Presentation on theme: "Presented By : Dr Mahendra Raj Neupane Chief Medical Officer."— Presentation transcript:
Presented By : Dr Mahendra Raj Neupane Chief Medical Officer
BHARATPUR HOSPITAL,CHITWAN 2012 B.SEstablishment of the hospital, with the help of American Government in collaboration with Rapti Dun Bikash Samitee B.S.Infrastructure allocation with the help of American Government B.S.Establishment of Hospital Help and development committee B.S. – current date. Establishment of Bharatpur Hospital Development Committee B.S - current date. The number of sanctioned beds grew to a total of sanctioned by Nepal Government and 100 beds sanctioned by Bharatpur hospital development committee. Around 35 lacs people from chitwan,surrounding districts and neighboring countries are being facilitated by the Bharatpur Hospital annually.
Infrastructure Hospital ownership land: bigaha LEFT FOR HOSPITAL: Own Building: Hospital area: (Inadequate) Doctor quarter: (Inadequate) Staff quarter: (Inadequate) Other: Inaducate Ambulance : …0 Functioning ….0 Non Functioning Major Medical Equipment: ___X-Ray____________ … Functioning ___USG____________ … Functioning ___LAB.MACHINE___________ … Functioning _________EEG, ECT______ … Functioning ANESTHESIA_MACHINE_____ Functioning Monitor-6 Functioning& 3 non functioning. Ventilater-2 Functioning & 3 non functioning Histopathology Machine non functioning
Infrastructure No of Sectioned Bed: 300 No of available bed: 415 General: 334 Paying: 33 Emergency: 11 Cabin: 37(old+new)
General Medicine General Surgery Laparoscopic Surgery Gynaecology Orthopaedics ENT Paediatrics Gereatric Psychiatry Dermatology Dental Physical Rehabilitation ECG /ECT EHS Spinal injury Center DOTS Computerized EEG Digital X-ray 24 hours Emergency Services Clinical, Histo & Cyto & Microbiology Lab Services Hospital Services: Curative
Public Heath Services: Preventive HIV/ AIDS STD Family planning CAC/PAC ANC Checkup I. P. Training program Safe Motherhood Program Uterine Prolapse Surgery MLP/ASBA/SBA
Human resource SNPOSTS GOVERNMENTCURRENTLY AVAILABLE Sanctioned post (in number) Fulfilled (in number) Among government sanction (in number) Local and other resources (in number) Technical Staffs - 1Doctor Nursing Other Technical Staff2037- Administrative (Non-Technical) 1Administrative Staff55- 2Helper15 - Total Source: Data as of Shrawan, 2071
Human resources at Hospitals ( Hospital development committee) S.NPostSanctioned post (in number) Fulfilled post (in number) 1Doctor1516 2Staff Nurse58 3ANM1513 4CMA99 5Physiotherapist11 6Lab technician / assistant 44 7Radiographer33
Human resources at Hospitals ( Hospital development committee) S.NPostSanctioned post (in number) Fulfilled (in number) Contract 8Supervisor11 9Computer Operator11 10Assistant (kharidar)22 11Assistant (Mukhiya)109 12E. Plumber11 13Driver11 14Security Guards11 15Office Helper4337
Hospital Information SN Information 067/068068/69069/70070/71 1Number of sanction Bed 300 2Number of Available Beds Total Number of OPD cases Total Number of Emergency cases Total number cases (OPD+Emergency) Total Number of Inpatient Discharged Total number of Preventive service provided Total Number of DOTS services Provided NA Total Number of ART services provided NA
Hospital Information contd.. SN Information 067/ /69 069/70070/71 8 Total Number of Lab service provided Total number of hospital service provided Total number of Delivery Conducted Total Referral In casesNOT RECORDED 12Total Referral out cases Total Maternal Deaths Brought DeathNA Total Hospital Deaths
Key Hospital Indicators SNIndicators067/68068/70069/70070/71 1 Total OPD Visit as % of Total Population % of Emergency Visits among Total OPD Visits Bed Occupancy Rate Delivery Conducted as a % of expected Pregnancy Number of CAC Service Provided
SN Indicators067/68068/69069/70070/71 6 Death Rate Among in-patients % of Major Surgery among Total surgery cases % of Intermediate Surgery Among Total Surgery Cases Percentage of Minor Surgery among Total Surgery Cases Doctors: Inpatients Ratio1:5341:552.41:7731: Doctors: OPD Ratio1:20811:20801:32761: Nurse: Inpatient Ratio1:2241:3551:3631:232 Key Hospital Indicators
OPD Information Ward F. Y. 2068/069F. Y. 2069/2070 F. Y. 2070/071 Surgical Gyne Padeatric General ENT
Pregnancy Skin Dental Orthopdic Mental Gyne+ Pregnancy Total Cases
S. N.F. Y. 2069/070 F. Y. 2070/071 Old CabinNew CabinPaying Ward ND Complicated CS Total VH
Free Health Services F. Y. 2070/71 No of Patient Served ( Target grops ) No of Persons Served Ultra Poor& poor2864 Helpless176 Persons with Disability102 Senior citizen1171 Victims of GBV16 F. H. V.42 Others52
Free Health Services F. Y. 2070/71 Cases No of persons Patients with Valid ID1942 Repeated old Patients4457 Men4801 Women4691 Total patients served9492
Free Health Services F. Y. 2070/71 CasteNo of persons Dalit527 Disadvantages Janajati1284 Disadvantages Terai caste Groups197 Religious minorit31 Relatively advantaged Janajati161 Upper caste Groups131
Free Health Services F. Y. 2070/71 Cases No Served Reffred Patients296 Patients from Other Districts993 Patients from Rural Area2616 Emergency Patients805 Outdoor Patients1817 Indoor Patients1441
Free Health Services F. Y. 2070/71 Cases Cost Medicines Subsidy provided Investigation Subsidy provided Operation Subsidy provided206450
Free Health Services F. Y. 2070/71 Cases cost Other Costs Subsidy provided Total Costs Total Subsidy Average cost per patient546 Average Subsidy per patient536
Top 10 Morbidity and Mortality among Inpatients FY 2070/071 Morbidity FY 2070/071Mortality FY 2070/071 Top Ten Diseases among inpatients Top Ten causes of Mortality among inpatients 1. LRTI 1.COPD 2. COPD 2.CVA 3. AFI 3.CCF 4. AGE 4.Crisis of liver 5. UTI 5.Pneumonia 6. HTN 6.Poisoning 7. NNS/NNJ 7.DM/DCM 8. APD 8.HTN 9.PTB9.RTA 10. Pneumonia 10.AGE
LAB Cases F. Y.2067/2068 F. Y. 2068/2069 F. Y. 2069/2070 F. Y. 2070/071 BACTERIOLGY BIOCHEMISTRY VIROLOGY HISTOLOGY01227 PARASITOLOGY IMMUNOLGY HAEMATOLGY ENDOCRINOLOG Y
Major Innovations PCL nursing program is started & running currently. Paying clinic is running smoothly. Regular Hospital services even in general holydays. Post-mortem house is under construction.
Hospital Strength Increased service coverage as compared to preceding F.Y. Medical Doctors and other staffs are Recruited. from Hospital Development Committee. Most of the services are in operation now. ICU department is also functioning. Nursing campus is running now.
MAJOR CHALLENGES 1. High Cost of hiring new staffs by Hospital development committee. 2. Competition with private medical colleges and private hospitals. 3. Less number of skilled human resource to run the I.C.U. 4. Lack of skilled professionals to train the new comers. 5. Epidemic of communicable diseases. 6. Lack of manpower in Hospital development committee. 7. Improper sewage and drainage system. 8. Inadequate no of Specialists. 9. Inadequate no of staff in recording & reporting system in 415 beded big Hospital. 10. Not fulfillment of sanctioned staff.
Suggestion for Improvements Proper care should be given for construction of A block. Prompt and in time allocation of staff and release of budget for salary, reconstruction of old infrastructure & others expenditures. Necessities of counseling system to raise the awareness about diseases & their consequences. Hospital security should be in chain ways system. There should be strong policy on Free Health Service in such type of hospital. Sanctioned post should be planned according to the current population growth rate.