Chittagong Medical College Hospital | Health Bulletin 2014 |
Preface
Chittagong Medical College Hospital established in the year 1957 and started functioning in the present location in 1960 with only 120 beds & few out patient services. Later it was upgraded to 500,750,1010,1313* ( * This only administrative but no functional benefit found) beds in 1969,1996,2001 and 2013 respectively. This is one of the second largest hospital in the country & only referral hospital (Level 3) in greater Chittagong covering 40,000 sq. km. area serving health care services for about 30 millions population. At the beginning of this hospital, there were only two departments Surgery, Obs. & Gynae. The general hospital at that time used to serve as department of Medicine and allied specialties till 1969.The present six storied hospital building was completed in 1969 and renovated under ADB project in 1998 which now accommodates all the clinical departments and sub specialties. This hospital also rendering services to the Burn patients, Open heart surgery. This is the only government Hospital outside the Capital for Cardiac Surgery Operation also having largest NICU (SCANU). Daily 2000 to 2300 patients remain admitted to this hospital. Admission turn over is 450-500 patients per day.Outdoor patient attendance 2000 to 2500.
Though 2000 to 2300 patients get admitted every day, the infrastructural facilities and manpower strength still remained as per initial 500 bed hospital.
Chittagong Medical College Hospital | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Facility Chittagong Medical College Hospital
Name of Director Brigadier General Khondakar Shahidul Ghani
Telephone No. 031630179
FAX No. 031610022
Mobile No. 01769247568
Email cmch@hospi.dghs.gov.bd
GPS location of Facility Lati: 20.0000 And Long: 87.0000
Chittagong 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
1,010
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 12,576
Total No. of children treated under IMCI Program 9,767
Neonatal Mortality Rate (January-December, 2013)
Chittagong 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: 2,367
Total Number of Deliveries: 13796
No. of Maternal Death: 93
Maternal Mortality Ratio (MMR)(January-December, 2013)
Chittagong 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
330,005
175,002
155,003
50,770
34,519
19,700
14,819
1,015
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
104,723
62,173
42,550
24,508
5,055
2,715
2,340
2,453
Chittagong 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
136298
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
I21 Acute myocardial infarction
8000
5.87
2
V011 Pedestrian injured in collision with pedal cycle, traffic accident
3971
2.91
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
3505
2.57
4
P36 Bacterial sepsis of newborn
3500
2.57
5
P21 Birth asphyxia
3000
2.20
6
I10 Essential (primary) hypertension
2917
2.14
7
J180 Bronchopneumonia, unspecified
2505
1.84
8
I110 Hypertensive heart disease with (congestive) heart failure
1797
1.32
9
J44 Other chronic obstructive pulmonary disease
1680
1.23
10
J12 Viral pneumonia, NEC
877
0.64
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
7508
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
P21 Birth asphyxia
811
10.80
2
S02 Fracture of skull and facial bones
399
5.31
3
I64 Stroke, not specified as haemorrhage or infarction
383
5.10
4
A419 Septicaemia, unspecified
372
4.95
5
J449 Chronic obstructive pulmonary disease, unspecified
260
3.46
6
E100 Insulin-dependent diabetes mellitus with coma
173
2.30
7
I21 Acute myocardial infarction
169
2.25
8
I50 Heart failure
159
2.12
9
P07 Disorders related to short gestation and low birth weight, NEC
121
1.61
10
G04 Encephalitis, myelitis and encephalomyelitis
106
1.41
Chittagong 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.)
668,014
Bed Occupancy Rates (%)
181.20
Average Length of Hospital Stay (No. of days per patient)
3.88
Hospital Death Rate (%)
4.56
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
14808
Minor Surgeries
23696
Chittagong 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
267
186
81
0
0.00
Non Doctor
1
0
1
0
0.00
Class II
535
31
485
19
3.55
Class III
107
80
11
16
14.95
Class IV
512
363
85
64
12.5
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
267
267
15
13
Nurse
535
516
24
0
Medical Assistant
0
0
0
0
Medical Technologist
29
26
0
0
CHCP
0
0
0
0
Chittagong 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)
1
1
0
0
0
X-ray machine (500 mA)
2
1
1
0
0
X-ray machine (digital)
1
1
0
0
0
X-ray machine (portable)
4
0
4
0
0
Dental X-ray unit
4
4
0
0
0
Spiral CT Scan
1
1
0
0
0
C-arm
1
0
0
1
0
Mamogram machine
0
0
0
0
0
Dehumidifier
17
16
1
0
0
MRI machine
1
0
1
0
0
Ultrasonogram machine
10
7
0
3
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
9
6
3
0
0
Anesthesia machine without ventilator
9
7
2
0
0
Autoclave
20
10
10
0
0
Electric cautery machine
4
3
1
0
0
Diathermy machine
25
18
5
2
0
Operating microscope
5
4
1
0
0
Ceiling mounting OT Light
23
15
5
3
0
Portable OT Light
12
10
2
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
29
22
7
0
0
Sterilizer
14
5
0
9
0
Sucker machine (electric)
60
50
10
0
0
Ventilator
19
19
0
0
0
Chittagong 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
1
1
0
0
0
Debrililator
14
7
7
0
0
ECG machine
12
10
2
0
0
Ecocardiogram machine
3
3
0
0
0
Cardiac monitor
31
19
12
0
0
Holter monitor
3
1
0
0
2
Nebulizer machine
40
35
5
0
0
Pulse oximeter
60
54
6
0
0
Dental equipment
Dental unit
4
0
4
0
0
Gastroeneterology equipment
Endoscopy machine
3
1
2
0
0
Laparoscopic machine
5
5
0
0
0
Chittagong 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
1
0
0
0
Centrifuge machine (electric)
6
3
3
0
0
Colorimeter
2
2
0
0
0
Electrolyte analyzer
2
2
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
1
1
0
0
0
Microscope (binocular)
19
5
10
4
0
Obstetric equipment
Fetal Monitor
7
6
1
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
7
7
0
0
0
Pediatric equipment
Baby incubator
18
17
0
1
0
Phototherapy unit
17
17
0
0
0
Chittagong 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
9
6
0
3
0
Laminar flow hood
0
0
0
0
0
pH meter
3
3
0
0
0
Hemoglobin photometer
5
5
0
0
0
Blood bank refrigerator
7
6
1
0
0
Blood plasma seperating machine
1
1
0
0
0
Platelet seperating machine
1
0
1
0
0
Deep freeze (plasma)
2
2
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
16
14
2
0
0
Psichiatry equipment
ECT machine
2
1
1
0
0
EEG machine
2
1
0
1
0
Urology equipment
Cystoscopic machine
1
1
0
0
0
Vehicles
Ambulance
7
5
0
2
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
Chittagong 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)
383
383
0
0
0
Air conditioner (window)
120
120
0
0
0
Generator
Generator (diesel/petrol)
5
4
1
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)
53
47
0
6
0
Laptop
5
5
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
1
0
0
0
Printer (laser)
15
13
0
2
0
Scanner
4
4
0
0
0
UPS
19
17
0
2
0
Fax
3
3
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
1
1
0
0
0
Multimedia
2
1
0
1
0
Chittagong 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)
0
0
0
0
0
Land phone
5
5
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
6
5
1
0
0
Digital camera
1
1
0
0
0
Video camera
0
0
0
0
0
Total
1208
1054
112
40
2
Chittagong Medical College Hospital | Health Bulletin 2014 | Page# 14
Important information and necessary issues for Chittagong Medical College Hospital |
I would like to address some of the important issues which if solved will help us to achieve better in terms of patients care.(1) It is the only govt. hospital outside the capital performing open heart surgery, having largest NICU (SCANU) with full swing Burn and Plastic surgery department. (2) Last year this hospital is upgraded to 1313 (This only administrative but no functional benefit found) bed but the budget remained as before that is for 1010 bed. It should be1313 beded. (3)New post for the Doctor, Nurses, Lab Technicians are suggest.Staff should be created in proportion to the 1313 beds. (4) Nurse patient ratio should be improved. (5) Future expansions of CMCH phase II should start as early as possible. (6) Lack of residential facilities of Officers and Staffs: According to the number of officer and staffs the residential facilities are very minimum. As a result of scarcity of residential facilities patient care is hampered as doctors/staffs are coming from distant places for their shifting duties. (7) Proposals for creating new posts for ICU, Casualty, Plastic Surgery and Urology Units have been established and the activities of vthese units are going on. But new posts are not created yet which creates serious problems in providing patient care. The proposals for creation of new posts in these units have sent to MOH & FW. (8) The following major equipments & establishments are essential to render better service to the ailing people viz. CT Scan, MRI, Digital X-Ray, Color Doppler USG(upgrade version), Arthoscope, C-Arm Machine & massive renovation of OT complexes , establishment of neonatal ICU, CSSD & Laundry Plant (9) Land: Total area of CMCH is 80 acres. But now about 65 acres of land is in our position. The rest of the land is occupied by illegal occupants. We tried to get back the lands but they sued in the high court and now it is in status co position.
