1 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

Hetauda HospitalHetauda, Makwanpur

Annual Report Fiscal Year (2075/76)

(2018/2019)

Province GovernmentMinistry of Social Development

Province No. 3

Hetauda Hospital, Hetauda Makwanpur

2 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

k[i7e"ldof] x]6f}8f c:ktfn dsjfgk'/ lhNnfsf] ;'Gb/ gu/L x] p d g kf a8f g+= ! df /fKtLglbsf] lsgf/dfcj:yLt /x]sf]5 . o;sf] hUufsf] If]q kmn $ lauxfePklgo;sf] k'j{sf] hUufdf If]lqo d]l8sn :6f]/ /]8s|z klZrdtk{m aN8 a}+ssf] laN8Lu ag]sf 5g . c:ktfn ;/xbleq hg :jf:Yo lgb]{zgfno klg /x]sf]n] o; c:ktfnsf hUufsf] s]xLefucGo :jf:Yo ;+:yfn] pkef]u u/]sf] sf/0f o;sf] hUuf ;f+u'/Lb} uPsf] 5. h:n] ub{f c:ktfnsf] la:tf/ ug{ of] Pp6f 7"nf] 6uf/f]sf] ?kdf /x]sf] b]lvG5 . t} klg of] c:ktfn lasfzs|ddf laszLtx'b} cfPsf] 5 . of] c:ktfn ;'?df @)!^ ;fndf !% a]8 af6 z'? e} lhNnf c:ktfnsf] ?kdf @@ ;fndf :yfkgfePsf] 5 . lasfzsf] s|ddf x]6f}8f c:ktfn lasfz ;]jf ;ldlt ldltdf u7g e} ;f] lasfz ;]jf ;ldlt c:ktfnsf] lasfz ug{df ;xof]u s|ddf lasfz ;]jf ;ldltaf6 ldltdf @% ;}of yku/L g]kfn ;/sf/sf] @% z}of / lasfz ;ldltsf] @% z}of u/L hDdf %) z}of ;+rfng e} ;]jfk|bfgub}{ cPsf] cj:yfdf cfaif{ @)^!.^@ ;fndf dGqL kl/ifbsf] lg0f{ofg';f/ pk If]qLo c:ktfnsf] gfddf gfdfs/0f u/LP klg pk If]qLo c:ktfnsf] b/aGbL k7fpg g;s]sf] sf/0f ldlt @)&!.#.@) sf] dGqL kl/ifbsf] lg0f{on] %) z}of sfod u/L ;f]xLcg';f/ b/alGb :yfkgf e} kbk'lt{ eO/x]sf] s|ddf /x]sf] / g]kfn ;/sf/sf] %) z}of ;+rfngdf cfPsf] /

3 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

lasfz ;ldltsf] %) z}of sfodd} cGo z}of !) /x]sf]n] o; c:ktfndf !!) z}of k|of]u eO/x]sf] 5 .

4 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

x]6f}8f c:ktfn ;~rfng tyf Aoa:yfkg ;ldltsf] dGtJo

@)!^ ;fndf :jf:Yo ;]jf k|f/De u/]/ @)@@ ;fn b]vL lhNnf c:ktfnsf] ?kdf ;]jf lbb} cfPsf] x]6f}8f c:ktfnn] w]/}j6f cf/f]x cj/f]xx?, cfzf / lg/fzfsf If0fx? Joxf]b}{ cfh;Dd cfO{k'Ubf dsjfgk'/ / cf; kf;sf lhNnfx?af6 cfpg' ePsf b}lgs $)) b]vL ^)) sf] xf/fxf/Ldf la/fdLx?sf] ;]jf k'¥ofpb} cfO/x]sf] 5 . c:ktfnsf] ef}lts ;+/rgfx?sf ;fy} cf}hf/, pks/0fx? h8fg ug]{ sfo{ kl5Nnf lbgx?df lta| ag]sf] 5 . k|b]z ;/sf/, ;fdflhs ljsf; dGqfno, x]6f}8f pkdxfgu/kflnsf / cGo ;+3 ;+:yf ;d]tsf] ;xof]udf cfufdL aif{ leq} 8fonfofl;; tyf cfO{=l;=o'= ;]jf ;+rfng ug]{ / cfufdL @ aif{ leqdf gofF c:ktfn ejgaf6 ;'ne / ;xh :jf:Yo ;]jf pknAw u/fpg xfdL k|lta4 5fF} . c:ktfnsf] hdLgsf] ;+/If0f ug{', ;]jf lj:tf/sf] lgldQ ;a} ;|f]tx?sf] k|efjsf/L kl/rfng ug{' / c:ktfn ;+rfng tyf lasf;sf] lgldQ ;a}sf] ;xeflutf h'6fpg' xfd|f] lhDd]jf/L xf] . k|flalws ?kn] c:ktfnnfO{ cTofw'lgs agfpFb} ;lhnf], l56f] / e/kbf]{ tj/n] ;]jf k|jfx ug'{ xfd|f] c7f]6 /x]sf] 5 . ;]jf ;~rfng e}/x]sf] k'/fgf] ejgsf] :yfgdf gofF alg/x]sf] ;Gbe{df ;]jf lbg lng lglZrt ¿kdf s]xL sl7gfO x'g' :jefljs g} xf] / To;sf] afjh't klg ;]jfdf sdL x'g glbg xfd|f] k|of; hf/L /xg]5 .cGTodf tkfO{x? ;a}hgfsf] cd'No ;'emfj / ;xof]un] dfq xfdLnfO{ ;]jf ;~rfng ub}{ cuf8L a9\g / pk/f]Qm of]hgfx? k'/f ug{ ;Dej x'g]5 . x]6f}8f c:ktfnsf] ut tLg jif{sf] k|ult d'NofÍg ljj/0f k|:t't ub}{ h] h:tf] l:ylt xfd|f] cuf8L b]vf 5 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

k/]sf] 5 o;af6 c:ktfnsf] xfnsf] cj:yf / xfd|f ;fd' v8f ;d:of k|i6 /x]sf] 5 . k|ult ljj/0f k|sfzgsf] pknIodf xflb{s awfO Pj+ of] ca;/df ;]jfu|fxLx¿sf] ;]jfdf nfUg'x'g] / of] k|ult ljj/0f n]vgdf h'6\g' ePsf ;j}k|lt xflb{s cfef/ JoQm ub{5' .l8= cf/= kf}8]n …k|sfzÚcWoIfx]6f}+8f c:ktfn ;~rfng tyf Aoa:yfkg ;ldlt

d]l8sn ;'kl/6]G8]06sf] dGtJo

• o; x]6f}+8f c:ktfnsf] aflif{s k|ltj]bgdf

c:ktfn ;DaGwL ;Dk"0f{ kIfx? ;dfj]z u/L ;du| k|ltj]bgtof/ ug]{ k|of; ul/Psf] kfPsf] 5' . c:ktfnsf] ef}lts ;+/rgf, hgzlQm, pknAw d]l8sn pks/0fx? cflb ;lxtsf] ljj/0f ;dfj]z ul/Psf] 5 . c:ktfnsf] u'? of]hgf ;lxt c:ktfn ljsf;sf] nfluefjLsfo{of]hgf ;d]l6Psf] kfPsf] 5' .

6 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

• c:ktfnåf/f pknAw u/fpg] ;]jf, ;]jfpkof]usf] cj:yf, ;]jf ;~rfng tyf lj:tf/df b]lvPsf] bL3{sfnLgsfo{ of]hgfsfaf/]df ;/f]sf/jfnx?nfO{ ;';"lrtug]{ k|of; ul/Psf] 5 . of] aflif{s k|ltj]bgn] cg';Gwfgstf{ / KnflgËug]{ lgsfo / JolQmnfO{ ;xof]u k'¥ofpg] 5 eGg] d}n] cfzf /fv]sf] 5' . of] jflif{s k|ltj]bg n]Vg] sfo{ c:ktnfnfO{ lhDdflbPsf]df of] ;sf/fTds kIf ePsf]n] o;n] ljut # aif{sf] TrendsnfO{ d"NofÍgug{ ;xof]u k'Ug] ePsfn] of] aflif{s k|ltj]bgnfO{ ah]6 5'§ofO k':tssf] ?kdftof/ ug]{ df}sflbg'ePsf]df ;DalGwt ;a} lgsfonfO{ wGojfblbg rfxG5' . ;fy} of] qmdsf] lg/Gt/tfsf] nflucfzf /fv]sf] 5' . cGtdf of] jflif{s k|ltj]bgtof/Ldf ;xof]u ug]{ o; c:ktfnsf d]l8sn /]s8{/ clws[t lx/f 7fs'/ nufot ;DalGwt ;a} sd{rf/Lx?k|ltxflb{s wGojfblbg rfxG5' .

8f= k|lag >]i7

lgldQ k|d'v d]l8sn ;'kl/06]08]06

7 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

8 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

Table of ContentsOrganogram of Hetauda Hospital........................................................................................................................8

c:ktfn lasfz ;ldlt tkm{ sf sfo{/t sd{rf/Lx?..........................................................................................11

Financial management…………………………………………………………………………………………………………………………………..11

जि�ल्ला अस्पतालहरुको गुणस्तर एवं सेवा सुदृढीकरण………………………………………………………………………………………………. 13Chapter II: Hospital Major Achievements.............................................................................................................

Hospital Service related Information FY 2075/76..............................................................................................17

Hospital performance Indicators...................................................................................................................18

Rabies Record................................................................................................................................................19

Safe Abortion Indicators FY 2073/74 to 2075/76..........................................................................................20

Medico legal cases performed in FY 2073/74 --- 2075/76..........................................................................20

Hospital Deaths FY 2073/74- 2075/76..........................................................................................................21

Top 10 emergency surgical and elective number of surgery FY 2075/076....................................................21

Hospital Services trend FY 2073/74 -2075/76...............................................................................................22

Logistic Supply FY 2075/76............................................................................................................................27

Activities carried out under hospital strengthening program FY 2074/75.....................................................28

OPD building built..........................................................................................................................................28

Strength/opportunity....................................................................................................................................28

Weakness/Threat..........................................................................................................................................29

Major priorities issues for hospital strengthen to achieve expected result...................................................29

Gap analysis...................................................................................................................................................29

Hospital Death FY 2075/76............................................................................................................................29

Social Service unit………………………………………………………………………………………………………………………………………30

Hospital Based One Stop Crisis Management Center (OCMC) …………………………………………………………………… 31

9 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

Organogram of Hetauda Hospital

10 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

Manpower of Hetauda Hospital 2075 /2076

b/aGbLtflnsf

पद दरबन्दी पूर्ति रिरक्त कैफि�यप्र.मेडि�कलसुपरिरण्टेण्�ेण्ट १ १मेडि�कलसुपरिरण्टेण्�ेण्ट १ १कन्सल्टेन्टपेडि�याट्रि(सिसयन १ १कन्सल्टेन्ट अब्स एण्� गाईनो १ १कन्सल्टेन्ट स�-न १ १कन्सल्टेन्ट अर्थो/डिप�क्स स�-न १ १कन्सल्टेन्ट साइक्याट्रि(क्स १ १कन्सल्टेन्ट एनेसे्थसिसयोलोजि�ष्ट

१ १

कन्सल्टेन्ट डि4जि�सिसयन १ १मेडि�कलअधि6कृत ४ ४�ेण्टलस�-न १ १डि4जि�योरे्थोराडिपष्ट १ १मेडि�कलल्याबटेक्नोलोजि�ष्ट १ १नर्सिस;ङ्गअधि6कृत १ १नायबसुब्बा १ १लेखापाल १ १खरिरदार १ १कम्प्युटरअपरेटर १ १ल्याबटेक्निक्नसिसयन २ १ १रेडि�योग्रा4र १ १मेडि�कल रेक�-र १ १

11 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

पद दरबन्दी पूर्ति रिरक्त कैफि�यएनेसे्थसिसयासहायक १ १स्टा4नस- ८ ८�ेण्टलहाइजि�डिनष्ट १ १हे.अ./सिस.अ.हे.व. ३ ३4ामFसीसुपरभाइ�र १ १बायोमेडि�कलटेक्निक्नसिसयन १ १ल्याबअसिसष्टेण्ट १ १�ाक- रुमअसिसष्टेण्ट १ १अ.न.धिम. २ ३ १ kmflhnअ.हे.व. २ ५ ३ kmflhnहलुकासवारी चालक १ १काया-लयसहयोगी ११ & $

�म्मा %* $^ !^ $ kmflhn

c:ktfn lasfz ;ldlt tkm{sf sfo{/t sd{rf/Lx?kb sfo{/t ;+Vof

8f d] c ^k|flalws @)k|zf;g %

sf; !(hDdf %)

12 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

Financial Management (Nepal Government)

Year Budget Allocated Budget Released Budget Expenditure Remarks

2075/76 81967000 70294188.87 70294188.87

Cash plus remaining bank balance in the FY (Hospital Development Committee).

FY 2070/071

FY2071/072

FY 2072/073

FY 2073/074

FY 2074/075

FY 2075/076

0

2000000

4000000

6000000

8000000

10000000

12000000

1829706

10207490

73776236636041

1651662

7133429

Total Hospital Development Committee Revenue in the FY

13 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

FY 70/71

FY 71/72

FY 72/73

FY 73/74

FY 74/75

FY 75/76

0 1000000020000000300000004000000050000000600000007000000080000000

18166877.5

32765747.68

39919434.73

46086623.73

47320765.75

67988690.86

14 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

जि�ल्ला अस्पालहरुको गुणस्र एवं सेवा सुदृढीकरण

डिववरण

खच- रकम रू.

२०७३।७४@)&$.)&%

@)&%. )&^

अस्पताल डिवकास सधिमडितको बैठक संचालन र सामाजि�क परीक्षण ^^&)) . !@)))). !!),)))

भौडितक संरचनाको मम-त सु6ार $&)!*# . #^)))).

%$&,%))

अस्पताल�न्य 4ोहोर मैला ब्यवस्थापन तर्थोा संक्रमण रोकर्थोाम %*$^#( . @$)))) .

#^%))) .

अस्पतालको लाडिग अत्यावश्यकीय डिवदु्यत, खानेपानी तर्थोा ढल डिनकास ब्यवस्थापन

%(@%)) . @$)))) .

%$&%)) .

क्निक्लडिनकल सेवा डिवस्तार/औ�ार उपकरण खरिरद ()&#%) .

%&^))) . !!$())) .

अस्पतालमा 4ामFसी स्थापना संचालन तर्थोा सुदृढीकरण %(@%)) . $*)))) . (!@%)) .

अस्पतालको स्वास्थ्य ब्यवस्थापन सूचना प्रणाली सुदृढीकरण !(&%)) . !@)))) . !$^))) .अस्पतालको लाडिग 4र्निन;सिसङ एवं 4र्निन;चर ) . ) . ) .

डिवरामीहरुका लाडिग अन्य सेवा सुडिव6ाहरु सुदृढीकरण गन- @@@$^# . !@)))) . !*@%)) .

CME ) . &@))) . !),))) .c:ktfn tyf c:ktfn kl/;/sf] ;/;kmfO{ Hofnf vr{ ) . &@))) . #),))) .

�म्मा#^##*#% .

@$,))))) . $))),))) .

15 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

16 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

Chapter II: Hospital Major Achievement

Total -- O P D AND EMERGENCY SERVICE OF HETAUDA HOSPITAL F /Y 2075/2076

Emergency Services

Total Clients Served TOTAL 19842

Female Male

1983 1390

2182 2578

5157 4563

1189 800

Hospital Services

Age Group

New Clients Served

45096

Total Clients Served

78646

Female Male Female Male

0 - 9 Years 4510 3157 7867 5504

10 - 19 Years 4961 5862 8650 10224

20 - 59 Years 11723 10374 20446 18087

≥ 60 Years 2705 1804 4720 3148

Diagnostic/Other Services

UnitNumb

er

X-rayNumbe

r12724

Ultrasonogram (USG)

Number

5624

Echocardiogram (Echo)

Number

Electro Encephalo Gram (EEG)

Number

Electrocardiogram (ECG)

Number

2653

TreadmillNumbe

r

Computed Tomographic (CT) Scan

Number

Magnetic Resonance Imaging (MRI)

Number

EndoscopyPerson

s21

ColonoscopyPerson

s

Nuclear Medicine

Persons

Total Preventive service Provided

Persons

Free Service Received by Impoverished Citizen

Female Male

Heart

Kidney

Free Dialysis

Cancer

Head Injury

Spinal Injury

Alzheimer

Parkinson

Sickle Cell Anaemia

ORC Clinics/FCHV

Planned / Total No.

Conducted/ Report Received

No. of Clients Served

PHC Outreach Clinic 

Immunization Clinic 

Immunization Session

FCHV

Referrals Referral In

Referred Out

Outpatient In-patient Emergency

Female 20 81 300

Male 51 389

17 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

Total Laboratory service Provided

Persons

Other Service Person

 

Hospital Service related Information FY 2075/76

S. No Indicators 2073/74 2074/75 2075/76 Trend ( - or + )

1 Number of Sanction Beds 50 50 502 Number of Available Beds 106 106 110 +3 Total Number of OPD Cases 54910 55709 78649 +4 Total Number of Emergency Cases 20938 23001 19842 --

5 Total Number of OPD (OPD + Emergency) Cases 75848 78710 98491 +

6 Total Number of Inpatients Admitted 7292 8550 9533 +7 Total Number of Inpatients Discharged 7078 8541 9457 +

8 Total Number of Preventive Services Provided 0 0 0

9 Total Number of Lab Services Provided 224211 268523 324229 +

10 Total Number of Hospital Services Provided 82880 87251 1,07,948 +

11 Total Number of Delivery Conducted 2818 2560 2550 -12 Referral Cases (In) Total 23 8 10 +-13 Referral Cases (Out) Total 335 225 132 ---14 Total Maternal Deaths 0 0 0 15 Total Neonatal Deaths 1 0 0 --- 16 Total Hospital Deaths 2 6 3 ---

18 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

Number of Beds

Sanctioned 50

Operational 110

Total Patients Admitted 9533

Total Inpatient Days27664

 

Hospital performance Indicators

SN Indicators 2073/74 2074/75 2075/76 Trend( - or+ )

1 Total OPD Visits as % of Total Population 17% 17.5% 21,32 % +

2 % of Emergency Visits Among Total OPD Visits 38% 29.2% 25.2 % _

3 Bed Occupancy Rate63%

In 106Beds

67%In 106Beds

70 % +

4 Delivery Conducted as a % of Expected Pregnancy 24.17% 22% 22 % +

5 Proportion of Non-communicable Disease among Inpatients 91% 94% 95.8 % +

6 Number of CAC Services Provided 65 118 99 __

7 Death Rate among Surgery (%) 0 0 0

8 Death Rate among In-patients 0.02% 0.07% 0.03 % __

9 Total Surgery Cases (Operative) 667 867 1637 ++

10 % of Major Surgery among Total Surgery Cases 70 % 71.5% 69.6 % _

11 Percentage of Minor surgery among Total Surgery Cases 30 % 28.5% 30.4

% +

13 Doctor: In-patient Ratio (per year) 1:288 1:342 1: 288 _

14 Doctor: OPD Ratio (per year) 1:2016 1:3148 1 : 2984 __

15 Nurse: In-patient Ratio (per year) 1:345 1:502 1:591 +

19 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

Top 10 Morbidity and Mortality among inpatients F Y 2075/2076

S.NO

Top ten causes of Morbidity among inpatients

Top ten causes of Mortality among inpatients ( Number of death )

Cause No. Cause No

1

P. U . O. 764 C .O.P.D 1 (70yr F)

2L.R.T.I. 390 Ortho ward 1

(60/F)

3A.G.E. 297 Cypermetharin poisoning 1

(55/F)4 Fever Evaluation 2965 Pneumonia 2886 Surgical cases 2847 C.O.P.D. 2798 Acute febrile illness 2439 Ortho fall fracture injuries 236

10 Sepsis 210

Rabies Record

S.NO Indicators2073/7

4 2074/75 2075/761 Total number of animal bites (species wise) 1032 927 2046

2Number of persons treated for post-exposure prophylaxis of rabies 0 0 0

3 Vaccine (vial) expenditure 5020 3550 32004 . Number of deaths due to rabies (hydrophobia) 0 0 05 Dog bite 877 812 17656 Cat bite 70 74 1377 Monkey bite 12 6 818 Saliva contact 70 34 56

9 Rat---1, mouse—1, pig--- 1 3 Unspecified 1

Others 7

20 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

Laboratory Services

FiscalYea

r

Health Laboratory Services (Number)

Hematology

Immunology

Biochemist

ry Bacteriology

Virology

Parasitology

Hormones/ Endocrinolo

gy

Other

TotalTest

s2071/72 29060 2827 17006 NA NA 13569 NA

NA 62462

2072/73 64,321 2770

35,135 3781 7539 17,245 0 0

1,30,791

2073/74 117778 12285 50945 4918

12306 25979 0 0 292411

2074/75 117589 18430 83417 4181

13370 29279 1827 0 268093

2075/76 117,274 21869

124055 6941

13411 33659 7020 0

3,24,229

Safe Abortion Indicators FY 2073/74 to 2075/76 S.N. Indicators 2073/74 2074/75 2075/76

 1

Total Number of Women receiving safe abortion service CAC 65 118 99

 2

Proportion of women receiving Service by age

20 or belowAbove 20

16 49

41 70

35 64

3 Proportion of post abortion contraception

Short termcontraception

40 99 72

Long termcontraception

25 11 27

21 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

Medico legal cases performed in FY 2073/74 --- 2075/76

Cases 2073/74 2074/75 2075/76 Data Source

Autopsy 208 215 261 Post mortem Report

Sexual Assault 80 93 97 OCMC Records

Age estimation 4 to 49 yrs 4 to 49 4 to 49 ,, ,,

Physical Injury 394 421 1731 Police case Register

Drunkenness 3350 3370 3058 Emergency Police case Register

Hospital Deaths FY 2073/74- 2075/76 Death Information 2073/74 2074/75 2075/ 76

Female Male Female

Male Female Male

Hospital Death

Post-operative 0 0 0 0 0 0Other 9 9 1 0 3 0

Brought Dead 24 25 17 18 16 23Postmortem Done 55 139 73 135 81 180

Top 10 Emergency and Elective number of operation FY 2075/076

S.NOTop 10 Elective Surgeries Top 10 Emergency Surgical Interventions

Cases NO Cases No1 L.S.C.S 159 L.S.C.S 1892 VH with PFR+TAH 15+6= 21 Appendectomy 543 Gynae laparotomies 5 I and D Abscess 514 Gynae minors 235 Cholecystectomy(Lap + Open) 20+5=256 Hydrocele +Hernia 13+40=537 Orthopaedic surgeries 4388 E. N. T. surgeries 429 Pyelolithotomy 2

22 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

10 Surgical minors 55

Hospital Services Trend

070/71 071/72 072/73 073/74 074/75 075/760

10000

20000

30000

40000

50000

60000

70000

80000

3981851074

58458 54910 55709

78649

No. of OPD cases

No. of OPD cases

23 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

070/71 071/72 072/73 073/74 074/75 075/76

0

5000

10000

15000

20000

25000

16196 17559 18139 20938 2300119842

No. of Emergency cases

No. of Emergency cases

070/71 071/72 072/73 073/74 074/75 075/760

2000

4000

6000

8000

10000

12000

4850 57756903 7292

8550 9533

No. of Inpatients admitted

No. of Inpatients admitted

24 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

25 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

Bed Occupancy rate

FY 073/74

FY 074/75

FY 075/76

58 60 62 64 66 68 70 72

63

67

70

26 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

FY 2073/74 Fy 2074/75 Fy 2075/760

500

1000

1500

2000

2500

2229

2048 2076

173 211126

416301 348

Normal delivery complicated delivery C/S

Average length of Hospital Stay

FY 073/74

FY 074/75

FY 075/76

0 0.5 1 1.5 2 2.5 3 3.5

3

3

3

27 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

Logistic Supply FY 2075/76

S.N.

Major Medical/Surgical Equipment Total Functionin

gNon-Functioning

New Requirement Quantity

1 Endoscopy machine 1 1 1

2 Anesthesia Machine 2 2 0 0

3 Delivery Bed 3 3 0 0

4 C – arm 1 1 1

5 Hematology Analyzer 1 1 0 0

6 CT Scan 0 0 0 1

7 OT Light Ceiling Type 2 2 0 0

8 Baby Incubator 1 0 1 1(not functioning)

9 De – Febilator bipolar 1 0 0 1

10 Electrolyte Analyzer 1 1 0 0

11 Bio – Chemistry Analyzer 2 2 0 0

12 Generator 50 KVA 1 0 0 1

13 Generator 300 KVA 1 1 0 0

14 ICU Ventilator 0 0 0 0

15 Patient Monitor 7 7 0 4

16 ICU Bed 0 0 0 6

17 Ambulance 2 1 1 1

18 USG machine 3 1 0 0

19 ECG machine 1 1 0 0

20 Biochemistry Analyzer 0 0 0 0

21 Protein Analyzer 1 1 0 0

22 OT Table 2 2 0 0

23 Magnet contrastor 2 2 0 0

24 Washing machine 5 5 0 0

25 CR System (X-ray) 2 2 0 0

26 Fully automated CLIA (Thyroid) 1 1 0 0

27 Neonatal ventilator 1 0 1 0

28 Bed side monitor 0 0 0 0

29 Laparoscopy machine 1 1 0 0

28 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

Activities carried out under hospital strengthening program FY 2074/75 Meeting and Social Auditing

Conduction of meeting with political leaders and journalists

New hospital buildings are under construction

Central oxygen system and suction system previously set up 8 years back came into effective use along with extension of the system.

Pharmacy building was built.

Different equipments were installed.

Waste management block built.

Dental extension with added services provided.

Computer set up was installed in the entire hospital.

Token system and drinking water facility were provided.

Previously purchased Laparoscopic and Endoscopic equipments were brought into use.

Hysteroscopy service was started.

Hospital cleanliness was maintained strictly.

Previous dues of drinking water and electricity were cleared through grants from Ministry of Social Development, Province no. 3.

Financial condition improved drastically.

CCTV cameras were set up.

O.P.D. building was built.

Strength/opportunity

Enthusiastic young manpower/leaders.

Helpful local agencies.

Easy access.

Located at the central point of Nepal

Renovation of new building

In the process of dismantling of old building and constructing new buildings.

300 bedded hospital is under construction .

Service from Social Service Unit started from FY 2072/73

OCMC service is running.

29 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

ATM Banking has started.

Weakness/Threat

Lack of manpower

Lack of specialized consultants

Major priorities issues for hospital strengthen to achieve expected results Infrastructure ( Doctor quarter, paramedic and nursing quarter) inadequate.

Manpower

Establishment of Institutional Clinic (;+:yfut)

Establishment of Oxygen plant

Priority for CT scan, ICU, NICU establishment

Gap analysis“Minimum Service Standards” program has just started from FY 2074/75.

Hospital Death FY 2075/76 Number of perinatal Death at Hospital : 0

Number of still births : 22

Number of early neonatal deaths : 0

Number of hospital maternal deaths reviewed : 0

Number of hospital perinatal deaths reviewed : 2

Major responses taken to prevent similar maternal and perinatal deaths in future : Meeting held

Causes of Death

Perinatal :

Sepsis :

Neonatal death : 0

Maternal death : 0

30 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

S. S. U. program

;]jf k'¥ofPsf la/fdLsf] ;+Vof -Pr\ P;\ cfO{ juL{s/0f cg';f/ tyf cGo ljj/0f_

blnt hghflt dw];L

d'l:nd Af|fDx0f Ô]qL

cGo

k|]ifg eP/ cfPsf la/fdL

cGo lhNnfaf6 cfPsf la/fdL

Uffp“af6 cfPsf la/fdL

cfsl:ds la/fdL

Aflx/¨ la/fdL

egf{ ePsf la/fdL

@!! #*@ (! $ !$^&

$ @)( !$& *#% %&# !**( ^(!

:jf:Yo ;]jfsf] vr{ / pknJw u/fO{Psf] 5'6 /sd tyf cGo laa/0f

cf}iflw

5'6 /sd

kl/If0f

sf] k|sf/

5'6 /sd ck/]zg

5'6 /sd

cGo vr{

/ut a]8

oftfoft

5'6 /sd

S'n vr{

s'n 5'6

/sd

k|lt la/fdL

cf}ift vr{

k|lt la/fdL

cf}ift

5'6 /sd

cf}iflw

!!!(@*

Nofj,

PS;/]

!@^%&&^

cf}iflw

#*$!^)

3fphf+r

Knfi6/

@@$#()

@&(!*^%

!(*^@%$

**#&*

^@*&^

31 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

;]jf kfPsf la/fdL ;+Vof -nlIft ;d'x / cGo ljj/0f_@)&%.)&^

Ufl/a

c;fxfo ckf¨tf ePsf JolQm

n}l‹s lx+;f k|efljt

Ho]i7 gful/s

Dflxnf :jfYo :jod\ ;]ljsf

cGo

cflwsfl/s kl/ro kq cyjf l;kmfl/; kq ;lxtsf lj/fld

bf]xf]l/P/ cfPsf la/fld

k'?if Dlxnf

s'n ;]jf k'¥ofPsf] la/fld ;+Vof

*@) !@& %^ @!& !(@@ @ !% !$$( $^$ !#)^

!*%#

#!%(

Hospital Based One Stop Crisis Management Center (OCMC)Ministry of Health (MoH) has set up seven hospital based One-stop Crisis Management Centres (OCMC) to help female victims of gender based violence. In Hetauda Hospital, OCMC was established on 12th Mangsir 2068 B.S. Trained staff provide all the care needed in one place, including treatment of injuries, shelter, psychological counseling, help with rehabilitation or negotiation with the family, legal advice and protection. The OCMCs will complement the service centers, providing more comprehensive “one-stop” care and working with them and local NGOs to ensure women know about the help available. The main rationale behind OCMCs is to provide integrated treatment and support services.

Fy 2073/74 Fy2074/75 Fy2075/760

50

100

150

200

250

300

350

179

273290

7993 97

6345

125

Domestic violence Sexual violence Others

The above table shows that the number of service consumers in OCMC has increased as compared to previous years. It might be due to awareness about OCMC services among survivors and the general public. Awareness programs were carried out through development of IEC materials and its distribution, airing on Local FMs. In FY 2072/73, OCMC conducted orientation session among the students of higher secondary school.

32 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

33 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

34 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

Hffltsf]8 cg';f/sf] ljj/0fHffltsf]8

@)^

*÷@

)^(

@)^

(÷)

&)

@)&

)÷)

&!

@)&

!÷

)&@

@)&

@÷

)&#

@)&

#÷

)&

$ @)&$

)&% @)&

%

÷)&

^ hD

df! * $ !! !! @# #! %! #* !&&

@ #( #$ $% ^) !@( !*) @@!

#!^

!)@$

# @ ! ) ) ! !@ @@ @! %($ ) ) ) ! ) @ ) ^ (% @ ) ! @) $^ (% !!% !#! $!)

^ !! !( @^ # ) ! @ ) ^@

hDdf

^@ %* *# (% !(( #@!

$!! %!@

!@@(

Gff]6M– !=blnt, @=hghflt, #=dw]zL, $=d'l:nd, %=a|fÅd0f÷If]qL, ^=cGo-7s'/L,;Gof;L_

35 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

pd]/ ;d'x cg';f/sf] lx+;f

£f/]n' lx+;f of]}g hGo lx+;f

cGo lx+;f

@)^

(÷)

@)&

)÷)

@)&

!

@)&

@÷

@)&

#÷

hDdf

@)&

@÷

@)&

#÷

hDdf

@)&

@÷

@)&

#÷

hDdf

)–!$% ! ) ) )

& !# @

^) * !

^!&

#&

$!

!!(

) ) ) # & * !*

!%–$(

#(

@(

$@

$^

*( !$&

#(@

& !#

!$

!*

@^

#&

!!%

* $ # * !$ $* *%

%)–^%

! @ ^ @ !%

!( $%

! ) ) ) ) @ # ) ) ) ) $ @ ^

^% ! ! ! ! ) $ * ) ) ! ) ) ) ! ) ) ) ) ) ) )

hDdf

$^

##

$( $( !!!

!*#

$&!

* @!

#!

#%

^#

*) @#*

* $ # !! @%

%*

!)(

Gff]6M–cGocfkmGt u'dfPsf, hflu/af6 casf; ePsf, e'sDk lkl8t, cfdf lx+;fdf k/]sf afnaflnsf, 3/kl/jf/af6 lj5f]8 ePsfx?, b}ljs k|sf]kdf k/]sfx?,

j]jfl/;] aRrf, lb3{ /f]u nfu]sf cflb .

36 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

If]qut lx+;fsf] ljj/0f

@)^

*÷@

)^(

@)^

(÷)

&)

@)&

)÷)

@)&

!÷

)&@

@)&

@÷

)&#

@)&

#÷

)&

$ @)&$)&%

hDdf

Uff lj ; $) #& $^ $# *) !$@ !^@ %%)

gu/kflnsf

@) !# @^ $# (* !%% @!* %&#

cGo lhNnf

@ * !! ( @! @$ #! !)^

hDdf ^@ %* *# (% !(( #@! $!! !@@(

37 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

38 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )

39 | H e t a u d a H o s p i t a l F Y 2 0 7 5 / 7 6 ( 2 0 1 8 / 1 9 )