About Hospital Services on 2070/071 · S. No. Types of Emergency Services Recorded Service on Three F.Y. 2068/069 2069/070 2070/071 Trends 1 General Emergency Cases 13,645 13,168

About

Hospital Services on 2070/071of

Infrastructure• Hospital ownership land:

a. 08-04-9.5 Bigaha as a Lalpurja given by Malpot Office, Rupandehi

b. But now, it is limited in 06-07-16.5 (Bigaha)(minimized land is 01-16-12.5 (Bigaha)

• Own Building:– Hospital area: Inadequate– Doctor quarter : 21 (Inadequate and Improper)– Staff quarter: 35 (Inadequate and Improper) – Other: No quarter for Matron, Sisters and Other Officer

levels health Personnel and improper for assistant levels health Personnel .

• Ambulance : 2

• Major Medical Equipment:– USG Machine :- 4 (Functioning )– X-ray Machine :- 2 (Functioning)– ECG Machine :- 2 (Functioning)– Endoscopy Machine :- 1 (Functioning)– Audiogram Machine :- 1 – Tympanogram :- 1– Tympanogram Machine :- 1

Infrastructure• No of Sectioned Bed:

a. As a Management by NG 100 Bed

b. As a Management by HDC 100 Bed

c. Total Authorized 100 Bed

• No of available bed:a. As a Management by NG 100 Bed

b. As a Management by HDC 35 Bed

c. Total Authorized 135Bed

– General : 122

– Cabin : 13

– Total : 135

– Emergency Observation Bed : 16

Infrastructure Department Deluxe

cabin

Cabin Beds

(General Cabin)

Semi

Cabin

Beds

General

Beds

Total beds

Medical ward - 6 - 25 31

Pediatric 7 18 25

Orthopedic - - - 14 14

Post operation - - - -

Gynecology - - - 25 25

Surgical - - - 26

ICU - - - 6 (No Functioning)

6 (No Functioning)

NICU - - - - -

Maternity - - - 14 14

Dialysis - - - -

Inpatient Bed - 13 - 122 135

Emergency

Observation- - - 16 16

Human Resource Situation (NG)

Designation Santioned Filled Vacant% of

Vacant Post

Working on

Contract and Locally

Recruited

Doctors 29 24 + Karar 5=29 5 17.2%

HA / SAHW /PHI 1 1 0.0%

Metron, Sister and

Staff Nurse28 25 3 10.0%

AHW/SAHW 4 5 0.0%

Stay Order

= 1

ANM/SANM 3 4 0.0%Kaj =1

Lab Personnel 7 7 0.0%

Others 47 46 1 2.1%Kaj = 1

Total 119 113 9 7.6 %

Data as end of Ashar 2071

Human Resource Situation (HDC)

Designation Santioned Filled Vacant% of

Vacant Post

Working on Contract

and Locally Recruited

Doctors 4 4 0.0%

HA / SAHW /PHI 0 0

Staff Nurse 5 5 0.0%

AHW/SAHW 16 16 0.0%

ANM/SANM 13 13 1 (StudY Leave) 0.0%Karar =1

Lab Personnel 3 3 0.0%

Other 73 730.0%

Total 114 114 0.0%

Data as end of Ashar 2071

Finical resource from NG

Budget Budget

Allocated

Budget

Released

Budget

Expenditure

Irregularities (BERUJU)

Amount Clearances %

Clearances

Capital - - - - - -

Recurrent - - - - - -

Total - - - - - -

Source Budget

Allocated

Budget

Released

Budget

Expenditure

% Expenditure

Government 5,79,00,000.00 5,79,00,000.00 5,48,78,345.00 94.8%

EDPs - - - -

Total 5,79,00,000.00 5,79,00,000.00 5,48,78,345.00 94.8%

Budget Expenditure by source

Financial resource Locally Managed (HDC)

Source Budget

Allocated

Budget

Released

Budget

Expenditure

% of

Expenditure

Hospital Development

committee 7,83,84.864.00 7,83,84.864.00 7,5960,890.00 96.9%

Total Income7,83,84.864.00 7,83,84.864.00 7,5960,890.00 96.9%

Name of EDP Types of Support (specify)Technical Logistics Financial

- - - -

- - - -

- - - -

Financial resource Total Hospital Income

Source

Budget

Allocated

Expenditure Balance Remarks

Nepal Government

Donation 5,79,00,000.00 5,48,78,345.0030,21,655.00

Budget

Freeze

due to

Late

Release


committee7,83,84.864.00 7,59,60,890.00 24,23,974.00

Total Income13,62,84,864.00 13,08,39,235.00 24,23,974.00

Government

Freeze

Amount

deposited to

Govt.Account

Financial resource Hospital Expenditure on 2070/071

Sources of ExpenditureTypes of Expenditure

Salary Cost Non Salary Cost TotalExpenditure

Nepal Government3,44,09,592.20

(62.7%)

2,04,62,752.80

(37.3%)

5,48,78,345.00

(100.0%)


Committee

4,00,52,918.00

(52.9%)

3,59,09,972.00

(47.1%)

7,59,60,89000

(100.0%)

Total Hospital

Expenditure

7,44,62,510.20

(57.0%)

5,63,76,724.80

(43.0%)

13,08,39,235.00

(100.0%)

Major Hospital Services

• Preventative

a. Immunization Services

b. Nutrition Service

c. Safe Motherhood Services

d. Family Planning Services

e. TB Control Program

f. Leprosy Control Program

g. Malaria Control Program

h. Training Program

i. HIV/AIDS Control Program

1. ART Program

2. HTC Program

3. PMTCT Program

4. OI Control Program

5. CD4 Count Program

6. STI Control Program

7. OST Program

• Clinical Services• Inpatient Service

1. General Medical

2. General Surgery

3. Paediatric (including NRH Program)

4. Orthopaedic Surgery (including Physiotherapy)

5. ENT Service

6. Obstetric & Gynaecology

OPD Service

1. All Service Provided in Inpatients

2. Dental Service

3. Dermatology Services

4. Psychiatric ( Specialist Vacant)

Emergency ServiceGeneral Emergency, Medico-legal, Snake bite, Anti –

Rabies Vaccine, Casualty Mgmt.

Clinico Supportive Service

Laboratory, Radiology, ECG., Endoscopy etc.

Clinico Utility Service

Medical Record, Pharmacy, Housekeeping , Maintenance

etc

S. No. Types of Emergency Services

Recorded Service on Three F.Y.

Trends2068/069 2069/070 2070/071

1 General Emergency Cases 13,645 13,168 16,088 +

2 Police Cases 3,621 3,618 3,928 +

3 Total Snake Bite Cases 1,162 1,336 1,260 -

4 Obstetric & Gynacology Cases 8,314 8,323 8,964 +

5 Total Emergency Cases 26,742 26,545 30,240 -

Outcome From Emergency

1 Admitted in Indoor Department 13,562 13,377 14,017 +

2 Discharged from Emergency 11,600 11,465 14,471 +

3 Referred Out 1,336 1,412 1,557 +

4 Expired on Observation 123 150 100 -

5 LAMA (Left Against Medical Advice) 68 91 63 -

6 DOR ( Discharged On Request ) 53 50 32 -

Total Emergency 26,742 26,543 30,240 +

A Brought Death without Emergency 208 224 215 -

B Average Daily Observation Patients 17 21 22 -

S.

No.

Emergency Recording Coverage

on 2067/068 and 2068/069 Cases on

2068/069

Cases on

2069/070

Cases on

2070/071

1 Emergency Ticket Distribution From

Counter (Account Department)30,780 31,895 35,938

2Totally Free treated Emergency cases

of Obstetric & Gynanology 8,314 8,323 8,964

3 Total Emergency Cases 39,094 40,218 44,902

2 Emergency Patients Recorded 26,742 26,545 30,240

4 Emergency Recording Coverage 59.9% 66.0% 59.2%

5Missing of Emergency Record among

Total Emergency Services (with %) 12,352

(40.1%)

13,673

(34.0%)

17662

(38.8%)

6 Emergency Cases Admitted in Indoor

(with %)

13,562

(35%)

13377

(33%)

14,017

(47.9%)

% of Different Types of Emergency Outcome

on 2070/071

46.4 47.9

5.20.3 0.2 0.1

0

10

20

30

40

50

60

70

80

90

100

Indoor Discharged Referred Expired LAMA DOR

S. No. Types of OPD

Services

Counted Service on Three F.Y

Trends2068/069 2069/070 2070/071

1 New Cases 85,828 93,486 95,742 -

2 Follow Ups 15,943 15,771 17,781 -

3 Total OPD 1,01,771 1,09,257 1,13,523 -

Above Mentioned OPD Services was generated

as the OPD Ticket Selling. But We have still

missing these OPD patients which were

examined without OPD Ticket.

Estimated Department Wise OPD Patients on 2070/071

according to Sofware Data of 2071 Baishakh to Ashar 2071

S. No. Name of OPD Department % of Total

OPD Patient

Estimated Total

OPD Patients

1 Medical OPD Department 31.74 % 36,032

2 Orthopaedic OPD Department 16.09 % 18,260

3 Obs/Gyn. OPD Department 12.92 % 14,667

4 Paediatric OPD Department 9.17% 10,410

5 Dermatology OPD Department 9.15% 10,387

6 Surgical OPD Department 8.73% 9,911

7 ENT OPD Department 8.42% 9,559

8 Dental OPD Department 3.78% 4,291

Total OPD Patient on 2070/071 100.0% 1,13,523

S. No. Types of Emergency ServicesInpatients Service on Three F.Y.

Trends

2068/069 2069/070 2070/071

1 Medical Services 2,389 2,343 2,271 -

2 Surgical Services 1,144 1,1058 1,043 -

3 Paediatrics Services 1,257 1,302 1,431 +

4 Orthopedic Services 267 292 238 -

5 ENT Services 61 59 79 -

7 Obstetric & Gynecology

Service8454 8323 8,964 +

Total Inpatients 13,562 13,377 14,017 -

S.

No.

Department Cured /

Improved

Referred LAMA DOR /

ABS.

Expired Total

1 Medical 2,208 42 2 19 2,271

2 Surgical 1,038 2 1 2 1,043

3 Paediatrics 1,414 15 2 1,431

4 Orthopaedic 225 2 9 2 238

5 ENT 70 70

6 Obs/Gyn. 8,956 5 2 1 8,964

Total 13,911 61 19 4 22 14,017

% of Outcomes on

2070/071 99.2

%

0.4

%

0.1

%

0.03

%

0.2

%

100.0

%

% of Outcomes on

2069/070 98.5 % 1.1% 0.02

%

0.04

%

0.2% 100.0%

% of Outcomes on

2068/069 97.3% 2.1% 0.3% 0.1% 0.2% 100.0%

Outcomes of Inpatient Services on 2070/071

S.

No. Types of ServicesTotal Patients on Three F.Y. Trends

2068/069 2069/070 2070/071

1 Emergency

Department 26,742 26,545 30,240 +

2 OPD Department

1,01,771 1,09,771 1,13,523 +

3 Inpatient Department

13,562 13,377 14,017 +

4 Preventive and

Promotive Service

Department28,065 28,124 30,065 +

Total Patients 1,70,140 1,77,817 1,89,845 +

Hospital Services

S. No Indicators 2068/69 2069/70 2070/071Trend

( - or + )

1 Number of Sanction Beds 200 200 200 =

2 Number of Available Beds 135 135 135 =

3 Total Number of OPD Cases 1,01,771 1,09,257 1,13,523 +

4 Total Number of Emergency Cases 26742 26,545 30,240 +

5Total Number of OPD (OPD + Emergency)

Cases1,49,307 1,34,802 1,43,7632 +

6 Total Number of Inpatients Discharged 13,562 13,377 14,017 +

7Total Number of Preventative Services

Provided28,065 28,124 30,065 +

8 Total Number of Lab Services Provided 2,36,497 3.02,356 3.02,356 +

9 Total Number of Hospital Services Provided 1,70,140 1,77,817 1,89,845 +

10 Total Number of Delivery Conducted 7172 7461 7,882 +

11 Referral Cases (In) Total 607 795 803 +

12 Referral Cases (Out) Total 1785 1555 1,618 +

13 Total Maternal Deaths 2 3 1 -

14 Total Number of Hospital Deaths 188 177 122 +

Hospital IndicatorsSN Indicators

2068/69 2069/70 2070/71Trend

( - or+ )

1 Total OPD Visits as % of Total Population 3.0% 3.1% 3.2% +

2 % of Emergency Visits Among Total hospital Visits 16% 15% 19% +

3 Bed Occupancy Rate 85.2% 82.0% 86.8% +

4 Delivery Conducted as a % of Expected Pregnancy 29.7% 29.8% 30.4% +

5 Proportion of Non-communicable Disease among

Inpatients

88% 87% 89% +

6 Number of CAC Services Provided 523 462 421 -

7 Number of Post Abortion Care (PAC) Provided 492 394 354 -

8 Death Rate among Surgery (%) 0.0% 0.0% 0.0%

9 Death Rate among In-patients 0.2% 0.2% 0.2% =

10 Total Surgery Cases 6850 6835 6510 -

11 % of Major Surgery among Total Surgery Cases 26.0% 26.3% 29.1 +

12 Doctor: In-patient Ratio 590 582 584 +

13 Doctor: Out patient Ratio 4425 4751 4957 +

14 Nurse: In-patient Ratio 295 291 305 +

S.

No.

Different Types of Hospital

Indicators

Indicators of Last Three F.Y.

Inpatients Trends

2068/069 2069/070 2070/071

1 Average Length of Stay (ALS) 3.1

Days

3.0

Days

3.1

Days

+

2 Average Per Day Inpatients

(APDP)115

Patients

111

Patients

117

Patients

+

3 Bed Occupancy Rate (BOR) 85.2 % 82.0 % 86.8 % +

4 Throughput

( Total Bed Turnover)

101

Patients

99

Patients

104

Patients

+

5 Bed Turnover Interval (BTI) 0.5

Day

0.7

Day

0.4

Day

+

S.

No.Total Inpatient Services on 2070/071 Total Number of

Cases

1 Total Inpatients 14,017

2

Total Delivery 7,882

Normal Vaginal Delivery 6,048

Instrumental Delivery 463

Operated (C/S) 1,371

3 Total Obstetric Complication MGMT 113

4 Total 4th ANC Incentive Receiver 2,392 (30.3%)

5 CAC Services 421

6 PAC Services 354

7 Total Morbidity Cases 5,247

Morbidity FY 2070 / 71 Mortality FY 2070 / 71

Top Ten Diseases among

InpatientsTop Ten causes of Mortality

1. PUO 1. COPD

2. Pneumonia 2. CVA

3. COPD 3. Traumatic Cases

4. Acute Appendicitis 4. Poisoning

5. Traumatic Cases 5. GI Bleeding

6. Gastroenteritis 6. Pain Abdomen

7. Neonatal Sepsis 7. Gastroenteritis

8. TB Pulmonary 8. TB Pulmonary

9. DUB 9. Acute Liver Disease

10. Diabetes Mellitus 10. Hypertension

Top 10 Morbidity and Mortality

among Inpatients FY 2070/71

S.

No.

Different Types

of Delivery

Delivery Service on Last

Three Financial Year Trends

2068/069 2069/070 2070/071

1 Spontaneous

Vaginal Delivery(Including Complication

Management)

5655 5700 6,048 +

2 Instrumental

Delivery394 512 463 -

3 Operated (LSCS)

Delivery1123 1249 1,371 +

3 Total Delivery 7,172 7,461 7,882 +

S.

No. Types of

Operation

2068/069 2069/070 2070/071

Major Inter Minor Total Major Inter. Minor Total Major Inter. Minor Total

1 Surgical 287 215 526 1028 236 188 447 871 200 167 347 714

2

Obs / G 1253 88 147 1488 1336 78 156 1570 1497 53 142 1692

CAC - - 523 523 - - 462 462 421 421

PAC - - 492 492 - - 394 394 354 354

3 ENT 66 79 184 329 74 57 494 625 71 29 435 535

4

Orthopedic 164 268 19 451 150 196 - 346 125 115 9 249

Plaster A - 235 - 235 - 177 - 235 1568 1568

Plaster B - 121 - 121 - 1706 - 121 627 627

Plaster C - - 2183 2183 - - 685 2183 350 350

Total 164 624 2202 2990 150 2079 685 2990 125 2310 359 2794

Grand Total…… 1770 1006 4074 6850 1795 2402 2638 6835 1893 2559 2058 6510

Top 10 Emergency Surgical Interventions Top 10 Elective Surgeries

Cases No. Cases No.

1. LSCS 986 1. LSCS 385

2. PAC 354 2. CAC 421

3. 3. ORIF (Open Reduction and .

.. Internal Fixation) 82

4. 4. APPENDICECTOMY 70

5. 5. CHOLECESTECTOMY 66

6. 6. HYSTERECTOMY 54

7. 7. LAPAROTOMY 43

8. 8. MESH REPAIR OF HERNIA 41

9. 9. Myrongo Plasty 34

10. 10 Removal Of Plate 28

Top 10 Emergency Surgical and

Elective Number of Surgery

Total No of Dental Surgery

0

1000

2000

3000

4000

5000

6000

7000

8000

2068/069 2069/070 2070/071

5913 6131

7503

Extactions

44414958

5124

0

1000

2000

3000

4000

5000

6000

2068/069 2069/070 2070/071

Scaling

295372

403

0

100

200

300

400

500

2068/069 2069/070 2070/071

Fillings (Restoration)

1907

576 648

0

400

800

1200

1600

2000

2400

2068/069 2069/070 2070/071

Other Dental Surgery

201

549

753

0

100

200

300

400

500

600

700

800

2068/069 2069/070 2070/071

Root Canal Treatment

297

779

1074

0

200

400

600

800

1000

1200

2068/069 2069/070 2070/071

Dental X-ray

16551535 1510

0

500

1000

1500

2000

2500

3000

3500

4000

2068/069 2069/070 2070/071

Snake Bite (S/B) Management

27 15 18 7 3

154 167 143 153117

1161 11841162 1136

1260

0

200

400

600

800

1000

1200

1400

1600

2066/067 2067/068 2068/069 2069/070 2070/071

Total S/B

Poisonous S/B

Expired

Post Exposure Treatment of Rabies

159 232 198584

403

1335

1917 2096

2320

29931494

21492294

2904

3396

0

1000

2000

3000

4000

5000

6000

7000

8000

2066/067 2067/068 2068/069 2069/070 2070/071

Total Animal Bite

Dog Bite

Other Animal Bite

No of Physiotherapy Services

3900

4000

4100

4200

4300

4400

4500

2068/069 2069/070 2070/071

4117

4443 4441

Types of Physiotherapy Patients-1

1163 1963 1901

2954

24802540

0

1000

2000

3000

4000

2068/069 2069/070 2070/071

New Follow ups

Types of Physiotherapy Patients-2

1485

1592 1558

26322851

2883

0

1000

2000

3000

4000

2068/069 2069/070 2070/071

Inpatients OPD

Plaster A

0

200

400

600

800

1000

1200

1400

1600

2068/069 2069/070 2070/071

235177

1567

Plaster B

0

200

400

600

800

1000

1200

1400

1600

1800

2068/069 2069/070 2070/071

121

1706

627

Plaster C

0

500

1000

1500

2000

2500

2068/069 2069/070 2070/071

2183

685

350

Total Plaster

0

300

600

900

1200

1500

1800

2100

2400

2700

2068/069 2069/070 2070/071

2539 2568 2545

Total Test of Pathology Service

0

50000

100000

150000

200000

250000

300000

350000

2068/069 2069/070 2070/071

258323276338

306797

Total No. of Haematology Tests

112525

124580

130189

0

20000

40000

60000

80000

100000

120000

140000

2068/069 2069/070 2070/071

Total No. of Bio-Chemistry Tests

75830

86904 99266

0

20000

40000

60000

80000

100000

120000

2068/069 2069/070 2070/071

Total No. of Immunology Tests

24448

16665

24318

0

5000

10000

15000

20000

25000

30000

2068/069 2069/070 2070/071

Total No. of Micro-Biology Tests

15639

1235612876

0

5000

10000

15000

20000

2068/069 2069/070 2070/071

Total No. of Parasitological Tests

29077 34947

38813

0

6000

12000

18000

24000

30000

36000

42000

2068/069 2069/070 2070/071

Total No. of Histo-Cytopathological Tests

804886

1337

0

300

600

900

1200

1500

2068/069 2069/070 2070/071

FNAC Tests

399

372

550

0

100

200

300

400

500

600

2068/069 2069/070 2070/071

PAP Smear Tests

83163

258

0

50

100

150

200

250

300

350

400

2068/069 2069/070 2070/071

Fluid Cytology Tests

16

90

203

0

40

80

120

160

200

240

280

320

2068/069 2069/070 2070/071

Bone Marrow Services

14

15

6

02468

101214161820

2068/069 2069/070 2070/071

Biopsy Test Tests

292

246

324

0

80

160

240

320

400

2068/069 2069/070 2070/071

Total Ultrasound Services

9187

10718 12654

0

2000

4000

6000

8000

10000

12000

14000

2068/069 2069/070 2070/071

No.of Patients

Total No. of X-ray

25259

2520322273

0

5000

10000

15000

20000

25000

30000

2068/069 2069/070 2070/071

No.of Patients

Different Types of X-ray

1431515064

12918

10295 9953 9204

649 186 151

0

5000

10000

15000

20000

2068/069 2069/070 2070/071

OPD Emergency PLHA

% of X-ray among OPD PatientsS.

No.

Financial

Year

Total OPD

Cases

Total No. of

OPD Patients

X-ray

% of OPD

Patients X-ray

1 2065/066 1,13,786 15,166 11.7%

2 2066/067 1,15,986 13,243 11.4%

3 2067/068 1,18,100 15,166 12.8%

4 2068/069 1,01,771 14,315 14.1%

5 2069/070 1,09,257 15,064 13.8%

6 2070/071 1,13,523 12,918 11.38%

Grand Total 6,72,423 85,872 12.8 %

% of X-ray among Emergency Patients

S.

No.

Financial

Year

Total

Emergency

Cases

Total No. of

Emergency

Patients'

X-ray

% of

Emergency

Patients'

X-ray

1 2065/066 32,703 10,857 33.2 %

2 2066/067 26,252 11,368 43.3 %

3 2067/068 31,207 11,768 37.7 %

4 2068/069 26,742 10,295 38.5 %

5 2069/070 26,545 9,953 37.5%

6 2070/071 30,240 9,204 30.47%

Grand Total 1,73,653 63,445 36.54%

Total No. of Audiogram

89

0

428

8 0110

100

200

300

400

500

2068/069 2069/070 2070/071

No.of Services

Free Service

Total No. of Tympanogram

13

0

114

0

25

50

75

100

125

2068/069 2069/070 2070/071

Total No. of ECG Services

3566

35924037

2004

19022241

0

1000

2000

3000

4000

5000

2068/069 2069/070 2070/071

Total No.of Patients

Total No.of Female

Types of ECG Services

3566

3592

4037

1381

16551786

0

1000

2000

3000

4000

5000

2068/069 2069/070 2070/071

Total No.of Patients Total Urgent Cases

Total No. of Endoscope Services

400

338 314

186

153155

0

50

100

150

200

250

300

350

400

450

2068/069 2069/070 2070/071

Total No.of Patients

Total No.of Female

Total No. of Endoscopy Services

400

338314

136

124 100

050

100150200250300350400450

2068/069 2069/070 2070/071

Total No.of Patients Total Urgent Services

S.

NoImmunization

Program

2068/069 2069/070 2070/071

No. % No. % No. %

1 BCG (Butwal) 3801 174.1

%

3796 168.3

%

4560 158.1%

2 DPT, Hep B

(Butwal)

1688 77.3% 1780 78.4% 1941 67.3%

3 Polio (Butwal) 1688 77.3% 1780 78.4% 1941 67.3%

4 Measless (Butwal) 1796 82.2% 1842 81.2% 1993 69.1%

5 Japanese

Encephalitis (JE)

(Butwal)

1617 38.0% 1537 34.7% 1413 30.3%

6 TT 2+ (District ) 4090 17.0% 4385 18.2

%

3937 15.1%

Dropout Rate BCG VS Measles of Butwal MP (in %)

52.7 52.0 57.0

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

2068/069 2069/070 2070/071

Drop out Rate of DPD with Hep I vs III of Butwal MP

S.

No.

Drop out

Rate

2068/

069

2069/

070

2070/

071

Remarks

1 Drop out -20.7% -10.0% -3.7%

S. No

Nutrition

Program

2068/069 2069/070 2070/071

No. % No. % No. %

1NGM (New Growth

Monitoring,

(Butwal MP )

4900 45.7% 4981 44.7% 6374 58.9%

2 Iron Distribution to

Pregnant Women

(District)

10504 43.5% 8906 35.5% 8612 33.0%

3Iron Tablets to

Post Partum

Mother (District)

10973 45.5% 11257 45.0% 12442 47.6%

4 Vitamin A Capsule

to Post Partum

Mother (District)

10973 45.5% 11257 45.0% 12442 47.6%

S.

No

Safe

Motherhood

Program

2068/069 2069/070 2070/071

No. % No. % No. %

1ANC First as % of

(District)3815 15.8% 3660 14.6% 4288 16.4%

2 4th ANC as % of

Expected Preg. Of

(District)

2590 10.7% 1619 6.5% 1309 5.0%

3Total Delivery as

% of Expected

Preg. Of (District)

7172 29.7% 7461 29.8% 7882 30.3%

4 % of C/S among

Total Delivery1123 15.7% 1249 16.7%

137117.4%

S.

No

Safe

Motherhood

Program

2068/069 2069/070 2070/071

No. % No. % No. %

5CAC as % of

(District)523 2.2% 462 1.8% 421 1.6%

6 PAC as % of

Expected Preg. Of

(District)

492 2.1% 394 1.6% 354 1.4%

7PNC First as % of

Expected Preg. Of

(District)

7172 29.7% 7461 29.8% 7882 30.3%

S.

No4th ANC

Incentive

Claimed and

Distribution

2068/069 2069/070 2070/071

No. % No. % No. %

1

4th ANC incentive

claimed by mother

for last 3 years

and among Total

Delivery

536 7.5 % 945 12.7% 2393 30.4%

7.512.7 30.4

0

25

50

75

100

2068/069 2069/070 2070/071

% of Mother of 4th ANC Incentive claimed

29.729.8

30.3

0

25

50

75

100

2068/069 2069/070 2070/071

Delivery Conducted by SBA and Doctors as %

Expected Pregnancy of Rupandehi

15.716.7

17.4

0

5

10

15

20

25

30

2068/069 2069/070 2070/071

% of LSCS among Total Delivery

Maternal Death Ratio among Per 1,00,000 Live Birth

42 41

120.00

50.00

100.00

150.00

200.00

250.00

300.00

2068/069 2069/070 2070/071

S.

No

Family Planning

Program

(New Acceptors)

2068/069 2069/070 2070/071

No. % No. % No. %

4 Condom (Distributed Than) 5000 4600 4500

5 Pills (New Acceptor) 72 50 27

6 Depo (New Acceptor) 191 149 129

7 IUCD (New Acceptor) 104 80 61

8 Implant (New Acceptor) 9 49 39

S.

No

Family Planning

Program

2068/069 2069/070 2070/071

No. % No. % No. %

Current User of Modern Contraceptives

1Pills 81 55 81

2Depo 269 180 246

3IUCD 212 199 195

4Implant 90 142 122

S.

No

Family Planning

Program

2068/069 2069/070 2070/071

No. % No. % No. %

1CPR as % MWRA of

Butwal MP4879 26.4% 4827 25.2% 5132 16.4%

2 New Acceptor as %

MWRA of Butwal MP

All

648 3.5% 601 3.1% 561 1.8%

3 Sterilization (BTL) as

% of achievement

among Target

272 136.0

%

273 136.5% 305 152.5

%

Contraceptive Prevalence Rate (CPR) of Butwal MP (in%)

26.4 25.2

16.4

0

10

20

30

40

50

60

2068/069 2069/070 2070/071

Yearly Sterilization (Family Planning) Services Provided

S. No. Financial Year BTL + Laparoscopy Vasectomy Total

1 2057/058 151 27 178

2 2058/059 810 107 917

3 2059/060 108 0 108

4 2060/061 341 39 380

5 2061/062 92 3 95

6 2062/063 214 16 230

7 2063/064 191 16 207

8 2064/065 152 22 174

9 2065/066 234 8 242

10 2066/067 268 14 282

11 2067/068 231 12 243

12 2068/069 266 6 272

13 2069/070 265 8 273

14 2070/071 305 0 305

Grand Total 2628 278 3906

Malaria Slide Positivity Rate

Financial

Years

Population

of Butwal

MP

Total

No. of

Malaria

Slide

Total

No. of

Malaria

+ ve

Malari

a Slide

+ ve

Rate

Total No.

of PF

among

+ve

Case

% of PF

among

Total +ve

Case

2068/069 94,469 2,301 32 1.4% 11 34.4%

2069/070 98,150 3141 13 0.4% 3 23.1%

2070/071 1,32,987 2514 18 7.2% 5 27.8%

Annual Blood Examination Rate (ABER) of

Butwal MP

2.4

3.2

1.9

0123456789

10

2068/069 2069/070 2070/071

Disease Control Program

1400-Tuberculosis Program of Non DRTB.

a. Case Finding Rate b. Treatment Out comes

068/69 069/70 070/71 068/69 069/70 070/71

100% 88% 85% 93.5% 96% 92%

c. Sputum Conversion Rate d. Treatment Success Rate

( cured+ Complite)

068/69 069/70 070/71 068/69 069/70 070/71

94% 91% 92% 93.5% 96% 92%

123

Disease Control Program

Tuberculosis Program of MDR.TB

a. No. Of Registerd Case b. Sputum Conversion Rate

068/69 069/70 070/71 068/69 069/70 070/71

29 42 44 91% 92% 83%

c. Treatment Out comes

068/69 069/70 070/71

No case 68% 82%

124

Registered MDR/XDR Cases in District wise

District MDR TB. XDR TB.

1. Rupandehi 27 0

2. Nawal Parasi 8 2

3. Kapilvastu 9 3

4. Palpa 8 0

5. Gulmi 6 0

6. Arghakhanchi 1 0

7. Syanzja 2 1

8. Indian 2 0

Total 63 6

125

Case lode of DRTB Case

126

1800 – Leposy Control Programe

New Case Dectection Rate RFT (Release From Treatment)

MB PB MB PB

068/69 069/70 070/71 068/69 069/70 070/71 068/69 069/70 070/71 068/69 069/70 070/71

0.9% 1.0% 1.2% 0.3% 0.2% 0.6% 7 11 16 5 5 8

Prevalence Rate/10000 Disability Grade 2

MB PB MB PB

068/69 069/70 070/71 068/69 069/70 070/71 068/69 069/70 070/71 068/69 069/70 070/71

0.9% 10% 1.2% 0.3% 0.2% 0.6% 0 0 0 0 0 0

127

Male Female TG

Male Child Female Child

Total

U 1 Yr 1-4 5-14 U 1 Yr 1-4 5-14

726 610 7 - 29 44 1 15 35 1467

Programs Related to HIV/AIDS

ART Program of Lumbini Zonal Hospital

Cumulative Number Enrolment in HIV Care

End of 2070/071

Male Female TG


Total

U 1

Yr

1-4 5-14 U 1 Yr 1-4 5-14

543 432 6 - 9 39 1 6 22 1058



Cumulative Number of Patient

Ever Started ART at the end of 2070/071

Male Female TG


Total

U 1 Yr 1-4 5-14 U 1 Yr 1-4 5-14

67 34 1 - 1 - - 1 2 106



Outcome on ART

Death up to End of 2070/071

Male Female TG


Total

U 1

Yr

1-4 5-14 U 1 Yr 1-4 5-14

111 80 - - 5 5 - 2 3 206



Outcome on ART

Transfer out up to End of 2070/071

Male Female TG


Total

U 1

Yr

1-4 5-14 U 1 Yr 1-4 5-14

31 10 - - - 2 - - - 43



Outcome on ART

Patient Lost to Follow up up to End of

2070/071

Male Female TG


Total

U 1 Yr 1-4 5-14 U 1 Yr 1-4 5-14

- - - - 1 - - - - 1



Outcome on ART

Patient Stopping ART up to End of 2070/071

Male Female TG


TotalU 1

Yr1-4 5-14 U 1 Yr 1-4 5-14

334 308 5 - 2 32 1 3 17 702

Among them, Original 1st Line Regimen

219 2132 5 0 1 31 1 3 15 487

Among them, Substitute 1st Line Regimen

113 94 - - 1 1 - - 2 211

Among them, Switched in to 2nd Line Regimen

2 2 - - - - - - - 4



Number of Patient on ART

at the end of End of 2070/071

Total No. of Different Types of Risk Group provided Pre-test Counseling,

HIV test, Post-test Counseling and handover of HIV Test Reports

( VCT Service was Started in this Hospital on 27/12/2066 but Service was

Provided From 01/01/2067 )

S.

No.

Different Types of Risk Groups

Provided…………………………

2067/068 2068/069

Tested +ve % of

+ve

Tested +ve % of

+ve

1 Sex Workers 0 0 0.0% 2 1 50.0%

2 Injecting Drugs Users (IDUs) 7 1 14.3% 3 0.0%

3 Men having sex with Men (MSM) 0 0 0.0% 0.0%

4 Blood / Organ Recipients 2 0 0.0% 0.0%

5 Clients of Sex Workers 58 9 15.5% 30 5 16.7%

6 House Wives 222 18 8.1% 523 8 1.5%

7 Male Partners 1 1 100.0% 1 0.0%

8 Migrant Workers 143 50 35.0% 158 49 31.0%

9 Spouse of Migrant 195 50 25.6% 264 50 19.6%

10 Mothers to Child 85 16 18.8% 74 19 25.7%

11 Others 31 1 3.2% 89 2 2.2%

Total ……. 744 146 19.6% 1144 134 11.7%

Total No. of Different Types of Risk Group provided Pre-test Counseling, HIV test,

Post-test Counseling and handover of HIV Test Reports



S. No. Total VCT Provided to Different Types of Risk Groups

on 2067/068 to 2069/070

No. of VCT on Last Three F.Y.

(2067/068 to 2069/070)

Tested (N) +ve % of +ve

1 Sex Workers 5 2 40.0%

2 Injecting Drugs Users (IDUs) 11 1 09.1%

3 Men having sex with Men (MSM) 1 00.0%

4 Blood / Organ Recipients 3 1 33.3%

5 Clients of Sex Workers 103 16 15.5%

6 House Wives 1261 31 02.5%

7 Male Partners 3 1 33.3%

8 Migrant Workers 412 136 33.0%

9 Spouse of Migrant 673 132 19.6%

10 Mothers to Child 208 48 23.1%

11 Prison Inmates 85 6 07.1%

12 Other 205 3 01.5%

13 Total 2970 205 12.7%

Total No. of Different Types of Risk Group provided Pre-test Counseling, HIV test,

Post-test Counseling and handover of HIV Test Reports



S. No. Total VCT Provided to Different Types of Risk

Groups

No. of VCT on 2070/071


1 Sex Workers 3 1 33.3%

2 Injecting Drugs Users (IDUs) 13 1 7.7%

3 Men having sex with Men (MSM) 2 0 0.0%

4 Blood / Organ Recipients 2 1 50.0%

5 Clients of Sex Workers 75 12 16.0%

6 House Wives 692 17 2.5%

7 Male Partners 10 0 00.0%

8 Migrant Workers 96 32 33.3%

9 Spouse of Migrant 434 24 5.5%

10 Mothers to Child 73 14 19.2%

11 Prison Inmates 0 0 0.0%

12 Other 119 13 10.9%

13 Total 1519 115 07.6%

VCT provided and handover of Report for Different Medical Reason



S. No. HTC For Different Medical Reason on

2069/070On 2069/070


1 STI 16 - 00.0%

2 Tuberculosis 103 5 04.9%

3 HIV/Aids related Symptoms 96 52 54.2%

4 Pregnancy 650 11 01.7%

5 Surgery 4 - 00.0%

6 Other 412 27 19.0%

7 Total 1011 95 09.4%

VCT provided and handover of Report for Different Medical Reason



S. No. HTC For Different Medical Reason on

2069/070On 2070/071


1 STI 18 2 11.1%

2 Tuberculosis 133 6 4.5%

3 HIV/Aids related Symptoms 73 51 69.9%

4 Pregnancy 1065 3 0.3%

5 Surgery 11 2 18.2%

6 Other 219 51 23.3%

7 Total 1519 115 7.6%

PMTCT Program among ANC

(S. No. Among ANC Financial Year

2068/069 2069/070 2070/070

1 New ANC Cases3815 3680 4288

2 Pre-test

Counseled or

Received Group

Information

3255 3079 3168

3 Hiv+ve4 10 8

PMTCT Program among Delivery

(S. No.

Among

Hospital

Delivery

Financial Year

2068/069 2069/070 2070/070

1 Total Delivery7,172 7,464 7,882

2 Pre-test

Counseled or

Received Group

Information

96 96 104

3 Hiv+ve1 2 -

Opportunistic Infection Diagnosed & Treated

S.

No.

Opportunistic

Infection

OI Persons

On

2068/069

OI Persons

On

2069/070

OI Person

on

2070/071

1 Bacterial Pneumonia 1 1 -

2 Tuberculosis 23 28 25

3 Candidiasis 2 10 6

4 Diarrhoea - - -

5 Cryptocococcal Meningitis - - -

6 Pneumocysitis Jiroveci Pneumonia

(PJP)

- - -

7 Cytomegalo Virus - - -

8 Penicilliosis - - 1

9 Herpes Zoaster 6 2 5

10 Genital Herpes - - -

11 Toxoplasmosis - - -

12 Others 57 1 -

Total ……. 89 42 37

Total No. of CD4 Count VCT Cases ( CD4 Count Service was Started in this Hospital on

11/05/2066 or 27/08/2009 )

Financial Years Total CD4 Count of

HIV/Aids Cases

2066/067 326

2067/068 589

2068/069 638

2069/070 675

2070/071 938 (LZH=198 + CL=741)

Total No of CD4 Count

Victims3166

Opportunistic Infection Diagnosed & Treated

S.

No.

Opportunistic

Infection

OI Persons

On

2068/069

OI Persons

On

2069/070

OI Person

on

2070/071

1 Bacterial Pneumonia 1 1 -

2 Tuberculosis 23 28 25

3 Candidiasis 2 10 6

4 Diarrhoea - - -

5 Cryptocococcal Meningitis - - -

6 Pneumocysitis Jiroveci Pneumonia

(PJP)

- - -

7 Cytomegalo Virus - - -

8 Penicilliosis - - 1

9 Herpes Zoaster 6 2 5

10 Genital Herpes - - -

11 Toxoplasmosis - - -

12 Others 57 1 -

Total ……. 89 42 37

Total Oppertunistic Infection Treatment

on 2068/069

Financial

Years

Age Groups Sex

Under

5 yrs

5-14

yrs

15 yrs

& over

Total Male Female TG Total

No. of Persons

on Cotrimoxazole

Prophylaxis

Therapy (CPT)

75 166 2050 2291 1310 980 1 2291

Among them,

TB/HIV 0 1 30 31 24 7 0 31

PLHA 4 10 76 90 60 28 2 90

Total Opportunistic Infection

Treatment on 2068/069 and 2069/070

Financial

Years

Age Groups Sex

Under

5 yrs

5-14

yrs

15 yrs

& over


No. of Persons

on Cotrimoxazole

Prophylaxis

Therapy (CPT)

137 352 4325 4814 2793 2016 5 4814

Among them,

TB/HIV 0 3 47 50 39 11 0 50

PLHA 4 13 114 131 87 42 2 131

Total Opportunistic Infection Treatment on

2070/071 (up to End of 2070/071)

Financial

Years

Age Groups Sex

Under

5 yrs

5-14

yrs

15 yrs

& over


No. of Persons

on Cotrimoxazole

Prophylaxis

Therapy (CPT)

75 143 1752 1970 1108 856 6 1970

Among them,

TB/HIV - - 6 6 5 1 - 6

PLHA- 1 34 35 23 12 - 35

Free Treatment in Various Department of Hospital on 2070/071

S. No. Various Department Free on 2070/071

Patients Amount

1 Laboratory Department on 2069/070 10,813 Rs.20,24,878/00

2 X-ray Services 12,00 Rs.1,56,000/-

3 Ultrasound Services 797 Rs.2,78,950/-

4 ECG Services 341 Rs.52,6545/-

5 Endoscopes Services 13 Rs.4,875/-

6 Audiogram 10 Rs.1,250/-

7 Tympanogram 2 Rs.250/-

8 OPD & Emergency Department 2134

9 Inpatients Department 280

10 Poisonous Snake Bite Management 117 Rs. 37,33,200/00

2745 Vial ASVS X Rs.1360.00 = 37,33,200.00 (Rs.1,30,00,000/30,000 Vial)

11 Post Exposure Treatment of Rabies 3396 Rs.1,01,88,000/00

16,980 Vial ARVS X Rs.600.00 = 1,01,88,000/00 (Rs.8,25,00,000/3,00000 Vial)

Nepal Government donation for Safe Motherhood Services 2,65,00,000.00

Free Treatment in Various Department of Hospital on 2068/069

S. No. Various Department Free on 2069/070

Patients Amount

1

Operation

a. Major Operation

952 Rs.15,86,600b. Intermediate Operation

c. Minor Operation

d. Plaster A

796 Rs.1,59,200/-e. Plaster B

f. Plaster C

2 Safe motherhood Programme 8,769

Free in short

1 Partially Free Patients

2 Full Free Patients

3 Total Free Patients

Documents

About Hospital Services on 2070/071 · S. No. Types of Emergency Services Recorded Service on Three F.Y. 2068/069 2069/070 2070/071 Trends 1 General Emergency Cases 13,645 13,168