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 delighted to present health bulletin 2016 of District Sadar Hospital, Kurigram as final. Every year I egarly wait for go through the rough copy of the health bulletin before final print. This bulletin in fact tell us and help us to understand what we had done in the past year and what we have to be done in the next . This health bulletin not only contain all the health service related information of the District sadar hospital kurigram but also is a guide book for future planning. I am grateful to Dr.Abul Kalam Azad honorable Additional Director General (Admin) & Director, Management Information System (MIS) Directorate General of Health Services and Dr.Md.Mozammal Hossain honorable Divisional Director (health) Rangpur and their team mates for their constant support to and guidance for our activities. Finally I congratulate members of my publication team for their creative and relentless efforts to improve the quality of health bulletin.

Dr. Ajay Kumar Roy
Superitendent
Kurigram District Hospital
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

2

EDITORIAL BOARD

Chief Editor

Dr. Ajay Kumar Roy, Superintendent


Editors

1. Dr. Nazrul Islam, RMO

2. Dr. Sawpon Kumar Biswas, Medical Officer

3. Dr. Md. Al Amin Masud, Mo

4. Dr. Shahinur Rahman Sardar, MO

Contributors

1. Md. Eunus Ali, UDA

2. Md. Aktaruzzaman, Office Assistant

3. Abul Hyat Muhmud Hosen, HMIS Consultant


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 Kurigram District Hospital, Kurigram Sadar, Kurigram

3

Basic Information
Name of the District Kurigram
Organization Code 10001317
Name of Superitendent Dr. Ajay Kumar Roy
Land Phone No. 1 058161466
Land Phone No. 2 N/A
FAX No. N/A
Mobile No. 01713200322
Email kurigram@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 25.7603 And Long: 89.6260
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

4

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
District Hospital 1 100
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

5

No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 1,398



Neonatal Mortality Rate: 147.4 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 8,212
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 Kurigram District Hospital, Kurigram Sadar, Kurigram

7

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

Indicator Hospital Total
Reg. Pregnent Women 4612
At least 1 ANC 4612
ANCs (4+) 250
Normal Delivery 848
Cesarean Section 637
Other Assisted Delivery 5
PNC Within 2 days 1725
Maternal Death 7
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 18961 16514 35,475 55881 78133 134,014 74842 94647 169489
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 5718 6418 12,136 11799 12637 24,436 17517 19055 36572
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 2597 2997 5,594 9220 10396 19,616 11817 13393 25210
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 138 116 254 130 101 231 268 217 485
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

12

Morbidity Profile

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

Total No. of admitted patients reviewed for under five morbidity profile 5594
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2111 37.7
2 J18 J18 Pneumonia, organism unspecified 830 14.8
3 A419 A419 Septicaemia, unspecified 704 12.6
4 P071 P071 Other low birth weight 207 3.7
5 E46 E46 Unspecified protein-energy malnutrition 196 3.5

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 12214
No. ICD-10 Code Disease name No. of Cases %
1 Y00 Y00 Assault by blunt object 1737 14.2
2 J44 J44 Other chronic obstructive pulmonary disease 1021 8.4
3 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 625 5.1
4 R509 R509 Fever, unspecified 447 3.7
5 J45 J45 Asthma 441 3.6
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

13

Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 254
No. ICD-10 Code Disease name No. of Cases %
1 A419 A419 Septicaemia, unspecified 92 36.2
2 P21 P21 Birth asphyxia 77 30.3
3 P071 P071 Other low birth weight 44 17.3
4 J11 J11 Influenza, virus not identified 38 15.0
5 A87 A87 Viral meningitis 2 0.8

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 7
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 2 28.6
2 O15 O15 Eclampsia 2 28.6
3 O06 O06 Unspecified abortion 2 28.6
4 A41 A41 Other septicaemia 1 14.3
5 0.0
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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) 201
No. ICD-10 Code Disease name No. of Cases %
1 I516 I516 Cardiovascular disease, unspecified 61 30.3
2 I110 I110 Hypertensive heart disease with (congestive) heart failure 33 16.4
3 I469 I469 Cardiac arrest, unspecified 24 11.9
4 R092 R092 Respiratory arrest 21 10.4
5 V892 V892 Person injured in unspecified motor-vehicle accident, traffic 21 10.4
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

15

Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 67833
Bed Occupancy Rates (%) 185.8
Average Length of Hospital Stay (No. of days per patient) 2.7
Hospital Death Rate (%) 1.9
Surgeries done in the Hospital
Type No.
Major Surgeries 701
Minor Surgeries 852
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 10 5 0 5 5 50.0
Grade 6 12 5 0 5 7 58.3
Grade 7 0 0 0 0 0 0.0
Grade 8 19 3 1 4 15 78.9
Grade 9 0 0 0 0 0 0.0
Grade 10 40 0 31 31 9 22.5
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 10 5 1 6 4 40.0
Grade 12 0 0 0 0 0 0.0
Grade 13 2 1 0 1 1 50.0
Grade 14 5 2 0 2 3 60.0
Grade 15 0 0 0 0 0 0.0
Grade 16 9 1 3 4 5 55.6
Grade 17 1 0 0 0 1 100.0
Grade 18 1 0 0 0 1 100.0
Grade 19 1 1 0 1 0 0.0
Grade 20 27 13 2 15 12 44.4
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 0 0 0
Grade 5 8 0 8
Grade 6 3 0 3
Grade 7 1 3 4
Grade 8 7 2 9
Grade 9 0 7 7
Grade 10 0 20 20
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

19

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
DH/GH
Grade 11 0 3 3
Grade 12 0 0 0
Grade 13 1 1 2
Grade 14 0 2 2
Grade 15 1 0 1
Grade 16 0 0 0
Grade 17 10 0 10
Grade 18 0 2 2
Grade 19 2 0 2
Grade 20 2 0 2
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 42 16 3 3
Nurse 38 32 3 4
Medical Assistant 0 0 0 0
Medical Technologist 6 2 0 0
Total 86 50 6 7
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 1 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 1 0 1 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 1 0 0 0 1
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 2 1 0 0 3
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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

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 5 3 0 0 8
Sucker machine (electric) 6 0 6 0 12
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 0 0 0 0 0
ECG machine 2 2 0 0 4
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 1 1
Holter monitor 0 0 0 0 0
Nebulizer machine 6 0 4 0 10
Pulse oximeter 3 0 2 0 5
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 Kurigram District Hospital, Kurigram Sadar, Kurigram

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 1 0 0 0 1
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 0 0 0 1
Centrifuge machine (electric) 3 2 0 0 5
Colorimeter 1 1 0 0 2
Electrolyte analyzer 1 0 0 0 1
ELISA machine 0 0 0 0 0
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 1 0 0 0 1
Microscope (binocular) 2 0 2 0 4
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 1 0 0 0 1
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 1 0 0 0 1
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 0 1 0 3
Phototherapy unit 8 2 2 0 12
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 1 0 0 0 1
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 Kurigram District Hospital, Kurigram Sadar, Kurigram

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 Kurigram District Hospital, Kurigram Sadar, Kurigram

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

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) 0 0 0 0 0
Air conditioner (window) 5 1 0 0 6
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 1 0 0 4
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 Kurigram District Hospital, Kurigram Sadar, Kurigram

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) 10 0 2 0 12
Laptop 3 0 0 1 4
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 1 2 0 6
Scanner 0 0 0 0 0
UPS 10 0 2 0 12
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

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 2 0 0 0 2
Mobile phone 1 0 0 0 1
Photocopier machine 0 1 1 0 2
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

39

Important information and necessary issues you want to raise
District Sadar hospital, Kurigram is the only secondary hospital of the district. As kurigram is one of the poorest district of northern Bangladesh and it has got nine sub-districts with 2.2 million population , the bed occupancy rate of the hospital is around 185%, Besides that out of 42 physician only 16 post are full filled and infrastructure of the hospital is very poor . 250 beded hospital is under construction. Supplies are not sufficient . Among the admitted patient diarrhea ranks at 1st. Out of 25210 admitted patient diarrhea was 3362 that is 14%. Post of Consultant anesthetist were vacant throughout the year till today . Due to lake of anesthesiologist rate of surgery was very poor . Though 701 Major surgery was done .Now I like to mention some important issues which should be solved immediately for better services. (1) Vacant post of MO, EMO, IMO and anesthesia Consultant should be filled immediately. 2) Infrastructure needs urgent renovation and repair and 3) Installation of CC camera. Finally I thanks of all my colleagues for their great support in 2015 for the better achievement in hospital service delivery . Thanks to all.
Local Health Bulletin 2016 for Kurigram District Hospital, Kurigram Sadar, Kurigram

40