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National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2015 |
Preface
It is a great pleasure for me to bring out the Health Bulletin’2015 of NIDCH. This is the only tertiary level center in the country for management of complicated TB and Chest diseases of Bangladesh. It was established as “TB hospital” in 1955, upgraded in 1962 as “Institute of Chest Diseases and Hospital” and started Post-graduate course “Diploma in Tuberculosis Chest Diseases” and it was the first Post-graduate Institute in Dhaka. It was upgraded in 2002 as “National Institute of Diseases of the Chest and Hospital”. Introduction of “MD course in Chest Diseases” in 1992 and “MS in Thoracic Surgery” in 1999 are the mile stone for this institute in the field of respiratory medicine & thoracic surgery human resource development. Subsequently “FCPS in Pulmonology and Thoracic Surgery” courses introduced & these are also a further addition for development of human resources of the country. Establishment of “National Asthma Centre” bring the asthma and COPD management under a uniform “National Guideline”. Establishment of “National Tuberculosis Reference Laboratory” strengthen the “Tuberculosis Control Programme” through appropriate diagnosis and management of “MDR-TB” patient. Introduction of CT Scan further improved the diagnosis of the patients and thus made patient management earlier and more perfect This institute is als
Professor. Dr. Rashidul Hassan
Director
National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka

National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Facility National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka
Organization Code 10000008
Name of Director Professor. Dr. Rashidul Hassan
Land Phone No. 1 1212-058811910
Land Phone No. 2 1212-9898424
FAX No. 029898424
Mobile No. 01017115614
Email nidch@hospi.dghs.gov.bd
GPS location of Facility Lati: 28.0000 And Long: 94.0000

National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2015 | Page# 2
Existing health facilities in the Year 2014
Facility Type
Total
No. of Beds
Medical College Hospital 1 670

Child health and MDG-4 (In The Facility) (Jan-Dec, 2014)
No. of Live Births: 0


Total No. of children treated under IMCI Program 0
Neonatal Mortality Rate (NMR) is 0.00 per 1,000 live births.

National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2015 | Page# 3
R.P.W.: Registered Pregnant Women; 1st ANC: No. of 1st ANC recipients; 4th ANC: No. of 4th ANC recipients; C. Preg.: No. of complicated pregnancy; N.V. deli.: No. of normal deliveries; C. deli.: No. of cesarean deliveries; O. deli.: No. of other deliveries; PNC: No. of PNC services provided to the mothers;

Maternal health and MDG-5 (In The Facility) (Jan-Dec, 2014)


Total No. of Recipients Who Took at least one ANC: 0
Total Number of Deliveries: 0
No. of Maternal Death: 0
Maternal Mortality Ratio (MMR) is 0.00 per 100,000 live births.

National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2015 | Page# 4
No. of OPD & Emergency Visits at Tertiary Hospital
Health Facility
OPD
Emergency
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
Medical College Hospital 37,985 24,051 62,036 862 515 1,377 63,413 4,190 1,205 5,395 329 143 472 5,867

No. of Admissions & Deaths at Tertiary Hospital
Health Facility
Admission
Death
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
Medical College Hospital 9,216 2,795 12,011 89 51 140 12,151 771 199 970 0 0 0 970

National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2015 | Page# 5
Top 10 diseases according to the number of patients admitted in the Tertiary Hospital
Total number of admitted patients during the reporting period 12,151
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A15 Respiratory tuberculosis, bacteriologically and histologically confirmed I: Certain infectious and parasitic diseases 2751 22.64
2 J91 Pleural effusion in conditions classified elsewhere X: Diseases of the respiratory system 1647 13.55
3 J45 Asthma X: Diseases of the respiratory system 1502 12.36
4 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 1076 8.86
5 J93 Pneumothorax X: Diseases of the respiratory system 803 6.61
6 J47 Bronchiectasis X: Diseases of the respiratory system 756 6.22
7 S297 Multiple injuries of thorax XIX: Injury, poisoning and certain other consequences of external causes 594 4.89
8 C34 Malignant neoplasm of bronchus and lung II: Neoplasms 421 3.46
9 C15 Malignant neoplasm of oesophagus II: Neoplasms 256 2.11
10 W80 Inhalation and ingestion of other objects causing obstruction of respiratory tract XX: External causes of morbidity and mortality 211 1.74

National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2015 | Page#6
Top 10 diseases according to the number of deaths among admitted patients in the Tertiary Hospital during the reporting period
Total number of Deaths during the reporting period 970
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 221 22.78
2 A15 Respiratory tuberculosis, bacteriologically and histologically confirmed I: Certain infectious and parasitic diseases 183 18.87
3 J47 Bronchiectasis X: Diseases of the respiratory system 93 9.59
4 J84 Other interstitial pulmonary diseases X: Diseases of the respiratory system 83 8.56
5 S297 Multiple injuries of thorax XIX: Injury, poisoning and certain other consequences of external causes 79 8.14
6 S851 Injury of (anterior)(posterior) tibial artery XIX: Injury, poisoning and certain other consequences of external causes 67 6.91
7 J93 Pneumothorax X: Diseases of the respiratory system 59 6.08
8
MDR Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
37 3.81
9 J86 Pyothorax X: Diseases of the respiratory system 24 2.47
10 C15 Malignant neoplasm of oesophagus II: Neoplasms 15 1.55

National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2015 | Page# 7

Utilization of services at Tertiary Hospital
Indicators
No.
Total Patient days in 365 days (No.) 237,134
Bed Occupancy Rates (%) 96.97
Average Length of Hospital Stay (No. of days per patient) 19.52
Hospital Death Rate (%) 7.98
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries 1,256
Minor Surgeries 2,036

National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2015 | Page# 8

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
Class I Doctor 145 95 30 20 13.79
Non Doctor 1 1 0 0 0.00
Class II 310 6 280 24 7.74
Class III 126 86 16 24 19.05
Class IV 226 164 57 5 2.21

Status of Human Resources (Category wise)
Manpower MCH IMCI trained Basic EOC trained
Sanctioned Filled-up
Physician 146 0 0 0
Nurse 331 0 0 0
Medical Assistant 0 0 0 0
Medical Technologist 40 35 0 0
CHCP 0 0 0 0

National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2015 | Page# 9

Existing equipment at Tertiary Hospital
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Radiology equipment
X-ray machine (100 mA) 2 0 2 0 0
X-ray machine (300 mA) 0 0 0 0 0
X-ray machine (500 mA) 1 1 0 0 0
X-ray machine (digital) 2 1 1 0 0
X-ray machine (portable) 2 1 1 0 0
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 1 1 0 0 0
C-arm 0 0 0 0 0
Mamogram machine 0 0 0 0 0
Dehumidifier 2 2 0 0 0
MRI machine 0 0 0 0 0
Ultrasonogram machine 3 1 1 1 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 4 4 0 0 0
Anesthesia machine without ventilator 4 2 0 2 0
Autoclave 7 3 2 2 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 15 7 2 6 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 6 5 1 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 23 15 0 8 0
Sucker machine (electric) 17 13 4 0 0
Ventilator 0 0 0 0 0

National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2015 | Page# 10

Existing equipment at Tartiary Hospital
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine 0 0 0 0 0
Debrililator 0 0 0 0 0
ECG machine 9 5 2 2 0
Ecocardiogram machine 1 0 1 0 0
Cardiac monitor 6 6 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 24 12 7 5 0
Pulse oximeter 25 10 13 2 0
Dental equipment
Dental unit 0 0 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2015 | Page# 11

Existing equipment at Tertiary Hospital
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Lab equipment
Biochemical auto-analyzer 2 1 1 0 0
Centrifuge machine (electric) 13 8 5 0 0
Colorimeter 2 1 1 0 0
Electrolyte analyzer 1 1 0 0 0
ELISA machine 1 1 0 0 0
Gas analyzer 1 1 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 1 1 0 0 0
Microscope (binocular) 22 20 2 0 0
Obstetric equipment
Fetal Monitor 0 0 0 0 0
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 0 0 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2015 | Page# 12

Existing equipment at Tertiary Hospital
Equipment Total (No.) Functional (No.) Non-functional Not Installed
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge 1 0 1 0 0
Laminar flow hood 0 0 0 0 0
pH meter 0 0 0 0 0
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 4 4 0 0 0
Blood plasma seperating machine 1 1 0 0 0
Platelet seperating machine 0 0 0 0 0
Deep freeze (plasma) 1 1 0 0 0
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 3 2 1 0 0
Psichiatry equipment
ECT machine 0 0 0 0 0
EEG machine 0 0 0 0 0
Urology equipment
Cystoscopic machine 0 0 0 0 0
Vehicles
Ambulance 4 4 0 0 0
Bus 0 0 0 0 0
Jeep 1 1 0 0 0
Microbus 2 2 0 0 0
Pickup 1 1 0 0 0



National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2015 | Page# 13

Existing equipment at Tertiary Hospital
Equipment Total (No.) Functional (No.) Non-functional Not Installed
Repairable (No.) Non-repairable (No.)
Air conditioner
Air conditioner (split type) 192 150 30 12 0
Air conditioner (window) 7 2 5 0 0
Generator
Generator (diesel/petrol) 4 3 1 0 0
Generator (gas) 1 0 1 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 129 99 12 18 0
Laptop 6 4 0 2 0
Printer (dot matrix) 5 2 0 3 0
Printer (inkjet) 6 2 0 4 0
Printer (laser) 105 85 2 18 0
Scanner 8 5 0 3 0
UPS 127 102 0 25 0
Fax 2 2 0 0 0
Intercom 70 50 20 0 0
Internet fixed line 1 1 0 0 0
Internet wireless line 2 2 0 0 0
Multimedia 8 6 0 2 0


National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2015 | Page#14

Existing equipment at Tertiary Hospital
Equipment Total (No.) Functional (No.) Non-functional Not Installed
Repairable (No.) Non-repairable (No.)
OHP 0 0 0 0 0
PA system (Sound) 1 1 0 0 0
Land phone 8 8 0 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 8 8 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 905 671 119 115 0

National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2015 | Page#15

Important information and necessary issues for National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka