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Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

It is a great pleasure for me to bring out the Health Bulletin 2016 of NIDCH. This is the only tertiary level center in the country for management of complicated TB and Chest diseases of Bangladesh. It was established as TB hospital in 1955, upgraded in 1962 as Institute of Chest Diseases and Hospital and started Post-graduate course Diploma in Tuberculosis Chest Diseases and it was the first Post-graduate Institute in Dhaka. It was upgraded in 2002 as National Institute of Diseases of the Chest and Hospital. Introduction of MD course in Chest Diseases in 1992 and MS in Thoracic Surgery in 1999 are the mile stone for this institute in the field of respiratory medicine & thoracic surgery human resource development. Subsequently FCPS in Pulmonology and Thoracic Surgery courses introduced & these are also a further addition for development of human resources of the country. Establishment of National Asthma Centre bring the asthma and COPD management under a uniform National Guideline. Establishment of National Tuberculosis Reference Laboratory strengthen the Tuberculosis Control Programme through appropriate diagnosis and management of MDR-TB patient. Introduction of CT Scan further improved the diagnosis of the patients and thus made patient management earlier and more perfect This institute is also a main center for implementation pilot project DOTS-Plus for management of MDR-TB Patient. Poly-somnography, DLCO and NO measurement facilities,Body box EBUS, fluorescent bronchoscopy etc are introduced subsequently to make the institute international standard. Anaesthesia department has been providing one lung & two lung anesthesia, thoracic epidural technique, etc. for post operative management & to facilitate the specialized thoracic surgery concerned. I hope it will be very useful for all concerns.We are trying with our utmost sincerity to make significant contribution.

Professor. Dr. Rashidul Hassan
Director
National Institute of Diseases of the Chest & Hospital (NIDCH)
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, Dhaka

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EDITORIAL BOARD

Chief Editor

Professor Dr. Rashidul Hassan, Director


Special Acknowledgement

1. Dr. Nasir Uddin, Medical Superintendent

Editors

1. Muhammad Ziaul Alam Chowdhury, Computer Programmar

2. Md. Mosfiqur Rahman, Data Entry Control Supervisor

Contributors

1. Farida Ahmed , Computer Operator

2. Nirmal Chandra Mondol, Office Assistant Cum Computer Operator

3. Md. Zakir Hossain, Office Assistant Cum Computer Operator

4. Md.Fazlul Haque, Electro Medical Engineer


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 Diseases of the Chest & Hospital (NIDCH), Gulshan, Dhaka

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Basic Information
Name of the Facility National Institute of Diseases of the Chest & Hospital (NIDCH)
Organization Code 10000008
Name of DirectorProfessor. Dr. Rashidul Hassan
Land Phone No. 1 8811910
Land Phone No. 2 N/A
FAX No. 29899424
Mobile No.
Email nidch@hospi.dghs.gov.bd
GPS location of Facility Lati: 23.7000 And Long: 90.3750
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, Dhaka

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Tertiary Hospital 1 600
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 Diseases of the Chest & Hospital (NIDCH), Gulshan, Dhaka

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

Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 496 356 852 44474 29857 74,331 44970 30213 75183
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 151 88 239 7677 2118 9,795 7828 2206 10034
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 37 34 71 10435 3259 13,694 10472 3293 13765
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 0 0 0 757 215 972 757 215 972
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 71
No. ICD-10 Code Disease name No. of Cases %
1 J46 J46 Status asthmaticus 24 33.8
2 T17 T17 Foreign body in respiratory tract 16 22.5
3 A15 A15 Respiratory tuberculosis, bacteriologically and histologically confirmed 9 12.7
4 J15 J15 Bacterial pneumonia, NEC 6 8.5
5 J47 J47 Bronchiectasis 5 7.0

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 12600
No. ICD-10 Code Disease name No. of Cases %
1 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 3024 24.0
2 A15 A15 Respiratory tuberculosis, bacteriologically and histologically confirmed 1638 13.0
3 J46 J46 Status asthmaticus 1512 12.0
4 C34 C34 Malignant neoplasm of bronchus and lung 1008 8.0
5 J15 J15 Bacterial pneumonia, NEC 882 7.0
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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
No. ICD-10 Code Disease name No. of Cases %
1
2
3
4
5

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 Diseases of the Chest & Hospital (NIDCH), Gulshan, 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) 650
No. ICD-10 Code Disease name No. of Cases %
1 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 195 30.0
2 A15 A15 Respiratory tuberculosis, bacteriologically and histologically confirmed 130 20.0
3 J47 J47 Bronchiectasis 104 16.0
4 J15 J15 Bacterial pneumonia, NEC 91 14.0
5 C34 C34 Malignant neoplasm of bronchus and lung 71 10.9
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, Dhaka

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 227405
Bed Occupancy Rates (%) 103.8
Average Length of Hospital Stay (No. of days per patient) 16.5
Hospital Death Rate (%) 7.1
Surgeries done in the Hospital
Type No.
Major Surgeries 659
Minor Surgeries 1705
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 1 0 0 0 1 100.0
Grade 3 5 2 0 2 3 60.0
Grade 4 14 11 2 13 1 7.1
Grade 5 1 1 0 1 0 0.0
Grade 6 23 13 3 16 7 30.4
Grade 7 7 5 2 7 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 60 37 19 56 4 6.7
Grade 10 313 10 257 267 46 14.7
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 31 26 4 30 1 3.2
Grade 12 0 0 0 0 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 13 10 2 12 1 7.7
Grade 15 30 14 0 14 16 53.3
Grade 16 46 31 12 43 3 6.5
Grade 17 1 1 0 1 0 0.0
Grade 18 4 3 0 3 1 25.0
Grade 19 5 4 1 5 0 0.0
Grade 20 216 148 56 204 12 5.6
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 0 0 0
Grade 3 2 0 2
Grade 4 15 2 17
Grade 5 10 4 14
Grade 6 1 0 1
Grade 7 24 11 35
Grade 8 32 69 101
Grade 9 12 53 65
Grade 10 19 165 184
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 8 1 9
Grade 12 5 2 7
Grade 13 14 2 16
Grade 14 2 0 2
Grade 15 12 2 14
Grade 16 14 7 21
Grade 17 77 29 106
Grade 18 1 0 1
Grade 19 27 13 40
Grade 20 30 20 50
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 146 132 0 0
Nurse 331 311 0 0
Medical Assistant 0 0 0 0
Medical Technologist 40 35 0 0
Total 517 478 0 0
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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) 0 1 0 0 1
X-ray machine (digital) 1 1 0 0 2
X-ray machine (portable) 2 0 0 0 2
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 1 0 0 0 1
C-arm 0 0 0 0 0
Mamogram machine 0 0 0 0 0
Dehumidifier 0 5 0 0 5
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 0 0 0
Ultrasonogram machine 1 1 0 0 2
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 3 1 0 0 4
Anesthesia machine without ventilator 3 3 0 0 6
Autoclave 5 0 2 0 7
Electric cautery machine 0 0 0 0 0
Diathermy machine 8 7 0 0 15
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 6 3 0 0 9
Portable OT Light 0 0 0 0 0
Fracture table 2 3 0 0 5
Hydrolic OT Table 1 1 0 0 2
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 2 3 0 0 5
Sucker machine (electric) 16 5 0 0 21
Ventilator 6 3 0 0 9
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 0 0 0 0 0
ECG machine 2 0 0 0 2
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 15 5 4 0 24
Pulse oximeter 9 6 0 0 15
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 0 0 0 0 0
Laparoscopic machine 9 0 6 0 15
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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) 14 1 0 0 15
Colorimeter 1 0 0 0 1
Electrolyte analyzer 1 0 0 0 1
ELISA machine 2 1 0 0 3
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 1 0 0 0 1
Microscope (binocular) 22 0 0 0 22
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 2 1 0 0 3
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 1 2 0 0 3
Blood plasma separating machine 1 0 0 0 1
Platelet separating machine 0 0 0 0 0
Deep freeze (plasma) 0 0 0 0 0
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 15 1 0 0 16
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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 0 0 2
Bus 0 0 0 0 0
Jeep 1 0 0 0 1
Microbus 2 0 0 0 2
Pickup 1 0 0 0 1
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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) 150 20 5 0 175
Air conditioner (window) 4 60 0 0 64
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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) 3 2 0 0 5
Generator (Gas) 0 1 0 0 1
Solar panel 0 1 0 0 1
IPS 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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) 110 30 30 0 170
Laptop 8 0 2 0 10
Printer (dot matrix) 0 2 2 1 5
Printer (inkjet) 2 2 2 0 6
Printer (laser) 65 3 15 0 83
Scanner 4 1 2 0 7
UPS 110 5 35 0 150
Fax 1 1 0 0 2
Intercom 0 0 0 0 0
Internet fixed line 1 0 0 0 1
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, 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) 4 0 0 0 4
Multimedia 6 0 2 0 8
OHP 0 0 0 0 0
PA system 1 0 0 0 1
Land phone 6 0 0 0 6
Mobile phone 0 0 0 0 0
Photocopier machine 6 1 1 0 8
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, Dhaka

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Important information and necessary issues you want to raise
Last year inspite of our many limitations we gained a lot of success with our maximum effort in health status. This can be improved further - By increasing the existing bed (600 to 1500) capacity. Also increasing the manpower at all level. By fulfilling the vacant post of doctors and other staffs. This institute mostly need separate Radiology, Pathology, Molecular Diagnostic, Bronchoscopy, Surgery, OT, Post-Operative ward, Post-Operative ICU, Rehabilitation Unit, Smoking Cessation Program, Respiratory Lab, Allergy Diagnostic and Treatment Facilities. By creating a separate MDR building for MDR TB patients (very urgently necessary as because it is the only institute where MDR TB is treated). Beside this education and chest related research program need a separate building. By increasing the existing facilities namely- No. of ICU beds. No. of operation theaters. Modernize and improvement of hospital services and also identification of diseases more accurately several heavy equipment will be needed for this institute which are as follows- Name. of equipments: Simulator for FOB, EBUS facilities, Interventional Video-bronchoscope, Slim bronchoscope, Medical Pleuroscope, Endo bronchial Laser yag, Argon plasma coagulator, ETO Steriliser, CT SCAN 256, PET-Scan, Tracheal and Bronchial Covered Stent 20+20, Y stent, Video Thoracoscope, Mediastinospe, Portable X Ray Machine, 1000ma Digital X-Ray Machine, C -ARM X-Ray Machine, Cath lab for pulmonary angiogram & bronchial artery angiogram & intervention. Sufficient manpower to run the pathology lab for 24 hours. Transportation facilities need for emergency doctors & nursing staff. Chest & pulmonary diseases oriented special nursing institute should be immediately established for improvement of specialized nursing services. In this way if we overcome all these obstacles, this institute will be a center of excellence in this sub-continent.
Local Health Bulletin 2016 for National Institute of Diseases of the Chest & Hospital (NIDCH), Gulshan, Dhaka

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