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

Preface

It is my great pleasure to publishe local health bulletin 2016 to published with the technical & financial support of MIS, DGHS. This health bulletin period of the year 2015 and there are available data for period of January 15 to December 15. It is expected that health bulletin will help us to understand progressing trend. From this bulletin, we would be able to take steps to achieve goals. I hope that the facility specific data will guide & help the policy makers and others concerned to take future step in improving the health services. I like to thank all who are involved in developing and editing. The health bulletin & special thanks to MIS, DGHS for provides technical & financial support. Dr. Nuruzzaman Ahmed Superintendent, 100 beds Hospital, Lalmonirhat.

DR. NURUZZAMAN AHMED
Superitendent
Lalmonirhat District Hospital
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

2

EDITORIAL BOARD

Chief Editor

DR. NURUZZAMAN AHMED, SUPERINTENDENT


Special Acknowledgement

1. Eng.A.S.M.Saeed , Member of parliament, 18 Lalmonirhat-3, Member, Standing committee on ministry of Housing and public works Bangladesh Parliament.

Editors

1. Dr Mahamuda Begum, Sr. Consultant (Gyn & Obs)

2. Dr. Md. Hafizur Rahman , Jr. Consultant(Paediatrics)

3. Dr. Md. Shaheb Ali, Jr. Consultant(Surgery)

4. Dr. Md. Abdur Razzaque, Jr. Consultant(Anesthesia)

5. Dr. Md. Azmal Hoque, RMO

6. Md. Maidul Islam, Office Asstt. Cum Data Entry Operator

Contributors

1. Ferdous Ara Begum, Nursing Supervisor

2. Amrita Kumar Barman, Nursing Supervisor


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 Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

3

Basic Information
Name of the District Lalmonirhat
Organization Code 10001353
Name of Superitendent DR. NURUZZAMAN AHMED
Land Phone No. 1 059161534
Land Phone No. 2 N/A
FAX No. N/A
Mobile No. 01712080990
Email lalmonirhat@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 26.0025 And Long: 89.2910
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

4

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

5

No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 649



Neonatal Mortality Rate: 75.5 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 11,382
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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 Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

7

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

Indicator Hospital Total
Reg. Pregnent Women 3056
At least 1 ANC 3056
ANCs (4+) 125
Normal Delivery 623
Cesarean Section 67
Other Assisted Delivery 16
PNC Within 2 days 705
Maternal Death 2
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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 6499 5633 12,132 49915 55166 105,081 56414 60799 117213
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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 1888 1712 3,600 6857 6707 13,564 8745 8419 17164
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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 1287 1021 2,308 4064 3969 8,033 5351 4990 10341
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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 31 39 70 33 21 54 64 60 124
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

12

Morbidity Profile

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

Total No. of admitted patients reviewed for under five morbidity profile 2308
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 575 24.9
2 J22 J22 Unspecified acute lower respiratory infection 433 18.8
3 R509 R509 Fever, unspecified 214 9.3
4 E440 E440 Moderate protein-energy malnutrition 64 2.8
5 J21 J21 Acute bronchiolitis 26 1.1

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 7045
No. ICD-10 Code Disease name No. of Cases %
1 Y009 Y009 Assault by blunt object, unspecified place 1466 20.8
2 R509 R509 Fever, unspecified 367 5.2
3 V861 V861 Passenger of all-terrain or other off-road motor vehicle injured in traffic accident 328 4.7
4 I10 I10 Essential (primary) hypertension 272 3.9
5 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 261 3.7
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

13

Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 70
No. ICD-10 Code Disease name No. of Cases %
1 P210 P210 Severe birth asphyxia 36 51.4
2 J189 J189 Pneumonia, unspecified 8 11.4
3 A419 A419 Septicaemia, unspecified 8 11.4
4 P769 P769 Intestinal obstruction of newborn, unspecified 3 4.3
5 R100 R100 Acute abdomen 3 4.3

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 2
No. ICD-10 Code Disease name No. of Cases %
1 O15 O15 Eclampsia 2 100.0
2 0.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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) 42
No. ICD-10 Code Disease name No. of Cases %
1 I21 I21 Acute myocardial infarction 9 21.4
2 I679 I679 Cerebrovascular disease, unspecified 7 16.7
3 J449 J449 Chronic obstructive pulmonary disease, unspecified 4 9.5
4 J458 J458 Mixed asthma 2 4.8
5 I64 I64 Stroke, not specified as haemorrhage or infarction 2 4.8
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

15

Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 34323
Bed Occupancy Rates (%) 94.0
Average Length of Hospital Stay (No. of days per patient) 3.3
Hospital Death Rate (%) 1.2
Surgeries done in the Hospital
Type No.
Major Surgeries 214
Minor Surgeries 1045
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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 7 0 1 1 6 85.7
Grade 6 12 4 0 4 8 66.7
Grade 7 0 0 0 0 0 0.0
Grade 8 19 1 0 1 18 94.7
Grade 9 1 0 0 0 1 100.0
Grade 10 32 5 25 30 2 6.3
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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 12 4 1 5 7 58.3
Grade 12 0 0 0 0 0 0.0
Grade 13 4 4 0 4 0 0.0
Grade 14 2 1 1 2 0 0.0
Grade 15 7 3 0 3 4 57.1
Grade 16 11 9 2 11 0 0.0
Grade 17 3 1 0 1 2 66.7
Grade 18 0 0 0 0 0 0.0
Grade 19 1 1 0 1 0 0.0
Grade 20 21 15 2 17 4 19.0
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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 1 0 1
Grade 5 1 1 2
Grade 6 2 0 2
Grade 7 2 0 2
Grade 8 3 3 6
Grade 9 0 4 4
Grade 10 5 18 23
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

19

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
DH/GH
Grade 11 0 1 1
Grade 12 1 0 1
Grade 13 4 0 4
Grade 14 2 1 3
Grade 15 2 0 2
Grade 16 9 2 11
Grade 17 8 1 9
Grade 18 0 0 0
Grade 19 5 0 5
Grade 20 4 1 5
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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 39 7 0 1
Nurse 38 31 2 2
Medical Assistant 0 0 0 0
Medical Technologist 9 4 0 0
Total 86 42 2 3
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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) 0 1 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) 2 0 0 0 2
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 Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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

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 2 0 2 9
Autoclave 1 0 8 0 9
Electric cautery machine 2 0 2 0 4
Diathermy machine 4 3 2 0 9
Operating microscope 0 1 0 0 1
Ceiling mounting OT Light 2 5 0 0 7
Portable OT Light 0 2 0 0 2
Fracture table 0 0 0 0 0
Hydrolic OT Table 7 3 0 0 10
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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 0 2 2 5
Sucker machine (electric) 1 4 0 1 6
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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

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

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

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) 2 0 0 0 2
Colorimeter 1 0 0 0 1
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 1 0 0 3
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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 Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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 Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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

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 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 Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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 Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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 Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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) 4 0 0 0 4
Air conditioner (window) 1 0 0 0 1
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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

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) 11 3 0 0 14
Laptop 4 0 0 0 4
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 2 0 0 7
Scanner 1 0 0 0 1
UPS 9 0 0 0 9
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 Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

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) 2 0 0 0 2
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 1 0 0 0 1
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

39

Important information and necessary issues you want to raise
There is large number of consultant & doctors post are vacant. Specially M.O, E.M.O, Asst. Surgeon, Senior Consultant, Junior Consultant & Consultant. Which is constrain for proper delivery of service. Eight Asstt. Surgeons post which are not filled up. As these post are not counted as 2 year service period at sub center level. So, service in these 8 Asstt. surgeon of 100 bed hospital to be counted as service at sub center level and post to be filled up to have better health service. Dr. Nuruzzaman Ahmed, Superintendent, 100 beds hospital, Lalmonirhat.
Local Health Bulletin 2016 for Lalmonirhat District Hospital, Lalmonirhat Sadar, Lalmonirhat

40