Shahid Ziaur Rahman Medical College Hospital | Health Bulletin 2014 |
Preface
Health is a basic human right. One can not imagine social development or sustained economic growth without health. Again free flow and exchange of information is a prerequisite for the development of health agenda issues. At the outset I wish to thank Management Information System (MIS), Directorate General of Health Services (DGHS) for their support for putting out the Annual Health Bulletin of Shaheed Ziaur Rahman Medical College Hospital (SZMCH) for the third consecutive year.
In Bangladesh, demand for health care services increases as a result of steady population growth on the one hand and increasing awareness of poverty driven citizens and changing pattern of diseases on the other hand. This hospital is also no exception and facing the increased burden of health care demand in terms of quality and quantity.
Since assuming appointment as Director 1year and 5 months back, it was not possible to dot every i and cross every t due to enumerable reasons. But I have always tried to ensure that the services provided go uninterrupted. Having monitored the progress of the hospital through development reviews and informed discussions, I am reasonably pleased with its results for the year 2013. Therefore I wish to place on record my commendation for the dedicated services of all categories of doctors and staff at all levels, specially during crisis management who have all contributed as a team their best despite all odds to provide quality health services to the people of catchments area of this hospital. I am confident that we will be able to continue and improve upon in providing health care under the prudent guidance of Ministry of Health & family Welfare and Directorate General of Health Services to reach the level of excellence in the health sector.
Shahid Ziaur Rahman Medical College Hospital | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Facility Shahid Ziaur Rahman Medical College Hospital
Name of Director Brigadier General A K M Mustafa Kamal Pasha ndc MPH
Telephone No. 05169300
FAX No. 05169007
Mobile No. 01778500857
Email szrmch@hospi.dghs.gov.bd
GPS location of Facility Lati: 24.8269 And Long: 89.3527
Shahid Ziaur Rahman 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: 2,326
Total No. of children treated under IMCI Program 0
Neonatal Mortality Rate (January-December, 2013)
Shahid Ziaur Rahman 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: 5,900
Total Number of Deliveries: 2481
No. of Maternal Death: 40
Maternal Mortality Ratio (MMR)(January-December, 2013)
Shahid Ziaur Rahman 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
285,315
142,135
143,180
18,535
40,900
21,601
19,299
6,012
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
44,323
23,315
21,008
7,115
2,164
1,187
977
717
Shahid Ziaur Rahman 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
51438
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
V99 Unspecified transport accident
4944
9.61
2
I219 Acute myocardial infarction, unspecified
3786
7.36
3
Y09 Assault by unspecified means
2627
5.11
4
I679 Cerebrovascular disease, unspecified
1047
2.04
5
J189 Pneumonia, unspecified
849
1.65
6
I10 Essential (primary) hypertension
840
1.63
7
I509 Heart failure, unspecified
754
1.47
8
E148 Unspecified diabetes mellitus with unspecified complications
750
1.46
9
J219 Acute bronchiolitis, unspecified
660
1.28
10
X68 Intentional self-poisoning by and exposure to pesticides
659
1.28
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
2881
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
I679 Cerebrovascular disease, unspecified
345
11.98
2
P219 Birth asphyxia, unspecified
273
9.48
3
I219 Acute myocardial infarction, unspecified
200
6.94
4
P07 Disorders related to short gestation and low birth weight, NEC
167
5.80
5
V99 Unspecified transport accident
125
4.34
6
X68 Intentional self-poisoning by and exposure to pesticides
120
4.17
7
J449 Chronic obstructive pulmonary disease, unspecified
70
2.43
8
I509 Heart failure, unspecified
66
2.29
9
J189 Pneumonia, unspecified
48
1.67
10
A86 Unspecified viral encephalitis
44
1.53
Shahid Ziaur Rahman 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.)
261,599
Bed Occupancy Rates (%)
143.34
Average Length of Hospital Stay (No. of days per patient)
5.40
Hospital Death Rate (%)
5.92
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
8089
Minor Surgeries
9204
Shahid Ziaur Rahman 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
177
122
33
22
12.43
Non Doctor
4
0
1
3
75.00
Class II
317
19
277
21
6.62
Class III
132
96
13
23
17.42
Class IV
414
224
102
88
21.26
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
177
155
0
2
Nurse
313
292
0
5
Medical Assistant
0
0
0
0
Medical Technologist
41
41
0
0
CHCP
0
0
0
0
Shahid Ziaur Rahman 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)
1
0
1
0
0
X-ray machine (digital)
1
0
1
0
0
X-ray machine (portable)
2
2
0
0
0
Dental X-ray unit
1
0
0
1
0
Spiral CT Scan
1
0
1
0
0
C-arm
2
1
1
0
0
Mamogram machine
1
0
1
0
0
Dehumidifier
23
23
0
0
0
MRI machine
1
1
0
0
0
Ultrasonogram machine
4
1
3
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
19
9
10
0
0
Anesthesia machine without ventilator
10
8
2
0
0
Autoclave
18
15
3
0
0
Electric cautery machine
2
2
0
0
0
Diathermy machine
15
8
7
0
0
Operating microscope
2
2
0
0
0
Ceiling mounting OT Light
12
12
0
0
0
Portable OT Light
12
10
2
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
14
8
6
0
0
Sterilizer
9
6
3
0
0
Sucker machine (electric)
79
65
14
0
0
Ventilator
4
0
0
0
4
Shahid Ziaur Rahman 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
8
3
5
0
0
ECG machine
35
23
5
7
0
Ecocardiogram machine
2
2
0
0
0
Cardiac monitor
8
4
4
0
0
Holter monitor
1
1
0
0
0
Nebulizer machine
66
50
0
16
0
Pulse oximeter
12
8
4
0
0
Dental equipment
Dental unit
3
1
2
0
0
Gastroeneterology equipment
Endoscopy machine
1
1
0
0
0
Laparoscopic machine
2
2
0
0
0
Shahid Ziaur Rahman 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)
10
4
4
2
0
Colorimeter
5
3
2
0
0
Electrolyte analyzer
1
0
1
0
0
ELISA machine
1
0
1
0
0
Gas analyzer
1
0
0
0
1
Hormone analyzer
0
0
0
0
0
Blood cell counter
1
0
1
0
0
Microscope (binocular)
15
7
8
0
0
Obstetric equipment
Fetal Monitor
1
1
0
0
0
Ophthalmic equipment
FACO machine
1
1
0
0
0
Retinoscope
1
1
0
0
0
Pediatric equipment
Baby incubator
8
0
8
0
0
Phototherapy unit
8
1
7
0
0
Shahid Ziaur Rahman 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
1
1
0
0
0
pH meter
1
1
0
0
0
Hemoglobin photometer
0
0
0
0
0
Blood bank refrigerator
6
4
2
0
0
Blood plasma seperating machine
1
1
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
2
2
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
13
13
0
0
0
Psichiatry equipment
ECT machine
1
0
0
0
1
EEG machine
0
0
0
0
0
Urology equipment
Cystoscopic machine
1
1
0
0
0
Vehicles
Ambulance
3
3
0
0
0
Bus
0
0
0
0
0
Jeep
0
0
0
0
0
Microbus
1
1
0
0
0
Pickup
0
0
0
0
0
Shahid Ziaur Rahman 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)
84
80
4
0
0
Air conditioner (window)
59
59
0
0
0
Generator
Generator (diesel/petrol)
3
3
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
2
0
2
0
0
ICT equipment
Computer (desktop)
76
73
3
0
0
Laptop
3
2
1
0
0
Printer (dot matrix)
1
1
0
0
0
Printer (inkjet)
23
23
0
0
0
Printer (laser)
26
26
0
0
0
Scanner
1
1
0
0
0
UPS
42
31
11
0
0
Fax
1
1
0
0
0
Intercom
133
113
20
0
0
Internet fixed line
33
33
0
0
0
Internet wireless line
1
1
0
0
0
Multimedia
2
2
0
0
0
Shahid Ziaur Rahman 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)
2
2
0
0
0
Land phone
33
33
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
5
3
2
0
0
Digital camera
1
1
0
0
0
Video camera
0
0
0
0
0
Total
991
805
154
26
6
Shahid Ziaur Rahman Medical College Hospital | Health Bulletin 2014 | Page# 14
Important information and necessary issues for Shahid Ziaur Rahman Medical College Hospital |
'Do the right thing' is the expectation of MOH&FW and DGHS in one hand, service recipients on the other from this hospital. Conversely this tertiary hospital is having certain issues that need to be addressed to fulfill these expectations. Maximum of these were highlighted in the Health Bulletin 2012 and 2013, but remained in the form of assurance - yet to see daylight:
a. It is embarrassing for a tertiary care hospital from where patients are being evacuated backwards to get ICU support. Frequent efforts in terms of correspondence and personal request are made to establish ICU at SZMCH but not yet materialized.
b. Casualty department of SZMCH is still functioning on adhoc basis. A hospital located beside a busy national highway requires a full flagged Casualty department immediately.
c. Delay in repair/maintenance of repairable equipments/instruments creating significant problems in patient care management. Unusual procedural delay on the part of NEMEW is creating hindrance in timely repair.
d. Unnecessary delay and unplanned prioritization in budgetary allocation has hampered service delivery.
c. Security of hospital to be strengthened by out sourcing capable security agencies to avoid untoward incidents and to ensure physical security.
Health care systems are dynamic. As such, our expectation will be any changing needs or immediate issues projected by SZMCH to be addressed by all authorities concerned with due importance. DGHS in particular should be more proactive in dealing with the issues ensuring involvement of all the stakeholders that might adversely affect the greatest health interest of the people.
In peroration our expectation will be good health governance, equal and logical distribution of scarce health and logistic resources and our assurance will be working passionately as a team towards providing the best health service to the people of our jurisdiction.
