National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2014 |
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 a academic institute for Post graduate 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 subspecialty departments in the institute eg. Cataract, Ophthalmology, Cornea, Glaucoma, Vitreo Retina, Neuro Ophthalmology, Paediatric Ophthalmology, Community Ophthalmology, Oculoplastics 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 the region in near future.
The prevention of Blindness Program in Bangldesh “ 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.
Prof. Dr. Jalal Ahmed
Director
National Institute of Ophthalmology & Hospital,
Sher – E – Bangla Nagar, Dhaka- 1207
&
Line Director,
National Eye Care.
National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Facility National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka
Name of Director Prof. Dr. Jalal Ahmed.
Telephone No. 058152803
FAX No. 08117202
Mobile No. 01711299634
Email directornio@yahoo.com
GPS location of Facility Lati: 20.0000 And Long: 87.0000
National Institute of Ophthalmology (NIO)- 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
250
250
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 Ophthalmology (NIO)- 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 Ophthalmology (NIO)- 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
188,416
103,636
84,780
4,813
3,045
2,430
615
401
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
11,846
6,046
5,800
601
0
0
0
0
National Institute of Ophthalmology (NIO)- 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
10300
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
H25 Senile cataract
5408
52.50
2
H359 Retinal disorder, unspecified
989
9.60
3
H52 Disorders of refraction and accommodation
978
9.50
4
H189 Disorder of cornea, unspecified
876
8.50
5
H40 Glaucoma
608
5.90
6
H049 Disorder of lacrimal system, unspecified
550
5.34
7
H059 Disorder of orbit, unspecified
450
4.37
8
H029 Disorder of eyelid, unspecified
422
4.10
9
0
0.00
10
0
0.00
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 Ophthalmology (NIO)- 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.)
50,635
Bed Occupancy Rates (%)
55.50
Average Length of Hospital Stay (No. of days per patient)
5.42
Hospital Death Rate (%)
0.00
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
10379
Minor Surgeries
3732
National Institute of Ophthalmology (NIO)- 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
138
85
47
6
4.35
Non Doctor
3
0
0
3
100.00
Class II
214
5
196
13
6.07
Class III
75
47
19
9
12
Class IV
115
70
23
22
19.13
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
132
128
1
0
Nurse
208
208
2
0
Medical Assistant
2
2
0
0
Medical Technologist
10
10
0
0
CHCP
0
0
0
0
National Institute of Ophthalmology (NIO)- 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
1
0
0
0
X-ray machine (500 mA)
3
1
1
0
1
X-ray machine (digital)
2
1
0
0
1
X-ray machine (portable)
2
1
0
0
1
Dental X-ray unit
0
0
0
0
0
Spiral CT Scan
2
0
1
0
1
C-arm
0
0
0
0
0
Mamogram machine
0
0
0
0
0
Dehumidifier
23
9
5
0
9
MRI machine
2
1
0
0
1
Ultrasonogram machine
3
1
0
1
1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
5
3
0
0
2
Anesthesia machine without ventilator
13
7
0
0
6
Autoclave
6
2
2
0
2
Electric cautery machine
2
1
0
0
1
Diathermy machine
4
2
0
0
2
Operating microscope
52
19
7
0
26
Ceiling mounting OT Light
0
0
0
0
0
Portable OT Light
10
5
0
0
5
Fracture table
0
0
0
0
0
Hydrolic OT Table
50
20
5
0
25
Sterilizer
6
2
1
0
3
Sucker machine (electric)
8
4
0
0
4
Ventilator
0
0
0
0
0
National Institute of Ophthalmology (NIO)- 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
2
0
0
2
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
15
9
1
0
5
Holter monitor
0
0
0
0
0
Nebulizer machine
5
3
0
0
2
Pulse oximeter
4
2
0
0
2
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 Ophthalmology (NIO)- 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
7
3
0
0
4
Centrifuge machine (electric)
17
12
0
0
5
Colorimeter
1
1
0
0
0
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)
27
17
10
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
21
12
3
2
4
Retinoscope
12
8
0
0
4
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
National Institute of Ophthalmology (NIO)- 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
0
0
0
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
2
2
0
0
0
Bus
0
0
0
0
0
Jeep
0
0
0
0
0
Microbus
0
0
0
0
0
Pickup
1
1
0
0
0
National Institute of Ophthalmology (NIO)- 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)
154
109
45
0
0
Air conditioner (window)
0
0
0
0
0
Generator
Generator (diesel/petrol)
4
4
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
2
2
0
0
0
ICT equipment
Computer (desktop)
133
111
22
0
0
Laptop
3
3
0
0
0
Printer (dot matrix)
73
61
12
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
50
50
0
0
0
Scanner
10
10
0
0
0
UPS
10
10
0
0
0
Fax
1
1
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
2
2
0
0
0
National Institute of Ophthalmology (NIO)- 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
11
11
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
3
1
2
0
0
Digital camera
1
1
0
0
0
Video camera
1
1
0
0
0
Total
768
529
117
3
119
National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2014 | Page# 14
Important information and necessary issues for National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka |
1. For reporting we need a structured recording system. We don’t 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.