National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 |
Preface
I am glad to present this Health Bulletin 2015 containing defined information of National Institute of Mental Health,Dhaka during 2014. The objectives of establishment of the institute included to deliver modern services to the mentally ill people in the community, to develop qualified and trained manpower, to help provide mental health services through primary health care system, to conduct researches in the field of mental health.The available mental health services in Bangladesh are inadequate in comparison to the need of the community. Since establishment of the institute the authority has been trying to achieve the goals. We need extended support from the government to achieve the defined goals of establishment of the institute. I am thankful to all the staffs of the institute and relevant sectors of the government for helping us in realizing our aspirations.This Health Bulletin containing data during the period 2014 will help us in finding out the deficits, weaknesses and future directions for further development of the existing services. I congratulate those who were involved with the development of this Health Bulletin Software.
National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Facility National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- Dhaka
Organization Code
10000010
Name of Director Prof. Dr. Md. Waziul Alam Chowdhury
Land Phone No. 1
-09118171
Land Phone No. 2
FAX No. 09111362
Mobile No. 01711027705
Email nimhr@hospi.dghs.gov.bd
GPS location of Facility Lati: 20.0000 And Long: 0.0000
National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 2
Existing health facilities in the Year 2014
Facility Type
Total
No. of Beds
Medical College Hospital
1
200
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 Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- 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 Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- 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
17,856
12,303
30,159
4,855
0
4,855
35,014
1,448
810
2,258
87
0
87
2,345
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
1,943
1,071
3,014
106
0
106
3,120
1
2
3
0
0
0
3
National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- 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
3,120
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
F20 Schizophrenia
V: Mental and behavioural disorders
901
28.88
2
F31 Bipolar affective disorder
V: Mental and behavioural disorders
805
25.80
3
F41 Other anxiety disorders
V: Mental and behavioural disorders
172
5.51
4
F19 Mental and behavioural disorders due to multiple drug use and use of other psychoactive substances
V: Mental and behavioural disorders
146
4.68
5
F79 Unspecified mental retardation
V: Mental and behavioural disorders
61
1.96
6
F42 Obsessive-compulsive disorder
V: Mental and behavioural disorders
33
1.06
7
G30 Alzheimer's disease
VI: Diseases of the nervous system
30
0.96
8
G40 Epilepsy
VI: Diseases of the nervous system
30
0.96
9
F60 Specific personality disorders
V: Mental and behavioural disorders
9
0.29
10
R401 Stupor
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
3
0.10
National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- 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
3
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
F20 Schizophrenia
V: Mental and behavioural disorders
1
33.33
2
F30 Manic episode
V: Mental and behavioural disorders
1
33.33
3
F42 Obsessive-compulsive disorder
V: Mental and behavioural disorders
1
33.33
4
0
0.00
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 7
Utilization of services at Tertiary Hospital
Indicators
No.
Total Patient days in 365 days (No.)
52,781
Bed Occupancy Rates (%)
72.30
Average Length of Hospital Stay (No. of days per patient)
16.92
Hospital Death Rate (%)
0.10
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
217
National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 8
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
43
27
12
4
9.30
Non Doctor
3
3
0
0
0.00
Class II
43
5
38
0
0
Class III
30
22
7
1
3.33
Class IV
64
44
10
10
15.63
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
43
39
0
0
Nurse
42
42
0
0
Medical Assistant
2
2
0
0
Medical Technologist
2
2
0
0
CHCP
95
82
0
0
National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- 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)
0
0
0
0
0
X-ray machine (300 mA)
1
0
0
0
1
X-ray machine (500 mA)
0
0
0
0
0
X-ray machine (digital)
1
0
0
0
1
X-ray machine (portable)
0
0
0
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
0
0
0
0
0
MRI machine
1
0
1
0
0
Ultrasonogram machine
3
3
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
3
3
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
4
2
2
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
0
0
0
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
2
2
0
0
0
Sucker machine (electric)
5
4
1
0
0
Ventilator
2
2
0
0
0
National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- 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
4
3
1
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
1
1
0
0
0
Pulse oximeter
0
0
0
0
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 Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- 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
0
0
0
0
0
Centrifuge machine (electric)
5
3
2
0
0
Colorimeter
2
2
0
0
0
Electrolyte analyzer
1
0
1
0
0
ELISA machine
0
0
0
0
0
Gas analyzer
0
0
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
0
0
0
0
0
Microscope (binocular)
7
7
0
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 Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- 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
0
0
0
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
0
0
0
0
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
0
0
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
6
5
1
0
0
Psichiatry equipment
ECT machine
2
1
1
0
0
EEG machine
1
0
0
1
0
Urology equipment
Cystoscopic machine
0
0
0
0
0
Vehicles
Ambulance
0
0
0
0
0
Bus
1
1
0
0
0
Jeep
0
0
0
0
0
Microbus
1
1
0
0
0
Pickup
1
1
0
0
0
National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- 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)
44
35
9
0
0
Air conditioner (window)
12
10
2
0
0
Generator
Generator (diesel/petrol)
2
2
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
63
49
5
9
0
Laptop
4
4
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
1
0
0
0
Printer (laser)
34
30
4
0
0
Scanner
4
4
0
0
0
UPS
31
30
1
0
0
Fax
2
1
1
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
3
3
0
0
0
Multimedia
1
1
0
0
0
National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- 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)
2
0
2
0
0
Land phone
8
8
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
6
5
0
1
0
Digital camera
0
0
0
0
0
Video camera
1
1
0
0
0
Total
273
226
34
11
2
National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page#15
Important information and necessary issues for National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- Dhaka
National Institute of Mental Health,Dhaka has been established with the objective of development of qualified and trained manpower in psychiatry.Providing clinical services to patients with mental disorders is the essential element for conduction of different courses, training and research programmers.Adequate infrastructure facilities with logistic and manpower support are required to achieve the goal.Patients with mental disorders are usually poor.They cannot afford to admission in paying bed.Increasing percentage of non-paying beds and reducing that of paying beds are essential to increase bed occupancy.Vertical extension of the building is essential to have separate ward for six separate departments.Now one ward has patients admitted in different units with limited space, which is open in nature.For example,patients from Child psychiatry department are being treated mixed with patients of Adult psychiatry.Occupational therapy unit and rehabilitation unit are integral parts of management of patients with mental disorders.Maintenance of the building by PWD needs improvement.Bathroom,toilets,window grills and glasses,doors,doctors room,nurses room patients Corts and beds need special care.Electricity department of the government is failing to make Generator functioning.Vertical extension of the building is also essential to create separate space for the units.Nursing staffs and doctors are inadequate in the hospital.There are needs of six registrars,one Resident Psychiatrist and one Deputy Director in the institute.During transformation of the posts into revenue these three posts were not considered.Now the institute is having serve academic and administrative problems due to lack of these posts.Ward boys and MLSS are very few in numbers in the institute.Moreover class IV and class III staffs are frequently transferred to other hospital without giving replacement.X-ray machines installed in the institute have not been functioning.
