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.
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 |