Chittagong Medical College Hospital | Health Bulletin 2015 |
Preface
Chittagong Medical College Hospital established in the year 1957 and started functioning in the present location in 1960 with only 120 beds & few out patient services. Later it was upgraded to 500,750,1010,1313* ( * This only administrative but no functional benefit found) beds in 1969,1996,2001 and 2013 respectively. This is one of the second largest hospital in the country & only referral hospital (Level 3) in greater Chittagong covering 40,000 sq. km. area serving health care services for about 30 millions population. At the beginning of this hospital, there were only two departments Surgery, Obs. & Gynae. The general hospital at that time used to serve as department of Medicine and allied specialties till 1969.The present six storied hospital building was completed in 1969 and renovated under ADB project in 1998 which now accommodates all the clinical departments and sub specialties. This hospital also rendering services to the Burn patients, Open heart surgery. This is the only government Hospital outside the Capital for Cardiac Surgery Operation also having largest NICU (SCANU). Daily 2000 to 2300 patients remain admitted to this hospital. Admission turn over is 450-500 patients per day.Outdoor patient attendance 2000 to 2500.
Though 2000 to 2300 patients get admitted every day, the infrastructural facilities and manpower strength still remained as per initial 500 bed hospital.
Chittagong Medical College Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Facility Chittagong Medical College Hospital
Organization Code
10000756
Name of Director Brigadier General Khondakar Shahidul Ghani
Land Phone No. 1
+88031-0630179
Land Phone No. 2 +88031-619761 (24 Hours)
FAX No. 031610022
Mobile No. 01987542199
Email cmch@hospi.dghs.gov.bd
GPS location of Facility Lati: 20.0000 And Long: 87.0000
Chittagong 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
1,313
Child health and MDG-4 (In The Facility) (Jan-Dec, 2014)
No. of Live Births: 14,039
Total No. of children treated under IMCI Program 18,488
Neonatal Mortality Rate (NMR) is 85.26 per 1,000 live births.
Chittagong 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: 3,178
Total Number of Deliveries: 15,018
No. of Maternal Death: 97
Maternal Mortality Ratio (MMR) is
690.93 per 100,000 live births.
Chittagong 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
204,865
184,866
389,731
57,600
52,127
109,727
499,458
16,566
12,343
28,909
1,563
1,387
2,950
31,859
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
79,386
63,150
142,536
6,779
6,013
12,792
155,328
3,290
3,047
6,337
850
873
1,723
8,060
Chittagong 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
155,328
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
13054
8.40
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
5475
3.52
3
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
4033
2.60
4
I694 Sequelae of stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
3726
2.40
5
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
3650
2.35
6
I200 Unstable angina
IX: Diseases of the circulatory system
2920
1.88
7
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X: Diseases of the respiratory system
2304
1.48
8
I110 Hypertensive heart disease with (congestive) heart failure
IX: Diseases of the circulatory system
1460
0.94
9
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
1439
0.93
10
T630 Snake venom
XIX: Injury, poisoning and certain other consequences of external causes
1143
0.74
Chittagong 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
8,060
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
530
6.58
2
I694 Sequelae of stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
337
4.18
3
G46 Vascular syndromes of brain in cerebrovascular diseases
VI: Diseases of the nervous system
325
4.03
4
I50 Heart failure
IX: Diseases of the circulatory system
250
3.10
5
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X: Diseases of the respiratory system
130
1.61
6
K74 Fibrosis and cirrhosis of liver
XI: Diseases of the digestive system
143
1.77
7
I200 Unstable angina
IX: Diseases of the circulatory system
125
1.55
8
J15 Bacterial pneumonia, NEC
X: Diseases of the respiratory system
99
1.23
9
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
89
1.10
10
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
89
1.10
Chittagong Medical College Hospital | Health Bulletin 2015 | Page# 7
Utilization of services at Tertiary Hospital
Indicators
No.
Total Patient days in 365 days (No.)
757,620
Bed Occupancy Rates (%)
158.09
Average Length of Hospital Stay (No. of days per patient)
4.88
Hospital Death Rate (%)
5.19
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
13,280
Minor Surgeries
28,989
Chittagong 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
267
170
87
10
3.75
Non Doctor
1
0
1
0
0.00
Class II
635
31
480
124
19.53
Class III
107
78
11
18
16.82
Class IV
512
343
78
91
17.77
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
267
257
15
13
Nurse
635
516
24
0
Medical Assistant
0
0
0
0
Medical Technologist
29
24
0
0
CHCP
0
0
0
0
Chittagong 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)
1
1
0
0
0
X-ray machine (500 mA)
2
2
0
0
0
X-ray machine (digital)
1
1
0
0
0
X-ray machine (portable)
3
0
3
0
0
Dental X-ray unit
2
2
0
0
0
Spiral CT Scan
1
0
1
0
0
C-arm
4
3
0
1
0
Mamogram machine
0
0
0
0
0
Dehumidifier
17
16
1
0
0
MRI machine
1
0
1
0
0
Ultrasonogram machine
9
9
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
9
7
2
0
0
Anesthesia machine without ventilator
11
9
2
0
0
Autoclave
20
10
10
0
0
Electric cautery machine
4
3
1
0
0
Diathermy machine
23
18
5
0
0
Operating microscope
6
5
1
0
0
Ceiling mounting OT Light
20
15
5
0
0
Portable OT Light
9
7
2
0
0
Fracture table
3
3
0
0
0
Hydrolic OT Table
29
24
5
0
0
Sterilizer
34
20
5
9
0
Sucker machine (electric)
50
35
15
0
0
Ventilator
23
20
3
0
0
Chittagong 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
1
1
0
0
0
Debrililator
14
7
7
0
0
ECG machine
30
25
5
0
0
Ecocardiogram machine
3
3
0
0
0
Cardiac monitor
31
19
12
0
0
Holter monitor
3
2
1
0
0
Nebulizer machine
35
30
5
0
0
Pulse oximeter
54
50
4
0
0
Dental equipment
Dental unit
4
3
1
0
0
Gastroeneterology equipment
Endoscopy machine
5
4
1
0
0
Laparoscopic machine
5
5
0
0
0
Chittagong 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
1
0
0
0
Centrifuge machine (electric)
6
3
3
0
0
Colorimeter
2
2
0
0
0
Electrolyte analyzer
2
2
0
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
1
1
0
0
0
Microscope (binocular)
22
8
10
4
0
Obstetric equipment
Fetal Monitor
2
2
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
10
9
1
0
0
Pediatric equipment
Baby incubator
18
17
0
1
0
Phototherapy unit
17
17
0
0
0
Chittagong 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
7
6
0
1
0
Laminar flow hood
0
0
0
0
0
pH meter
3
3
0
0
0
Hemoglobin photometer
5
5
0
0
0
Blood bank refrigerator
7
6
1
0
0
Blood plasma seperating machine
1
1
0
0
0
Platelet seperating machine
1
1
0
0
0
Deep freeze (plasma)
2
2
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
14
12
2
0
0
Psichiatry equipment
ECT machine
2
1
1
0
0
EEG machine
2
1
0
1
0
Urology equipment
Cystoscopic machine
1
1
0
0
0
Vehicles
Ambulance
5
5
0
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
Chittagong 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)
383
383
0
0
0
Air conditioner (window)
120
120
0
0
0
Generator
Generator (diesel/petrol)
5
4
1
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)
53
45
0
8
0
Laptop
5
5
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
1
0
0
0
Printer (laser)
15
13
0
2
0
Scanner
4
4
0
0
0
UPS
19
17
0
2
0
Fax
3
3
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
1
1
0
0
0
Multimedia
2
1
0
1
0
Chittagong 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
5
5
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
6
3
3
0
0
Digital camera
1
1
0
0
0
Video camera
0
0
0
0
0
Total
1224
1074
120
30
0
Chittagong Medical College Hospital | Health Bulletin 2015 | Page#15
Important information and necessary issues for Chittagong Medical College Hospital
I would like to address some of the important issues which if solved will help us to achieve better in terms of patients care.(1) It is the only govt. hospital outside the capital performing open heart surgery, having largest NICU (SCANU) with full swing Burn and Plastic surgery department. (2) New post for the Doctor, Nurses, Lab Technicians, Ward Master and other supporting staff should be created in proportion to the 1313 beds.(3) Future expansions of CMCH phase II should start as early as possible. (5) Lack of residential facilities of Officers and Staffs: According to the number of officer and staffs the residential facilities are very minimum. As a result of scarcity of residential facilities patient care is hampered as doctors/staffs are coming from distant places for their shifting duties. (6) Proposals for creating new posts for ICU, Casualty, Plastic Surgery and Urology Units have been established and the activities of these units are going on. But new posts are not created yet which creates serious problems in providing patient care. The proposals for creation of new posts in these units have sent to MOH & FW. (7) The following major equipments & establishments are essential to render better service to the ailing people viz. CT Scan, MRI, Digital X-Ray, Color Doppler USG(upgrade version), Arthoscope, Cobalt-60 Machine & massive renovation of OT complexes CSSD & Laundry Plant (8) In addition: i. Multistoried buildings for stores & supply dept. ii. Increase budget for cleaning & waste management.iv. Creation of security force dept. of 100 personnel. v. Separate budget for medical gas & gas related services. vi. Dedication of financial power to the institutional head to use some percentage of user fee. (9) Land: Total area of CMCH is 80 acres. But now about 65 acres of land is in our position. The rest of the land is occupied by illegal occupants. We tried to get back the lands but they sued in the high court and now it is in status co position.
