Feedback
HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

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.
Brigadier General A K M Mustafa Kamal Pasha ndc MPH
Director
Shahid Ziaur Rahman Medical College Hospital

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.