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Preface

Preface It is a matter of great honor for me to represent The National Institute of Traumatology & Orthopaedic Rehabilitation (NITOR) which is the largest trauma hospital under a single roof in this region of the world. This prestigious organization was born in 1972 with the blessings of father of nation Bangabandhu Sheikh Mujibur Rahman & by a saint like philanthropist Dr. R. J. Garst as Rehabilitation Institute & Hospital for the Disabled (RIHD), which started operating in April 1978. The name of this institute was changed to National Institute of Traumatology & Orthopaedic Rehabilitation (NITOR) in October 2002. The initial activities was directed to the care of freedom fighters, war wounded victims and general population of the country who needed orthopaedic care. Since its inception it has remained the center of excellence in the care of orthopaedics and trauma patients in our country. This 500 beded specialized tertiary hospital is run by skilled doctors, nurses and paramedics round the clock. NITOR has a 24 hour emergency trauma service, regular out patient service, indoor ward and day care operation service for the patients. To meet the ever increasing development and introduction of new technology in the field of orthopaedics NITOR has specialized units for Arthroplasty, Arthroscopy, Hand surgery, Spine surgery, Paediartric sugery & Deformity correction. A SIGN programme supported by the SIGN foundation, USA provides several implants free of cost to the patients. Our hospital takes pride in managing mass casualties in several national crises. We have a team of enthusiastic health professional who are ready to offer their service in times of disaster both home and abroad. In addition to the hospital services, NITOR is a crown jewel in the field of post-graduate studies. Diploma in Orthopaedics (D.Orth) & Masters of Surgery in Orthopaedics (M.S.Orth) course affiliated to the University of Dhaka was approved in October 1973 and is being conducted successful

Prof. Dr. Md. Abdul Gani Mollah
Director
National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR)
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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EDITORIAL BOARD

Chief Editor

Prof. Md. Abdul Gani Mollah, Professor & Director



Certificate of Authentication

We, the above members of the Editorial Board, hereby certify that we collectively examined the content and data used in this LHB 2016 and to the best of our knowledge they represent the true picture of the local situation.

Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Basic Information
Name of the Facility National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR)
Organization Code 10000013
Name of DirectorProf. Dr. Md. Abdul Gani Mollah
Land Phone No. 1 9114075
Land Phone No. 2 N/A
FAX No. 8114812
Mobile No.
Email nitor@hospi.dghs.gov.bd
GPS location of Facility Lati: N/A And Long: N/A
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Tertiary Hospital 1 500
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
N/A: N/A



Neonatal Mortality Rate: N/A (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : N/A
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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No. of Maternal Health Services Provided (Jan-Dec, 2015)

Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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No. of Maternal Health Services Provided (Jan-Dec, 2015)

Information Not Available

Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility OPD visits (Year 2023)
Male
(Age
<= 5)		 Female
(Age
<= 5)		 Total Male
(Age
> 5)		 Female
(Age
> 5)		 Total Grand-Total
Male Female Both
Tertiary Hospital 4873 3074 7,947 75014 29885 104,899 79887 32959 112846
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility Emergency visits (Year 2023)
Male
(Age
<= 5)		 Female
(Age
<= 5)		 Total Male
(Age
> 5)		 Female
(Age
> 5)		 Total Grand-Total
Male Female Both
Tertiary Hospital 3633 1554 5,187 45433 13284 58,717 49066 14838 63904
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility Admissions (Year 2023)
Male
(Age
<= 5)		 Female
(Age
<= 5)		 Total Male
(Age
> 5)		 Female
(Age
> 5)		 Total Grand-Total
Male Female Both
Tertiary Hospital 541 197 738 15293 8602 23,895 15834 8799 24633
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility In Patient deaths (Year 2023)
Male
(Age
<= 5)		 Female
(Age
<= 5)		 Total Male
(Age
> 5)		 Female
(Age
> 5)		 Total Grand-Total
Male Female Both
Tertiary Hospital 0 0 0 63 23 86 63 23 86
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Morbidity Profile

Top (5) causes of child morbidity (age <= 5 years)

Total No. of admitted patients reviewed for under five morbidity profile 715
No. ICD-10 Code Disease name No. of Cases %
1 S424 S424 Fracture of lower end of humerus 155 21.7
2 Q668 Q668 Other congenital deformities of feet 125 17.5
3 M840 M840 Malunion of fracture 55 7.7
4 Q65 Q65 Congenital deformities of hip 22 3.1
5 Q684 Q684 Congenital bowing of tibia and fibula 15 2.1

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 18710
No. ICD-10 Code Disease name No. of Cases %
1 S721 S721 Pertrochanteric fracture 4586 24.5
2 S723 S723 Fracture of shaft of femur 3441 18.4
3 S822 S822 Fracture of shaft of tibia 3122 16.7
4 T093 T093 Injury of spinal cord, level unspecified 512 2.7
5 Y00 Y00 Assault by blunt object 411 2.2
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Mortality Profile

Top (5) causes of death for age <= 5 years

Total No. of cases reviewed for age <= 5 years
No. ICD-10 Code Disease name No. of Cases %
1
2
3
4
5

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths
No. ICD-10 Code Disease name No. of Cases %
1
2
3
4
5
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Mortality Profile

Top (5) causes of death between ages 30 & 70 years

Total No. of cases reviewed for causes of death (30 to 70 years) 86
No. ICD-10 Code Disease name No. of Cases %
1 S131 S131 Dislocation of cervical vertebra 22 25.6
2 V06 V06 Pedestrian injured in collision with other nonmotor vehicle 19 22.1
3 T093 T093 Injury of spinal cord, level unspecified 14 16.3
4 T07 T07 Unspecified multiple injuries 12 14.0
5 T794 T794 Traumatic shock 9 10.5
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 191490
Bed Occupancy Rates (%) 104.9
Average Length of Hospital Stay (No. of days per patient) 7.8
Hospital Death Rate (%) 0.3
Surgeries done in the Hospital
Type No.
Major Surgeries 11903
Minor Surgeries 12419
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Tertiary Hospital
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 7 6 0 6 1 14.3
Grade 4 10 6 4 10 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 26 23 3 26 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 17 1 0 1 16 94.1
Grade 9 64 26 6 32 32 50.0
Grade 10 311 77 234 311 0 0.0
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Tertiary Hospital
Grade 11 20 13 7 20 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 03 03 0 3 0 0.0
Grade 14 29 27 2 29 0 0.0
Grade 15 04 04 0 4 0 0.0
Grade 16 33 28 05 33 0 0.0
Grade 17 02 02 0 2 0 0.0
Grade 18 12 11 01 12 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 212 174 38 212 0 0.0
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Tertiary Hospital
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 7 0 7
Grade 4 06 0 6
Grade 5 0 0 0
Grade 6 23 3 26
Grade 7 0 0 0
Grade 8 01 0 1
Grade 9 60 4 64
Grade 10 78 188 266
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Tertiary Hospital
Grade 11 13 07 20
Grade 12 0 0 0
Grade 13 03 0 3
Grade 14 27 02 29
Grade 15 04 0 4
Grade 16 28 05 33
Grade 17 02 0 2
Grade 18 11 01 12
Grade 19 0 0 0
Grade 20 174 38 212
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Status of Human Resources under DGHS updated during this report preparation
Man
power		 Tertiary Hospital IM-
CI
Trai-
ned		 Basic
EOC
Trai-
ned
San-
cti-
on-
ed		 Fill-
ed-
up
Physician 148 145 0 0
Nurse 330 325 0 0
Medical Assistant 0 0 0 0
Medical Technologist 22 21 0 0
Total 500 491 0 0
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Radiology equipment
X-ray machine (100 mA) 0 0 0 0 0
X-ray machine (300 mA) 2 2 0 0 4
X-ray machine (500 mA) 2 2 0 0 4
X-ray machine (digital) 1 2 0 0 3
X-ray machine (portable) 2 0 3 0 5
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 1 0 0 0 1
C-arm 6 2 0 0 8
Mamogram machine 0 0 0 0 0
Dehumidifier 2 0 0 0 2
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Radiology equipment
MRI machine 1 0 0 0 1
Ultrasonogram machine 1 2 0 0 3
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 0 0 0 2
Anesthesia machine without ventilator 8 0 8 0 16
Autoclave 3 2 0 0 5
Electric cautery machine 0 0 0 0 0
Diathermy machine 8 15 0 0 23
Operating microscope 1 1 0 0 2
Ceiling mounting OT Light 4 0 8 0 12
Portable OT Light 4 15 0 0 19
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Anesthesiology/surgical equipment
Sterilizer 3 2 0 0 5
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Cardiology equipment
Coronary angiogram machine 0 0 0 0 0
Debrililator 0 0 0 0 0
ECG machine 2 0 0 0 2
Echocardiogram machine 2 0 0 0 2
Cardiac monitor 5 0 0 0 5
Holter monitor 0 0 0 0 0
Nebulizer machine 5 0 0 0 5
Pulse oximeter 5 5 0 0 10
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Dental equipment
Dental unit 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Lab equipment
Biochemical auto-analyzer 0 0 0 0 0
Centrifuge machine (electric) 6 0 2 0 8
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
ELISA machine 0 0 1 0 1
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 0 0 0 0 0
Microscope (binocular) 2 0 0 0 2
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Obstetric equipment
Fetal monitor 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Blood bank equipment
Blood bag 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 2 0 1 0 3
Blood plasma separating machine 0 0 1 0 1
Platelet separating machine 0 0 0 0 0
Deep freeze (plasma) 0 0 0 0 0
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 2 0 0 0 2
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Psychiatry equipment
ECT machine 0 0 0 0 0
EEG machine 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Urology equipment
Cystoscopic machine 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Vehicles
Ambulance 2 1 0 0 3
Bus 0 0 0 0 0
Jeep 2 0 0 0 2
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Air conditioner
Air conditioner (split type) 80 20 0 0 100
Air conditioner (window) 2 5 0 0 7
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Generator
Generator (diesel/petrol) 1 0 0 0 1
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
ICT equipment
Computer (desktop) 100 10 0 0 110
Laptop 9 1 0 0 10
Printer (dot matrix) 5 0 0 0 5
Printer (inkjet) 5 5 0 0 10
Printer (laser) 15 5 0 0 20
Scanner 2 0 0 0 2
UPS 30 0 0 0 30
Fax 2 0 0 0 2
Intercom 75 0 0 0 75
Internet fixed line 20 0 0 0 20
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
ICT equipment
Internet wireless line (Modem) 2 0 0 0 2
Multimedia 5 0 0 0 5
OHP 1 0 0 0 1
PA system 0 0 0 0 0
Land phone 25 0 0 0 25
Mobile phone 2 0 0 0 2
Photocopier machine 1 4 0 0 5
Digital camera 0 0 1 0 1
Video camera 0 0 1 0 1
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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Important information and necessary issues you want to raise
Important information’s Name : National Institute of Traumatology & Orthopaedic Rehabilitation (NITOR). Address : Sher-E-Bangla Nagar, Dhaka. Contact number : 880-2-9112152 Office : 880-2-911475 Emergency : 01710194007 Date of establishment : 1972 Number of beds : 500 Number of emergency ward beds : 92 OPD schedule : Every working day except Fridays & Govt. holidays from 8.30 am. to 1:30pm Hand clinic : Every Tuesday -9:00am to 1:00pm (Room No-320) Ilizarov clinic : Every Sunday -9:00am to 1:00pm (Room No-320) Sign clinic : Every Sunday -9:00am to 1:00pm (Room No-307) Future recommendations ? To incorporate all the concerned specialties under one roof to establish a one stop trauma center. ? Train local doctors in sub-branches of orthopaedics to create super-specialist ? To start a well equipped ICU for trauma victims ? To maximize the use of a well equipped functioning limb centre. ? To start exchange programme with foreign hospitals for mutual improvement ? Incorporation of physiotherapy service for every post operative patient to enhance recovery ? To start the new hospital building in time to expand patient care facility ? To establish more sub-specialist clinics to enhance the spectrum of focused patient care.
Local Health Bulletin 2016 for National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-e-bangla Nagar, Dhaka

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