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

Preface

It is a memorable event for me that heath bulletin-2016, which is a publication of general hospital. Khulna is going to be displayed. I would like to pay my gratitude to management information system of DGHS for this time-fitting notion. I believe this type of bulletin detailing with data availability and quality will play an effective role in nourishing digital system across the health care network. Disinclined flaws are not unlikely as because of our first experience. But i hope there will be enough scope for perfection in the future health bulletin. I am grateful to my colleagues and staffs who were associated with this health bulletin 2017. (Dr. A.S.M Abdur Razzak) Civil Surgeon Cum Superintendent General Hospital, Khulna.

Dr. A.S.M Abdur Razzak
Superitendent
Khulna 150 Bed General Hospital
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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EDITORIAL BOARD

Chief Editor

Dr. A.S.M Abdur Razzak, Civil Surgeon Cum Superintendent


Special Acknowledgement

1. Md. Shahin Mollah, Head Assistant

Editors

1. Dr. Mahabubur Rahman, RMO

Contributors

1. Md. Moshiur Rahman, Office Assistant

2. Md. Kamruzzaman, Office Assistant


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 Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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Basic Information
Name of the District Khulna
Organization Code 10001805
Name of Superitendent Dr. A.S.M Abdur Razzak
Land Phone No. 1 041721128
Land Phone No. 2 041723433
FAX No. 041721128
Mobile No. 01730324797
Email khulna@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 22.8155 And Long: 89.5655
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 475



Neonatal Mortality Rate: N/A (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 5,424
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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;

Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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

Indicator Hospital Total
Reg. Pregnent Women 2643
At least 1 ANC 2643
ANCs (4+) 1124
Normal Delivery 209
Cesarean Section 266
Other Assisted Delivery 0
PNC Within 2 days 1023
Maternal Death 0
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 6148 8475 14,623 59962 106402 166,364 66110 114877 180987
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 4048 5245 9,293 12930 8011 20,941 16978 13256 30234
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 268 312 580 3169 4946 8,115 3437 5258 8695
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 0 0 0 60 34 94 60 34 94
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 223
No. ICD-10 Code Disease name No. of Cases %
1 D599 D599 Acquired haemolytic anaemia, unspecified 55 24.7
2 J22 J22 Unspecified acute lower respiratory infection 43 19.3
3 J20 J20 Acute bronchitis 40 17.9
4 N04 N04 Nephrotic syndrome 37 16.6
5 N000 N000 Acute nephritic syndrome, minor glomerular abnormality 31 13.9

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 5175
No. ICD-10 Code Disease name No. of Cases %
1 I516 I516 Cardiovascular disease, unspecified 1045 20.2
2 O603 O603 Preterm delivery without spontaneous labour 992 19.2
3 J459 J459 Asthma, unspecified 820 15.8
4 R100 R100 Acute abdomen 753 14.6
5 I64 I64 Stroke, not specified as haemorrhage or infarction 686 13.3
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years
No. ICD-10 Code Disease name No. of Cases %
1
2
3
4
5

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
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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) 61
No. ICD-10 Code Disease name No. of Cases %
1 I64 I64 Stroke, not specified as haemorrhage or infarction 25 41.0
2 I21 I21 Acute myocardial infarction 11 18.0
3 J46 J46 Status asthmaticus 8 13.1
4 T600 T600 Organophosphate and carbamate insecticides 6 9.8
5 I110 I110 Hypertensive heart disease with (congestive) heart failure 5 8.2
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 52965
Bed Occupancy Rates (%) 96.7
Average Length of Hospital Stay (No. of days per patient) 6.1
Hospital Death Rate (%) 1.1
Surgeries done in the Hospital
Type No.
Major Surgeries 764
Minor Surgeries 10240
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 5 3 0 3 2 40.0
Grade 6 7 5 1 6 1 14.3
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 22 10 6 16 6 27.3
Grade 10 155 2 134 136 19 12.3
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 7 6 1 7 0 0.0
Grade 12 7 0 1 1 6 85.7
Grade 13 1 1 0 1 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 9 8 1 9 0 0.0
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 56 34 12 46 10 17.9
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 1 0 1
Grade 5 3 1 4
Grade 6 4 0 4
Grade 7 10 3 13
Grade 8 0 68 68
Grade 9 11 0 11
Grade 10 0 63 63
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 1 1 2
Grade 13 6 1 7
Grade 14 4 0 4
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 26 7 33
Grade 18 3 1 4
Grade 19 5 4 9
Grade 20 0 0 0
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 34 25 5 5
Nurse 155 134 5 8
Medical Assistant 0 0 0 0
Medical Technologist 3 3 0 0
Total 192 162 10 13
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 1 0 0 2
X-ray machine (500 mA) 1 0 0 0 1
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 0 0 0 0 0
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
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 3 0 0 0 3
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 4 1 0 0 5
Autoclave 2 0 0 0 2
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 0 0 0 2
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 3 1 0 0 4
Portable OT Light 1 0 0 0 1
Fracture table 0 0 0 0 0
Hydrolic OT Table 6 0 0 0 6
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 1 0 0 0 1
Sucker machine (electric) 2 0 0 0 2
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 0 0 0 2
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 2 0 0 0 2
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 0 0 4
Colorimeter 2 0 0 0 2
Electrolyte analyzer 0 0 0 0 0
ELISA machine 1 0 0 0 1
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 0 0 0 0 0
Microscope (binocular) 4 0 0 0 4
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 1 0 1
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 3 0 0 0 3
Phototherapy unit 3 0 0 0 3
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 2 0 0 0 2
Blood bank refrigerator 7 0 0 0 7
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 Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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) 10 1 0 0 11
Air conditioner (window) 2 1 0 0 3
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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) 2 0 0 0 2
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 Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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) 28 0 4 0 32
Laptop 4 0 0 0 4
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 2
Printer (laser) 6 0 3 0 9
Scanner 0 0 0 0 0
UPS 12 0 3 0 15
Fax 0 0 1 0 1
Intercom 0 0 0 0 0
Internet fixed line 1 0 0 0 1
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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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 0 0 0 0 0
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 11 0 0 0 11
Mobile phone 1 0 0 0 1
Photocopier machine 0 0 1 0 1
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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Important information and necessary issues you want to raise
150 Bed Hospital, Khulna is running with High bed occupancy Rate. But hospital facility is limited due to A) Shortage of Manpower B) Absent of ICU & CCU C) Neurology & Cardiology Department D) No Residence for RMO, Doctors and Staff E) Facility for doctors absolute such as 1. No Conference room for Doctors 2. In educate sitting arrange for doctors and 3. No toilet Facility.
Local Health Bulletin 2016 for Khulna 150 Bed General Hospital, Khulna Sadar, Khulna

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