Mymensingh Medical College Hospital | Health Bulletin 2015 |
Preface
It is indeed a great honour and privilege for me to publish the Health bulletin-2015 of Mymensingh Medical College Hospital. Being one of the oldest Medical College Hospital in the country, it has transcended almost 62 years from its inception as a 500 beded referral hospital. Off late it has been upgraded to 1000 beded hospital. Though admitted patient load remains on an average 1900. Besides patients treatment, this hospital is concerned with undergraduate training to medical and nursing students and post-graduate training to doctors in 27 disciplines. This hospital enjoys its wide catchment areas for healthcare services to near about two and a half crore of people of greater Mymensingh district. More so incorporation of newly constructed 500 beded multistoried annexed hospital building has eased the accommodation of indoor and out door healthcare services. This bulletin imbibed with all health related information of this tertiary level hospital. As such readers will get an overall view of health status of greater Mymensingh area giving input to planning of the health services. This bulletin is committed to fulfill MDG4 and MDG5 to bring the country forward for further laurels. I would like to express my gratitude to all the members of Mymensingh Medical College Hospital for their untiring efforts and commitments. I harp upon our esteemed readers to sympathetically bear with the shortcomings, if any in this papers. I have strong conviction that the commitments of present Government on furnishing Digital Bangladesh is getting strengthen by the health services. At the end, I would like to thank DGHS and MOHFW for their courage and endeavour for making success towards Digital Bangladesh.
Mymensingh Medical College Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Facility Mymensingh Medical College Hospital
Organization Code
10000397
Name of Director Brig Gen Md. Fashiur Rahman ndc
Land Phone No. 1
091-066061
Land Phone No. 2 091-66062
FAX No. 09167008
Mobile No. 01713332468
Email mmch@hospi.dghs.gov.bd
GPS location of Facility Lati: 24.7492 And Long: 90.4026
Mymensingh Medical College Hospital | Health Bulletin 2015 | Page# 2
Existing health facilities in the Year 2014
Facility Type
Total
No. of Beds
Medical College Hospital
1
1,000
Child health and MDG-4 (In The Facility) (Jan-Dec, 2014)
No. of Live Births: 10,017
Total No. of children treated under IMCI Program 11,641
Neonatal Mortality Rate (NMR) is 186.98 per 1,000 live births.
Mymensingh Medical College Hospital | 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: 19,890
Total Number of Deliveries: 10,550
No. of Maternal Death: 151
Maternal Mortality Ratio (MMR) is
1,507.44 per 100,000 live births.
Mymensingh Medical College Hospital | 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
222,328
214,166
436,494
29,918
44,878
74,796
511,290
5,304
4,966
10,270
1,816
1,899
3,715
13,985
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
61,428
65,324
126,752
13,309
8,572
21,881
148,633
2,076
1,848
3,924
1,322
913
2,235
6,159
Mymensingh Medical College Hospital | 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
148,633
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
R072 Precordial pain
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
14925
10.04
2
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
13983
9.41
3
O800 Spontaneous vertex delivery
XV: Pregnancy, childbirth and the puerperium
5443
3.66
4
O689 Labour and delivery complicated by fetal stress, unspecified
XV: Pregnancy, childbirth and the puerperium
5321
3.58
5
V795 Passenger injured in collision with other and unspecified motor vehicles in traffic accident
XX: External causes of morbidity and mortality
5288
3.56
6
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
5214
3.51
7
R101 Pain localized to upper abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
5197
3.50
8
I616 Intracerebral haemorrhage, multiple localized
IX: Diseases of the circulatory system
4936
3.32
9
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X: Diseases of the respiratory system
4524
3.04
10
X680 Intentional self-poisoning by and exposure to pesticides, home
XX: External causes of morbidity and mortality
3105
2.09
Mymensingh Medical College Hospital | 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
6,159
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
P210 Severe birth asphyxia
XVI: Certain conditions originating in the perinatal period
1391
22.58
2
I210 Acute transmural myocardial infarction of anterior wall
IX: Diseases of the circulatory system
819
13.30
3
I612 Intracerebral haemorrhage in hemisphere, unspecified
IX: Diseases of the circulatory system
251
4.08
4
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
201
3.26
5
S069 Intracranial injury, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
196
3.18
6
P070 Extremely low birth weight
XVI: Certain conditions originating in the perinatal period
174
2.83
7
J440 Chronic obstructive pulmonary disease with acute lower respiratory infection
X: Diseases of the respiratory system
164
2.66
8
X680 Intentional self-poisoning by and exposure to pesticides, home
XX: External causes of morbidity and mortality
113
1.83
9
G049 Encephalitis, myelitis and encephalomyelitis, unspecified
VI: Diseases of the nervous system
86
1.40
10
N189 Chronic renal failure, unspecified
XIV: Diseases of the genitourinary system
49
0.80
Mymensingh Medical College Hospital | Health Bulletin 2015 | Page# 7
Utilization of services at Tertiary Hospital
Indicators
No.
Total Patient days in 365 days (No.)
568,983
Bed Occupancy Rates (%)
155.89
Average Length of Hospital Stay (No. of days per patient)
3.83
Hospital Death Rate (%)
4.14
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
12,146
Minor Surgeries
15,957
Mymensingh Medical College Hospital | Health Bulletin 2015 | Page# 8
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
380
265
39
76
20.00
Non Doctor
7
0
1
6
85.71
Class II
512
41
404
67
13.09
Class III
163
119
18
26
15.95
Class IV
455
302
112
41
9.01
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
380
304
0
6
Nurse
505
445
2
2
Medical Assistant
0
0
0
0
Medical Technologist
39
34
0
0
CHCP
0
0
0
0
Mymensingh Medical College Hospital | 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)
3
1
1
1
0
X-ray machine (500 mA)
4
2
2
0
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
8
2
6
0
0
Dental X-ray unit
1
1
0
0
0
Spiral CT Scan
1
1
0
0
0
C-arm
1
1
0
0
0
Mamogram machine
1
1
0
0
0
Dehumidifier
10
6
4
0
0
MRI machine
1
1
0
0
0
Ultrasonogram machine
9
5
4
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
10
5
5
0
0
Anesthesia machine without ventilator
11
8
3
0
0
Autoclave
11
8
3
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
20
12
8
0
0
Operating microscope
6
3
3
0
0
Ceiling mounting OT Light
27
20
7
0
0
Portable OT Light
8
6
2
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
26
15
6
5
0
Sterilizer
12
7
5
0
0
Sucker machine (electric)
24
10
12
2
0
Ventilator
12
2
10
0
0
Mymensingh Medical College Hospital | 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
12
5
2
5
0
ECG machine
21
5
16
0
0
Ecocardiogram machine
4
3
0
0
1
Cardiac monitor
17
6
6
5
0
Holter monitor
13
12
1
0
0
Nebulizer machine
5
2
3
0
0
Pulse oximeter
29
21
8
0
0
Dental equipment
Dental unit
3
2
1
0
0
Gastroeneterology equipment
Endoscopy machine
2
1
1
0
0
Laparoscopic machine
4
3
1
0
0
Mymensingh Medical College Hospital | 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
1
0
1
0
0
Centrifuge machine (electric)
7
2
5
0
0
Colorimeter
5
2
2
1
0
Electrolyte analyzer
1
0
1
0
0
ELISA machine
0
0
0
0
0
Gas analyzer
0
0
0
0
0
Hormone analyzer
1
1
0
0
0
Blood cell counter
1
1
0
0
0
Microscope (binocular)
4
3
1
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
1
1
0
0
0
Retinoscope
2
1
1
0
0
Pediatric equipment
Baby incubator
24
14
1
9
0
Phototherapy unit
22
11
5
6
0
Mymensingh Medical College Hospital | 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
3
1
2
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
2
1
1
0
Blood plasma seperating machine
1
1
0
0
0
Platelet seperating machine
1
1
0
0
0
Deep freeze (plasma)
1
1
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
6
2
2
2
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
2
1
1
0
0
Urology equipment
Cystoscopic machine
2
1
1
0
0
Vehicles
Ambulance
3
2
1
0
0
Bus
0
0
0
0
0
Jeep
1
1
0
0
0
Microbus
1
1
0
0
0
Pickup
0
0
0
0
0
Mymensingh Medical College Hospital | 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)
36
20
16
0
0
Air conditioner (window)
55
44
11
0
0
Generator
Generator (diesel/petrol)
5
5
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
6
6
0
0
0
ICT equipment
Computer (desktop)
61
55
2
4
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
2
2
0
0
0
Printer (laser)
19
15
2
2
0
Scanner
0
0
0
0
0
UPS
16
12
0
4
0
Fax
1
1
0
0
0
Intercom
300
300
0
0
0
Internet fixed line
15
15
0
0
0
Internet wireless line
4
4
0
0
0
Multimedia
1
1
0
0
0
Mymensingh Medical College Hospital | 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
16
16
0
0
0
Mobile phone
1
1
0
0
0
Photocopier machine
6
5
1
0
0
Digital camera
1
1
0
0
0
Video camera
0
0
0
0
0
Total
958
733
177
47
1
Mymensingh Medical College Hospital | Health Bulletin 2015 | Page#15
Important information and necessary issues for Mymensingh Medical College Hospital
1. Establishment of proper waste disposal system in the hospital.
2. Establishment of Cath-lab in the hospital.
3. Improvement of dialysis unit in the hospital.
4. Establishment of Casualty ward in the hospital.
5. To Equip of Physical Medicine ward in the hospital.
6. Curbing down the shortage of manpower in the hospital.
7. Bring whole hospital under Automation and Camera.
8. To strive to get introduced health sector police.
9. To find out ways to to control visitors.
I draw the kind attention of higher authority to look into these issue. Finally, I would like to acknowledge and appreciate the support of DGHS and MOHFW to enable us to publish this Health Bulletin-2015.
