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Preface

Chittagong Medical College Hospital established in the year 1957 and started functioning in the present location in 1960 with only 120 beds & few out patient services. Later it was upgraded to 500,750,1010,1313* ( * This only administrative but no functional benefit found) beds in 1969,1996,2001 and 2013 respectively. This is one of the second largest hospital in the country & only referral hospital (Level 3) in greater Chittagong covering 40,000 sq. km. area serving health care services for about 30 millions population. At the beginning of this hospital, there were only two departments Surgery, Obs. & Gynae. The general hospital at that time used to serve as department of Medicine and allied specialities till 1969. Daily 2400 to 2600 patients remain admitted to this hospital. Admission turn over is 450-650 patients per day. Outdoor patient attendance 2000 to 2600. At present its 6 storied building accomodating all ward and departments of all subjects and specialities. But at this moment it is very much essential to have another building keeping provision to accommodate at least 1500 patient. Inspite of a lot of constraints this hospital is rendering all types of general and specialised treatment available in the country.All this possible because of devotion and motivation of all employees of this hospital Brigadier General Khondakar Shahidul Ghani Director Chittagong Medical College Hospital

Brig. Gen.Khondaker Shahidul Ghani
Director
Chittagong Medical College Hospital
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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EDITORIAL BOARD

Chief Editor

Brig.Gen. Khondakher Sahidul Ghani, Director


Special Acknowledgement

1. Prof. Dr. Selim Mohammed Jahangir, Principal, Chittagong Medical College

Editors

1. Dr.Mohammad Didarul Islam, Deputy Director(Incharge)

Contributors

1. Dr.Sk.Md.Jamal Mostafa Chy, Ad(Store & Finance)

2. Dr. Muhammad Anamul Hasan , Registrar

3. Shipra Chy, DNS

4. Md.Mohashin, Motivator(Statistical Assist. Incharge)

5. Khaleda Akther, SSN

6. Md.Rokanuddin , Office Shahaok


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 Chittagong Medical College Hospital, Panchlaish, Chittagong

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Basic Information
Name of the Facility Chittagong Medical College Hospital
Organization Code 10000756
Name of DirectorBrig. Gen.Khondaker Shahidul Ghani
Land Phone No. 1 031630179
Land Phone No. 2 031630176
FAX No. 031610022
Mobile No.
Email cmch@hospi.dghs.gov.bd
GPS location of Facility Lati: 20.0000 And Long: 87.0000
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Tertiary Hospital 1 1313
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 15,915



Neonatal Mortality Rate: 82.6 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 18,730
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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;

Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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

Indicator Hospital Total
Reg. Pregnent Women 17931
At least 1 ANC 17931
ANCs (4+) 4550
Normal Delivery 8115
Cesarean Section 7724
Other Assisted Delivery 48
PNC Within 2 days 15887
Maternal Death 87
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 214665 176849 391,514 56549 36882 93,431 271214 213731 484945
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 11458 8645 20,103 98082 77065 175,147 109540 85710 195250
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 8986 7067 16,053 84979 61538 146,517 93965 68605 162570
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 1397 806 2,203 4159 2490 6,649 5556 3296 8852
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 16053
No. ICD-10 Code Disease name No. of Cases %
1 P05 P05 Slow fetal growth and fetal malnutrition 2824 17.6
2 A419 A419 Septicaemia, unspecified 2676 16.7
3 J180 J180 Bronchopneumonia, unspecified 2330 14.5
4 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2248 14.0
5 P21 P21 Birth asphyxia 1798 11.2

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 95236
No. ICD-10 Code Disease name No. of Cases %
1 V892 V892 Person injured in unspecified motor-vehicle accident, traffic 8250 8.7
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3285 3.4
3 I21 I21 Acute myocardial infarction 2920 3.1
4 I694 I694 Sequelae of stroke, not specified as haemorrhage or infarction 2555 2.7
5 I10 I10 Essential (primary) hypertension 1825 1.9
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 2203
No. ICD-10 Code Disease name No. of Cases %
1 A419 A419 Septicaemia, unspecified 687 31.2
2 P05 P05 Slow fetal growth and fetal malnutrition 472 21.4
3 P21 P21 Birth asphyxia 385 17.5
4 J180 J180 Bronchopneumonia, unspecified 124 5.6
5 G05 G05 Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere 104 4.7

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 87
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 15 17.2
2 O15 O15 Eclampsia 10 11.5
3 O751 O751 Shock during or following labour and delivery 10 11.5
4 O055 O055 Other abortion, complete or unspecified, complicated by genital tract and pelvic infection 5 5.7
5 O994 O994 Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium 4 4.6
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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) 4654
No. ICD-10 Code Disease name No. of Cases %
1 I64 I64 Stroke, not specified as haemorrhage or infarction 372 8.0
2 G46 G46 Vascular syndromes of brain in cerebrovascular diseases 309 6.6
3 I50 I50 Heart failure 207 4.4
4 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 117 2.5
5 I200 I200 Unstable angina 98 2.1
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 805075
Bed Occupancy Rates (%) 168.0
Average Length of Hospital Stay (No. of days per patient) 5.0
Hospital Death Rate (%) 5.4
Surgeries done in the Hospital
Type No.
Major Surgeries 14555
Minor Surgeries 29195
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 1 0 0 0 1 100.0
Grade 5 3 1 0 1 2 66.7
Grade 6 6 2 2 4 2 33.3
Grade 7 3 2 0 2 1 33.3
Grade 8 10 3 1 4 6 60.0
Grade 9 263 122 67 189 74 28.1
Grade 10 475 17 436 453 22 4.6
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 41 22 4 26 15 36.6
Grade 12 2 0 1 1 1 50.0
Grade 13 5 2 0 2 3 60.0
Grade 14 9 4 2 6 3 33.3
Grade 15 18 5 2 7 11 61.1
Grade 16 71 20 8 28 43 60.6
Grade 17 9 4 0 4 5 55.6
Grade 18 7 5 0 5 2 28.6
Grade 19 24 7 0 7 17 70.8
Grade 20 493 230 38 268 225 45.6
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 0 0 0
Grade 5 1 1 2
Grade 6 2 2 4
Grade 7 2 0 2
Grade 8 3 1 4
Grade 9 122 67 189
Grade 10 436 17 453
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 22 4 26
Grade 12 0 1 1
Grade 13 2 0 2
Grade 14 4 2 6
Grade 15 5 2 7
Grade 16 20 8 28
Grade 17 4 0 4
Grade 18 5 0 5
Grade 19 7 0 7
Grade 20 230 38 268
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 267 250 0 0
Nurse 635 503 24 0
Medical Assistant 0 0 0 0
Medical Technologist 29 28 0 0
Total 931 781 24 0
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 1 0 0 1
X-ray machine (500 mA) 1 3 0 0 4
X-ray machine (digital) 1 0 0 0 1
X-ray machine (portable) 0 3 0 0 3
Dental X-ray unit 2 0 0 0 2
Spiral CT Scan 0 0 0 01 1
C-arm 5 0 1 0 6
Mamogram machine 0 0 0 0 0
Dehumidifier 0 16 1 0 17
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 9 0 0 0 9
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 7 2 0 0 9
Anesthesia machine without ventilator 9 2 0 0 11
Autoclave 10 10 0 0 20
Electric cautery machine 3 1 0 0 4
Diathermy machine 28 5 0 0 33
Operating microscope 5 1 0 0 6
Ceiling mounting OT Light 26 5 0 0 31
Portable OT Light 7 2 0 0 9
Fracture table 6 0 0 0 6
Hydrolic OT Table 30 5 0 0 35
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 20 5 9 0 34
Sucker machine (electric) 40 15 0 0 55
Ventilator 22 3 0 0 25
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 2 0 0 0 2
Debrililator 11 7 0 0 18
ECG machine 30 5 0 0 35
Echocardiogram machine 4 0 0 0 4
Cardiac monitor 39 12 0 0 51
Holter monitor 2 1 0 0 3
Nebulizer machine 50 5 0 0 55
Pulse oximeter 50 4 0 0 54
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 3 1 0 0 4
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 3 4 1 0 8
Laparoscopic machine 5 5 0 0 10
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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) 3 3 0 0 6
Colorimeter 2 0 0 0 2
Electrolyte analyzer 2 1 0 0 3
ELISA machine 1 0 0 0 1
Gas analyzer 0 1 0 0 1
Hormone analyzer 0 0 0 0 0
Blood cell counter 1 0 0 0 1
Microscope (binocular) 12 8 0 0 20
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 2 0 0 0 2
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 9 1 0 0 10
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 17 0 0 1 18
Phototherapy unit 17 0 0 0 17
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 6 0 1 0 7
Laminar flow hood 1 0 0 0 1
pH meter 3 0 0 0 3
Hemoglobin photometer 5 0 0 0 5
Blood bank refrigerator 4 0 0 0 4
Blood plasma separating machine 1 0 0 0 1
Platelet separating machine 1 0 0 0 1
Deep freeze (plasma) 3 0 0 0 3
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 0 0 0 0 0
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 1 1 0 0 2
EEG machine 1 0 1 0 2
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 1 0 0 0 1
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 5 0 0 0 5
Bus 0 0 0 0 0
Jeep 1 0 0 0 1
Microbus 1 0 0 0 1
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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) 383 0 0 0 383
Air conditioner (window) 120 0 0 0 120
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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 1 0 0 5
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 Chittagong Medical College Hospital, Panchlaish, Chittagong

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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) 75 0 12 0 87
Laptop 10 0 2 0 12
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 0 1
Printer (laser) 25 0 10 0 35
Scanner 3 0 2 0 5
UPS 17 0 2 0 19
Fax 1 0 0 0 1
Intercom 1 0 0 0 1
Internet fixed line 1 0 0 0 1
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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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) 1 0 0 0 1
Multimedia 1 0 1 0 2
OHP 0 0 0 0 0
PA system 1 0 0 0 1
Land phone 5 0 0 0 5
Mobile phone 2 0 0 0 2
Photocopier machine 3 3 0 0 6
Digital camera 1 0 0 0 1
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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Important information and necessary issues you want to raise
Some critical defficiencies of this hospital: I would like to address some of the important issues which if solved will help us to achieve better in terms of patients care. (1) It is the only govt. hospital outside the capital performing open heart surgery, having largest NICU (SCANU),PICU with full swing Burn and Plastic surgery department. (2) New post for the Doctor, Nurses, Lab Technicians, Ward Master and other Supporting staff should be created in proportion to the 1313 beds. (3) Future expansions of CMCH phase II should start as early as possible. (4) Lack of residential facilities of Officers and Staffs: According to the number of officer and staffs the residential facilities are very minimum. As a result of scarcity of residential facilities patient care is hampered as doctors/staffs are coming from distant places for their shifting duties. (5) Proposals for creating new posts for ICU, Casualty, Plastic Surgery and Urology Units have been established and the activities of these units are going on. But new posts are not created yet which creates serious problems in providing patient care. The proposals for creation of new posts in these units have sent to MOH & FW. (6) The following major equipments & establishments are essential to render better service to the ailing people viz. CT Scan, MRI, Digital X-Ray, Color Doppler USG(upgrade version), Arthoscope, Cobalt-60 Machine & massive renovation of OT complexes CSSD & Laundry Plant (8) In addition: i. Multistoried buildings for stores & supply dept. ii. Increase budget for cleaning & waste management.iii. Creation of security force dept. of 100 personnel. iv. Separate budget for medical gas & gas related services. v. Dedication of financial power to the institutional head to use some percentage of user fee. (9) Land: Total area of CMCH is 80 acres. But now about 65 acres of land is in our position. The rest of the land is occupied by illegal occupants. We tried to get back the lands but they sued in the high court and now it is in status co position.
Local Health Bulletin 2016 for Chittagong Medical College Hospital, Panchlaish, Chittagong

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