District Health, Trashigang
Vision:
“A Dzongkhag with optimal quality and equally accessible healthcare services thus promoting a healthier and happier society.”
Mission
- Institute effective Quality Management System (QMS) in all healthcare speciality.
- Effectively address all the disease of public health importance through optimal prevention, control and surveillance activities.
- To rehabilitate and promote healthy living.
Objectives
- To achieve 100% of elderly care.
- To reduce the incidence of non-communicable disease
- To reduce neonatal, infant and maternal mortality rate.
- To achieve 100 % immunization coverage.
- To reduce the incidence of water-related diseases by providing safe drinking water.
- To achieve 100 % sanitation coverage.
- To reduce the incidence of alcohol-related death.
Back ground
The Dzongkhag Health Sector comprises several key healthcare facilities:
- Hospital Facilities: It includes a 40-bedded hospital located in Trashigang and a 20-bedded hospital in Riserboo. These hospitals serve as primary centers for more serious medical needs within the region.
- Primary Healthcare Units: There are 5 Grade I Basic Health Units (BHUs) or 10-bedded hospitals and 20 Grade II BHUs or Primary Health Centers(PHCs). These facilities cater to basic healthcare needs and outpatient services, ensuring accessible care at the community level.
- Additional Healthcare Infrastructure: The sector also features 4 Sub Posts and 54 Outreach clinics, which play crucial roles in providing healthcare services to rural and remote areas where accessibility to larger facilities may be limited.
- Traditional Medicine: To offer a holistic approach to healthcare, there are 8 Traditional Medicine units spread equitably across the region. These units provide alternative healthcare options rooted in traditional Bhutanese practices.
- Accessibility: A significant achievement is that over 90% of the population lives within a 3-hour radius from a health facility. This geographic accessibility ensures that a large majority of residents can promptly access healthcare services when needed.
- Healthcare System Structure: The healthcare system is structured into three tiers:
- Primary Level: This includes outreach clinics, BHUs, and PHCs, which serve as the first point of contact for healthcare needs and primary care services.
- Secondary Level: District hospitals in Trashigang and Riserboo act as secondary centers equipped to handle more complex medical cases and provide specialized services.
- Tertiary Level: Referral hospitals at the regional level provide specialized medical care and comprehensive treatment options for serious health conditions.
This organized structure ensures that residents of the Dzongkhag have access to a range of healthcare services tailored to their needs, from basic healthcare to specialized treatment.
Services delivery
Elderly Care:
- Yearly line listing of citizens above 60 years old
- Providing comprehensive elderly care services to all the elderly people above 60 years.
- To provide Home Care services for home based elderly population.
- Yearly vaccination of elderly people with influenza vaccine.
Non-Communicable Disease:
- Conduct NCD clinic once in a week in hospitals, BHU grade II and ORCs.
- Screening for BP, Blood Sugar, BMI for all the people age 20 years and above.
- Awareness campaign during Clinics, Social gatherings, Monasteries and Dratshangs.
- Provide Health Education on Non communicable Diseases regularly.
- Follow up of old cases of HTN, Diabetes and other chronic diseases.
Mother and Child Health:
- Provide Antenatal care to all the pregnant mothers.
- Provide postnatal Care to all postnatal mothers.
- Educate pregnant mothers on dietary habits, 5 danger signs of pregnancy and exclusive breast feeding.
- Provide and promote timely immunization of children.
- Provide Care for Child Development plus to all the children till 3 years.
- Provide Integrated Management of Neonatal and Child Illness.
- Provide Emergency Maternal and Obstetric Care.
- Promote Importance of 1000 Golden Days for Child.
Water and Sanitation:
- Conduct regular water analysis at least once in 6 months. (Fecal coliform and turbidity).
- Follow up on chlorination of Water tank.
- Health education on Safe drinking water and Hand hygiene.
- Proper use of toilets and management of waste disposal.
- Follow up of sanitation coverage in the community.
- Assessment of WASH FIT in health Centers.
Alcohol
- Advocate on harmful effects alcohol use.
- Strategies to reduce the use of alcohol in the community.
Other Information.
1. DEMOGRAPHY 2023
- Total Household 9875
- Total Population 36628
- Total Active VHWs 54
- Children less than 1 year 436
- Total Female (15-49 years) 9191
2. VITAL STATISTICS
- Total Birth 463
- Total Death 190
- Total death less than 28 days 03
- Total Death less than 1 years 07
- Total Death less than 5 years 08
- Total Maternal Death (2023) 0
3. WATER AND SANITATION
- Sanitation coverage (%) 100
- Access to Safe drinking water (%) 99.9
5. REPRODUCTIVE HEATH AND FAMILY PLANNING
- Total pregnant women 465
- Institutional delivery (%) 96
- Trained Deliveries (%) 0
6. OTHER INDICATORS
- Immunization coverage (%) 97.4
- Total TB cases 19
- Total disability (physical impairment) 283
- Total Mortality rate/1000 population 5.2
- Under 5 Mortality Rate/1000 live birth 17.3
- Crude birth rate / 1000 persons 12.6
7. INFRASTRUCTURE
- Total Hospital 02
- Total BHU I 05
- Total BHU II 14
- Total Sub post 04
- Total ORC 54
- Total Functional Ambulance
9. TOP TEN HEALTH PROBLEM
Common Cold 13422
Other Disorders of Skin and Subcutaneous tissue 7011
Other Diseases of the Digestive System 5145
Other Musculo-Skeletal Disorders 4971
Other Nervous including Peripheral Disorders 3651
Other Respiratory & Nose Diseases 3251
Other Eye Disorders 3143
Acute Pharyngitis/ Tonsillitis 2330
Dental Caries 2285
Skin Infection 2157
