0 3
X-ray machine (300 mA) 1 0 0 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 2 0 0 0 2
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
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 1 0 0 2
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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

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 1 1 0 0 2
Sucker machine (electric) 3 2 0 0 5
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 1 0 1 0 2
ECG machine 1 1 1 0 3
Echocardiogram machine 2 1 0 0 3
Cardiac monitor 3 1 0 0 4
Holter monitor 0 0 0 0 0
Nebulizer machine 1 0 0 0 1
Pulse oximeter 1 1 0 0 2
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 1 0 0 0 1
Laparoscopic machine 2 0 0 0 2
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 0 0
Centrifuge machine (electric) 1 0 0 0 1
Colorimeter 2 1 1 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) 2 0 0 0 2
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 0 0 0 0
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 2 1 0 0 3
Phototherapy unit 2 1 0 0 3
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 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 3 0 0 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) 1 0 0 0 1
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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 1 0 0 0 1
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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) 11 9 0 0 20
Air conditioner (window) 23 7 0 0 30
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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) 0 2 0 0 2
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 2 1 0 0 3
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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) 36 0 1 0 37
Laptop 1 0 0 0 1
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 10 3 0 0 13
Scanner 1 0 0 0 1
UPS 2 0 2 0 4
Fax 1 0 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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) 1 0 0 0 1
Multimedia 0 0 0 0 0
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 3 0 0 0 3
Mobile phone 1 0 0 0 1
Photocopier machine 1 1 0 0 2
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

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) 03 (Three) post of consultant remaining vacant. 4) 05(Five) 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 Joypurhat District Hospital, Joypurhat Sadar, Joypurhat

40