National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2014 |
Preface
I am very happy to hear that health Bulletin 2014 of NIKDU is going to be published. NIKDU is the only specialized tertiary care hospital in Bangladesh dedicated for treatment of all types of kidney patients. Number of kidney patients are increasing rapidly in our country. Acute and chronic kidney diseases, Renal stone diseases, Obstructive uropathy and genito-urinary malignancies are the major diseases dealt by this institute.The aim of this Institute is to provide education, research & treatment facilities for Kidney Diseases. All forms of renal replacement therapy including kidney Transplantation is available here. We have done a number of CAPD and kidney transplantation's this year. Proper emphasis is given on research programs for prevention, early detecion and treatment of kidney diseases. In addition, development of manpower by higher training and post graduate courses, training for allied health care providers like nurses & technicians are also incorporated. Post-graduate course like MD (Nephrology), MS (Urology) have been started since January 2005. Bangladesh College of Physicians & Surgeons (BCPS) recognizes post-graduate training obtained from this institute in nephrology, urology, anesthesiology and laboratory sciences. The University of Dhaka and Bangladesh Medical and Dental Council also recognize the courses and training of this institute. This institute is conducting a number of community based research works for early detection and prevention of Kidney diseases in collaboration with different national and international organizations. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Our aim is to provide the best services to all kidney patients.
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Facility National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka
Name of Director Prof.A.K.M.Zamanul Islam Bhuiyan
Telephone No. 09134022
FAX No. 09114954
Mobile No. 01711545023
Email nikdu@hospi.dghs.gov.bd
GPS location of Facility Lati: 0.0000 And Long: 0.0000
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2014 | Page# 2
Existing health facilities in the Year 2013
Facility Type
Total
No. of Beds
Medical College Hospital
1
150
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 Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- 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 Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- 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
51,666
34,566
17,100
3,071
6,655
4,494
2,161
390
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
4,350
2,742
1,608
391
171
99
72
5
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- 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
4741
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
N185 Chronic kidney disease, stage 5
1627
34.32
2
N04 Nephrotic syndrome
606
12.78
3
N17 Acute renal failure
477
10.06
4
N18 Chronic renal failure
285
6.01
5
N189 Chronic renal failure, unspecified
245
5.17
6
N00 Acute nephritic syndrome
214
4.51
7
N13 Obstructive and reflux uropathy
374
7.89
8
N20 Calculus of kidney and ureter
416
8.77
9
N40 Hyperplasia of prostate
258
5.44
10
C64 Malignant neoplasm of kidney, except renal pelvis
238
5.02
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
176
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
N185 Chronic kidney disease, stage 5
69
39.20
2
N17 Acute renal failure
59
33.52
3
E878 Other disorders of electrolyte and fluid balance, NEC
20
11.36
4
N01 Rapidly progressive nephritic syndrome
15
8.52
5
R579 Shock, unspecified
10
5.68
6
N139 Obstructive and reflux uropathy, unspecified
2
1.14
7
C67 Malignant neoplasm of bladder
1
0.57
8
0
0.00
9
0
0.00
10
0
0.00
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2014 | Page# 6
Utilization of services at Tertiary Hospital
Indicators
No.
Total Patient days in District Hospital in 365 days (No.)
40,449
Bed Occupancy Rates (%)
95.00
Average Length of Hospital Stay (No. of days per patient)
9.00
Hospital Death Rate (%)
3.71
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
1235
Minor Surgeries
1825
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- 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
107
73
20
14
13.08
Non Doctor
2
0
1
1
50.00
Class II
123
13
107
3
2.44
Class III
107
58
41
8
7.48
Class IV
139
75
58
6
4.32
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
107
93
0
0
Nurse
110
110
0
0
Medical Assistant
0
0
0
0
Medical Technologist
12
12
0
0
CHCP
0
0
0
0
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- 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)
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)
1
1
0
0
0
X-ray machine (portable)
4
2
2
0
0
Dental X-ray unit
0
0
0
0
0
Spiral CT Scan
0
0
0
0
0
C-arm
1
1
0
0
0
Mamogram machine
0
0
0
0
0
Dehumidifier
5
2
3
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
4
2
2
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
4
2
2
0
0
Anesthesia machine without ventilator
5
2
3
0
0
Autoclave
3
0
3
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
4
4
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
4
4
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
6
4
2
0
0
Sterilizer
2
0
2
0
0
Sucker machine (electric)
0
0
0
0
0
Ventilator
0
0
0
0
0
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- 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
2
2
0
0
0
ECG machine
10
4
4
2
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
10
2
8
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
4
2
2
0
0
Pulse oximeter
4
2
2
0
0
Dental equipment
Dental unit
0
0
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
1
1
0
0
0
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- 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
4
2
0
0
2
Centrifuge machine (electric)
6
3
0
0
3
Colorimeter
0
0
0
0
0
Electrolyte analyzer
5
2
1
0
2
ELISA machine
0
0
0
0
0
Gas analyzer
0
0
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
2
1
0
0
1
Microscope (binocular)
3
3
0
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 Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- 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
2
1
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
3
2
1
0
0
Blood plasma seperating machine
2
1
1
0
0
Platelet seperating 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
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
10
4
4
2
0
Urology equipment
Cystoscopic machine
0
0
0
0
0
Vehicles
Ambulance
2
2
0
0
0
Bus
0
0
0
0
0
Jeep
2
1
0
1
0
Microbus
1
1
0
0
0
Pickup
0
0
0
0
0
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- 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)
60
47
10
3
0
Air conditioner (window)
40
25
11
4
0
Generator
Generator (diesel/petrol)
1
1
0
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)
67
65
1
1
0
Laptop
11
10
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
8
7
1
0
0
Scanner
1
1
0
0
0
UPS
5
4
1
0
0
Fax
2
2
0
0
0
Intercom
63
58
5
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
1
1
0
0
0
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- 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)
0
0
0
0
0
Land phone
14
14
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
2
2
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
393
299
73
13
8
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2014 | Page# 14
Important information and necessary issues for National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka |
we left no stone unturned to deliver our sincere efforts for the patients of kidney diseases last year. Services may be developed if the vacant posts are filled up and necessary equipments are supplied properly. At present only 150 beds in this hospital are not enough to serve the urology & nephrology patients of the country. In near future hospital will be expanded to 500 beds. For kidney failure patients expansion of dialysis facilities including both CAPD & Hemodialysis is our main target.With the improvement of socio economic condition & medical facilities ARF due to diarrhea disease is becoming less common. On the other hand multi organ failure due to RTA, often develop ARF who are better managed by continuous renal replacement therapy (CRRT). Establishment of CRRT with expansion of ICU for seriously ill patient is demand of time. For the treatment of critically ill renal failure patients ICU facilities are being established in addition to dialysis and renal transplantation. We have an intention to start facilities for plasma-pheresis very soon. we are regularly doing live related kidney transplantation. To overcome organ scarcities we are planning to start deceased kidney transplant program. Finally I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the concerned persons to understand health services in the field of kidney diseases. We are looking for a better future.
