Rangpur Medical College Hospital | Health Bulletin 2014 |
Preface
I am very glad to publish this Health Bulletin of Rangpur Medical College Hospital. This Bulletin contains all the health related information upto December 2013. This Hospital is one of the major government medical college Hospitals in Bangladesh, located in Rangpur district under new Rangpur Division. Since this hospital has name and fame, complicated patients from all the 8 districts of Rangpur division come here for their proper treatment. The bulletin contains the status of MDG-4 and MDG-5 which will also help to localize the MDG targets. All the sanctioned and vacant posts are published in this bulletin of 2013. I like to draw attention of the higher authority to look into these issues. Finally, I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bangladesh.
Rangpur Medical College Hospital | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Facility Rangpur Medical College Hospital
Name of Director Dr. Md. Golam Mostafa
Telephone No. 052163630
FAX No. 052161600
Mobile No. 01712211156
Email rangmch@hospi.dghs.gov.bd
GPS location of Facility Lati: 28.0000 And Long: 94.0000
Rangpur 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: 6,436
Total No. of children treated under IMCI Program 12,698
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 131.29 per 1,000 live births.
Rangpur 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: 3,911
Total Number of Deliveries: 6485
No. of Maternal Death: 0
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
0.00 per 100,000 live births.
Rangpur 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
226,566
122,084
104,482
10,070
3,015
1,920
1,095
355
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
90,822
49,597
41,225
1,924
3,292
1,850
1,442
1,024
Rangpur 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
0
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
V093 Pedestrian injured in unspecified traffic accident
4644
0.00
2
T940 Sequelae of injuries involving multiple body regions
2844
0.00
3
T029 Multiple fractures, unspecified
2520
0.00
4
I219 Acute myocardial infarction, unspecified
1824
0.00
5
J459 Asthma, unspecified
1776
0.00
6
A09 Diarrhoea and gastroenteritis of presumed infectious origin
1680
0.00
7
I110 Hypertensive heart disease with (congestive) heart failure
1584
0.00
8
T909 Sequelae of unspecified injury of head
1560
0.00
9
I694 Sequelae of stroke, not specified as haemorrhage or infarction
1476
0.00
10
A009 Cholera, unspecified
1380
0.00
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
0
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
576
0.00
2
I694 Sequelae of stroke, not specified as haemorrhage or infarction
540
0.00
3
P071 Other low birth weight
328
0.00
4
I694 Sequelae of stroke, not specified as haemorrhage or infarction
312
0.00
5
I15 Secondary hypertension
265
0.00
6
I219 Acute myocardial infarction, unspecified
252
0.00
7
T909 Sequelae of unspecified injury of head
230
0.00
8
Q241 Laevocardia
210
0.00
9
Y843 Shock therapy
185
0.00
10
B97 Viral agents as the cause of diseases classified to other chapters
148
0.00
Rangpur 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.)
491,078
Bed Occupancy Rates (%)
134.00
Average Length of Hospital Stay (No. of days per patient)
5.30
Hospital Death Rate (%)
4.60
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
7561
Minor Surgeries
13372
Rangpur 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
220
146
40
34
15.45
Non Doctor
4
1
0
3
75.00
Class II
449
55
394
0
0
Class III
100
77
6
17
17
Class IV
445
312
98
35
7.87
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
31
31
0
0
Nurse
449
421
9
0
Medical Assistant
0
0
25
0
Medical Technologist
24
24
0
0
CHCP
0
0
0
0
Rangpur 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)
23
11
3
9
0
X-ray machine (300 mA)
1
0
0
1
0
X-ray machine (500 mA)
5
5
0
0
0
X-ray machine (digital)
2
1
1
0
0
X-ray machine (portable)
5
5
0
0
0
Dental X-ray unit
0
0
0
0
0
Spiral CT Scan
2
1
1
0
0
C-arm
2
1
1
0
0
Mamogram machine
1
0
1
0
0
Dehumidifier
6
3
3
0
0
MRI machine
2
2
0
0
0
Ultrasonogram machine
7
5
0
2
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
16
7
2
6
1
Anesthesia machine without ventilator
18
10
6
2
0
Autoclave
6
2
2
2
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
19
13
4
2
0
Operating microscope
4
3
1
0
0
Ceiling mounting OT Light
19
15
4
0
0
Portable OT Light
1
1
0
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
21
18
2
1
0
Sterilizer
5
4
1
0
0
Sucker machine (electric)
17
15
2
0
0
Ventilator
26
14
10
2
0
Rangpur 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
25
1
24
0
0
ECG machine
12
6
6
0
0
Ecocardiogram machine
4
2
2
0
0
Cardiac monitor
6
4
2
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
3
3
0
0
0
Pulse oximeter
2
1
1
0
0
Dental equipment
Dental unit
3
3
0
0
0
Gastroeneterology equipment
Endoscopy machine
3
3
0
0
0
Laparoscopic machine
4
2
2
0
0
Rangpur 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
3
1
2
0
0
Centrifuge machine (electric)
5
3
2
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
2
1
1
0
0
ELISA machine
1
1
0
0
0
Gas analyzer
1
1
0
0
0
Hormone analyzer
1
1
0
0
0
Blood cell counter
1
1
0
0
0
Microscope (binocular)
18
6
12
0
0
Obstetric equipment
Fetal Monitor
2
1
1
0
0
Ophthalmic equipment
FACO machine
3
1
1
1
0
Retinoscope
2
2
0
0
0
Pediatric equipment
Baby incubator
14
4
10
0
0
Phototherapy unit
13
4
9
0
0
Rangpur 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
8
8
0
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
4
1
3
0
0
Psichiatry equipment
ECT machine
1
1
0
0
0
EEG machine
0
0
0
0
0
Urology equipment
Cystoscopic machine
2
1
1
0
0
Vehicles
Ambulance
3
3
0
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
Rangpur 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)
42
22
20
0
0
Air conditioner (window)
29
24
5
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
0
0
0
0
0
ICT equipment
Computer (desktop)
48
48
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
20
20
0
0
0
Scanner
3
3
0
0
0
UPS
20
20
0
0
0
Fax
1
1
0
0
0
Intercom
110
110
0
0
0
Internet fixed line
1
1
0
0
0
Internet wireless line
1
1
0
0
0
Multimedia
1
1
0
0
0
Rangpur 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
19
19
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
5
5
0
0
0
Digital camera
1
1
0
0
0
Video camera
0
0
0
0
0
Total
671
494
148
28
1
Rangpur Medical College Hospital | Health Bulletin 2014 | Page# 14
Important information and necessary issues for Rangpur Medical College Hospital |
Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve good results. As the number of patients has been increasing day by day, number of service provider must be increased for quality service. All the posts of Doctors, Nurses, Aya, Wardboy, Sweepers, Technologists, Radiographers have been filled up for previous 500 bedded hospital but since the hospital has been increased to 1000 bedded hospital and bed occupancy rate is very high, at least 1,500 admitted patients need adequate care daily & the following suggestions are given for improvement of quality services.
1. Existing number of manpower should be increased to three folds. 2. To achieve the goal of MGD-5 maternal mortality rate can be decreased by creating & filling up 15 Gynae Consultant post. 3. To sustain and more achievement, MDG-4 by 15 Paediatric Consultants should be created and filled up. 4. 15 Cardiology Consultant posts must be created and filled up to decrease cardiac death. 5. For Burn Plastic Surgery unit existing 4 nurses & 5 doctors should be increased to 10 Surgery Consultant & 10 Nurses. 6. Vacant post must be filled up for OCC (one stop crisis centre) unit. 7. Existing 40 IMO's posts must be increased to 100. 8. Existing 02 MO's post must be increased to 07 for 8 hourly duties. 9. Blood grouping & screening charge of TTI's for PPH mother & under-5 children into the hospital must be free to decrease MMR & IMR. 10. Rangpur Sodar infectious Hospital must be handed over to the control of Civil Surgeon with necessary doctors. Diarrhoeal patients get admitted at the emergency department of RpMCH & then the patients are transferred to the Sodar Hospital which is situated about 02 kilometers away from RpMCH which is painful & embracing. 11. Lastly empowerment of immediate repair of sewerage system, bathroom, water supply system, electric fan and ambulance is mandatory for RpMCH.