Sylhet MAG Osmani Medical College Hospital | Health Bulletin 2015 |
Preface
I am extremely happy to be able to publish 3rd edition online Local Health Bulletin of Sylhet MAG Osmani Medical College Hospital. Established in 1936 as an Institutional Hospital for British Indian troops in the holy land of Hajrat Shahjalal (Rh:) and Hazrat Shahparan (Rh:), it has passed through different stages of development. In 1948 it was upgraded from Institutional Hospital to a 200 bed Medical School Hospital, in 1962 from Medical School Hospital to Medical College Hospital. In 1978 the bed capacity was increased to 500 bed and in 1998 to 900 bed. Now with its limited space and manpower, this hospital is handling 1500 to 1800 indoor patients and 2500 to 3000 outdoor patients daily. With the progress of time, Sylhet MAG Osmani Medical College Hospital has also advanced. Now it has 24 departments with separate 'Outdoor Complex' and separate 'ICU & Casualty Wing', where from specialized services are being provided. It is worth mentioning that, apart from providing under-graduate training to medical and nursing students, this hospital is providing post-graduate training to doctors in 20 disciplines. I hope this bulletin will help interested people to acquaint themselves with this hospital without practically visiting it. I believe this is a great era, the 'Digital Era' of Bangladesh Health Services, which will continue to advance and enrich in the days to come. I sincerely acknowledge and appreciate the support and guidance we received from Directorate General of Health Services (MIS) in the publication of this bulletin.
Sylhet MAG Osmani Medical College Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Facility Sylhet MAG Osmani Medical College Hospital
Organization Code
10002195
Name of Director Brig. Gen. Md. Abdus Sabur Miah
Land Phone No. 1
-0821714613
Land Phone No. 2
FAX No. 0821715961
Mobile No. 01798153000
Email magomch@hospi.dghs.gov.bd
GPS location of Facility Lati: 24.0000 And Long: 92.0000
Sylhet MAG Osmani 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
900
Child health and MDG-4 (In The Facility) (Jan-Dec, 2014)
No. of Live Births: 11,757
Total No. of children treated under IMCI Program 17,025
Neonatal Mortality Rate (NMR) is 36.32 per 1,000 live births.
Sylhet MAG Osmani 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: 7,645
Total Number of Deliveries: 12,350
No. of Maternal Death: 76
Maternal Mortality Ratio (MMR) is
646.42 per 100,000 live births.
Sylhet MAG Osmani 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
324,146
413,291
737,437
48,355
56,741
105,096
842,533
63,426
55,610
119,036
15,194
12,826
28,020
147,056
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
55,815
51,255
107,070
13,365
10,120
23,485
130,555
2,052
1,635
3,687
395
223
618
4,305
Sylhet MAG Osmani 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
130,555
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
7453
5.71
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
6589
5.05
3
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
6425
4.92
4
V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified
XX: External causes of morbidity and mortality
6089
4.66
5
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
4944
3.79
6
T029 Multiple fractures, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
2844
2.18
7
S099 Unspecified injury of head
XIX: Injury, poisoning and certain other consequences of external causes
1902
1.46
8
I67 Other cerebrovascular diseases
IX: Diseases of the circulatory system
1803
1.38
9
I132 Hypertensive heart and renal disease with both (congestive) heart failure and renal failure
IX: Diseases of the circulatory system
1365
1.05
10
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
1250
0.96
Sylhet MAG Osmani 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
4,305
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
346
8.04
2
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
290
6.74
3
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
129
3.00
4
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
120
2.79
5
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
102
2.37
6
V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified
XX: External causes of morbidity and mortality
86
2.00
7
G04 Encephalitis, myelitis and encephalomyelitis
VI: Diseases of the nervous system
69
1.60
8
S099 Unspecified injury of head
XIX: Injury, poisoning and certain other consequences of external causes
67
1.56
9
P36 Bacterial sepsis of newborn
XVI: Certain conditions originating in the perinatal period
65
1.51
10
I67 Other cerebrovascular diseases
IX: Diseases of the circulatory system
63
1.46
Sylhet MAG Osmani Medical College Hospital | Health Bulletin 2015 | Page# 7
Utilization of services at Tertiary Hospital
Indicators
No.
Total Patient days in 365 days (No.)
594,627
Bed Occupancy Rates (%)
181.01
Average Length of Hospital Stay (No. of days per patient)
4.55
Hospital Death Rate (%)
3.30
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
16,424
Minor Surgeries
21,482
Sylhet MAG Osmani 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
238
142
40
56
23.53
Non Doctor
4
0
0
4
100.00
Class II
435
31
274
130
29.89
Class III
137
88
8
41
29.93
Class IV
405
288
66
51
12.59
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
238
182
0
20
Nurse
451
305
0
11
Medical Assistant
0
0
0
0
Medical Technologist
27
26
0
0
CHCP
0
0
0
0
Sylhet MAG Osmani 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)
2
2
0
0
0
X-ray machine (300 mA)
0
0
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)
2
2
0
0
0
Dental X-ray unit
1
1
0
0
0
Spiral CT Scan
1
1
0
0
0
C-arm
3
3
0
0
0
Mamogram machine
1
1
0
0
0
Dehumidifier
19
12
7
0
0
MRI machine
1
1
0
0
0
Ultrasonogram machine
10
3
7
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
16
6
10
0
0
Anesthesia machine without ventilator
12
8
4
0
0
Autoclave
9
8
1
0
0
Electric cautery machine
1
1
0
0
0
Diathermy machine
22
14
8
0
0
Operating microscope
6
4
2
0
0
Ceiling mounting OT Light
25
19
6
0
0
Portable OT Light
13
9
4
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
27
23
4
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
28
24
4
0
0
Ventilator
9
5
4
0
0
Sylhet MAG Osmani 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
14
0
0
0
ECG machine
10
10
0
0
0
Ecocardiogram machine
2
2
0
0
0
Cardiac monitor
2
2
0
0
0
Holter monitor
1
1
0
0
0
Nebulizer machine
16
16
0
0
0
Pulse oximeter
28
23
5
0
0
Dental equipment
Dental unit
5
5
0
0
0
Gastroeneterology equipment
Endoscopy machine
2
2
0
0
0
Laparoscopic machine
4
4
0
0
0
Sylhet MAG Osmani 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
2
0
0
Centrifuge machine (electric)
2
2
0
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
1
1
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)
5
3
2
0
0
Obstetric equipment
Fetal Monitor
2
2
0
0
0
Ophthalmic equipment
FACO machine
1
1
0
0
0
Retinoscope
0
0
0
0
0
Pediatric equipment
Baby incubator
9
4
5
0
0
Phototherapy unit
10
10
0
0
0
Sylhet MAG Osmani 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
0
0
0
0
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
8
4
3
1
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
4
2
1
1
0
Deep freeze (plasma)
6
3
2
1
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
2
1
1
0
0
Psichiatry equipment
ECT machine
2
1
1
0
0
EEG machine
4
2
2
0
0
Urology equipment
Cystoscopic machine
4
2
2
0
0
Vehicles
Ambulance
14
7
7
0
0
Bus
0
0
0
0
0
Jeep
2
1
1
0
0
Microbus
2
1
1
0
0
Pickup
0
0
0
0
0
Sylhet MAG Osmani 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)
300
150
130
7
13
Air conditioner (window)
64
33
31
0
0
Generator
Generator (diesel/petrol)
2
1
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)
108
54
50
4
0
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
28
14
12
2
0
Scanner
2
1
1
0
0
UPS
116
58
58
0
0
Fax
2
1
1
0
0
Intercom
538
269
248
21
0
Internet fixed line
112
56
56
0
0
Internet wireless line
8
4
4
0
0
Multimedia
2
1
1
0
0
Sylhet MAG Osmani 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
1
1
0
0
Land phone
36
18
18
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
6
3
3
0
0
Digital camera
2
1
1
0
0
Video camera
0
0
0
0
0
Total
1710
947
713
37
13
Sylhet MAG Osmani Medical College Hospital | Health Bulletin 2015 | Page#15
Important information and necessary issues for Sylhet MAG Osmani Medical College Hospital
Inspite of manpower constrain we are striving our best to provide best possible services to 3000-3500 out door patients and 1700-1800 indoor patients everyday in this hospital. Good behavior and well maintained discipline amongst the doctors, nurses and staff, cleanliness of the hospital and hospital premises and well equipped diagnostic facilities are our main focus in rendering/ providing good services. We are publishing year book each year which contains total activities of the hospital. We express our heartfelt thanks and gratitude to the Ministry of Health and family welfare and Directorate General of Health Services for providing best possible support to this hospital for better management of patients.
We are analyzing the situation to identify the problem and gaps regularly to develop the best possible means for providing health services. To improve the quality of service we are using lest evidences.
We are also conducting awareness and motivational program to improve the behavior and communication skill among the health workers. To ensure sustainable improvement and development we are conducting try for capacity building. We are publishing year book regularly which contains total activities of the hospital round this year. Hospital automation is a glorious step taken by the Government in the field of health services. In uplifting the health facilities. We will be able to start functioning the New ICU and Casualty unit very shortly.
Our utmost effort will remain to ensure best possible services to the people.
