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Preface

I am very happy to hear that health Bulletin 2016 of NIKDU is going to be published. NIKDU is the only specialized tertiary care hospital in Bangladesh dedicated for treatment of all types of kidney patients. Number of kidney patients are increasing rapidly in our country. Acute and chronic kidney diseases, Renal stone diseases, Obstructive uropathy and genito-urinary malignancies are the major diseases managed in this institute.The aim of this Institute is to provide education, research & treatment facilities for kidney diseases. All forms of renal replacement therapy including kidney transplantation is available here. We have done a number of CAPD and kidney transplantations in this year, More than 95% of stone diseases and G.U -maligancy are treated by minimally invasive procedures. Proper emphasis is given on research programs for prevention, early detecioThousands of n and treatment of kidney diseases. Post-graduate courses like MD (Nephrology), MS (Urology) have been started since January 2005..NIKDU has been included in residency program for MD (Nephrology and pediatric Nephrology) and MS (Urology) under BSMMU. This institute is conducting a number of community based research works for early detection and prevention of kidney diseases in collaboration with different national and international organizations.This year we are going to set a state of the art dialysis center with 70 HD machines in public private partnership(PPP) project. We have started a joint venture program with IEDCR to detect antibiotic resistance in UTI.Pediatric Kidney patients -both medical & surgical are getting appropriate treatments in NIKDU with nominal cost.This 150-beded hospital needs to be expanded as early as possible to meet the growing demand of kidney patients. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Our aim is to provide the best services to all kidney & urological patients.

Prof.Dr.Md.Nurul Hooda
Director
National Institute of Kidney Disease and Urology (NIKDU)
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, Dhaka

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EDITORIAL BOARD

Chief Editor

Prof.Dr.Md.Nurul Hooda, Directer & Professor


Special Acknowledgement

1. Prof.Kazi Rafidul Abedin, Prof.of Urology

2. Dr.Kazi Sshanoor Alam, Assoc. Professor of Nephrology

3. Dr. Babrul Alam, Assoc. Professor of Nephrology

Editors

1. Alamgir Hossain, Statistician/Statistical Officer

Contributors

1. Prof. Kazi. Rafiqul Abedin, Prof. of Urology

2. Dr.Saleh Ammed, Deputy Directer

3. Dr.Kazi Sahanoor Alam, Assoc.Professor Nephrology

4. Dr.Babrul Alam , Asst.Professor, Nephrology

5. Dr.A.M.Anamur Rashid Chowdh, Asst.Professor Urology (R/S)

6. Dr..Zakir Hossain, (R/P) Nephrology


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 Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, Dhaka

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Basic Information
Name of the Facility National Institute of Kidney Disease and Urology (NIKDU)
Organization Code 10000009
Name of DirectorProf.Dr.Md.Nurul Hooda
Land Phone No. 1 +88029134022
Land Phone No. 2 +88029134691
FAX No. N/A
Mobile No.
Email nikdu@hospi.dghs.gov.bd
GPS location of Facility Lati: N/A And Long: N/A
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, Dhaka

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Tertiary Hospital 1 150
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, Dhaka

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

Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 673 381 1,054 53451 26828 80,279 54124 27209 81333
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 70 38 108 4421 2547 6,968 4491 2585 7076
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 83 48 131 3411 2202 5,613 3494 2250 5744
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 0 4 114 71 185 118 71 189
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 131
No. ICD-10 Code Disease name No. of Cases %
1 N004 N004 Acute nephritic syndrome, diffuse endocapillary proliferative glomerulonephritis 43 32.8
2 N00 N00 Acute nephritic syndrome 31 23.7
3 N390 N390 Urinary tract infection, site not specified 26 19.8
4 N17 N17 Acute renal failure 18 13.7
5 N18 N18 Chronic renal failure 13 9.9

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 3912
No. ICD-10 Code Disease name No. of Cases %
1 N185 N185 Chronic kidney disease, stage 5 1175 30.0
2 N189 N189 Chronic renal failure, unspecified 985 25.2
3 N040 N040 Nephrotic syndrome, minor glomerular abnormality 812 20.8
4 N170 N170 Acute renal failure with tubular necrosis 739 18.9
5 N139 N139 Obstructive and reflux uropathy, unspecified 201 5.1
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 4
No. ICD-10 Code Disease name No. of Cases %
1 N17 N17 Acute renal failure 1 25.0
2 N01 N01 Rapidly progressive nephritic syndrome 1 25.0
3 N18 N18 Chronic renal failure 1 25.0
4 N04 N04 Nephrotic syndrome 1 25.0
5 A419 A419 Septicaemia, unspecified 0.0

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 Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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) 165
No. ICD-10 Code Disease name No. of Cases %
1 N185 N185 Chronic kidney disease, stage 5 64 38.8
2 N179 N179 Acute renal failure, unspecified 52 31.5
3 E878 E878 Other disorders of electrolyte and fluid balance, NEC 23 13.9
4 N001 N001 Acute nephritic syndrome, focal and segmental glomerular lesions 14 8.5
5 R579 R579 Shock, unspecified 12 7.3
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, Dhaka

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 49659
Bed Occupancy Rates (%) 90.7
Average Length of Hospital Stay (No. of days per patient) 8.6
Hospital Death Rate (%) 3.3
Surgeries done in the Hospital
Type No.
Major Surgeries 738
Minor Surgeries 1425
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 9 7 0 7 2 22.2
Grade 4 15 9 3 12 3 20.0
Grade 5 0 0 0 0 0 0.0
Grade 6 23 16 3 19 4 17.4
Grade 7 0 0 0 0 0 0.0
Grade 8 2 2 0 2 0 0.0
Grade 9 66 46 16 62 4 6.1
Grade 10 159 17 125 142 17 10.7
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 25 19 5 24 1 4.0
Grade 12 0 0 0 0 0 0.0
Grade 13 5 2 2 4 1 20.0
Grade 14 13 10 1 11 2 15.4
Grade 15 9 8 0 8 1 11.1
Grade 16 56 40 14 54 2 3.6
Grade 17 3 1 2 3 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 135 70 60 130 5 3.7
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 7 0 7
Grade 4 9 3 12
Grade 5 0 0 0
Grade 6 16 3 19
Grade 7 0 0 0
Grade 8 2 0 2
Grade 9 46 16 62
Grade 10 17 125 142
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 19 5 24
Grade 12 0 0 0
Grade 13 2 2 4
Grade 14 10 1 11
Grade 15 8 0 8
Grade 16 40 14 54
Grade 17 1 2 3
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 70 60 130
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 113 102 0 0
Nurse 147 131 0 0
Medical Assistant 0 0 0 0
Medical Technologist 12 12 0 0
Total 272 245 0 0
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 0 0 0 0
X-ray machine (digital) 1 1 0 0 2
X-ray machine (portable) 2 0 2 0 4
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 0 0 0 0 0
C-arm 1 1 0 0 2
Mamogram machine 1 1 0 0 2
Dehumidifier 7 7 0 0 14
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 6 5 1 0 12
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 4 0 2 0 6
Anesthesia machine without ventilator 2 3 0 0 5
Autoclave 4 0 0 0 4
Electric cautery machine 0 0 0 0 0
Diathermy machine 4 0 0 0 4
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 4 4 0 0 8
Portable OT Light 2 2 0 0 4
Fracture table 0 0 0 0 0
Hydrolic OT Table 4 0 0 0 4
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 2 0 0 4
Sucker machine (electric) 0 0 0 0 0
Ventilator 5 0 0 0 5
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 8 3 1 0 12
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 9 2 0 0 11
Holter monitor 0 0 0 0 0
Nebulizer machine 2 0 0 0 2
Pulse oximeter 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 1 1 0 0 2
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 4 2 0 0 6
Centrifuge machine (electric) 6 2 0 0 8
Colorimeter 0 0 0 0 0
Electrolyte analyzer 5 2 1 2 10
ELISA machine 0 0 0 0 0
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 2 1 1 0 4
Microscope (binocular) 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 1 0 4
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 3 2 1 0 6
Blood plasma separating machine 2 0 2 0 4
Platelet separating machine 0 0 0 0 0
Deep freeze (plasma) 1 1 0 0 2
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 2 0 0 0 2
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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 1 0 2
Microbus 1 0 0 0 1
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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) 59 8 7 0 74
Air conditioner (window) 29 4 2 0 35
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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) 1 0 0 0 1
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 Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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) 85 1 1 0 87
Laptop 12 1 0 0 13
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 24 1 0 0 25
Scanner 3 0 0 0 3
UPS 59 0 0 0 59
Fax 1 0 0 0 1
Intercom 63 6 0 0 69
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, 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) 0 0 0 0 0
Multimedia 2 1 0 0 3
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 14 14 0 0 28
Mobile phone 0 0 0 0 0
Photocopier machine 0 1 1 0 2
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, Dhaka

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Important information and necessary issues you want to raise
we left no stone unturned to deliver our sincere efforts for the patients of kidney diseases last year. Services may be improved if the vacant posts are filled up and necessary equipments are supplied properly. At present only 150 beds in this hospital are not enough to serve the urology & nephrology patients of the country having huge population. In near future hospital will be expanded to 500 beds. For kidney failure patients expansion of dialysis facilities including both CAPD & Hemodialysis is our main target.With the improvement of socio economic condition & medical facilities ARF due to diarrhea disease is becoming less common. On the other hand multi organ failure due to RTA, often develop ARF who are better managed by continuous renal replacement therapy (CRRT). Establishment of CRRT with expansion of ICU for seriously ill patient is demand of time. For the treatment of critically ill renal failure patients ICU facilities are being established in addition to dialysis and renal transplantation. We have an intention to start facilities for plasma-pheresis very soon. we are regularly doing live related kidney transplantation. To overcome organ scarcities we are planning to start deceased kidney transplant program. Finally I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the concerned persons to understand health services in the field of kidney diseases. We are looking for a better future.
Local Health Bulletin 2016 for National Institute of Kidney Disease and Urology (NIKDU), Sher-e-bangla Nagar, Dhaka

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