National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 |
Preface
I am glad to share the yearly report of National Institute of Ophthalmology as” Health Bulletin”.National Institute of Ophthalmology and Hospital is the apex Institute of ophthalmology in the country, established in 1978 and expanded to 250 beds in 2006. The institute is serving as an academic institute for Post graduate study in ophthalmology, tertiary service hospital for management of ocular diseases.The director of the institute is also the Line director of “National Eye Care” and working for the implementation of national blindness program throughout the country.This is a teaching institute and young medical graduates are trained here on different courses ( MS, FCPS, DO etc). There are 10 sub-specialty departments in the institute e.g. Cataract, Ophthalmology, Cornea, Glaucoma, Vitreo retina, Neuro Ophthalmology, Paediatric Ophthalmology, Community Ophthalmology, Oculoplasticy and Low vision services equipped with modern investigation tools, equipments and trained human resources serves as the center of excellence in eye care in Bangladesh and hopefully it will become one of the best centers in this region in near future.
The prevention of Blindness Program in Bangladesh “ National Eye Care” is also one of the major program we have. Under NEC we have trained ophthalmologists of district hospitals on SICS, Paediatric eye care and retinal diseases, continuous training of the nurses and PEC workers are held and CME programs are undertaken. Regular outreach camps are arranged to reach the under-served and unreached marginalized population.
With quality of eye care service, appropriate planning of eye care and development of a new generation of skilled dedicated manpower we hope to achieve Vision 2020 goal by 2020.
Prof. Dr. Jalal Ahmed
Director
National Institute of Ophthalmology & Hospital,
Sher – E – Bangla Nagar, Dhaka- 1207
&
Line Director,
National Eye Care.
National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Facility National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka
Organization Code
10000011
Name of Director Prof. Dr. Jalal Ahmed.
Land Phone No. 1
8802-058152803
Land Phone No. 2 8802-9118336
FAX No. 08117202
Mobile No. 00
Email directornio@yahoo.com
GPS location of Facility Lati: 20.0000 And Long: 87.0000
National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 2
Existing health facilities in the Year 2014
Facility Type
Total
No. of Beds
Medical College Hospital
250
250
Child health and MDG-4 (In The Facility) (Jan-Dec, 2014)
No. of Live Births: 0
Total No. of children treated under IMCI Program 0
Neonatal Mortality Rate (NMR) is 0.00 per 1,000 live births.
National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 3
R.P.W.: Registered Pregnant Women;
1st ANC: No. of 1st ANC recipients;
4th ANC: No. of 4th ANC recipients;
C. Preg.: No. of complicated pregnancy;
N.V. deli.: No. of normal deliveries;
C. deli.: No. of cesarean deliveries;
O. deli.: No. of other deliveries;
PNC: No. of PNC services provided to the mothers;
Maternal health and MDG-5 (In The Facility) (Jan-Dec, 2014)
Total No. of Recipients Who Took at least one ANC: 0
Total Number of Deliveries: 0
No. of Maternal Death: 0
Maternal Mortality Ratio (MMR) is
0.00 per 100,000 live births.
National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 4
No. of OPD & Emergency Visits at Tertiary Hospital
Health Facility
OPD
Emergency
Above 5 Yr
Below 5 Yr
Above 5 Yr
Below 5 Yr
.
M
F
T (M+F)
M
F
T (M+F)
Grand Total
M
F
T (M+F)
M
F
T (M+F)
Grand Total
Medical College Hospital
103,636
84,780
188,416
2,567
2,246
4,813
193,229
2,430
615
3,045
289
111
400
3,445
No. of Admissions & Deaths at Tertiary Hospital
Health Facility
Admission
Death
Above 5 Yr
Below 5 Yr
Above 5 Yr
Below 5 Yr
.
M
F
T (M+F)
M
F
T (M+F)
Grand Total
M
F
T (M+F)
M
F
T (M+F)
Grand Total
Medical College Hospital
6,046
5,800
11,846
346
255
601
12,447
0
0
0
0
0
0
0
National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 5
Top 10 diseases according to the number of patients admitted in the Tertiary Hospital
Total number of admitted patients during the reporting period
12,447
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
H25 Senile cataract
VII: Diseases of the eye and adnexa
5507
44.24
2
H359 Retinal disorder, unspecified
VII: Diseases of the eye and adnexa
1070
8.60
3
H52 Disorders of refraction and accommodation
VII: Diseases of the eye and adnexa
1100
8.84
4
H189 Disorder of cornea, unspecified
VII: Diseases of the eye and adnexa
950
7.63
5
H40 Glaucoma
VII: Diseases of the eye and adnexa
790
6.35
6
H049 Disorder of lacrimal system, unspecified
VII: Diseases of the eye and adnexa
637
5.12
7
H059 Disorder of orbit, unspecified
VII: Diseases of the eye and adnexa
591
4.75
8
H029 Disorder of eyelid, unspecified
VII: Diseases of the eye and adnexa
498
4.00
9
0
0.00
10
0
0.00
National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page#6
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
System
No. of cases
%
1
0
0.00
2
0
0.00
3
0
0.00
4
0
0.00
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 7
Utilization of services at Tertiary Hospital
Indicators
No.
Total Patient days in 365 days (No.)
72,216
Bed Occupancy Rates (%)
79.14
Average Length of Hospital Stay (No. of days per patient)
5.80
Hospital Death Rate (%)
0.00
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
10,379
Minor Surgeries
3,732
National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 8
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
132
83
49
0
0.00
Non Doctor
3
0
0
3
100.00
Class II
214
6
203
5
2.34
Class III
68
49
14
5
7.35
Class IV
115
79
22
14
12.17
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
132
130
2
0
Nurse
203
201
0
0
Medical Assistant
2
2
0
0
Medical Technologist
10
10
0
0
CHCP
0
0
0
0
National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 9
Existing equipment 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)
3
2
1
0
0
X-ray machine (digital)
2
2
0
0
0
X-ray machine (portable)
2
2
0
0
0
Dental X-ray unit
0
0
0
0
0
Spiral CT Scan
2
1
1
0
0
C-arm
0
0
0
0
0
Mamogram machine
0
0
0
0
0
Dehumidifier
14
9
5
0
0
MRI machine
1
1
0
0
0
Ultrasonogram machine
3
1
0
1
1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
3
3
0
0
0
Anesthesia machine without ventilator
9
7
0
0
2
Autoclave
7
3
2
0
2
Electric cautery machine
2
1
0
0
1
Diathermy machine
4
2
0
0
2
Operating microscope
20
16
0
3
1
Ceiling mounting OT Light
1
0
0
0
1
Portable OT Light
10
7
0
0
3
Fracture table
0
0
0
0
0
Hydrolic OT Table
32
24
5
0
3
Sterilizer
4
2
1
0
1
Sucker machine (electric)
3
3
0
0
0
Ventilator
0
0
0
0
0
National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 10
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
0
0
0
0
0
ECG machine
2
2
0
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
10
9
1
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
3
3
0
0
0
Pulse oximeter
2
2
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 11
Existing equipment at Tertiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Lab equipment
Biochemical auto-analyzer
7
7
0
0
0
Centrifuge machine (electric)
12
12
0
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
0
0
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
0
0
0
0
0
Microscope (binocular)
38
30
8
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
25
20
3
2
0
Retinoscope
8
8
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 12
Existing equipment 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
0
0
0
0
0
Blood plasma seperating machine
0
0
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
1
1
0
0
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
2
2
0
0
0
Urology equipment
Cystoscopic machine
0
0
0
0
0
Vehicles
Ambulance
4
4
0
0
0
Bus
0
0
0
0
0
Jeep
2
2
0
0
0
Microbus
0
0
0
0
0
Pickup
1
1
0
0
0
National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 13
Existing equipment at Tertiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Air conditioner
Air conditioner (split type)
165
120
45
0
0
Air conditioner (window)
0
0
0
0
0
Generator
Generator (diesel/petrol)
2
2
0
0
0
Generator (gas)
2
2
0
0
0
Solar panel
0
0
0
0
0
IPS
2
2
0
0
0
ICT equipment
Computer (desktop)
156
131
15
10
0
Laptop
3
3
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
10
10
0
0
0
Printer (laser)
60
60
0
0
0
Scanner
10
10
0
0
0
UPS
60
50
2
8
0
Fax
1
1
0
0
0
Intercom
33
33
0
0
0
Internet fixed line
5
5
0
0
0
Internet wireless line
1
1
0
0
0
Multimedia
1
1
0
0
0
National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page#14
Existing equipment at Tertiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
OHP
0
0
0
0
0
PA system (Sound)
0
0
0
0
0
Land phone
12
12
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
5
3
1
1
0
Digital camera
1
1
0
0
0
Video camera
1
1
0
0
0
Total
773
641
90
25
17
National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page#15
Important information and necessary issues for National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka
1.For reporting we need a structured recording system. We don’t have Health Management Information System, HMIS in place. We feel the importance of ICD 10 coding system.But due to paucity of trained persons we are not able to report in accordance with ICD 10 system.
We would like to have assistance in installing HMIS at NIO&H and train required persons to execute it.
We are planning to give training to the concerned personnel on ICD coding system in June 2014 and start on manual recording then after.
2.For efficient networking in the hospital we need a PABX system
3.Training of MIS staffs and doctors are needed.