Mymensingh Medical College Hospital | Health Bulletin 2014 |
Preface
It is indeed a great honour and privilege for me to publish the Health bulletin-2014 of Mymensingh Medical College Hospital. Being one of the oldest Medical College Hospital in the country, it has transcended almost 62 years from its inception as a 500 beded referral hospital. Off late it has been upgraded to 1000 beded hospital. Though admitted patient load remains on an average 1700. Besides patients treatment, this hospital is concerned with undergraduate training to medical and nursing students and post-graduate training to doctors in 27 disciplines. This hospital enjoys its wide catchment areas for healthcare services to near about two and a half crore of people of greater Mymensingh district. More so incorporation of newly constructed 500 beded multistoried annexed hospital building has eased the accommodation of indoor and out door healthcare services. This bulletin imbibed with all health related information of this tertiary level hospital. As such readers will get an overall view of health status of greater Mymensingh area giving input to planning of the health services. This bulletin is committed to fulfill MDG4 and MDG5 to bring the country forward for further laurels. I would like to express my gratitude to all the members of Mymensingh Medical College Hospital for their untiring efforts and commitments. I harp upon our esteemed readers to sympathetically bear with the shortcomings, if any in this papers. I have strong conviction that the commitments of present Government on furnishing Digital Bangladesh is getting strengthen by the health services. At the end, I would like to thank DGHS and MOHFW for their courage and endeavour for making success towards Digital Bangladesh.
Mymensingh Medical College Hospital | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Facility Mymensingh Medical College Hospital
Name of Director Brig Gen Md. Fashiur Rahman ndc
Telephone No. 09166061
FAX No. 09167008
Mobile No. 01713332468
Email mmch@hospi.dghs.gov.bd
GPS location of Facility Lati: 24.7492 And Long: 90.4026
Mymensingh Medical College Hospital | Health Bulletin 2014 | Page# 2
Existing health facilities in the Year 2013
Facility Type
Total
No. of Beds
Medical College Hospital
1
1,000
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 9,329
Total No. of children treated under IMCI Program 12,391
Neonatal Mortality Rate (January-December, 2013)
Mymensingh Medical College Hospital | 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: 14,342
Total Number of Deliveries: 9919
No. of Maternal Death: 146
Maternal Mortality Ratio (MMR)(January-December, 2013)
Mymensingh Medical College Hospital | 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
238,190
111,940
126,250
108,465
11,017
5,381
5,636
4,947
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
104,272
50,893
53,379
20,274
4,100
2,422
1,678
1,902
Mymensingh Medical College Hospital | 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
124546
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
R072 Precordial pain
12523
10.05
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
12211
9.80
3
O800 Spontaneous vertex delivery
4922
3.95
4
O689 Labour and delivery complicated by fetal stress, unspecified
4895
3.93
5
V795 Passenger injured in collision with other and unspecified motor vehicles in traffic accident
4849
3.89
6
J189 Pneumonia, unspecified
4765
3.83
7
R101 Pain localized to upper abdomen
4605
3.70
8
I616 Intracerebral haemorrhage, multiple localized
4592
3.69
9
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
4129
3.32
10
X680 Intentional self-poisoning by and exposure to pesticides, home
2877
2.31
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
6002
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
P210 Severe birth asphyxia
1425
23.74
2
I210 Acute transmural myocardial infarction of anterior wall
720
12.00
3
I612 Intracerebral haemorrhage in hemisphere, unspecified
246
4.10
4
A419 Septicaemia, unspecified
210
3.50
5
S069 Intracranial injury, unspecified
166
2.77
6
P070 Extremely low birth weight
125
2.08
7
J440 Chronic obstructive pulmonary disease with acute lower respiratory infection
108
1.80
8
X680 Intentional self-poisoning by and exposure to pesticides, home
102
1.70
9
G049 Encephalitis, myelitis and encephalomyelitis, unspecified
75
1.25
10
N189 Chronic renal failure, unspecified
51
0.85
Mymensingh Medical College Hospital | Health Bulletin 2014 | Page# 6
Utilization of services at Tertiary Hospital
Indicators
No.
Total Patient days in District Hospital in 365 days (No.)
568,983
Bed Occupancy Rates (%)
155.88
Average Length of Hospital Stay (No. of days per patient)
4.55
Hospital Death Rate (%)
4.88
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
12076
Minor Surgeries
13807
Mymensingh Medical College Hospital | Health Bulletin 2014 | Page# 7
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
365
265
39
61
16.71
Non Doctor
7
0
1
6
85.71
Class II
448
42
392
14
3.13
Class III
188
115
13
60
31.91
Class IV
450
306
92
52
11.56
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
365
304
0
6
Nurse
463
437
2
2
Medical Assistant
0
0
0
0
Medical Technologist
38
33
0
0
CHCP
0
0
0
0
Mymensingh Medical College Hospital | 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)
3
1
1
1
0
X-ray machine (500 mA)
4
2
2
0
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
8
2
6
0
0
Dental X-ray unit
1
1
0
0
0
Spiral CT Scan
1
1
0
0
0
C-arm
1
1
0
0
0
Mamogram machine
1
1
0
0
0
Dehumidifier
10
6
4
0
0
MRI machine
1
1
0
0
0
Ultrasonogram machine
9
5
4
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
9
4
4
1
0
Anesthesia machine without ventilator
8
4
3
1
0
Autoclave
11
4
3
4
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
20
12
6
2
0
Operating microscope
6
3
3
0
0
Ceiling mounting OT Light
27
20
7
0
0
Portable OT Light
4
2
2
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
26
14
8
4
0
Sterilizer
12
7
5
0
0
Sucker machine (electric)
24
10
12
2
0
Ventilator
12
2
10
0
0
Mymensingh Medical College Hospital | 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
12
5
2
5
0
ECG machine
21
5
16
0
0
Ecocardiogram machine
4
3
0
0
1
Cardiac monitor
17
6
6
5
0
Holter monitor
13
12
1
0
0
Nebulizer machine
5
2
3
0
0
Pulse oximeter
29
21
8
0
0
Dental equipment
Dental unit
3
2
1
0
0
Gastroeneterology equipment
Endoscopy machine
2
1
1
0
0
Laparoscopic machine
4
3
1
0
0
Mymensingh Medical College Hospital | 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
1
0
1
0
0
Centrifuge machine (electric)
7
2
5
0
0
Colorimeter
5
2
2
1
0
Electrolyte analyzer
0
0
0
0
0
ELISA machine
0
0
0
0
0
Gas analyzer
0
0
0
0
0
Hormone analyzer
1
1
0
0
0
Blood cell counter
1
1
0
0
0
Microscope (binocular)
4
3
1
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
1
1
0
0
0
Retinoscope
2
1
1
0
0
Pediatric equipment
Baby incubator
29
15
5
9
0
Phototherapy unit
21
10
5
6
0
Mymensingh Medical College Hospital | 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
7
4
2
1
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
1
1
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
5
2
1
2
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
2
1
1
0
0
Urology equipment
Cystoscopic machine
2
1
1
0
0
Vehicles
Ambulance
3
2
1
0
0
Bus
0
0
0
0
0
Jeep
1
1
0
0
0
Microbus
1
1
0
0
0
Pickup
0
0
0
0
0
Mymensingh Medical College Hospital | 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)
36
20
16
0
0
Air conditioner (window)
55
44
11
0
0
Generator
Generator (diesel/petrol)
5
5
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
6
6
0
0
0
ICT equipment
Computer (desktop)
48
42
2
4
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
6
2
1
3
0
Printer (laser)
19
15
2
2
0
Scanner
0
0
0
0
0
UPS
16
12
0
4
0
Fax
1
1
0
0
0
Intercom
300
300
0
0
0
Internet fixed line
15
15
0
0
0
Internet wireless line
4
4
0
0
0
Multimedia
1
0
1
0
0
Mymensingh Medical College Hospital | 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)
1
1
0
0
0
Land phone
16
16
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
5
4
1
0
0
Digital camera
1
1
0
0
0
Video camera
0
0
0
0
0
Total
939
702
179
57
1
Mymensingh Medical College Hospital | Health Bulletin 2014 | Page# 14
Important information and necessary issues for Mymensingh Medical College Hospital |
1. Establishment of proper waste disposal system in the hospital.
2. Establishment of Cath-lab in the hospital.
3. Improvement of dialysis unit in the hospital.
4. Establishment of Casualty ward in the hospital.
5. Establishment of Physical Medicine ward in the hospital.
6. Curbing down the shortage of manpower in the hospital.
7. Bring whole hospital under Automation.
I draw the kind attention of higher authority to look into these issue. Finally, I would like to acknowledge and appreciate the support of DGHS and MOHFW to enable us to publish this Health Bulletin-2014.
