District Health, Trashigang
The Health Sector of Trashigang Dzongkhag is committed to providing quality healthcare services, promoting public health, and ensuring the well-being of the community through effective medical care and health programs.
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.
Background
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.
Health Statistics 2023
1. Demography
| Category | Value |
|---|---|
| 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
| Category | Value |
|---|---|
| Total Birth | 463 |
| Total Death | 190 |
| Total death less than 28 days | 03 |
| Total Death less than 1 year | 07 |
| Total Death less than 5 years | 08 |
| Total Maternal Death (2023) | 0 |
3. Water and Sanitation
| Category | Value (%) |
|---|---|
| Sanitation coverage | 100 |
| Access to Safe drinking water | 99.9 |
5. Reproductive Health and Family Planning
| Category | Value |
|---|---|
| Total pregnant women | 465 |
| Institutional delivery (%) | 96 |
| Trained Deliveries (%) | 0 |
6. Other Indicators
| Category | Value |
|---|---|
| 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
| Category | Value |
|---|---|
| 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 Problems
| Health Problem | Cases |
|---|---|
| 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 |
Downloads
WASH FIT Action Plan 2024
Staff
Lobzang Tshering
Dy. Chief Public Health Officer
ltshering@trashigang.gov.bt
04-521363
