Shahid Ziaur Rahman Medical College Hospital | Health Bulletin 2015 |
Preface
Health and hospitals are very important components of every nation. The competence for the organisation and delivery of health services and healthcare is largely depends on: protecting people from health threats and disease, promoting healthy lifestyles and helping national authorities in timely dissemination of information on health issues.
From a hospital administrator's point of view, our account would indeed be disappointing as there are no ready made shortcuts on the offer to improve the outcomes. Nonetheless, it is important to realize that health is a social phenomenon and a public hospital is a social institution which cannot be studied in isolation from the societal condition in which it operates. The analysis presented in Health Bulletin of Shahid Ziaur Rahman Medical College Hospital(SZMCH)-2014 is in conformity with this reality.
I believe this Annual Health Bulletin will be regarded as a mirror on the health situation of Bangladesh after being synchronized at the national level and a tool for evidence based decision -making in planning and prioritization of the health interventions.
Shahid Ziaur Rahman Medical College Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Facility Shahid Ziaur Rahman Medical College Hospital
Organization Code
10001111
Name of Director Brigadier General A K M Mustafa Kamal Pasha ndc MPH
Land Phone No. 1
-05169300
Land Phone No. 2
FAX No. 05169007
Mobile No. 01778500857
Email szrmch@hospi.dghs.gov.bd
GPS location of Facility Lati: 24.8269 And Long: 89.3527
Shahid Ziaur Rahman 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: 2,360
Total No. of children treated under IMCI Program 0
Neonatal Mortality Rate (NMR) is 258.90 per 1,000 live births.
Shahid Ziaur Rahman 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: 6,608
Total Number of Deliveries: 2,575
No. of Maternal Death: 72
Maternal Mortality Ratio (MMR) is
3,050.85 per 100,000 live births.
Shahid Ziaur Rahman 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
165,121
169,285
334,406
15,726
17,347
33,073
367,479
22,728
21,947
44,675
5,068
4,554
9,622
54,297
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
25,021
24,044
49,065
4,925
4,218
9,143
58,208
1,312
1,206
2,518
395
348
743
3,261
Shahid Ziaur Rahman 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
58,208
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
V99 Unspecified transport accident
XX: External causes of morbidity and mortality
5311
9.12
2
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
4085
7.02
3
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
2417
4.15
4
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
1159
1.99
5
E148 Unspecified diabetes mellitus with unspecified complications
IV: Endocrine, nutritional and metabolic diseases
1117
1.92
6
J219 Acute bronchiolitis, unspecified
X: Diseases of the respiratory system
980
1.68
7
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
883
1.52
8
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
818
1.41
9
M069 Rheumatoid arthritis, unspecified
XIII: Diseases of the musculoskeletal system and connective tissue
736
1.26
10
I509 Heart failure, unspecified
IX: Diseases of the circulatory system
705
1.21
Shahid Ziaur Rahman 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
3,261
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
406
12.45
2
P219 Birth asphyxia, unspecified
XVI: Certain conditions originating in the perinatal period
329
10.09
3
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
317
9.72
4
P07 Disorders related to short gestation and low birth weight, NEC
XVI: Certain conditions originating in the perinatal period
170
5.21
5
V99 Unspecified transport accident
XX: External causes of morbidity and mortality
138
4.23
6
X68 Intentional self-poisoning by and exposure to pesticides
XX: External causes of morbidity and mortality
127
3.89
7
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
114
3.50
8
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
72
2.21
9
A86 Unspecified viral encephalitis
I: Certain infectious and parasitic diseases
68
2.09
10
I509 Heart failure, unspecified
IX: Diseases of the circulatory system
61
1.87
Shahid Ziaur Rahman Medical College Hospital | Health Bulletin 2015 | Page# 7
Utilization of services at Tertiary Hospital
Indicators
No.
Total Patient days in 365 days (No.)
276,531
Bed Occupancy Rates (%)
151.52
Average Length of Hospital Stay (No. of days per patient)
4.75
Hospital Death Rate (%)
5.60
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
7,550
Minor Surgeries
9,359
Shahid Ziaur Rahman 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
189
84
30
75
39.68
Non Doctor
5
0
0
5
100.00
Class II
343
22
277
44
12.83
Class III
132
96
13
23
17.42
Class IV
414
215
97
102
24.64
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
189
114
0
1
Nurse
338
294
0
5
Medical Assistant
0
0
0
0
Medical Technologist
59
58
0
0
CHCP
0
0
0
0
Shahid Ziaur Rahman 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)
1
1
0
0
0
X-ray machine (digital)
1
0
1
0
0
X-ray machine (portable)
2
2
0
0
0
Dental X-ray unit
1
0
0
1
0
Spiral CT Scan
1
1
0
0
0
C-arm
2
1
1
0
0
Mamogram machine
1
0
1
0
0
Dehumidifier
23
23
0
0
0
MRI machine
1
1
0
0
0
Ultrasonogram machine
4
1
3
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
20
11
8
1
0
Anesthesia machine without ventilator
10
7
3
0
0
Autoclave
18
15
3
0
0
Electric cautery machine
2
2
0
0
0
Diathermy machine
15
8
4
3
0
Operating microscope
2
1
1
0
0
Ceiling mounting OT Light
12
12
0
0
0
Portable OT Light
12
10
2
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
14
8
6
0
0
Sterilizer
9
7
2
0
0
Sucker machine (electric)
79
66
13
0
0
Ventilator
10
10
0
0
0
Shahid Ziaur Rahman 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
0
1
0
0
Debrililator
8
1
7
0
0
ECG machine
35
20
8
7
0
Ecocardiogram machine
2
2
0
0
0
Cardiac monitor
10
2
8
0
0
Holter monitor
3
2
1
0
0
Nebulizer machine
66
50
0
16
0
Pulse oximeter
14
8
6
0
0
Dental equipment
Dental unit
3
1
0
2
0
Gastroeneterology equipment
Endoscopy machine
1
0
1
0
0
Laparoscopic machine
1
0
1
0
0
Shahid Ziaur Rahman 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)
10
6
2
2
0
Colorimeter
5
2
1
2
0
Electrolyte analyzer
1
0
1
0
0
ELISA machine
1
0
1
0
0
Gas analyzer
1
0
0
0
1
Hormone analyzer
0
0
0
0
0
Blood cell counter
1
0
1
0
0
Microscope (binocular)
15
10
5
0
0
Obstetric equipment
Fetal Monitor
1
1
0
0
0
Ophthalmic equipment
FACO machine
1
0
1
0
0
Retinoscope
1
1
0
0
0
Pediatric equipment
Baby incubator
8
0
7
1
0
Phototherapy unit
8
2
6
0
0
Shahid Ziaur Rahman 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
2
1
0
0
Laminar flow hood
1
1
0
0
0
pH meter
1
1
0
0
0
Hemoglobin photometer
0
0
0
0
0
Blood bank refrigerator
6
5
1
0
0
Blood plasma seperating machine
1
1
0
0
0
Platelet seperating machine
2
1
1
0
0
Deep freeze (plasma)
2
2
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
13
13
0
0
0
Psichiatry equipment
ECT machine
1
0
0
0
1
EEG machine
0
0
0
0
0
Urology equipment
Cystoscopic machine
1
0
1
0
0
Vehicles
Ambulance
3
3
0
0
0
Bus
0
0
0
0
0
Jeep
0
0
0
0
0
Microbus
1
1
0
0
0
Pickup
0
0
0
0
0
Shahid Ziaur Rahman 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)
84
71
13
0
0
Air conditioner (window)
59
59
0
0
0
Generator
Generator (diesel/petrol)
4
3
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
2
0
2
0
0
ICT equipment
Computer (desktop)
90
84
6
0
0
Laptop
3
2
1
0
0
Printer (dot matrix)
1
1
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
49
45
4
0
0
Scanner
1
1
0
0
0
UPS
55
45
10
0
0
Fax
1
1
0
0
0
Intercom
150
150
0
0
0
Internet fixed line
35
35
0
0
0
Internet wireless line
1
1
0
0
0
Multimedia
2
1
1
0
0
Shahid Ziaur Rahman 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)
2
2
0
0
0
Land phone
33
33
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
5
2
3
0
0
Digital camera
1
1
0
0
0
Video camera
0
0
0
0
0
Total
1053
864
152
35
2
Shahid Ziaur Rahman Medical College Hospital | Health Bulletin 2015 | Page#15
Important information and necessary issues for Shahid Ziaur Rahman Medical College Hospital
Some authors have described the big modern day hospitals as "monuments to disease''. Indeed, this is what they will be so long as they function as institutions only for curative care, detached from the larger social-economic context of the people's lives which largely determines their health. Unfortunately, even this curative care has become unaffordable to many common people due to policy framework governing health sector in the country. Our expectation will be any changing needs or immediate issues projected by SZMCH to be addressed by all authorities concerned with due importance. MOH&FW and DGHS in particular should be more proactive in dealing with the issues ensuring involvement of all the stakeholders that might adversely affect the greatest health interest of the people. In peroration our expectation will be good health governance, equal and logical distribution of scarce health and logistic resources and our assurance will be working passionately as a team towards providing the best health service to the people of our jurisdiction.