Introduction:In India, there is a paucity of morbidity and mortality information de-segregated at facility level. Present study was undertaken to report the morbidity and mortality of in-patient at a secondary care hospital with aim to identify key areas that require improvement in the existing health system. 

Materials and Methods:

Study was conducted in secondary level hospital at Ballabgarh (Haryana). It is a record based retrospective study. Diagnosis is coded as per ICD 9. Relevant information pertaining to socio-demographic indicators, diagnosis and outcome at discharge about inpatients (1/1/1994 to 31/12/2007) were retrieved from HMIS archives. Descriptive analysis was done. 

Total 47,965 admissions were done from year 1994 to 2007. Infectious and parasitic diseases were the leading (35.7%) cause of morbidity among adults. Admissions in paediatric ward due to infectious and parasitic diseases (Diarrhea and respiratory illness) were 56.7%. One out of every six patients admitted in was referred to higher health care facility. Median duration of stay in the hospital during 1994 to 2007 was 2 days. The average bed occupancy rate at Civil Hospital, Ballabgarh was 47 %. Overall mortality rate was 20.3/1000 admissions. One-fifth of inpatient mortality was due to infectious diseases. 

Conclusions:

Provision of round the clock obstetrician and infrastructure to manage non-communicable diseases are the two most important interventions identified to optimize service utilization.

Keywords:ballabgarh, inpatient,secondary care hospital, health system policy and planning