inspection of dhq hospital of district nankana ... - PHSRP - Punjab

Dated: May 19, 2009INSPECTION OF DHQ HOSPITAL OF DISTRICT NANKANA SAHIBBYTARIQ MEHMOODADDITIONAL PROGRAM DIRECTOR (ID),PUNJAB HEALTH SECTOR REFORMS PROGRAMMEDISTRICT HEADQUARTER HOSPITAL NANKANA SAHIB1. Location is on Bashir Bhatti Road, near Services Club Nankana Sahib.2. Signboard / Direction Board was not displayed at the main entrance of city.3. DHQ Hospital was established in 01-07-2005. Basically it was THQ Hospitalsince 08-08-1988 and latter on upgraded as DHQ in 2005.4. Target Population is 1.78 million.5. DHQ Hospital has existing sanctioned capacity of 70 beds.6. Total area of DHQ is 104 Kanals.7. Dr. Muhammad Aslam Shaheen, Medical Superintendent was yet to reach inhis office. Later on he joined us at hospital8. There was no activity in the hospital at 08:15 AM and most of the offices ofSpecialists and Doctors were closed / locked.9. Vaccination Centre and Dispensary of the hospital was also closed / locked.General public / patients with OPD tickets in their hands were waiting for thedoctors.10. The duty doctor of the Emergency Ward was yet to reach and MuhammadAyub (ward servant) was attending Muhammad Umar Patient with headinjury.11. The condition of toilets was deplorable and cleanliness of toilets, wards andoffices of doctors requires much to be done on the part of the hospitalmanagement.12. There was a consistent pattern of un-necessary delay in deposit of officialcash (Purchee Fee) in treasury.13. Dr. Mujahid Alam (Surgeon), Dr Azher Naeem (Child Specialist), Dr. NajmaPerveen (WMO), Dr. Usama (MO) and Dr. Muhammad Saeed Sajid (MO)were late.14. Charge Nurses, Mrs. Saeeda Begum, Mrs Shamim Akhtar, Mrs. MunawarSultana, Miss. Shakeela Bano and Mrs. Sajida Perveen were also late.

15. Paramedics i.e. Qamir Hussain (D. Tech), Zahoor Ahmed Bhatti (Sr. Clerk),Zahida Rasool (LHV), Shazia Manzoor (LHV), Maryaum Gill (LadyDispenser), Zafar Iqbal (Disp), Tariq Mahmood (Disp), Samar Masih (Disp),M. Shafique Gujjar (Disp), M. Nadeem (Disp) and Akhtar Hussain Shah (Disp)were also late.16. Other staff members including M. Arshad (Jr. Clerk), Mr. B. Rehman (Jr.Clerk), Muhammad Afzal Gujjar (Lab Asstt), Rehmat Ali (OTA), Zafar Iqbal (X-Ray Asstt), Zia ud Din (X-Ray Asstt), Javaid Iqbal (X-Ray Asstt), RanaMaqsood Ahmed (SI), Abdul Rasheed (Driver), Muhammad Ashraf (Driver),Abida Parveen (Ward Servant), M. Ramzan (Ward Servant), Bashir Ahmed(Ward Servant), Sughran Bibi (Female Ward Servant), Muhammad Anwar(Dhobi), Yaqoob Masih (Sanitary Worker), Rehana Masih (F. SanitaryWorker) and Muhammad Anwar (Mali) were also late.17. Boundary Wall of hospital was incomplete. Efforts were being made for theuplift of lawns. Space for offices, waiting / residential area was insufficient.18. Seventy One posts of following categories were vacant against One Hundredand Three Total Sanctioned Posts (Old + SNE):-Addl: Medical Superintendent (1), Deputy Medical Superintendent (1), APMO(3), SMO (1), MOs (12), WMOs (3), Sr. Dental Surgeon (1), Dental Surgeon(1), Physician (2), Surgeon (1), Gynecologist (2), Pediatrician (2), Urologist(1), Nephrologist (1), Anesthetist (3), Orthopedic Surgeon (2), Radiologist (2),Pathologist (2), Eye Surgeon (2), ENT Surgeon (2), Cardiologist (2),Psychiatrict (1), Dermatologist (1), TB & Chest Specialist (1), Physiotherapist(1), Nursing Superintendent (1), Nursing Instructor (1), Head Nurse (1),Charge Nurse (10), Budget & Accounts Officer (1), Accountant (1), DentalTech (1), LHV (1), Dispenser (1) & Dresser (2).Medical Superintendent was requested to make efforts for the recruitment againstvacant posts and take necessary action as per policy and rules.19. A few striking problems / issues were also highlighted during the visit,however most of them pertain to District Government. The issues were acuteshortage of medicines and appointment of staff against sanctioned posts.20. Medical Superintendent requested for the facilitating intervention of HeathDepartment Government of the Punjab to resolve the issue of acquisition ofland for establishment of 240 bedded DHQ hospital, which is pending withprovincial authorities of Evacuee Trust Property.21. Medical Superintendent also raised the issue of Creation of only 94 posts ofdifferent categories of staff for DHQ Hospital by Government of the Punjab,Finance / Health Department against request of 394 posts.

22. The Medical Superintendent was requested to appoint sweepers / wardservants out of budgetary provisions allocated for contingent paid staff toimprove the cleanliness conditions of toilets and wards of hospital. DistrictOfficer Health (DOH) Nankana Shaib impressed upon the M S to go for suchappointments as rules permits him.23. Antibiotic Tab, Antibiotic Capsules, Inj Anti-histamine, Inj Adrenalin, AntiemeticInj. Inj Mannitol 20%, Anagesic Inj, Dextro 5% (1000cc), DextroseSaline (1000cc), Haemacele, Inj Valume, Inj ARV, Inj Atropin, Inj TT,Chloroquine Tab, Iron Tab, Flajyl Tab & Anti-epileptic Tab were not availablein the main stock / store of the hospital. However, Hospital management wasmaking local purchase for few emergency medicines.24. During physical verification of medicines in main dispensary of hospital,serious discrepancies were observed. Stock of medicines was not beingmaintained properly. Shortage / Excess of medicines was there. Theperformance of Mrs. Shumila Farooq (Pharmacist) and Mst. Maryaum Gill(Lady Dispenser) store incharge was not satisfactory. The MedicalSuperintendent was sensitized at the spot about the mismanagement ofmedicines.25. Mr. Tariq Mahmood, Incharge Dispenser of main store was also not efficientin making proper entries in the relevant record of medicines. He was askedto take proper attention in his assignment. The M S was requested to sparesome moments for the inspection of main store / dispensary of hospital atleast once in a month.26. Development Scheme of Up-Gradation of THQ as DHQ Hospital, beingexecuted by Provincial Building Department Satisfactorily and 90% of Workwas completed.