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HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

It is indeed a great honour and privilege for me to publish the Health bulletin-2016 of Mymensingh Medical College Hospital. Being one of the oldest Medical College Hospital in the country, it has transcended almost 62 years from its inception as a 500 beded referral hospital. Off late it has been upgraded to 1000 beded hospital. Though admitted patient load remains on an average 1900. Besides patients treatment, this hospital is providing undergraduate training to medical and nursing students and post-graduate training to doctors in 27 disciplines. This hospital enjoys its wide catchments areas for healthcare services to near about two and a half crore of people of Mymensingh Division. More so incorporation of newly constructed 500 beded multistoried annexed hospital building has eased the accommodation of indoor and out door healthcare services. This bulletin imbibed with all health related information of this tertiary level hospital. As such readers will get an overall view of health status of greater Mymensingh area giving input to planning of the health services. I would like to express my gratitude to all the members of Mymensingh Medical College Hospital for their untiring efforts and commitments. I harp upon our esteemed readers to sympathetically bear with the shortcomings, if any in this paper. I have strong conviction that the commitments of present Government on furnishing Digital Bangladesh is getting strengthen by the health services. At the end, I would like to thank DGHS and MOHFW for their courage and endeavour for making success towards Digital Bangladesh.

Bri. Gen. Md. Nasir Uddin Ahamed
Director
Mymensingh Medical College Hospital

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EDITORIAL BOARD

Chief Editor


Bri. Gen. Md. Nasir Uddin Ahamed, Director


Special Acknowledgement


1. Dr. Md. Abul Ahsan, Deputy Director

2. Anjali Rani Dey, Nursing Superentendent

Editors


1. Dr. A. K. M Abul Hossain, Sr. Consultant(Gyn & Obs)

2. Dr. Laxmi Narayan Majumder, Asstt. Director

3. Dr. Md. Saiful Islam, Senior Clinical Pathologist

4. Dr. Horimohan Pandit, Resident Physician

5. Dr. K.M. Anwar Hossain, Dental Surgeon

Contributors


1. Md. Golam Faruk, Office Assistant


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.

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Basic Information
Name of the Facility Mymensingh Medical College Hospital
Organization Code 10000397
Name of DirectorBri. Gen. Md. Nasir Uddin Ahamed
Land Phone No. 1 09166061
Land Phone No. 2 0966062
FAX No. 09167008
Mobile No.
Email mmch@hospi.dghs.gov.bd
GPS location of Facility Lati: 24.7434 And Long: 90.3984

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Tertiary Hospital 1 1000

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 10,160



Neonatal Mortality Rate: 225.7 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 13,982

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No. of Maternal Health Services Provided (Jan-Dec, 2015)
R.P.W. (No.) : Reg. Pregnent Women; 1st ANC (No.) : At least 1 ANC; 4th ANC (No.) : ANCs (4+); N.deli(No.) : Normal Delivery; C.deli(No.) : Cesarean Section; O.deli(No.) : Other Assisted Delivery; PNC(No.) : PNC Within 2 days;

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

Indicator Hospital Total
Reg. Pregnent Women 20724
At least 1 ANC 20724
ANCs (4+) 7683
Normal Delivery 5392
Cesarean Section 5395
Other Assisted Delivery 98
PNC Within 2 days 12345
Maternal Death 134

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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 37927 43934 81,861 257521 267817 525,338 295448 311751 607199

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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 2189 2117 4,306 5891 5671 11,562 8080 7788 15868

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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 21479 15390 36,869 56146 56717 112,863 77625 72107 149732

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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 1412 1234 2,646 2282 2119 4,401 3694 3353 7047

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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 36869
No. ICD-10 Code Disease name No. of Cases %
1 P219 P219 Birth asphyxia, unspecified 9213 25.0
2 P073 P073 Other preterm infants 6266 17.0
3 P369 P369 Bacterial sepsis of newborn, unspecified 4058 11.0
4 P90 P90 Convulsions of newborn 2948 8.0
5 P599 P599 Neonatal jaundice, unspecified 1989 5.4

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 101451
No. ICD-10 Code Disease name No. of Cases %
1 V09 V09 Pedestrian injured in other and unspecified transport accidents 12173 12.0
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 8112 8.0
3 I63 I63 Cerebral infarction 7101 7.0
4 S06 S06 Intracranial injury 4043 4.0
5 J44 J44 Other chronic obstructive pulmonary disease 3558 3.5

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 2646
No. ICD-10 Code Disease name No. of Cases %
1 P07 P07 Disorders related to short gestation and low birth weight, NEC 635 24.0
2 P21 P21 Birth asphyxia 371 14.0
3 P36 P36 Bacterial sepsis of newborn 186 7.0
4 Q87 Q87 Other specified congenital malformation syndromes affecting multiple systems 79 3.0
5 P59 P59 Neonatal jaundice from other and unspecified causes 36 1.4

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 134
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 33 24.6
2 O15 O15 Eclampsia 18 13.4
3 O85 O85 Puerperal sepsis 16 11.9
4 O25 O25 Malnutrition in pregnancy 12 9.0
5 O65 O65 Obstructed labour due to maternal pelvic abnormality 9 6.7

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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) 4105
No. ICD-10 Code Disease name No. of Cases %
1 I63 I63 Cerebral infarction 574 14.0
2 V99 V99 Unspecified transport accident 492 12.0
3 I21 I21 Acute myocardial infarction 412 10.0
4 J44 J44 Other chronic obstructive pulmonary disease 124 3.0
5 S06 S06 Intracranial injury 81 2.0

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 728402
Bed Occupancy Rates (%) 199.6
Average Length of Hospital Stay (No. of days per patient) 4.9
Hospital Death Rate (%) 4.7
Surgeries done in the Hospital
Type No.
Major Surgeries 12533
Minor Surgeries 15952

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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 1 1 0 1 0 0.0
Grade 4 3 3 0 3 0 0.0
Grade 5 2 2 0 2 0 0.0
Grade 6 19 16 2 18 1 5.3
Grade 7 0 0 0 0 0 0.0
Grade 8 61 45 7 52 9 14.8
Grade 9 296 190 36 226 70 23.6
Grade 10 508 418 20 438 70 13.8

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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 60 52 3 55 5 8.3
Grade 12 2 2 0 2 0 0.0
Grade 13 25 5 1 6 19 76.0
Grade 14 1 1 0 1 0 0.0
Grade 15 17 16 0 16 1 5.9
Grade 16 57 36 1 37 20 35.1
Grade 17 117 87 30 117 0 0.0
Grade 18 9 7 1 8 1 11.1
Grade 19 9 3 0 3 6 66.7
Grade 20 455 307 88 395 60 13.2

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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 1 0 1
Grade 4 3 0 3
Grade 5 2 0 2
Grade 6 16 2 18
Grade 7 15 0 15
Grade 8 45 27 72
Grade 9 192 36 228
Grade 10 420 20 440

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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 52 3 55
Grade 12 2 0 2
Grade 13 5 1 6
Grade 14 1 0 1
Grade 15 16 0 16
Grade 16 36 1 37
Grade 17 87 30 117
Grade 18 7 1 8
Grade 19 3 0 3
Grade 20 307 88 395

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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 382 302 0 0
Nurse 528 442 6 0
Medical Assistant 0 0 0 0
Medical Technologist 41 38 0 0
Total 951 782 6 0

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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 02 01 0 3
X-ray machine (500 mA) 01 02 0 0 3
X-ray machine (digital) 01 0 0 0 1
X-ray machine (portable) 0 06 02 0 8
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 01 0 0 0 1
C-arm 0 0 0 0 0
Mamogram machine 0 01 0 0 1
Dehumidifier 06 07 0 0 13

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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 01 0 0 0 1
Ultrasonogram machine 05 02 03 0 10

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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 05 04 01 0 10
Anesthesia machine without ventilator 06 05 0 0 11
Autoclave 08 03 0 0 11
Electric cautery machine 0 0 0 0 0
Diathermy machine 12 08 0 0 20
Operating microscope 03 03 0 0 6
Ceiling mounting OT Light 20 07 0 0 27
Portable OT Light 04 04 0 0 8
Fracture table 01 0 0 0 1
Hydrolic OT Table 16 05 05 0 26

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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 07 05 0 0 12
Sucker machine (electric) 18 12 0 0 30
Ventilator 02 02 0 0 4

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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 2 0 0 2
ECG machine 03 10 0 0 13
Echocardiogram machine 01 01 0 01 3
Cardiac monitor 35 15 0 07 57
Holter monitor 01 02 0 0 3
Nebulizer machine 04 05 0 0 9
Pulse oximeter 05 0 0 0 5

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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 01 01 0 0 2

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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 01 01 01 0 3
Laparoscopic machine 04 01 0 0 5

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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 0 01 0 0 1
Centrifuge machine (electric) 02 05 0 0 7
Colorimeter 01 03 0 0 4
Electrolyte analyzer 02 0 0 0 2
ELISA machine 0 0 0 0 0
Gas analyzer 1 01 0 0 2
Hormone analyzer 01 0 0 0 1
Blood cell counter 02 0 0 0 2
Microscope (binocular) 03 02 0 0 5

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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 02 0 0 0 2

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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 01 01 0 0 2
Retinoscope 0 01 0 0 1

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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 11 06 0 0 17
Phototherapy unit 09 04 0 0 13

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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 02 0 0 0 2
Laminar flow hood 0 0 0 0 0
pH meter 01 0 0 0 1
Hemoglobin photometer 01 0 0 0 1
Blood bank refrigerator 02 01 0 0 3
Blood plasma separating machine 01 0 0 0 1
Platelet separating machine 01 0 0 0 1
Deep freeze (plasma) 01 01 0 0 2
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 05 01 0 0 6

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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 2 1 1 0 4

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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 01 0 01 0 2

35

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Vehicles
Ambulance 02 0 01 0 3
Bus 0 0 0 0 0
Jeep 01 0 0 0 1
Microbus 01 0 0 0 1
Pickup 0 0 0 0 0

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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) 48 31 0 0 79
Air conditioner (window) 71 18 0 0 89

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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) 2 0 0 0 2
Generator (Gas) 0 0 0 0 0
Solar panel 3 0 0 0 3
IPS 0 0 0 0 0

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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) 50 0 14 0 64
Laptop 06 0 0 0 6
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 02 0 3 0 5
Printer (laser) 20 02 0 0 22
Scanner 0 0 0 0 0
UPS 30 0 0 0 30
Fax 01 0 01 0 2
Intercom 500 0 0 0 500
Internet fixed line 17 0 0 0 17

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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 03 0 0 0 3
OHP 0 0 0 0 0
PA system 1 0 0 0 1
Land phone 28 0 0 0 28
Mobile phone 01 0 0 0 1
Photocopier machine 05 01 0 0 6
Digital camera 01 0 0 0 1
Video camera 0 0 0 0 0

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Important information and necessary issues you want to raise
1. Establishment of proper waste disposal system il. 2. Establishment of Cath-lab . 3. Improvement of dialysis unit i. 4. Establishment of Casualty ward . 5. To Equip of Physical Medicine ward . 6. Curbing down the shortage of manpower in the hospital. 7. Bring whole hospital under Automation and Camera. 8. To strive to get introduced health sector police. 9. To find out ways to to control visitors. I draw the kind attention of higher authority to look into these issues. Finally, I would like to acknowledge and appreciate the support of DGHS and MOHFW to enable us to publish this Health Bulletin-2016.

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