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National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2014 |
Preface
I am glad to present this Health Bulletin 2014 containing defined information of National Institute of Mental Health,Dhaka during 2013. The objectives of establishment of the institute included to deliver modern services to the mentally ill people in the community, to develop qualified and trained manpower, to help provide mental health services through primary health care system, to conduct researches in the field of mental health.The available mental health services in Bangladesh are inadequate in comparison to the need of the community. Since establishment of the institute the authority has been trying to achieve the goals. We need extended support from the government to achieve the defined goals of establishment of the institute. I am thankful to all the staffs of the institute and relevant sectors of the government for helping us in realizing our aspirations.This Health Bulletin containing data during the period 2013 will help us in finding out the deficits, weaknesses and future directions for further development of the existing services. I congratulate those who were involved with the development of this Health Bulletin Software. prof. Dr. Md. Waziul Alam Chowdhury Director National Institute of Mental Health and Research
Prof. Dr. Md. Waziul Alam Chowdhury
Director
National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- Dhaka

National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Facility National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- Dhaka
Name of Director Prof. Dr. Md. Waziul Alam Chowdhury
Telephone No. 09118171
FAX No. 09111362
Mobile No. 01711027705
Email nimhr@hospi.dghs.gov.bd
GPS location of Facility Lati: 20.0000 And Long: 0.0000

National Institute of Mental Health & Research (NIMH&R)- 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 1 200

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)
 Neonatal Mortality Rate (NMR) is 0.00 per 1,000 live births.

National Institute of Mental Health & Research (NIMH&R)- 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)
 Maternal Mortality Ratio (MMR) is 0.00 per 100,000 live births.

National Institute of Mental Health & Research (NIMH&R)- 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 22,196 13,382 8,814 2,780 863 132 731 70

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 2,711 1,740 971 76 0 0 0 0

National Institute of Mental Health & Research (NIMH&R)- 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 2140
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1 F30 Manic episode 852 39.81
2 F20 Schizophrenia 746 34.86
3 F41 Other anxiety disorders 160 7.48
4 F19 Mental and behavioural disorders due to multiple drug use and use of other psychoactive substances 158 7.38
5 F79 Unspecified mental retardation 80 3.74
6 G40 Epilepsy 34 1.59
7 F42 Obsessive-compulsive disorder 33 1.54
8 F03 Unspecified dementia 23 1.07
9 F60 Specific personality disorders 13 0.61
10 R401 Stupor 12 0.56
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 0
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1 0 0.00
2 0 0.00
3 0 0.00
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

National Institute of Mental Health & Research (NIMH&R)- 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.) 49,368
Bed Occupancy Rates (%) 68.00
Average Length of Hospital Stay (No. of days per patient) 18.00
Hospital Death Rate (%) 0.00
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 201

National Institute of Mental Health & Research (NIMH&R)- 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 43 27 12 4 9.30
Non Doctor 3 3 0 0 0.00
Class II 43 5 38 0 0
Class III 31 21 7 3 9.68
Class IV 64 44 10 10 15.63

Status of Human Resources (Category wise)
Manpower MCH IMCI trained Basic EOC trained
Sanctioned Filled-up
Physician 43 39 0 0
Nurse 42 42 0 0
Medical Assistant 2 2 0 0
Medical Technologist 2 2 0 0
CHCP 95 82 0 0

National Institute of Mental Health & Research (NIMH&R)- 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) 1 0 0 0 1
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 1 0 0 0 1
X-ray machine (portable) 0 0 0 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 0 0 0 0 0
MRI machine 1 0 1 0 0
Ultrasonogram machine 3 3 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 3 3 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 4 2 2 0 0
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
Sterilizer 2 2 0 0 0
Sucker machine (electric) 5 4 1 0 0
Ventilator 2 2 0 0 0


National Institute of Mental Health & Research (NIMH&R)- 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 0 0 0 0 0
ECG machine 4 3 1 0 0
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 1 1 0 0 0
Pulse oximeter 0 0 0 0 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 Mental Health & Research (NIMH&R)- 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 0 0 0 0 0
Centrifuge machine (electric) 5 3 2 0 0
Colorimeter 2 2 0 0 0
Electrolyte analyzer 1 0 1 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) 7 7 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 Mental Health & Research (NIMH&R)- 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 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 seperating machine 0 0 0 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 6 5 1 0 0
Psichiatry equipment
ECT machine 2 1 1 0 0
EEG machine 2 1 1 0 0
Urology equipment
Cystoscopic machine 0 0 0 0 0
Vehicles
Ambulance 0 0 0 0 0
Bus 1 1 0 0 0
Jeep 0 0 0 0 0
Microbus 1 1 0 0 0
Pickup 1 1 0 0 0



National Institute of Mental Health & Research (NIMH&R)- 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) 44 35 9 0 0
Air conditioner (window) 12 10 2 0 0
Generator
Generator (diesel/petrol) 2 2 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) 63 44 10 9 0
Laptop 4 4 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 34 30 4 0 0
Scanner 4 4 0 0 0
UPS 31 30 1 0 0
Fax 2 1 1 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 3 3 0 0 0
Multimedia 1 1 0 0 0


National Institute of Mental Health & Research (NIMH&R)- 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 8 8 0 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 5 4 0 1 0
Digital camera 0 0 0 0 0
Video camera 1 1 0 0 0
Total 271 221 38 10 2

National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2014 | Page# 14

Important information and necessary issues for National Institute of Mental Health & Research (NIMH&R)- Sher-e-Bangla Nagar- Dhaka |
 National Institute of Mental Health,Dhaka has been established with the objective of development of qualified and trained manpower in psychiatry. providing clinical services to patients with mental disorders is the essential element for conduction of different courses, training and research programmers. Adequate infrastructure facilities with logistic and manpower support are required to achieve the goal. patients with Mental disorders are usually poor. They cannot afford to admission in paying bed.Increasing percentage of non-paying beds and reducing that of paying beds are essential to increase bed occupancy. Vertical extension of the building is essential to have separate ward for six separate departments.Now one ward has patients admitted in different units with limited space, which is open in nature. For example, patients from Child psychiatry department are being treated mixed with patients of Adult psychiatry. Occupational therapy unit and rehabilitation unit are integral parts of management of patients with mental disorients. Maintenance of the building by PWD needs improvement.Bathroom,toilets, window grills and glasses,doors,doctors room, nurses room,patients Carts and beds need special care. Electricity department of the government is failing to make Generator functioning. Vertical extension of the building is also essential to create separate space for the units.Nursing staffs and doctors are inadequate in the hospital. There are needs of six registrars, one Resident Psychiatrist and one Deputy Director in the institute. During transformation if the posts into revenue these three posts were not considered. Now the institute is having serve academic and administrative problems due to lack of these posts. Ward boys and Mlss are very few in numbers in the institute. Moreover class IV and class III staffs are frequently transferred to other hospital without giving replacement. X-ray machine installed in the institute have not been functioning.