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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.
Prof. Dr. Jalal Ahmed.
Director
National Institute of Ophthalmology (NIO)- Sher-e-Bangla Nagar- Dhaka

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.