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

Preface

It is our great pleasure to publish this health bulletin to document the activities that was performed over the last one year in the Bangladesh Institute of Tropical & Infectious Diseases (BITID). The institute is the national institute for tropical and infectious diseases in the country and is dedicated to serve the nation in the fight against such diseases like malaria, kalaazar and other emerging-reimerging infectious diseases to help facilitate the achievement of the SDG. As for-itself BITID was inaugurated by the honourable prime minister Sheikh Hasina in the year 2013 with the vision of developing it into a center of excellence through research, capacity building and service. At the moment, the institute is functioning through its own outdoor and the makeshift indoor in the adjacent 20 bed Infectious Disease Hospital; the super-specialized hospital that is to be built for itself is long awaited. Still we think we had provided some services to the people with the human-resources and willpower that we have; but wish we would be better performing if the 100 bed indoor facility is built and all the vacant posts of professors, Associate professors, Assistant professors and other medical officers & staff are filled up. At the end, I would like to thank and congratulate the initiator of the annual health bulletin of the DGHS for the wonderful step towards the annual audit and digitalization of the nation's health system.

Dr. Narayan Chandra Das
Director
Bangladesh Institute of Tropical and Infectious Disease (Fouzderhat)

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EDITORIAL BOARD

Chief Editor


Prof. Dr. Mohammad Abul Hassan Chowdhury, Director


Special Acknowledgement


1. Professor Dr Abul Kalam Azad, Additional Director General (Admin) & Director MIS, DGHS)

2. Dr. Enshad Ekramullah, Assistant Professor (Medicine) BITID

Contributors


1. Dr.Jabin Akter, Asst. Professor (Microbiology)

2. Dr. Rumana Rashid, Asst. Professor (Epidemiology)

3. Dr. Harunur Rashid Chowdhury, Registrar

4. Dr. Sumon Barua, Medical Officer


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.

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Basic Information
Name of the Facility Bangladesh Institute of Tropical and Infectious Disease (Fouzderhat)
Organization Code 10002301
Name of DirectorDr. Narayan Chandra Das
Land Phone No. 1 2780426
Land Phone No. 2 2781268
FAX No. 2781266
Mobile No. 01716842291
Email bitid@hospi.dghs.gov.bd
GPS location of Facility Lati: N/A And Long: N/A

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Tertiary Hospital 1 120

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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

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

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

Information Not Available

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility OPD visits (Year 2017)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
Tertiary Hospital 1893 1828 3,721 10995 15195 26,190 12888 17023 29911

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility Emergency visits (Year 2017)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
Tertiary Hospital 106 68 174 2972 2790 5,762 3078 2858 5936

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility Admissions (Year 2017)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
Tertiary Hospital 124 73 197 2965 2824 5,789 3089 2897 5986

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility In Patient deaths (Year 2017)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
Tertiary Hospital 1 1 2 23 5 28 24 6 30

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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 116
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 66 56.9
2 J06 J06 Acute upper respiratory infections of multiple and unspecified sites 23 19.8
3 R509 R509 Fever, unspecified 16 13.8
4 W54 W54 Bitten or struck by dog 7 6.0
5 B01 B01 Varicella [chickenpox] 4 3.4

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 5856
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 5313 90.7
2 W54 W54 Bitten or struck by dog 420 7.2
3 A35 A35 Other tetanus 46 0.8
4 R509 R509 Fever, unspecified 42 0.7
5 B01 B01 Varicella [chickenpox] 35 0.6

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 2
No. ICD-10 Code Disease name No. of Cases %
1 A35 A35 Other tetanus 2 100.0
2 0.0
3 0.0
4 0.0
5 0.0

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

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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) 28
No. ICD-10 Code Disease name No. of Cases %
1 A35 A35 Other tetanus 23 82.1
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2 7.1
3 A86 A86 Unspecified viral encephalitis 2 7.1
4 J449 J449 Chronic obstructive pulmonary disease, unspecified 1 3.6
5 0.0

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 12977
Bed Occupancy Rates (%) 29.6
Average Length of Hospital Stay (No. of days per patient) 2.2
Hospital Death Rate (%) 0.5
Surgeries done in the Hospital
Type No.

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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 1 0 1 6 85.7
Grade 4 10 1 0 1 9 90.0
Grade 5 1 0 0 0 1 100.0
Grade 6 15 2 3 5 10 66.7
Grade 7 0 0 0 0 0 0.0
Grade 8 6 4 2 6 0 0.0
Grade 9 44 12 15 27 17 38.6
Grade 10 14 0 4 4 10 71.4

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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 56 12 5 17 39 69.6
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 5 2 2 4 1 20.0
Grade 15 4 2 0 2 2 50.0
Grade 16 6 1 1 2 4 66.7
Grade 17 0 0 0 0 0 0.0
Grade 18 1 1 0 1 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 68 29 13 42 26 38.2

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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 0 0 0
Grade 4 2 0 2
Grade 5 1 0 1
Grade 6 1 2 3
Grade 7 7 5 12
Grade 8 5 8 13
Grade 9 5 3 8
Grade 10 0 0 0

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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 12 5 17
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 2 2 4
Grade 15 2 0 2
Grade 16 1 1 2
Grade 17 0 0 0
Grade 18 1 0 1
Grade 19 0 0 0
Grade 20 29 13 42

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Status of Human Resources under DGHS updated during this report preparation

Information Not Available

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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) 0 0 0 0 0
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 0 0 0 0 0
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 0 0 0 0 0
C-arm 0 0 0 0 0
Mamogram machine 0 0 0 0 0
Dehumidifier 0 0 0 0 0

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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 0 0 0 0 0
Ultrasonogram machine 0 0 0 0 0

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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 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 0 1 0 2
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0

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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 0 0 0 0 0
Sucker machine (electric) 2 0 0 2 4
Ventilator 0 0 0 0 0

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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 1 1 0 0 2
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 2 1 0 5 8
Pulse oximeter 3 0 0 0 3

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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

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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

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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) 2 0 0 0 2
Colorimeter 2 2 0 0 4
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) 3 0 0 0 3

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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

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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

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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

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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 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) 0 0 0 0 0
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 0 0 0 0 0

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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

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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

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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 0 0 0 0 0
Bus 0 0 0 0 0
Jeep 1 0 0 0 1
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0

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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) 34 0 0 0 34
Air conditioner (window) 21 0 0 0 21

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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 1 2
Generator (Gas) 0 0 0 0 0
Solar panel 12 11 0 0 23
IPS 1 0 0 0 1

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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) 8 0 0 19 27
Laptop 6 0 0 0 6
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 11 0 0 1 12
Scanner 1 0 0 0 1
UPS 10 1 0 1 12
Fax 1 1 0 0 2
Intercom 0 0 0 0 0
Internet fixed line 1 0 0 0 1

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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 1 1 0 1 3
OHP 0 0 0 0 0
PA system 5 0 0 0 5
Land phone 7 0 0 0 7
Mobile phone 0 0 0 0 0
Photocopier machine 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0

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Important information and necessary issues you want to raise
The BITID has an aesthetic modern building and is situated in a place where it has all the potentials to develop itself as a center of excellence in the field of infectious diseases research and treatment and help the country grow up to be a middle income country therein. But the institute has some important issues that are to be dealt with immediately. I) The facility is a proposed 7 storied building where the 100 beded hospital is planned to be constructed at 4th story upwards.But at the moment the institute is constructed up to the third floor which contains the outdoor facility, the administrative block and the laboratory; the makeshift indoor is being maintained at the adjacent 20 bed IDH hospital. II) The upward extension of the building needs to be started immediately for the hospital is serving only partially with the existing outdoor facility and the temporary indoor which is diminishing the institute's potential to serve the country properly. III) All the vacant post should be filled up as soon as possible so that this institute can open courses in Diploma in tropical medicine and Hygiene (DTM&H), MD (Tropical Medicine) & PhD in Tropical Medicine in future. IV) Unification of the two institutions BITID & attached 20 bed Infectious Diseases Hospital in one financial Code for the better administrative & financial management. V) Dedication of financial power to the institutional Head to use some percentage of User fee. One of the main aspects of the activity of this institute is research in the field of tropical-infectious diseases, for which there needs the facility's incorporation into the NTP network as well as collaborations with communicable and non-communicable diseases control network of the DGHS. The postgraduate courses are to be started immediately as well. As this hospital is about 15 km away from the city it is rather imperative to say that without proper dwelling facilities for the doctors, nurses and fourth class employees the hospital cannot run at its best. For this there needs to be quarters that requires to be built in the hospital premise as soon as possible. At last we would like to express our great delight in the ability to present this health bulletin to the Government of Bangladesh and the DGHS.

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