Khulna Medical College Hospital | Health Bulletin 2015 |
Preface
This is the third attempt and great opportunity of us to publish Local Health Bulletin for the year 2015 of Khulna Medical College Hospital. In the last year there were so many obstacles and mistakes which hampered our journey in the publication of LHB 2014. We think some of that we can overcome this year. As I mentioned last year Khulna Medical College Hospital.is running with 19 Faculties with Indoor, Outdoor & Emergency facilities and 500 Beds but still have 250 bedded Manpower. Due to less Manpower we can't provide proper services of some Departments separately such as ICU, CCU, NEURO MEDICINE, RESPIRATORY MEDICINE, BURN& PLASTIC SURGERY, PEDIATRIC SURGERY, PSYCHIATRY, ONCOLOGY, CASUALTY etc.We are very much glad that this year HB enters in the era of ICD 10 Coding world.We are trying our best to input correct ICD 10 Code in top 10 diseases among admitted Pt's & Deaths. The Bulletin contains the different status of MDG4 & MDG5 which will help us to achieve the goal of MDGs timely.We are hardly trying our best to provide better services to the surrounding people of Khulna including a large area of Dhaka & Barisal Division. I convey my gratitude to the different Teachers, Doctors and other staffs who helped us with their sincere & devoted mental support to publish this Bulletin. It is our another strong step in the way to achieve Digital Bangladesh. Lastly I myself and in favor of our institute & people convey congratulations to MIS, DGHS and MOHFW for their cordial co-operation in the way to develop "Digital Bangladesh."
Khulna Medical College Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Facility Khulna Medical College Hospital
Organization Code
10001807
Name of Director DR. PROSHANTA KUMAR BISWAS
Land Phone No. 1
-041762601
Land Phone No. 2
FAX No. 041761532
Mobile No. 01711981678
Email kmch@hospi.dghs.gov.bd
GPS location of Facility Lati: 20.0000 And Long: 0.0000
Khulna 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: 2,698
Total No. of children treated under IMCI Program 2,713
Neonatal Mortality Rate (NMR) is 103.04 per 1,000 live births.
Khulna 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: 3,456
Total Number of Deliveries: 2,927
No. of Maternal Death: 58
Maternal Mortality Ratio (MMR) is
2,149.74 per 100,000 live births.
Khulna 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
73,347
97,478
170,825
2,130
2,507
4,637
175,462
4,202
2,338
6,540
754
918
1,672
8,212
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
22,503
24,372
46,875
1,629
2,372
4,001
50,876
1,407
1,112
2,519
99
118
217
2,736
Khulna 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
50,876
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
O800 Spontaneous vertex delivery
XV: Pregnancy, childbirth and the puerperium
3390
6.66
2
I619 Intracerebral haemorrhage, unspecified
IX: Diseases of the circulatory system
3098
6.09
3
T149 Injury, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
1214
2.39
4
E118 Non-insulin-dependent diabetes mellitus with unspecified complications
IV: Endocrine, nutritional and metabolic diseases
618
1.21
5
X689 Intentional self-poisoning by and exposure to pesticides, unspecified place
XX: External causes of morbidity and mortality
547
1.08
6
M139 Arthritis, unspecified
XIII: Diseases of the musculoskeletal system and connective tissue
430
0.85
7
V011 Pedestrian injured in collision with pedal cycle, traffic accident
XX: External causes of morbidity and mortality
410
0.81
8
O721 Other immediate postpartum haemorrhage
XV: Pregnancy, childbirth and the puerperium
288
0.57
9
J458 Mixed asthma
X: Diseases of the respiratory system
261
0.51
10
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X: Diseases of the respiratory system
166
0.33
Khulna 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
2,736
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I619 Intracerebral haemorrhage, unspecified
IX: Diseases of the circulatory system
552
20.18
2
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
102
3.73
3
I501 Left ventricular failure
IX: Diseases of the circulatory system
66
2.41
4
X689 Intentional self-poisoning by and exposure to pesticides, unspecified place
XX: External causes of morbidity and mortality
42
1.54
5
I500 Congestive heart failure
IX: Diseases of the circulatory system
34
1.24
6
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X: Diseases of the respiratory system
30
1.10
7
N185 Chronic kidney disease, stage 5
XIV: Diseases of the genitourinary system
28
1.02
8
G042 Bacterial meningoencephalitis and meningomyelitis, NEC
VI: Diseases of the nervous system
18
0.66
9
K721 Chronic hepatic failure
XI: Diseases of the digestive system
16
0.58
10
S007 Multiple superficial injuries of head
XIX: Injury, poisoning and certain other consequences of external causes
10
0.37
Khulna Medical College Hospital | Health Bulletin 2015 | Page# 7
Utilization of services at Tertiary Hospital
Indicators
No.
Total Patient days in 365 days (No.)
248,200
Bed Occupancy Rates (%)
136.00
Average Length of Hospital Stay (No. of days per patient)
4.88
Hospital Death Rate (%)
5.38
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
3,047
Minor Surgeries
4,788
Khulna 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
100
54
18
28
28.00
Non Doctor
1
0
1
0
0.00
Class II
277
4
263
10
3.61
Class III
39
27
11
1
2.56
Class IV
109
67
37
5
4.59
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
100
72
3
7
Nurse
275
265
0
20
Medical Assistant
0
0
0
0
Medical Technologist
8
8
0
0
CHCP
0
0
0
0
Khulna 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)
3
3
0
0
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
1
1
0
0
0
Dental X-ray unit
0
0
0
0
0
Spiral CT Scan
1
1
0
0
0
C-arm
0
0
0
0
0
Mamogram machine
1
1
0
0
0
Dehumidifier
8
8
0
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
6
2
4
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
4
2
2
0
0
Anesthesia machine without ventilator
2
2
0
0
0
Autoclave
11
7
4
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
6
4
2
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
5
5
0
0
0
Portable OT Light
4
2
2
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
7
5
2
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
9
5
4
0
0
Ventilator
4
2
2
0
0
Khulna 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
1
1
0
0
0
ECG machine
2
2
0
0
0
Ecocardiogram machine
11
2
0
9
0
Cardiac monitor
9
8
1
0
0
Holter monitor
1
1
0
0
0
Nebulizer machine
1
0
0
1
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
4
1
0
3
0
Gastroeneterology equipment
Endoscopy machine
1
1
0
0
0
Laparoscopic machine
0
0
0
0
0
Khulna 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)
3
3
0
0
0
Colorimeter
2
2
0
0
0
Electrolyte analyzer
1
1
0
0
0
ELISA machine
1
1
0
0
0
Gas analyzer
0
0
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
0
0
0
0
0
Microscope (binocular)
0
0
0
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
2
1
0
1
0
Retinoscope
2
1
0
1
0
Pediatric equipment
Baby incubator
28
14
2
12
0
Phototherapy unit
10
5
5
0
0
Khulna 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
1
0
1
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
5
4
1
0
0
Blood plasma seperating machine
2
1
0
1
0
Platelet seperating machine
2
1
0
1
0
Deep freeze (plasma)
2
2
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
1
0
1
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
7
3
0
4
0
Bus
1
1
0
0
0
Jeep
1
0
1
0
0
Microbus
1
1
0
0
0
Pickup
1
1
0
0
0
Khulna 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)
30
15
15
0
0
Air conditioner (window)
8
5
3
0
0
Generator
Generator (diesel/petrol)
4
1
3
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
8
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
13
3
0
0
Scanner
0
0
0
0
0
UPS
55
43
12
0
0
Fax
0
0
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
0
0
0
0
0
Khulna 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
13
13
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
3
3
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
367
256
77
34
0
Khulna Medical College Hospital | Health Bulletin 2015 | Page#15
Important information and necessary issues for Khulna Medical College Hospital
A Linear Accelerator machine for Radiotherapy dept. for the treatment of CANCER is going to be installed within a short time. The construction work of casualty & ICU unit will be completed within a short period but could not be functioning due to lack of concerned manpower . Last year we added some necessary electro- medical equipments such as 4D Color Doppler, Mammography machine, Biochemical Auto Analyzer, Blood Gas Analyzer, Cardiac monitor for CCU, Ventilator for ICU, NCV machine, Central Oxygen and other Gas supply system, Air Cooler , Refrigerator etc. for the better Diagnostic & Treatment purposes of the patients,But it is very much painful that Manpower for the 500 bed is still under prosessing. It is also noted that no manpower is still sanctioned for newer Departments which is the main & important constraint to deliver proper services. But we are very glad to inform that with too short manpower ( Doctors, Nurses& other staffs) Khulna Medical College Hospital is serving a huge number of people with great Care, which would be about 3( three) crores. people. There is no IT communication system among WARDs, OTs, Administrative areas , outdoor& Emergency, which is the necessity of time for easy, early & proper services to the patients. We are in urgent need of one MRI machine for Radiology & Imaging Dept. I would like to draw proper and sincere attention to higher authorities to provide necessary manpower( Doctors, Nurses & other staffs), electro- medical,& electronic equipments and vehicles to smooth run the Hospital with immediate effect. Finally i would like to convey my sincere gratitude and acknowledge to the continuous support & positive attitude of MOHFW & DGHS(MIS) to encourage us to publish the Local Health Bulletin 2015 and also provide better services to the people..
