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Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

Under the dynamic leadership of Prime Minister Sheikh Hasina Bangladesh is achieving golden success in health sector. To match her vision National Institute of Cancer Research & Hospital (NICRH) is also trying to cater cancer services to the distressed patients coming here from every corners of the country. NICRH always kept the service receivers at the core of its attention. As day passes by, numbers of cancer patients are increasing at an alarming pace. To cope with these new demands we are reshaping our strategies and approaches regularly. We are working relentlessly to use all the available resources effectively. Sub-committees met regularly to foresee every possible drawback so that proper steps can be undertaken timely. Now NICRH is a 300 bedded hospital. But every day demands for more beds are unmet. To face the challenges of upcoming days the bed numbers should be increased to at least 500. Kind attention from the concerned authorities in this regard is requested. At present record keeping is done on manual basis. So some quality of data may be lost. After full automation of the process we will surely going to observe a sharp rise in the quality of data which will also help in the proper allocation of available resources including bed. We are giving emphasis on academic activities too. We believe specialist emerged from NICRH will help reducing the scarcity of cancer specialist in the country so that people can get all important cancer treatment at their door steps.

Prof. (Dr.) Md. Moarraf Hossen
Director
National Institute Of Cancer Research And Hospital (NICR&H)
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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EDITORIAL BOARD

Chief Editor

Prof. (Dr.) Moarraf Hossen, Director cum Professor of Radiotherapy


Special Acknowledgement

1. Dr. Md. Mafizur Rahman, Associate Professor, Department of Radiation Oncology

2. Dr. Abul Kalam Azad, Assistant Director, Adminstration

3. Dr. Tahmina Hossain Talukder, Assistant Director, Hospital

4. Dr. Shihab Uddin, Research Assistant

Editors

1. Dr. Md. Habibullah Talukder, Associate Professor & Head, Department of Cancer Epidemiology, NICRH

2. Dr. Md. Johirul Islam, Assistant Professor, Department of Cancer Epidemiology

3. Dr. Md. Mostafa Kamal, Assistant Professor, Department of Cancer Epidemiology

Contributors

1. S. M. Ashiqur Rahman, Data Entry Operator

2. Mahamuda Begum, Nursing Supervisor

3. Shirin Sultana, Computer Operator


Certificate of Authentication

We, the above members of the Editorial Board, hereby certify that we collectively examined the content and data used in this LHB 2016 and to the best of our knowledge they represent the true picture of the local situation.

Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Basic Information
Name of the Facility National Institute Of Cancer Research And Hospital (NICR&H)
Organization Code 10000006
Name of DirectorProf. (Dr.) Md. Moarraf Hossen
Land Phone No. 1 9880078
Land Phone No. 2 N/A
FAX No. 9880078
Mobile No.
Email nicrh@hospi.dghs.gov.bd
GPS location of Facility Lati: 23.7000 And Long: 90.3750
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Tertiary Hospital 1 300
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
N/A: N/A



Neonatal Mortality Rate: N/A (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : N/A
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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No. of Maternal Health Services Provided (Jan-Dec, 2015)

Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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No. of Maternal Health Services Provided (Jan-Dec, 2015)

Information Not Available

Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility OPD visits (Year 2023)
Male
(Age
<= 5)		 Female
(Age
<= 5)		 Total Male
(Age
> 5)		 Female
(Age
> 5)		 Total Grand-Total
Male Female Both
Tertiary Hospital 2662 2290 4,952 95944 94920 190,864 98606 97210 195816
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility Emergency visits (Year 2023)
Male
(Age
<= 5)		 Female
(Age
<= 5)		 Total Male
(Age
> 5)		 Female
(Age
> 5)		 Total Grand-Total
Male Female Both
Tertiary Hospital 73 51 124 3419 2784 6,203 3492 2835 6327
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility Admissions (Year 2023)
Male
(Age
<= 5)		 Female
(Age
<= 5)		 Total Male
(Age
> 5)		 Female
(Age
> 5)		 Total Grand-Total
Male Female Both
Tertiary Hospital 202 176 378 4754 3786 8,540 4956 3962 8918
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility In Patient deaths (Year 2023)
Male
(Age
<= 5)		 Female
(Age
<= 5)		 Total Male
(Age
> 5)		 Female
(Age
> 5)		 Total Grand-Total
Male Female Both
Tertiary Hospital 4 2 6 164 99 263 168 101 269
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Morbidity Profile

Top (5) causes of child morbidity (age <= 5 years)

Total No. of admitted patients reviewed for under five morbidity profile 415
No. ICD-10 Code Disease name No. of Cases %
1 C692 C692 Retina 147 35.4
2 C910 C910 Acute lymphoblastic leukaemia 21 5.1
3 C809 C809 Malignant neoplasm, unspecified 14 3.4
4 C729 C729 Central nervous system, unspecified 13 3.1
5 C499 C499 Connective and soft tissue, unspecified 11 2.7

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 6870
No. ICD-10 Code Disease name No. of Cases %
1 C349 C349 Bronchus or lung, unspecified 1098 16.0
2 C509 C509 Breast, unspecified 650 9.5
3 C56 C56 Malignant neoplasm of ovary 423 6.2
4 C169 C169 Stomach, unspecified 368 5.4
5 C189 C189 Colon, unspecified 300 4.4
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Mortality Profile

Top (5) causes of death for age <= 5 years

Total No. of cases reviewed for age <= 5 years 6
No. ICD-10 Code Disease name No. of Cases %
1 C859 C859 Non-Hodgkin's lymphoma, unspecified type 1 16.7
2 C910 C910 Acute lymphoblastic leukaemia 1 16.7
3 C692 C692 Retina 1 16.7
4 C409 C409 Bone and articular cartilage of limb, unspecified 1 16.7
5 C749 C749 Adrenal gland, unspecified 1 16.7

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths
No. ICD-10 Code Disease name No. of Cases %
1
2
3
4
5
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Mortality Profile

Top (5) causes of death between ages 30 & 70 years

Total No. of cases reviewed for causes of death (30 to 70 years) 162
No. ICD-10 Code Disease name No. of Cases %
1 C349 C349 Bronchus or lung, unspecified 54 33.3
2 C509 C509 Breast, unspecified 13 8.0
3 C229 C229 Liver, unspecified 13 8.0
4 C169 C169 Stomach, unspecified 9 5.6
5 C20 C20 Malignant neoplasm of rectum 8 4.9
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 98486
Bed Occupancy Rates (%) 89.9
Average Length of Hospital Stay (No. of days per patient) 11.0
Hospital Death Rate (%) 3.0
Surgeries done in the Hospital
Type No.
Major Surgeries 1651
Minor Surgeries 558
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Tertiary Hospital
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 12 6 3 9 3 25.0
Grade 4 28 13 8 21 7 25.0
Grade 5 2 1 1 2 0 0.0
Grade 6 51 27 16 43 8 15.7
Grade 7 1 0 0 0 1 100.0
Grade 8 2 0 0 0 2 100.0
Grade 9 147 77 52 129 18 12.2
Grade 10 246 9 109 118 128 52.0
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Tertiary Hospital
Grade 11 59 39 20 59 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 23 10 5 15 8 34.8
Grade 14 12 5 2 7 5 41.7
Grade 15 8 2 0 2 6 75.0
Grade 16 32 20 7 27 5 15.6
Grade 17 0 0 0 0 0 0.0
Grade 18 14 2 1 3 11 78.6
Grade 19 0 0 0 0 0 0.0
Grade 20 211 73 31 104 107 50.7
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Tertiary Hospital
Grade 1 0 0 0
Grade 2 2 1 3
Grade 3 1 0 1
Grade 4 14 9 23
Grade 5 23 10 33
Grade 6 17 10 27
Grade 7 45 39 84
Grade 8 20 28 48
Grade 9 16 27 43
Grade 10 5 76 81
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Tertiary Hospital
Grade 11 32 11 43
Grade 12 0 0 0
Grade 13 11 3 14
Grade 14 2 0 2
Grade 15 3 1 4
Grade 16 7 4 11
Grade 17 36 14 50
Grade 18 0 1 1
Grade 19 6 2 8
Grade 20 45 19 64
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Status of Human Resources under DGHS updated during this report preparation
Man
power		 Tertiary Hospital IM-
CI
Trai-
ned		 Basic
EOC
Trai-
ned
San-
cti-
on-
ed		 Fill-
ed-
up
Physician 225 180 0 0
Nurse 245 129 0 0
Medical Assistant 0 0 0 0
Medical Technologist 52 41 0 0
Total 522 350 0 0
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Radiology equipment
X-ray machine (100 mA) 0 0 0 0 0
X-ray machine (300 mA) 0 0 0 0 0
X-ray machine (500 mA) 1 0 1 0 2
X-ray machine (digital) 1 0 0 0 1
X-ray machine (portable) 3 0 0 0 3
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 0 0 1 0 1
C-arm 2 0 0 0 2
Mamogram machine 1 0 0 0 1
Dehumidifier 12 0 1 0 13
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Radiology equipment
MRI machine 0 0 1 0 1
Ultrasonogram machine 3 0 3 0 6
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 6 0 0 0 6
Anesthesia machine without ventilator 2 0 0 0 2
Autoclave 10 0 0 0 10
Electric cautery machine 2 0 2 0 4
Diathermy machine 6 0 5 0 11
Operating microscope 2 0 0 0 2
Ceiling mounting OT Light 8 2 0 0 10
Portable OT Light 10 0 0 0 10
Fracture table 2 0 0 0 2
Hydrolic OT Table 6 0 0 0 6
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Anesthesiology/surgical equipment
Sterilizer 8 3 0 0 11
Sucker machine (electric) 20 3 0 0 23
Ventilator 1 7 0 0 8
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Cardiology equipment
Coronary angiogram machine 0 0 0 0 0
Debrililator 7 0 0 0 7
ECG machine 5 3 0 0 8
Echocardiogram machine 5 1 0 0 6
Cardiac monitor 7 3 0 0 10
Holter monitor 0 0 0 0 0
Nebulizer machine 6 4 0 0 10
Pulse oximeter 22 0 2 0 24
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Dental equipment
Dental unit 2 0 0 0 2
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Gastroeneterology equipment
Endoscopy machine 4 0 0 0 4
Laparoscopic machine 1 0 0 0 1
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Lab equipment
Biochemical auto-analyzer 1 0 0 0 1
Centrifuge machine (electric) 12 0 0 0 12
Colorimeter 2 0 0 0 2
Electrolyte analyzer 2 0 0 0 2
ELISA machine 3 0 0 0 3
Gas analyzer 2 0 0 0 2
Hormone analyzer 0 0 0 0 0
Blood cell counter 3 0 0 0 3
Microscope (binocular) 21 0 0 0 21
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Obstetric equipment
Fetal monitor 0 0 0 0 0
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 0 0 0 0 0
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Blood bank equipment
Blood bag centrifuge 3 0 0 0 3
Laminar flow hood 0 0 0 0 0
pH meter 2 0 0 0 2
Hemoglobin photometer 3 0 0 0 3
Blood bank refrigerator 2 0 0 0 2
Blood plasma separating machine 2 0 0 0 2
Platelet separating machine 1 0 0 0 1
Deep freeze (plasma) 0 0 0 0 0
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 3 0 0 0 3
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Psychiatry equipment
ECT machine 0 0 0 0 0
EEG machine 0 0 0 0 0
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Urology equipment
Cystoscopic machine 2 0 0 0 2
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Vehicles
Ambulance 2 0 1 0 3
Bus 0 0 0 0 0
Jeep 2 1 0 0 3
Microbus 1 0 1 0 2
Pickup 1 0 0 0 1
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Air conditioner
Air conditioner (split type) 120 30 0 0 150
Air conditioner (window) 10 5 0 0 15
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Generator
Generator (diesel/petrol) 4 0 0 0 4
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
ICT equipment
Computer (desktop) 72 8 0 0 80
Laptop 5 0 2 0 7
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 0 1
Printer (laser) 32 4 5 0 41
Scanner 2 0 0 0 2
UPS 40 20 6 0 66
Fax 2 0 0 0 2
Intercom 1 0 0 0 1
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
ICT equipment
Internet wireless line (Modem) 11 3 0 0 14
Multimedia 2 1 0 0 3
OHP 0 0 0 0 0
PA system 2 0 0 0 2
Land phone 6 0 0 0 6
Mobile phone 0 0 0 0 0
Photocopier machine 4 3 0 0 7
Digital camera 1 0 0 0 1
Video camera 1 0 0 0 1
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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Important information and necessary issues you want to raise
1) National Institute of Cancer Research & Hospital (NICRH) is involved in cancer related services including cancer awareness, cancer screening, cancer diagnosis, cancer treatment and palliation. A lot of patients are managed here as OPD patients everyday. According to an international estimate there should be one radiotherapy (RT) machine per one million populations in a country. So there should be more than 160 RT machines available throughout the Bangladesh. Unfortunately we do have only 9 centers equipped with such machines. NICRH is currently equipped with four dual-energy linear accelerators and two cobalt 60 machines, high-dose-rate (HDR) brachytherapy, CT simulator, conventional simulator, treatment planning system (TPS) and standard support equipments.We provide radiotherapy services from 7.30 am to 9.30 pm in two shifts. Only 11 Medical Technologists are posted here and 9 post still vacant which creates undue pressure on the technologists. At present NICRH is a 300 bed hospital but required number of support staffs especially nurses are not sufficient. 2) The role of Medical Physicist is very important in the smooth running of the radiotherapy department. There are 6 posts of Medical Physicist all of which are presently vacant due to problem in service rules. Immediate attention should be given in this regard. 3) Prevention and research should get utmost priority in the cancer management. A dedicated center for cancer prevention and research should be established within the framework of NICRH. 4) Community oncology services should be started. 5) Population based cancer registry should be started in the community level making NICRH as the focal point.
Local Health Bulletin 2016 for National Institute Of Cancer Research And Hospital (NICR&H), Banani, Dhaka

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