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

Preface

The 500 bedded, Kurmitola General Hospital was built three years back with a view to ensure proper health care services to the habitants of the northern part of greater Dhaka, especially the distressed poor community. Presently the hospital is functioning full swing with only 40% of approved manpower including indoor, outdoor, surgery, pathology, radiology, dialysis and burn unit etc. Due to paucity of manpower, budget and other logistics, some departments, like Blood bank, ICU, CCU, Neuro-medicine, Nero-Surgery, Psychiatry, physical medicine etc. are yet to begin. Hospital is now vibrant with almost 21-2500 outdoor patients and 300-350 indoor patients daily. It was revealed in last MIS conference in DGHS that this hospital faced second highest outdoor patients turnout among all the hospitals in country. It is reducing the patient-load of Dhaka Medical College Hospital, Suhruwardi Medical College Hospital, NITOR & other hospitals around the city. Since its journey began, it has proved its uniqueness by serving humanity and working towards only proposed green hospital in public sector. It has also acted as the maiden MRCS examination centre sponsored by Royal College of Surgeons (RCS), IHR (International health regulation) partner, and nationally recognized only “Ebola” or any emerging infectious disease(e.g. MERS, cor, Zica etc) management ward. If all the requirements are fulfilled by the concerned authority, it will be a center of excellence very soon.

Brigadier General Khondaker Shahidul Ghani
Superitendent
Kurmitola 500 Bed General Hospital

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EDITORIAL BOARD

Chief Editor


Brigadier General Khondaker Shahidul Ghani, Director


Special Acknowledgement


1. Md. Delower Hossain, Head Assistant

Editors


1. Lt. Col Md Saiful Islam, Asst. Director

Contributors


1. Dr. Farhana Noman, Jr. Consultant (Pediatrics)

2. Dr. Asma Rumanaz Shahid, Jr. Consultant (Gynee & Obs)

3. Mohammad Abdur Rahim, Computer Operator

4. MD. Fazle Rabbi, Record Keeper


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 Dhaka
Organization Code 10017209
Name of Superitendent Brigadier General Khondaker Shahidul Ghani
Land Phone No. 1 8872113
Land Phone No. 2 8872114
FAX No. 8871989
Mobile No. 01769010200
Email kurmitola500bed@hospi.dghs.gov.bd
GPS location in the Hospital Lati: N/A And Long: N/A

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
District Hospital 1 500

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 348



Neonatal Mortality Rate: 2.9 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : N/A

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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 20448
At least 1 ANC 20448
ANCs (4+) 3067
Normal Delivery 81
Cesarean Section 267
Other Assisted Delivery 0
PNC Within 2 days 548
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 12023 11130 23,153 266466 190000 456,466 278489 201130 479619

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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 1022 731 1,753 18817 14017 32,834 19839 14748 34587

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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 3246 2865 6,111 10054 9600 19,654 13300 12465 25765

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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 1 0 1 55 35 90 56 35 91

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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 6111
No. ICD-10 Code Disease name No. of Cases %
1 J00 J00 Acute nasopharyngitis [common cold] 1513 24.8
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 626 10.2
3 A010 A010 Typhoid fever 203 3.3
4 E46 E46 Unspecified protein-energy malnutrition 113 1.8
5 T509 T509 Other and unspecified drugs, medicaments and biological substances 49 0.8

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 19654
No. ICD-10 Code Disease name No. of Cases %
1 R50 R50 Fever of unknown origin 1611 8.2
2 K27 K27 Peptic ulcer, site unspecified 986 5.0
3 N39 N39 Other disorders of urinary system 366 1.9
4 R10 R10 Abdominal and pelvic pain 239 1.2
5 K80 K80 Cholelithiasis 214 1.1

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 01
No. ICD-10 Code Disease name No. of Cases %
1 P369 P369 Bacterial sepsis of newborn, unspecified 01 100.0
2 0.0
3 0.0
4 0.0
5 0.0

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) 90
No. ICD-10 Code Disease name No. of Cases %
1 V99 V99 Unspecified transport accident 31 34.4
2 T142 T142 Fracture of unspecified body region 11 12.2
3 S069 S069 Intracranial injury, unspecified 7 7.8
4 I110 I110 Hypertensive heart disease with (congestive) heart failure 6 6.7
5 A419 A419 Septicaemia, unspecified 2 2.2

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 88605
Bed Occupancy Rates (%) 48.6
Average Length of Hospital Stay (No. of days per patient) 3.4
Hospital Death Rate (%) 0.4
Surgeries done in the Hospital
Type No.
Major Surgeries 2155
Minor Surgeries 3192

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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 1 1 0 1 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 2 1 0 1 1 50.0
Grade 5 0 0 0 0 0 0.0
Grade 6 18 13 5 18 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 3 1 1 2 1 33.3
Grade 9 52 15 36 51 1 1.9
Grade 10 77 0 66 66 11 14.3

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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 14 6 8 14 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 3 3 0 3 0 0.0
Grade 14 8 2 0 2 6 75.0
Grade 15 0 0 0 0 0 0.0
Grade 16 16 6 2 8 8 50.0
Grade 17 0 0 0 0 0 0.0
Grade 18 1 0 0 0 1 100.0
Grade 19 0 0 0 0 0 0.0
Grade 20 8 3 0 3 5 62.5

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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 1 0 1
Grade 3 0 0 0
Grade 4 2 0 2
Grade 5 0 0 0
Grade 6 13 5 18
Grade 7 0 0 0
Grade 8 1 1 2
Grade 9 15 36 51
Grade 10 0 66 66

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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 6 8 14
Grade 12 0 0 0
Grade 13 3 0 3
Grade 14 2 0 2
Grade 15 0 0 0
Grade 16 6 2 8
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 3 0 3

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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 72 69 0 0
Nurse 76 66 0 0
Medical Assistant 0 0 0 0
Medical Technologist 14 14 0 0
Total 162 149 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) 0 0 0 0 0
X-ray machine (300 mA) 0 0 0 0 0
X-ray machine (500 mA) 1 0 0 0 1
X-ray machine (digital) 1 0 0 0 1
X-ray machine (portable) 1 0 0 0 1
Dental X-ray unit 1 0 0 0 1
Spiral CT Scan 1 0 0 0 1
C-arm 3 0 0 0 3
Mamogram machine 0 0 0 0 0
Dehumidifier 10 0 0 0 10

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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 1 0 0 0 1
Ultrasonogram machine 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
Anesthesia machine with ventilator 12 0 0 0 12
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 6 0 0 0 6
Electric cautery machine 3 0 0 0 3
Diathermy machine 17 0 0 0 17
Operating microscope 1 0 0 0 1
Ceiling mounting OT Light 11 0 0 0 11
Portable OT Light 6 0 0 0 6
Fracture table 6 0 0 0 6
Hydrolic OT Table 11 0 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.)
Anesthesiology/surgical equipment
Sterilizer 4 0 0 0 4
Sucker machine (electric) 13 0 0 0 13

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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 4 0 0 0 4
ECG machine 8 0 0 0 8
Echocardiogram machine 1 0 0 0 1
Cardiac monitor 9 0 0 0 9
Holter monitor 1 0 0 0 1
Nebulizer machine 13 0 0 0 13
Pulse oximeter 14 0 0 0 14

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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 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.)
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 1 0 0 0 1
Centrifuge machine (electric) 5 0 0 0 5
Colorimeter 1 0 0 0 1
Electrolyte analyzer 2 0 0 0 2
ELISA machine 1 0 0 0 1
Gas analyzer 1 0 0 0 1
Hormone analyzer 1 0 0 0 1
Blood cell counter 1 0 0 0 1
Microscope (binocular) 5 0 0 0 5

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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

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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 1 0 0 0 1
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 5 0 0 0 5
Phototherapy unit 5 0 0 0 5

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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 2 0 0 0 2
pH meter 0 0 0 0 0
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 2 0 0 0 2
Blood plasma separating machine 0 0 0 0 0
Platelet separating machine 0 0 0 0 0
Deep freeze (plasma) 10 0 0 0 10
Deep freeze (RBC) 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.)
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 1 0 0 0 1
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) 41 0 0 0 41
Air conditioner (window) 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.)
Generator
Generator (diesel/petrol) 3 0 0 0 3
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 12 0 0 0 12

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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) 55 0 0 0 55
Laptop 5 0 0 0 5
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 15 0 0 0 15
Scanner 2 0 0 0 2
UPS 25 0 0 0 25
Fax 1 0 0 0 1
Intercom 56 0 0 0 56
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) 1 0 0 0 1
Multimedia 1 0 0 0 1
OHP 0 0 0 0 0
PA system 1 0 0 0 1
Land phone 6 0 0 0 6
Mobile phone 0 0 0 0 0
Photocopier machine 1 1 0 0 2
Digital camera 1 0 0 0 1
Video camera 0 0 0 0 0

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Important information and necessary issues you want to raise
I would like to address some of the important issues which if solved will help us to achieve better results in terms of patients care: 1. Acute shortage of manpower. This 500 bedded hospital is currently being run by 40% of manpower which definitely hinders patient care. Remaining 60% manpower should be approved soon by concerned authority to overcome the present condition. 2. Nurse patient ratio is much lower than expected should be improved. 3. Burn & Plastic Surgery unit of KGH is still running short of skill manpower, it should be fulfilled by arranging required manpower (trained burn care nurses & dressers.) 4. New 15 bedded ICU is going to be established shortly but still without intensivist & anesthetist. 5. EBOLA, Infectious disease including Zica ward has already been established in this hospital without proper infrastructures as recommended by Bio Safety experts. 6. Dialysis unit has been established without neurologists. All activities and achievements will be more effective if DGHS & MOHFW looks into the above difficulties and take steps to resolve it.

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