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

Preface

I am glad to share the yearly report of National Institute of Ophthalmology as Health Bulletin.National Institute of Ophthalmology and Hospital is the apex Institute of ophthalmology in the country, established in 1978 and expanded to 250 beds in 2006. The institute is serving as an academic institute for Post graduate study in ophthalmology, tertiary service hospital for management of ocular diseases.The director of the institute is also the Line director of National Eye Care and working for the implementation of national blindness program throughout the country.This is a teaching institute and young medical graduates are trained here on different courses ( MS, FCPS, DO etc). There are 10 sub-specialty departments in the institute e.g. Cataract, Ophthalmology, Cornea, Glaucoma, Vitreo retina, Neuro Ophthalmology, Paediatric Ophthalmology, Community Ophthalmology, Oculoplasticy and Low vision services equipped with modern investigation tools, equipments and trained human resources serves as the center of excellence in eye care in Bangladesh and hopefully it will become one of the best centers in this region in near future. The prevention of Blindness Program in Bangladesh National Eye Care is also one of the major program we have. Under NEC we have trained ophthalmologists of district hospitals on SICS, Paediatric eye care and retinal diseases, continuous training of the nurses and PEC workers are held and CME programs are undertaken. Regular outreach camps are arranged to reach the under-served and unreached marginalized population. With quality of eye care service, appropriate planning of eye care and development of a new generation of skilled dedicated manpower we hope to achieve Vision 2020 goal by 2020. Director National Institute of Ophthalmology & Hospital, Sher E Bangla Nagar, Dhaka- 1207

Prof. Dr. Golam Mostafa
Director
National Institute Of Ophthalmology (NIO)

2

EDITORIAL BOARD

Chief Editor


Prof. Dr. Golam Mostafa , Director Cum Professor


Special Acknowledgement


1. Md.Khalilur Rahman Mollik, Record Keeper

2. Mst. Samima Akther Kakoly, Office Asst

Editors


1. Prof. Dr. Sheikh M Hossain, Professor

2. Prof. Dr. Shawkat Ara Shakoor, Professor

3. Dr. Saifuddin Ahmed, Associate Professor , D.D

Contributors


1. Dr.Mujtahid Mohammad Hossain, Assistant Professor


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.

3

Basic Information
Name of the Facility National Institute Of Ophthalmology (NIO)
Organization Code 10000011
Name of DirectorProf. Dr. Golam Mostafa
Land Phone No. 1 28114807
Land Phone No. 2 N/A
FAX No. 8117202
Mobile No. 01711567852
Email nio@hospi.dghs.gov.bd
GPS location of Facility Lati: N/A And Long: N/A

4

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Tertiary Hospital 01 250

5

No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: N/A



Neonatal Mortality Rate: N/A (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : N/A

6

No. of Maternal Health Services Provided (Jan-Dec, 2015)
R.P.W. (No.) : Reg. Pregnent Women; 1st ANC (No.) : At least 1 ANC; 4th ANC (No.) : ANCs (4+); N.deli(No.) : Normal Delivery; C.deli(No.) : Cesarean Section; O.deli(No.) : Other Assisted Delivery; PNC(No.) : PNC Within 2 days;

7

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

Indicator Hospital Total
Reg. Pregnent Women 0
At least 1 ANC 0
ANCs (4+) 0
Normal Delivery 0
Cesarean Section 0
Other Assisted Delivery 0
PNC Within 2 days 0
Maternal Death 0

8

No. of OPD & Emergency visits, Admissions & Deaths
Health Facility OPD visits (Year 2019)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
Tertiary Hospital 3185 4390 7,575 135503 107372 242,875 138688 111762 250450

9

No. of OPD & Emergency visits, Admissions & Deaths
Health Facility Emergency visits (Year 2019)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
Tertiary Hospital 292 127 419 2441 723 3,164 2733 850 3583

10

No. of OPD & Emergency visits, Admissions & Deaths
Health Facility Admissions (Year 2019)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
Tertiary Hospital 557 321 878 7125 6765 13,890 7682 7086 14768

11

No. of OPD & Emergency visits, Admissions & Deaths
Health Facility In Patient deaths (Year 2019)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
Tertiary Hospital 0 0 0 0 0 0 0 0 0

12

Morbidity Profile

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

Total No. of admitted patients reviewed for under five morbidity profile 893
No. ICD-10 Code Disease name No. of Cases %
1 S05 S05 Injury of eye and orbit 226 25.3
2 H26 H26 Other cataract 75 8.4
3 H40 H40 Glaucoma 32 3.6
4 0.0
5 0.0

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 10439
No. ICD-10 Code Disease name No. of Cases %
1 H25 H25 Senile cataract 6125 58.7
2 H359 H359 Retinal disorder, unspecified 1276 12.2
3 H52 H52 Disorders of refraction and accommodation 1203 11.5
4 H189 H189 Disorder of cornea, unspecified 980 9.4
5 H40 H40 Glaucoma 855 8.2

13

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

14

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)
No. ICD-10 Code Disease name No. of Cases %
1
2
3
4
5

15

Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 81135
Bed Occupancy Rates (%) 88.9
Average Length of Hospital Stay (No. of days per patient) 5.5
Hospital Death Rate (%) 0.0
Surgeries done in the Hospital
Type No.
Major Surgeries 11201
Minor Surgeries 4847

16

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 09 05 02 7 2 22.2
Grade 4 21 15 3 18 3 14.3
Grade 5 02 01 01 2 0 0.0
Grade 6 033 25 08 33 0 0.0
Grade 7 02 0 1 1 1 50.0
Grade 8 04 02 02 4 0 0.0
Grade 9 62 31 23 54 8 12.9
Grade 10 125 04 119 123 2 1.6

17

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Tertiary Hospital
Grade 11 14 10 3 13 1 7.1
Grade 12 0 0 0 0 0 0.0
Grade 13 2 02 0 2 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 8 05 01 6 2 25.0
Grade 16 16 09 04 13 3 18.8
Grade 17 4 04 0 4 0 0.0
Grade 18 12 010 0 10 2 16.7
Grade 19 05 04 0 4 1 20.0
Grade 20 63 040 021 61 2 3.2

18

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 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0

19

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Tertiary Hospital
Grade 11 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0

20

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 135 119 0 0
Nurse 207 205 0 0
Medical Assistant 02 02 0 0
Medical Technologist 05 04 0 0
Total 349 330 0 0

21

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) 1 0 0 0 1
X-ray machine (500 mA) 2 1 0 0 3
X-ray machine (digital) 2 0 0 0 2
X-ray machine (portable) 02 0 0 0 2
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 01 01 0 0 2
C-arm 0 0 0 0 0
Mamogram machine 0 0 0 0 0
Dehumidifier 09 05 0 0 14

22

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 01 0 0 0 1
Ultrasonogram machine 01 0 01 01 3

23

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 03 0 0 0 3
Anesthesia machine without ventilator 07 0 0 02 9
Autoclave 03 02 0 02 7
Electric cautery machine 01 0 0 01 2
Diathermy machine 02 0 0 02 4
Operating microscope 016 0 03 01 20
Ceiling mounting OT Light 0 0 0 01 1
Portable OT Light 07 0 0 03 10
Fracture table 0 0 0 0 0
Hydrolic OT Table 024 05 0 03 32

24

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 02 01 0 01 4
Sucker machine (electric) 03 0 0 0 3
Ventilator 0 0 0 0 0

25

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 0 0 0 0 0
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 09 01 0 0 10
Holter monitor 0 0 0 0 0
Nebulizer machine 03 0 0 0 3
Pulse oximeter 02 0 0 0 2

26

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 01 0 0 0 1

27

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

28

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 07 0 0 0 7
Centrifuge machine (electric) 12 0 0 0 12
Colorimeter 01 0 0 0 1
Electrolyte analyzer 0 0 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 0 0 0 0 0
Microscope (binocular) 030 08 0 0 38

29

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

30

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 20 3 2 2 27
Retinoscope 8 0 0 0 8

31

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

32

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 0 0 0 0 0
Blood plasma separating machine 0 0 0 0 0
Platelet separating machine 0 0 0 0 0
Deep freeze (plasma) 02 0 0 0 2
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 01 0 0 0 1

33

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 02 0 0 0 2

34

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

35

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Vehicles
Ambulance 02 0 0 0 2
Bus 0 0 0 0 0
Jeep 02 0 0 0 2
Microbus 0 0 0 0 0
Pickup 01 0 0 0 1

36

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) 120 45 0 0 165
Air conditioner (window) 0 0 0 0 0

37

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) 2 0 0 0 2
Generator (Gas) 2 0 0 0 2
Solar panel 0 0 0 0 0
IPS 2 0 0 0 2

38

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) 160 10 5 20 195
Laptop 08 0 0 0 8
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 10 0 0 0 10
Printer (laser) 64 0 0 0 64
Scanner 10 0 0 0 10
UPS 85 4 10 0 99
Fax 01 0 0 0 1
Intercom 50 0 0 0 50
Internet fixed line 08 0 0 0 8

39

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) 01 0 0 0 1
Multimedia 01 0 0 0 1
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 12 0 0 0 12
Mobile phone 0 0 0 0 0
Photocopier machine 3 01 01 0 5
Digital camera 01 0 0 0 1
Video camera 01 0 0 0 1

40

Important information and necessary issues you want to raise
1.For reporting we need a structured recording system. We dont have Health Management Information System, HMIS in place. We feel the importance of ICD 10 coding system.But due to paucity of trained persons we are not able to report in accordance with ICD 10 system. We would like to have assistance in installing HMIS at NIO&H and train required persons to execute it. We are planning to give training to the concerned personnel on ICD coding system in June 2014 and start on manual recording then after. 2.For efficient networking in the hospital we need a PABX system 3.Training of MIS staffs and doctors are needed.

41