Comilla Medical College Hospital | Health Bulletin 2014 |
Preface
It Is my Great pleasure to publish this health bulletin containing all the health informations of 2013 in comilla medical college hospital,comilla, I think it will help to find out the lacunae where further attention is required. It depicts the steps under taken and improvements achieved during the year.This health bulletin will also help the local level planners to formulate a future plan for further improvement and ensures transparency and accountability,it will help us to final constrains and also to see result and achievement of 2013,All the sanctioned and vacant posts are published in this bulletin, I would like to take attention of the higher authority to look in to this issues.This bulletin will serve the information with statistical data,Finally I would like to congratulate the initiator of the health bulletin,
Dr Habib Abdullah Sohel
director
comilla medical collage hospital,
Comilla Medical College Hospital | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Facility Comilla Medical College Hospital
Name of Director Dr Habib Abdullah Sohel
Telephone No. 08165401
FAX No. 08176343
Mobile No. 01712251046
Email comch@hospi.dghs.gov.bd
GPS location of Facility Lati: 28.0000 And Long: 94.0000
Comilla 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
500
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,585
Total No. of children treated under IMCI Program 24,249
Neonatal Mortality Rate (January-December, 2013)
Comilla 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: 3,895
Total Number of Deliveries: 2969
No. of Maternal Death: 21
Maternal Mortality Ratio (MMR)(January-December, 2013)
Comilla 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
193,321
86,269
107,052
55,872
1,818
920
898
790
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
34,417
16,824
17,593
14,360
1,041
598
443
637
Comilla 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
48796
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
T000 Superficial injuries involving head with neck
4482
9.19
2
V011 Pedestrian injured in collision with pedal cycle, traffic accident
2420
4.96
3
O669 Obstructed labour, unspecified
2197
4.50
4
T571 Phosphorus and its compounds
1516
3.11
5
A09 Diarrhoea and gastroenteritis of presumed infectious origin
1160
2.38
6
J982 Interstitial emphysema
1090
2.23
7
J159 Bacterial pneumonia, unspecified
1078
2.21
8
J981 Pulmonary collapse
962
1.97
9
I279 Pulmonary heart disease, unspecified
954
1.96
10
I64 Stroke, not specified as haemorrhage or infarction
527
1.08
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
1678
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
P522 Intraventricular (nontraumatic) haemorrhage, grade 3, of fetus and newborn
469
27.95
2
I219 Acute myocardial infarction, unspecified
231
13.77
3
J150 Pneumonia due to Klebsiella pneumoniae
141
8.40
4
G039 Meningitis, unspecified
118
7.03
5
T571 Phosphorus and its compounds
95
5.66
6
V011 Pedestrian injured in collision with pedal cycle, traffic accident
91
5.42
7
A414 Septicaemia due to anaerobes
86
5.13
8
O159 Eclampsia, unspecified as to time period
31
1.85
9
R101 Pain localized to upper abdomen
24
1.43
10
K561 Intussusception
21
1.25
Comilla 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.)
245,682
Bed Occupancy Rates (%)
135.00
Average Length of Hospital Stay (No. of days per patient)
5.03
Hospital Death Rate (%)
3.35
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
5412
Minor Surgeries
5601
Comilla 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
151
104
31
16
10.60
Non Doctor
1
0
1
0
0.00
Class II
209
18
165
26
12.44
Class III
62
50
3
9
14.52
Class IV
147
81
31
35
23.81
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
151
141
6
11
Nurse
206
190
4
8
Medical Assistant
0
0
0
0
Medical Technologist
20
16
0
0
CHCP
0
0
0
0
Comilla 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
0
1
0
0
X-ray machine (500 mA)
2
0
1
1
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
1
0
1
0
0
Dental X-ray unit
1
0
0
1
0
Spiral CT Scan
1
1
0
0
0
C-arm
1
1
0
0
0
Mamogram machine
1
0
1
0
0
Dehumidifier
3
1
1
1
0
MRI machine
2
1
1
0
0
Ultrasonogram machine
7
2
5
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
2
2
0
0
0
Anesthesia machine without ventilator
16
14
2
0
0
Autoclave
6
4
2
0
0
Electric cautery machine
1
0
0
1
0
Diathermy machine
21
12
9
0
0
Operating microscope
4
2
2
0
0
Ceiling mounting OT Light
8
2
5
0
1
Portable OT Light
2
0
2
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
22
18
4
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
81
13
68
0
0
Ventilator
2
1
1
0
0
Comilla 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
2
0
0
2
0
ECG machine
2
0
0
2
0
Ecocardiogram machine
1
0
0
1
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
90
60
20
10
0
Pulse oximeter
27
18
4
5
0
Dental equipment
Dental unit
3
1
1
1
0
Gastroeneterology equipment
Endoscopy machine
2
2
0
0
0
Laparoscopic machine
7
3
3
1
0
Comilla 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
2
1
1
0
0
Centrifuge machine (electric)
12
3
9
0
0
Colorimeter
2
1
1
0
0
Electrolyte analyzer
2
1
1
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)
10
3
7
0
0
Obstetric equipment
Fetal Monitor
5
2
3
0
0
Ophthalmic equipment
FACO machine
1
1
0
0
0
Retinoscope
2
2
0
0
0
Pediatric equipment
Baby incubator
18
2
6
0
10
Phototherapy unit
8
6
2
0
0
Comilla 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
2
1
1
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
3
1
2
0
0
Blood plasma seperating machine
4
2
2
0
0
Platelet seperating machine
1
1
0
0
0
Deep freeze (plasma)
2
2
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
2
2
0
0
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
0
0
0
0
0
Urology equipment
Cystoscopic machine
1
1
0
0
0
Vehicles
Ambulance
1
1
0
0
0
Bus
0
0
0
0
0
Jeep
0
0
0
0
0
Microbus
3
2
1
0
0
Pickup
1
1
0
0
0
Comilla 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)
33
17
5
1
10
Air conditioner (window)
43
31
8
4
0
Generator
Generator (diesel/petrol)
3
2
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
1
1
0
0
0
ICT equipment
Computer (desktop)
49
11
10
0
28
Laptop
0
0
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
16
11
5
0
0
Scanner
1
1
0
0
0
UPS
37
3
4
1
29
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
3
1
2
0
0
Comilla 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
0
0
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
591
276
205
32
78
Comilla Medical College Hospital | Health Bulletin 2014 | Page# 14
Important information and necessary issues for Comilla Medical College Hospital |
I am glad to inform you that our total efforts improved the heath service delivery of the hospital. Here I like to mention some important factors which will help us to achieve the better result in future. Viz:-(1) All the vacant posts should be filled up immediately, specially class 3 and class 4. (2) CCU and ICU Unit should be improved. (3) Our doctors, Nurses and others who are related in health service delivery and reporting system need more training on IMCI, EOC etc. (4) One P.W.D sub-station should be established in the hospital campus to look after emmergency repair and maintenance of the infrastructure. (5) Medical equipments must be Repaired promptly by the DGHS and related authorities. (6) As because the CoMCH is now extended in to 500 beded hospital infrastructure, allocation of manpower specially 3 and 4 class employee and necessary logistic support should be provided for better health service delivery.(7) This is very useful document and will help the public to understand about health service and to provide us the useful advice for improvement in future.
