Diploma in Nursing Science & Midwifery Course:
Primary Health Care Program (PHCP)
Microfinance Program
Participatory Community Development Project (PCDP):
Annual Activities at a Glance
Emergency Cases
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Medical Care & Service (Hospital)
The hospital of this project provides quality medical care and services for the poor patients particularly women and child patients living in the northeastern part of the country. The hospital is increasing its medical facilities gradually and now it has 100 inpatient bed facilities. Sometimes more than 100 inpatients are admitted to this hospital and then the verandas are used to admit inpatients. It provides medical care and services mainly through Outdoor Patient Department (OPD) and Indoor Patient Department (IPD). The OPD is mainly for general patients comprised of Pharmacy, Pathological Lab, Patient Waiting Room, Doctors Rooms, and Emergency Room. The IPD is mainly for In-patients comprised of Female, Children, Male Wards, Cabins, Labor rooms Post-operative Ward and OT. Through these existing facilities the health care and services provided for the patients are: Inpatient and Outpatient care, Major, Minor, Plastic, and Orthopedic and OBS/Gynecological surgery, Endoscopies, X-Rays, Pathological test, ECG, and USG. These comprehensive medical care and services are provided to the patients at a low or reasonable cost.
Monthly, average 3988 patients receive medical treatment and care from OPD and IPD and these comprehensive medical care and services are provided for the patients at a reasonable cost. A total of 47857 patients received treatment and care during the year 2022.
Hospital Facilities:
100 inpatient beds facilities open 24 hours
Well-equipped OT operated by specialist Doctors from the country and abroad.
24 hours laboratory and pharmacy services
Poor patients are treated at low cost.
Caesarian, USG, ECG, X-ray and pathological test are done at minimum cost.
24 hours emergency treatment services and care
Outpatient service for 6 days from 8:00 AM -5:00PM for all general patients.
Frequently Provide Services
Through OPD, medical care and services are provided for general patients who come daily to hospital. General patients come to hospital from different places for treatment and leave the hospital after receiving treatment from OPD. The OPD of this hospital is well-equipped with computerized lab, blood analyzer, X-ray section and a pharmacy where all essential medicines are available. About 22182 patients are provided treatment and care from OPD during the reporting year.
OPD January- December 2022
| New | Old | Total | Year 2022 |
|---|---|---|---|
| 10774 | 11408 | 22182 | January- December 2022 |
Laboratory is an essential part of a hospital for diagnosis and treatment of patients. Different types of pathological tests are carried out in the laboratory that ensures providing proper treatment for the patients. The lab section is well equipped with a computerized blood analyzer and other necessary instruments. A total 53529 pathological tests were carried out during this reporting period.
| PathologicalTest | X-ray | ECG | USG | Total | Year 2022 |
|---|---|---|---|---|---|
| 41783 | 4836 | 1178 | 5732 | 53529 | January- December 2022 |
The IPD facilities of this hospital are mainly Female’s, Children’s, Male’s Wards and Cabins with 100 inpatient beds. The patients admitted to the IPD suffered from various diseases like Malaria, Typhoid, Pneumonia, Peptic Ulcer, Diarrhea, Pregnancy related diseases and various surgical problems. During the reporting period (January –December 2022) a total of 25675 in-patients received treatment and care from the IPD.
| Male | Female | TB | Children | Total | Dead | Year 2022 |
|---|---|---|---|---|---|---|
| 3162 | 20808 | 29 | 1676 | 25675 | January- December 2022 |
The general norms of this hospital is to try best for the normal vaginal delivery (NVD). The responsible doctors and nurses’ do caesarian section when a delivery patient is in a complicated situation. In fact, doctors and nurses treat their end for the NVD. Any pressure for caesarian section is not given importance. During the reporting period January –December 2022, it carried out NVD-1019, ANC-4654 and PNC-853.
| Delivery Performed | ANC & PNC Performed | Year 2022 | ||||||
|---|---|---|---|---|---|---|---|---|
| Normal(NVD) | Caesarian | Breech | Forceps | Total | ANC | PNC | Total | |
| 1019 | 1543 | 14 | 0 | 2576 | 4654 | 853 | 5507 | January- December 2022 |
The Operation Theater (OT) of this hospital is well equipped with the necessary medical equipment, machineries and instruments to perform major operation. The patients with different complicated cases were operated successfully in this OT.A total of 2562 operations were successfully performed and saved the lives of patients during the reporting period.
| Male | Female | Children | Total | Year 2022 |
|---|---|---|---|---|
| 195 | 2324 | 43 | 2562 | January- December 2022 |
Category of Operation:
| Major | Minor | Japanese | Total | Year 2022 |
|---|---|---|---|---|
| 1696 | 866 | 0 | 2562 | January- December2022 |
Appendixsities is a common disease in the world, and some patients were treated with antibiotic and they need no surgery, some patients need surgery. Appendectomy is a very simple operation but when appendixes is very severe, such as perforated appendicitis, the surgery get difficult, when the diagnosis was delayed and the proper treatment was not done, these patients might die.
The reality is that in the past this type of severe case operation was not performed, and normally the patient was referred to the medical college hospital. But, it happened that one patient with severe case was not operated and had died. That patient might not be died if operation would be performed, then it was decided to do surgery for severe cases.
Fortunately, Bishal was healed and could go home. Thanks the Lord, who saves patients and us, and also thanks the people who prayed for Joyramkura Hospital.
Case Study-1:
A Successful Case Study
Bishal, a Youngman, came to our hospital with service abdominal pain in April 2022. His pain started two days back and he went to another hospital the day before. There ultrasonography (USG) was done, but no abnormality was found and he was given some medicines. His pain did not alleviate and he came to our hospital the next day.
On physical examination, he had severe tenderness on his right lower quadrant abdomen, and also there was peritoneal sign, which suggested peritonitis. USG was done again and found that there was fluid in his lower abdominal cavity and there was tube like structure which is thought to be inflamed appendix. Then he was diagnosed as perforated appendicitis with peritonitis.
On that day, emergency operation was performed. In his abdominal cavity, there was moderate amount of turbid ascites. His appendix was swollen and the base of it was perforated appendectomy and toileting was done and drainage tubes were placed.
He started oral feeding on the second day. Then it was delayed primary closer on the third day, because the wound had been semi close considering the risk of infection. On the seventh day, he complained the pain on his left lower lateral chest. His chest X-ray and USG showed atelectasis of left lower lobe and pleural effusion. So he was recommended to do bubble therapy, the training to expire to the tube placed in water. This is the physiotherapy to heal atelectasis, that it was learned from a young Australian doctor who visited Joyramkura Hospital about ten years ago.
His chest pain was alleviated and the suture was removed on the ten day and then he was discharged on the eleventh day.
