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Mohakhali, Dhaka-1212

National Institute of Traumatology and Rehabilitation (NITOR)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2014 |
Preface
The establishment of the National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR) and development of Orthopaedic service in Bangladesh runs somewhat concurrently with War of liberation and treatment of the wounded freedom fighters. In early 1972, foreign aid and helping hands were extended to help this new country meet its immediate needs. At this time Father of National Bangabandhu Sheikh Mujibur Rahman felt the need of treatment of the wounded freedom fighters. He requested Dr. R.J.Garst, an American missionary orthopaedic surgeon to help the wounded freedom fighters. On his request Dr. R. J. Garst and his wife Mrs. Marie Garst started a 100 beded hospital at the OPD of Shaheed Suhrwardy Hospital. Post graduate courses in Orhtopaedic Surgery (D. Orth & M.S Ortho) and B. Sc. In Physiotherapy under the University of Dhaka was initiated in 1973. In1978, this orthopaedic hospital was shifted to a newbuilding consisting of 400 beds, the “Rehabilitation Institute & Hospital for the Disabled (RIHD).” In 1993 RIHD has estended 400 to 500 bedded. The name of this institute was later changed to National Institute of Traumatology & Orthopaedic Rehabilitation (NITOR) in the year 2002. Since 1971, the population of Bangladesh has almost tripled from 5.5core to over 16crore. The disease pattern of the country has also changed. We have an increasing number of accidents and injuries. At any time 30% of all beds in the district and upzilla hospitals are occupied by trauma patients. Trauma is possibly the number one disease in the country now. As such, Orthopaedics has become an important discipline of medical science for management of trauma victims. NITOR is the highest referral and prime center of Orthopaedic service & training of Orthopaedic surgeons, nurse and physiotherapist in the country.By the help of honorable Prime minister this hospital is increasing 500 to 1000 bedded & the new building construction is already started.
Prof. Dr. Hamidul Hoque Khandker
Director
National Institute of Traumatology and Rehabilitation (NITOR)- Sher-e-Bangla Nagar- Dhaka

National Institute of Traumatology and Rehabilitation (NITOR)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Facility National Institute of Traumatology and Rehabilitation (NITOR)- Sher-e-Bangla Nagar- Dhaka
Name of Director Prof. Dr. Hamidul Hoque Khandker
Telephone No. 09114075
FAX No. 08114812
Mobile No. 01715204187
Email hamidulkhandker@yahoo.com
GPS location of Facility Lati: 0.0000 And Long: 0.0000

National Institute of Traumatology and Rehabilitation (NITOR)- 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 0 500

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 Traumatology and Rehabilitation (NITOR)- 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 Traumatology and Rehabilitation (NITOR)- 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 87,465 53,584 33,881 5,225 39,974 29,544 10,430 2,873

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 19,536 15,713 3,823 411 173 146 27 1

National Institute of Traumatology and Rehabilitation (NITOR)- 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 19947
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1 V892 Person injured in unspecified motor-vehicle accident, traffic 4486 22.49
2 V870 Person injured in collision between car and two- or three-wheeled motor vehicle (traffic) 3215 16.12
3 V872 Person injured in collision between car and pick-up truck or van (traffic) 2182 10.94
4 V873 Person injured in collision between car and bus (traffic) 1128 5.65
5 M966 Fracture of bone following insertion of orthopaedic implant, joint prosthesis, or bone plate 2050 10.28
6 M99 Biomechanical lesions, NEC 1280 6.42
7 Y07 Other maltreatment syndromes 370 1.85
8 Y00 Assault by blunt object 280 1.40
9 T093 Injury of spinal cord, level unspecified 235 1.18
10 M86 Osteomyelitis 144 0.72
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 174
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1 S131 Dislocation of cervical vertebra 28 16.09
2 V061 Pedestrian injured in collision with other nonmotor vehicle, traffic accident 24 13.79
3 T093 Injury of spinal cord, level unspecified 18 10.34
4 T07 Unspecified multiple injuries 16 9.20
5 S141 Other and unspecified injuries of cervical spinal cord 15 8.62
6 T794 Traumatic shock 12 6.90
7 S007 Multiple superficial injuries of head 9 5.17
8 T908 Sequelae of other specified injuries of head 8 4.60
9 T029 Multiple fractures, unspecified 6 3.45
10 T147 Crushing injury and traumatic amputation of unspecified body region 4 2.30

National Institute of Traumatology and Rehabilitation (NITOR)- 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.) 135,567
Bed Occupancy Rates (%) 89.00
Average Length of Hospital Stay (No. of days per patient) 7.00
Hospital Death Rate (%) 14.41
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries 12446
Minor Surgeries 12801

National Institute of Traumatology and Rehabilitation (NITOR)- 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 137 123 14 0 0.00
Non Doctor 10 8 2 0 0.00
Class II 278 53 225 0 0
Class III 128 99 29 0 0
Class IV 232 186 46 0 0

Status of Human Resources (Category wise)
Manpower MCH IMCI trained Basic EOC trained
Sanctioned Filled-up
Physician 137 126 0 0
Nurse 268 268 0 0
Medical Assistant 0 0 0 0
Medical Technologist 21 21 0 0
CHCP 0 0 0 0

National Institute of Traumatology and Rehabilitation (NITOR)- 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) 4 2 2 0 0
X-ray machine (500 mA) 4 2 2 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 10 5 3 2 0
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 2 1 1 0 0
C-arm 20 10 8 2 0
Mamogram machine 0 0 0 0 0
Dehumidifier 0 0 0 0 0
MRI machine 2 1 1 0 0
Ultrasonogram machine 4 2 2 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 6 3 3 0 0
Anesthesia machine without ventilator 20 10 6 4 0
Autoclave 0 0 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 32 16 8 8 0
Operating microscope 2 1 1 0 0
Ceiling mounting OT Light 20 10 5 5 0
Portable OT Light 20 10 6 4 0
Fracture table 14 7 7 0 0
Hydrolic OT Table 20 10 6 4 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


National Institute of Traumatology and Rehabilitation (NITOR)- 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 10 5 5 0 0
Ecocardiogram machine 4 2 2 0 0
Cardiac monitor 20 10 6 4 0
Holter monitor 0 0 0 0 0
Nebulizer machine 24 12 6 6 0
Pulse oximeter 16 8 5 3 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 Traumatology and Rehabilitation (NITOR)- 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) 4 2 2 0 0
Colorimeter 6 3 3 0 0
Electrolyte analyzer 0 0 0 0 0
ELISA machine 0 0 0 0 0
Gas analyzer 4 2 2 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 0 0 0 0 0
Microscope (binocular) 6 3 3 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 Traumatology and Rehabilitation (NITOR)- 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 0 1 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 6 3 2 0 1
Blood plasma seperating machine 0 0 0 0 0
Platelet seperating machine 0 0 0 0 0
Deep freeze (plasma) 2 1 1 0 0
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 2 1 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 2 2 0 0
Bus 0 0 0 0 0
Jeep 4 2 2 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0



National Institute of Traumatology and Rehabilitation (NITOR)- 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) 170 85 75 10 0
Air conditioner (window) 30 15 10 5 0
Generator
Generator (diesel/petrol) 0 0 0 0 0
Generator (gas) 2 1 1 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 60 30 30 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 4 2 2 0 0
Printer (inkjet) 4 2 2 0 0
Printer (laser) 14 7 7 0 0
Scanner 6 3 3 0 0
UPS 20 10 10 0 0
Fax 4 2 2 0 0
Intercom 160 82 56 22 0
Internet fixed line 0 0 0 0 0
Internet wireless line 2 1 1 0 0
Multimedia 0 0 0 0 0


National Institute of Traumatology and Rehabilitation (NITOR)- 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) 2 1 1 0 0
Land phone 44 22 12 10 0
Mobile phone 0 0 0 0 0
Photocopier machine 6 3 3 0 0
Digital camera 1 0 0 1 0
Video camera 1 0 0 1 0
Total 826 414 319 92 1

National Institute of Traumatology and Rehabilitation (NITOR)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2014 | Page# 14

Important information and necessary issues for National Institute of Traumatology and Rehabilitation (NITOR)- Sher-e-Bangla Nagar- Dhaka |