National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2014 |
Preface
It is a great pleasure for me to bring out the Health Bulletin’2014 of NIDCH. This is the only tertiary level center in the country for management of complicated TB and Chest diseases of Bangladesh. It was established as “TB hospital” in 1955, upgraded in 1962 as “Institute of Chest Diseases and Hospital” and started Post-graduate course “Diploma in Tuberculosis Chest Diseases” and it was the first Post-graduate Institute in Dhaka. It was upgraded in 2002 as “National Institute of Diseases of the Chest and Hospital”. Introduction of “MD course in Chest Diseases” in 1992 and “MS in Thoracic Surgery” in 1999 are the mile stone for this institute in the field of respiratory medicine & thoracic surgery human resource development. Subsequently “FCPS in Pulmonology and Thoracic Surgery” courses introduced & these are also a further addition for development of human resources of the country. Establishment of “National Asthma Centre” bring the asthma and COPD management under a uniform “National Guideline”. Establishment of “National Tuberculosis Reference Laboratory” strengthen the “Tuberculosis Control Programme” through appropriate diagnosis and management of “MDR-TB” patient. Introduction of CT Scan further improved the diagnosis of the patients and thus made patient management earlier and more perfect This institute is also a main center for implementation pilot project DOTS-Plus for management of MDR-TB Patient. Poly-somnography, DLCO and NO measurement facilities,Body box EBUS, fluorescent bronchoscopy etc are introduced subsequently to make the institute international standard. Anaesthesia department has been providing one lung & two lung anesthesia, thoracic epidural technique, etc. for post operative management & to facilitate the specialized thoracic surgery concerned. I hope it will be very useful for all concerns.We are trying with our utmost sincerity to make significant contribution.
National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Facility National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka
Name of Director Prof.Dr. Rashidul Hassan
Telephone No. 08811910
FAX No. 029899424
Mobile No. 01711561489
Email nidch@hospi.dghs.gov.bd
GPS location of Facility Lati: 28.0000 And Long: 94.0000
National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2014 | Page# 2
Existing health facilities in the Year 2013
Facility Type
Total
No. of Beds
Medical College Hospital
1
670
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 0
Total No. of children treated under IMCI Program 0
Neonatal Mortality Rate (January-December, 2013)
National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2014 | Page# 3
Legends
R.P.W-
Registered Pregnanat Woman
1st ANC-
No. of 1st ANC recipients
R.P.W-
No. of 4th ANC recipients
C. Preg-
No. of complicated pregnancies
N. deli-
No. of normal deliveries
V. deli-
No. of vaginal deliveries
C. deli-
No. of cesarean deliveries
PNC-
No. of PNC services provided to mother in the Upazila
Maternal health and MDG-5 (No.) (January-December, 2013)
All ANC Receiptients: 0
Total Number of Deliveries: 0
No. of Maternal Death: 0
Maternal Mortality Ratio (MMR)(January-December, 2013)
National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2014 | Page# 4
No. of OPD & Emergency visits & Deaths at Tertiary Hospital
Health Facility
OPD
Emergency
T (M+F)
M
F
Child (U-5)
T (M+F)
M
F
Child (U-5)
Medical College Hospital
40,337
26,401
13,936
5,693
8,654
5,697
2,957
690
No. of Admissions & Deaths at Tertiary Hospital
Health Facility
Admission
Death
T (M+F)
M
F
Child (U-5)
T (M+F)
M
F
Child (U-5)
Medical College Hospital
11,056
8,550
2,506
132
938
745
193
0
National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2014 | Page# 5
Top 10 diseases according to the number of patients admitted in the Tertiary Hospital during the reporting period
Total number of admitted patients during the reporting period
11188
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
A15 Respiratory tuberculosis, bacteriologically and histologically confirmed
2754
24.62
2
J91 Pleural effusion in conditions classified elsewhere
1802
16.11
3
J45 Asthma
1495
13.36
4
J44 Other chronic obstructive pulmonary disease
1205
10.77
5
J93 Pneumothorax
823
7.36
6
J47 Bronchiectasis
702
6.27
7
S297 Multiple injuries of thorax
613
5.48
8
C34 Malignant neoplasm of bronchus and lung
406
3.63
9
C15 Malignant neoplasm of oesophagus
263
2.35
10
W80 Inhalation and ingestion of other objects causing obstruction of respiratory tract
189
1.69
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
938
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
J44 Other chronic obstructive pulmonary disease
207
22.07
2
A15 Respiratory tuberculosis, bacteriologically and histologically confirmed
165
17.59
3
J47 Bronchiectasis
102
10.87
4
J84 Other interstitial pulmonary diseases
89
9.49
5
S297 Multiple injuries of thorax
81
8.64
6
J851 Abscess of lung with pneumonia
53
5.65
7
J93 Pneumothorax
47
5.01
8
MDR Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
21
2.24
9
J86 Pyothorax
17
1.81
10
C15 Malignant neoplasm of oesophagus
14
1.49
National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2014 | Page# 6
Utilization of services at Tertiary Hospital
Indicators
No.
Total Patient days in District Hospital in 365 days (No.)
232,224
Bed Occupancy Rates (%)
95.00
Average Length of Hospital Stay (No. of days per patient)
23.00
Hospital Death Rate (%)
9.00
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
1143
Minor Surgeries
1803
National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2014 | Page# 7
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
146
88
31
27
18.49
Non Doctor
2
1
1
0
0.00
Class II
296
31
257
8
2.7
Class III
167
121
22
24
14.37
Class IV
231
158
61
12
5.19
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
146
119
0
0
Nurse
333
305
0
0
Medical Assistant
0
0
0
0
Medical Technologist
40
35
0
0
CHCP
0
0
0
0
National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2014 | Page# 8
Existing equipments 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
0
2
0
0
X-ray machine (300 mA)
0
0
0
0
0
X-ray machine (500 mA)
1
1
0
0
0
X-ray machine (digital)
2
1
1
0
0
X-ray machine (portable)
2
1
1
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
0
0
0
0
0
Dehumidifier
2
2
0
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
3
1
1
1
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
4
4
0
0
0
Anesthesia machine without ventilator
6
4
0
2
0
Autoclave
7
3
2
2
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
15
7
2
6
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
6
5
1
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
6
6
0
0
0
Sterilizer
23
15
0
8
0
Sucker machine (electric)
17
13
4
0
0
Ventilator
9
5
3
1
0
National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2014 | Page# 9
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
0
0
0
0
0
ECG machine
9
5
2
2
0
Ecocardiogram machine
1
0
1
0
0
Cardiac monitor
6
6
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
24
12
7
5
0
Pulse oximeter
25
10
13
2
0
Dental equipment
Dental unit
0
0
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2014 | Page# 10
Existing equipments at Tertiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Lab equipment
Biochemical auto-analyzer
2
1
1
0
0
Centrifuge machine (electric)
13
8
5
0
0
Colorimeter
2
1
1
0
0
Electrolyte analyzer
1
1
0
0
0
ELISA machine
1
1
0
0
0
Gas analyzer
1
0
1
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
1
1
0
0
0
Microscope (binocular)
22
20
2
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
0
0
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2014 | Page# 11
Existing equipments at Tertiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge
1
0
1
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
4
4
0
0
0
Blood plasma seperating machine
1
1
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
1
1
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
3
2
1
0
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
0
0
0
0
0
Urology equipment
Cystoscopic machine
0
0
0
0
0
Vehicles
Ambulance
4
4
0
0
0
Bus
0
0
0
0
0
Jeep
1
1
0
0
0
Microbus
2
2
0
0
0
Pickup
1
1
0
0
0
National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2014 | Page# 12
Existing equipments at Tertiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Air conditioner
Air conditioner (split type)
172
140
25
7
0
Air conditioner (window)
7
2
5
0
0
Generator
Generator (diesel/petrol)
4
3
1
0
0
Generator (gas)
1
0
1
0
0
Solar panel
0
0
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
113
85
18
10
0
Laptop
6
4
2
0
0
Printer (dot matrix)
5
2
2
1
0
Printer (inkjet)
6
2
2
2
0
Printer (laser)
85
70
5
10
0
Scanner
8
5
1
2
0
UPS
115
75
20
20
0
Fax
2
1
1
0
0
Intercom
70
50
20
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
2
2
0
0
0
Multimedia
8
6
0
2
0
National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2014 | Page# 13
Existing equipments at Tertiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
OHP
PA system (Sound)
1
1
0
0
0
Land phone
6
6
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
7
6
0
1
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
850
611
155
84
0
National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka | Health Bulletin 2014 | Page# 14
Important information and necessary issues for National Institute of Chest Disease and Hospital (NIDCH)- Mohakhali- Dhaka |
Last year inspite of our many limitations we gained a lot of success with our maximum effort in health status. This can be improved further - • By increasing the existing bed (670 to 1500) capacity. Also increasing the manpower at all level • By fulfilling the vacant post of doctors and other staffs. • This institute mostly need separate Radiology, Pathology, Molecular Diagnostic, Bronchoscopy, Surgery, OT, Post-Operative ward, Post-Operative ICU, Rehabilitation Unit, Smoking Cessation Program, Respiratory Lab, Allergy Diagnostic and Treatment Facilities.
• By creating a separate MDR building for MDR TB patients (very urgently necessary as because it is the only institute where MDR TB is treated). • Beside this education and chest related research program need a separate building. • By increasing the existing facilities namely- No. of ICU beds. No. of operation theaters. • Modernize and improvement of hospital services and also identification of diseases more accurately several heavy equipment will be needed for this institute which are as follows-
Name. of equipment’s:
Simulator for FOB, EBUS facilities, Interventional Video-bronchoscope, Slim bronchoscope, Medical Pleuroscope, Endo bronchial Laser yag, Argon plasma coagulator, ETO Steriliser, CT SCAN 256, PET-Scan, Tracheal and Bronchial Covered Stent 20+20, Y stent, Video Thoracoscope, Mediastinospe, Portable X Ray Machine, 1000ma Digital X-Ray Machine, C -ARM X-Ray Machine, Cath lab for pulmonary angiogram & bronchial artery angiogram & intervention.
• sufficient manpower to run the pathology lab for 24 hours. • Transportation facilities need for emergency doctors & nursing staff. • Chest & pulmonary diseases oriented special nursing institute should be immediately established for improvement of specialized nursing services. In this way if we overcome all these obstacles, this institute will be a center of excellence in this sub-continent.
