Comilla Medical College Hospital | Health Bulletin 2015 |
Preface
It Is my Great pleasure to publish this health bulletin containing all the health informations of 2014 in Comilla Medical College Hospital,Comilla. I think it will help to find out the lacunae where further attention is required. It depicts the steps under taken and improvements achieved during this year. This health bulletin will also help the local level planners to formulate a future plan for further improvement and ensures transparency and accountability. It will help us to final constrains and also to see result and achievement of 2014. All the sanctioned and vacant posts are published in this bulletin. I would like to take attention of the higher authority to look in to this issues. This bulletin will serve the information with statistical data. Finally I would like to congratulate the initiator of the health bulletin.
Comilla Medical College Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Facility Comilla Medical College Hospital
Organization Code
10000867
Name of Director Dr SHOPON KUMAR ADHIKARI
Land Phone No. 1
081-08165401
Land Phone No. 2 081-08176348
FAX No. 08176343
Mobile No. 01712251046
Email comch@hospi.dghs.gov.bd
GPS location of Facility Lati: 28.0000 And Long: 94.0000
Comilla 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
500
Child health and MDG-4 (In The Facility) (Jan-Dec, 2014)
No. of Live Births: 3,542
Total No. of children treated under IMCI Program 26,068
Neonatal Mortality Rate (NMR) is 13.83 per 1,000 live births.
Comilla 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: 7,509
Total Number of Deliveries: 3,459
No. of Maternal Death: 20
Maternal Mortality Ratio (MMR) is
564.65 per 100,000 live births.
Comilla 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
87,167
115,804
202,971
31,812
29,392
61,204
264,175
923
892
1,815
505
309
814
2,629
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
26,192
18,765
44,957
4,528
3,540
8,068
53,025
603
443
1,046
471
181
652
1,698
Comilla 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
53,121
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
4798
9.03
2
T009 Multiple superficial injuries, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
3589
6.76
3
O64 Obstructed labour due to malposition and malpresentation of fetus
XV: Pregnancy, childbirth and the puerperium
2197
4.14
4
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
1798
3.38
5
A009 Cholera, unspecified
I: Certain infectious and parasitic diseases
1459
2.75
6
J159 Bacterial pneumonia, unspecified
X: Diseases of the respiratory system
1449
2.73
7
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
1146
2.16
8
I139 Hypertensive heart and renal disease, unspecified
IX: Diseases of the circulatory system
1063
2.00
9
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X: Diseases of the respiratory system
1035
1.95
10
O209 Haemorrhage in early pregnancy, unspecified
XV: Pregnancy, childbirth and the puerperium
803
1.51
Comilla 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
1,678
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
P070 Extremely low birth weight
XVI: Certain conditions originating in the perinatal period
315
18.77
2
I516 Cardiovascular disease, unspecified
IX: Diseases of the circulatory system
92
5.48
3
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
87
5.18
4
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
81
4.83
5
T571 Phosphorus and its compounds
XIX: Injury, poisoning and certain other consequences of external causes
78
4.65
6
J159 Bacterial pneumonia, unspecified
X: Diseases of the respiratory system
72
4.29
7
G039 Meningitis, unspecified
VI: Diseases of the nervous system
68
4.05
8
O150 Eclampsia in pregnancy
XV: Pregnancy, childbirth and the puerperium
30
1.79
9
R101 Pain localized to upper abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
25
1.49
10
K838 Other specified diseases of biliary tract
XI: Diseases of the digestive system
22
1.31
Comilla Medical College Hospital | Health Bulletin 2015 | Page# 7
Utilization of services at Tertiary Hospital
Indicators
No.
Total Patient days in 365 days (No.)
260,410
Bed Occupancy Rates (%)
142.69
Average Length of Hospital Stay (No. of days per patient)
4.90
Hospital Death Rate (%)
3.16
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
5,791
Minor Surgeries
7,252
Comilla 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
154
103
33
18
11.69
Non Doctor
1
0
1
0
0.00
Class II
210
18
168
24
11.43
Class III
62
52
4
6
9.68
Class IV
147
81
32
34
23.13
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
154
141
15
12
Nurse
210
187
8
9
Medical Assistant
0
0
0
0
Medical Technologist
20
16
0
0
CHCP
0
0
0
0
Comilla 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)
0
0
0
0
0
X-ray machine (500 mA)
1
1
0
0
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
1
0
0
1
0
Dental X-ray unit
1
0
0
1
0
Spiral CT Scan
2
0
1
0
1
C-arm
1
1
0
0
0
Mamogram machine
1
0
1
0
0
Dehumidifier
3
1
1
1
0
MRI machine
2
1
1
0
0
Ultrasonogram machine
7
2
3
2
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
3
1
1
0
1
Anesthesia machine without ventilator
16
10
6
0
0
Autoclave
21
17
4
0
0
Electric cautery machine
1
0
0
1
0
Diathermy machine
19
10
9
0
0
Operating microscope
4
1
3
0
0
Ceiling mounting OT Light
9
5
4
0
0
Portable OT Light
2
0
2
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
22
18
4
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
81
13
68
0
0
Ventilator
3
2
1
0
0
Comilla 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
2
0
0
2
0
ECG machine
8
3
3
2
0
Ecocardiogram machine
1
0
0
1
0
Cardiac monitor
4
2
2
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
90
60
20
10
0
Pulse oximeter
27
18
4
5
0
Dental equipment
Dental unit
3
1
1
1
0
Gastroeneterology equipment
Endoscopy machine
2
2
0
0
0
Laparoscopic machine
7
3
3
1
0
Comilla 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
2
0
1
0
1
Centrifuge machine (electric)
8
1
4
0
3
Colorimeter
2
1
1
0
0
Electrolyte analyzer
2
1
1
0
0
ELISA machine
0
0
0
0
0
Gas analyzer
1
1
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
0
0
0
0
0
Microscope (binocular)
5
2
3
0
0
Obstetric equipment
Fetal Monitor
5
2
3
0
0
Ophthalmic equipment
FACO machine
1
0
0
1
0
Retinoscope
2
2
0
0
0
Pediatric equipment
Baby incubator
20
0
7
12
1
Phototherapy unit
10
0
2
8
0
Comilla 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
2
0
1
1
0
Laminar flow hood
0
0
0
0
0
pH meter
1
0
1
0
0
Hemoglobin photometer
0
0
0
0
0
Blood bank refrigerator
3
3
0
0
0
Blood plasma seperating machine
4
2
2
0
0
Platelet seperating machine
1
1
0
0
0
Deep freeze (plasma)
0
0
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
2
2
0
0
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
0
0
0
0
0
Urology equipment
Cystoscopic machine
1
1
0
0
0
Vehicles
Ambulance
3
2
0
1
0
Bus
0
0
0
0
0
Jeep
0
0
0
0
0
Microbus
3
2
1
0
0
Pickup
2
1
1
0
0
Comilla 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)
44
22
14
3
5
Air conditioner (window)
88
44
33
11
0
Generator
Generator (diesel/petrol)
3
2
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
1
1
0
0
0
ICT equipment
Computer (desktop)
49
38
11
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
16
11
5
0
0
Scanner
1
1
0
0
0
UPS
37
3
3
31
0
Fax
1
1
0
0
0
Intercom
1
1
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
1
1
0
0
0
Multimedia
1
1
0
0
0
Comilla 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
3
3
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
675
330
237
96
12
Comilla Medical College Hospital | Health Bulletin 2015 | Page#15
Important information and necessary issues for Comilla Medical College Hospital
I am gland to inform you that our total efforts improve the health service delivery of the hospital . Here I like to mention some important factors which will help us to achieve the better result in future.viz:-(1) All the vacant posts should be filled up immediately specially class 3 and class 4. (2) CCU should be improved and ICU should be established immediately. (3) Our doctors, Nurses and others who are related in health service delivery and reporting system need more training on IMCI, EMOC, etc. (4) One P.W.D sub station should be established in the hospital campus to look after emergency repair and maintenance of the infrastructure . (5) Medical equipments must be repaired promptly by the DGHS and related authorities. (6) As because Comilla Medical College Hospital is now extended in to 500 beded hospital infrastructure, Allocation of manpower specially 3rd and 4th class employees and necessary logistics support should be provided for better health service delivery.
