National Institute of Neurosciences and Hospital (NINS) | Health Bulletin 2015 |
Preface
Bangladesh faces major health challenges.Diseases like stroke, paralysis,senile dementia, Parkinsonism, spinal cord injury, neuropathy and brain tumor are increasing on trend. To mitigate the sufferings as well as to prevent the trend of patient’s going abroad for better treatment the present government of Bangladesh has established “National Institute of Neurosciences” at Sher-E-Bangla Nagar, Dhaka. This was inaugurated by Her Excellency Prime Minister Sheikh Hasina on 12th September 2012. On the same day it started delivering services in the field of Neurosciences.This is the first such specialized hospital in neurological sector in Bangladesh, which has been established with 6 most modern operation theaters, 16-bed ICU, 12-bed HDU, 6-bed Recovery Unit and 12-bed post-operative rooms. The hospital is equipped with most modern radiology and imaging department, two MRI machine for modern DTI, functional MRI and MECG examination. A specialized outdoor department for epilepsy, neurodegenerative and neuro-metabolic and other neuro treatment of children, treatment and rehabilitation of autistic children and facilities of genetic counseling are available in the hospital. Since the inauguration of NINS, data show 1, 69,812 patients in outdoor department, 7000 patients in indoor department were given treatment by the renowned doctors of the institute.We have 24 hours international standard lab facilities where all the necessary investigations can be done with govt.fixed rate. NINS & H has 24 hours emergency department with emergency operation theater. There are 6 consultants EMO with 6 Medical Officer working in Emergency department. We have world class neuro rehabilitation unit equipped with all modern physiotherapy instruments. We hope to extend our services in the near future from home to abroad.We also aspire that this will act as a model health institute not only for Bangladesh but also for the whole world.
National Institute of Neurosciences and Hospital (NINS) | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Facility National Institute of Neurosciences and Hospital (NINS)
Organization Code
10017210
Name of Director Prof. (Dr.) Quazi Deen Mohammad
Land Phone No. 1
02-09140752
Land Phone No. 2 02-9137305
FAX No. 02147483647
Mobile No. 01711565995
Email ninshospital@yahoo.com
GPS location of Facility Lati: 20.0000 And Long: 87.0000
National Institute of Neurosciences and Hospital (NINS) | Health Bulletin 2015 | Page# 2
Existing health facilities in the Year 2014
Facility Type
Total
No. of Beds
Medical College Hospital
1
300
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 Neurosciences and Hospital (NINS) | 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 Neurosciences and Hospital (NINS) | 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
45,575
37,862
83,437
4,636
3,091
7,727
91,164
2,881
2,241
5,122
768
513
1,281
6,403
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
2,500
1,244
3,744
126
51
177
3,921
208
127
335
5
2
7
342
National Institute of Neurosciences and Hospital (NINS) | 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
3,921
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
980
24.99
2
G40 Epilepsy
VI: Diseases of the nervous system
588
15.00
3
C719 Brain, unspecified
II: Neoplasms
471
12.01
4
S09 Other and unspecified injuries of head
XIX: Injury, poisoning and certain other consequences of external causes
392
10.00
5
A89 Unspecified viral infection of central nervous system
I: Certain infectious and parasitic diseases
314
8.01
6
G610 Guillain-Barr syndrome
VI: Diseases of the nervous system
235
5.99
7
M511 Lumbar and other intervertebral disc disorders with radiculopathy
XIII: Diseases of the musculoskeletal system and connective tissue
196
5.00
8
G039 Meningitis, unspecified
VI: Diseases of the nervous system
157
4.00
9
E754 Neuronal ceroid lipofuscinosis
IV: Endocrine, nutritional and metabolic diseases
118
3.01
10
Q282 Arteriovenous malformation of cerebral vessels
XVII: Congenital malformations, deformations and chromosomal abnormalities
78
1.99
National Institute of Neurosciences and Hospital (NINS) | 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
342
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
78
22.81
2
C719 Brain, unspecified
II: Neoplasms
56
16.37
3
G40 Epilepsy
VI: Diseases of the nervous system
47
13.74
4
G610 Guillain-Barr syndrome
VI: Diseases of the nervous system
35
10.23
5
S09 Other and unspecified injuries of head
XIX: Injury, poisoning and certain other consequences of external causes
29
8.48
6
G039 Meningitis, unspecified
VI: Diseases of the nervous system
18
5.26
7
R56 Convulsions, NEC
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
15
4.39
8
A89 Unspecified viral infection of central nervous system
I: Certain infectious and parasitic diseases
13
3.80
9
J690 Pneumonitis due to food and vomit
X: Diseases of the respiratory system
6
1.75
10
R090 Asphyxia
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
5
1.46
National Institute of Neurosciences and Hospital (NINS) | Health Bulletin 2015 | Page# 7
Utilization of services at Tertiary Hospital
Indicators
No.
Total Patient days in 365 days (No.)
90,000
Bed Occupancy Rates (%)
82.19
Average Length of Hospital Stay (No. of days per patient)
22.95
Hospital Death Rate (%)
8.72
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
1,176
Minor Surgeries
0
National Institute of Neurosciences and Hospital (NINS) | Health Bulletin 2015 | Page# 8
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
201
100
26
75
37.31
Non Doctor
8
0
0
8
100.00
Class II
265
6
128
131
49.43
Class III
164
71
11
82
50
Class IV
491
165
67
259
52.75
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
201
126
0
0
Nurse
260
134
0
0
Medical Assistant
0
0
0
0
Medical Technologist
55
25
0
0
CHCP
0
0
0
0
National Institute of Neurosciences and Hospital (NINS) | 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)
2
2
0
0
0
X-ray machine (digital)
1
1
0
0
0
X-ray machine (portable)
0
0
0
0
0
Dental X-ray unit
0
0
0
0
0
Spiral CT Scan
2
2
0
0
0
C-arm
2
2
0
0
0
Mamogram machine
1
1
0
0
0
Dehumidifier
28
19
4
0
5
MRI machine
2
2
0
0
0
Ultrasonogram machine
1
1
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
5
5
0
0
0
Anesthesia machine without ventilator
3
3
0
0
0
Autoclave
11
11
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
15
13
1
1
0
Operating microscope
4
4
0
0
0
Ceiling mounting OT Light
12
12
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
6
6
0
0
0
Sterilizer
9
9
0
0
0
Sucker machine (electric)
28
16
7
5
0
Ventilator
15
15
0
0
0
National Institute of Neurosciences and Hospital (NINS) | 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
2
2
0
0
0
Debrililator
2
2
0
0
0
ECG machine
8
7
1
0
0
Ecocardiogram machine
1
1
0
0
0
Cardiac monitor
4
4
0
0
0
Holter monitor
1
1
0
0
0
Nebulizer machine
22
12
3
7
0
Pulse oximeter
21
13
6
2
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 Neurosciences and Hospital (NINS) | 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
3
3
0
0
0
Centrifuge machine (electric)
1
1
0
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
2
2
0
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
2
2
0
0
0
Microscope (binocular)
4
3
1
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
0
0
0
0
0
Pediatric equipment
Baby incubator
2
2
0
0
0
Phototherapy unit
0
0
0
0
0
National Institute of Neurosciences and Hospital (NINS) | 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
1
1
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
2
2
0
0
0
Blood plasma seperating machine
1
1
0
0
0
Platelet seperating machine
1
1
0
0
0
Deep freeze (plasma)
1
1
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
3
3
0
0
0
Urology equipment
Cystoscopic machine
0
0
0
0
0
Vehicles
Ambulance
2
2
0
0
0
Bus
1
1
0
0
0
Jeep
0
0
0
0
0
Microbus
1
1
0
0
0
Pickup
1
1
0
0
0
National Institute of Neurosciences and Hospital (NINS) | 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)
43
43
0
0
0
Air conditioner (window)
11
11
0
0
0
Generator
Generator (diesel/petrol)
5
5
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
37
35
2
0
0
Laptop
10
10
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
29
29
0
0
0
Scanner
7
7
0
0
0
UPS
30
30
0
0
0
Fax
2
2
0
0
0
Intercom
75
75
0
0
0
Internet fixed line
3
3
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
7
7
0
0
0
National Institute of Neurosciences and Hospital (NINS) | 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
6
6
0
0
0
PA system (Sound)
2
2
0
0
0
Land phone
14
14
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
4
4
0
0
0
Digital camera
1
1
0
0
0
Video camera
0
0
0
0
0
Total
525
480
25
15
5
National Institute of Neurosciences and Hospital (NINS) | Health Bulletin 2015 | Page#15
Important information and necessary issues for National Institute of Neurosciences and Hospital (NINS)
We are relentlessly trying to provide services to the patients coming from different corner of the country.Like many government institutes we too are engrossed with different problems, such as:
1) Hospital has a total sanctioned posts 1129 of which 574 posts are vacant.Majority(131) of which are nurses.These posts need to be filled up to provide one stop services to the patients
2)Training facilities for doctors should be raised at home and abroad, thus skilled manpower can be developed.
3) A large number of patients are being disappointed for not getting admission as well as OPD services because of inadequate infrastructure. We have acquired 80 decimals of land from Ministry of land with in the existing hospital boundary.With the assistance of Ministry of Health and Family Welfare if we can expand the bed facility from 300 to 800 this problem can easily be solved.
Finally I would like to express my heart felt gratitude to MIS and all the audience of the annual health conference for your patience hearing.hearing. Assalamualikum.
