Institute of Kidney diseases Hayatabad Peshawar No______/Admn/I.T Dated: 06-12-2008 INSTITUTE OF KIDNEY DISEASES HAYATABAD PESHAWAR BACK GROUND: The 50 Bedded Institute of Kidney Diseases at Hayatabad Medical Complex, Peshawar was approved under the Prime Minister’s programme. The PC-1 of the project was approved on the 22/04/2000 at a total cost of building and purchase of equipments (Rs.158.138+Rs.150.00) = Rs.308.138 million. The Institute was initially designed for 50 Beds with a provision to enhance its capacity to 100 Beds in future. While approving funding of the scheme, it was decided that Workers Welfare fund Islamabad, would provide the cost of construction, equipment, machinery and materials whereas the provincial Government would provide land free of cost. Accordingly, the Government of NWFP allotted land for the Institute at HMC Peshawar free of cost. The recurring expenditure (salary +non Salary) of the Institute for the initial 02 years of full operationalization will be borne by the workers Welfare Fund, Islamabad. Thereafter, the operational expenses of the Institute will be responsibility of the Provincial Government, besides any other contributions/provisions/grants etc. The IKD was commissioned in June 2007 following employment of Medical and Paramedical Staff. However it was not until December 2007 that the Institute was formally opened to the public. This delay was inevitable as major Sectors of Institute e.g. Laboratory, Operation Theater, Dialysis Unit were not commissionable, mostly due to delays in supply orders. It may be prudent to state that, the institute was operationalized, but with many short comings. We have in the last 11th months attempted to address and resolve some of these within our resources. Objective: The main objective of the Institute of Kidney Diseases is to provide state of the art facilities in counseling, investigations, treatment, post operative care and follow up in the fields of Urology, Nephrology and Transplantation to industrial workers in particular and the inhabitants of NWFP in general. -1- Management: As per Memorandum of Understanding (MOU), Board of Conveners will nominate a Management Committee. This committee shall be responsible for administrative and financial control of the institute. However currently institute is being managed by Management Committee headed by Director IKD, comprising of the following. 1. Professor Dr. Asif Malik Director IKD Chairman 2. Dr. Muhammad Salim DMS (Admn) Member 3. Dr. Modasar Bangash DMS (Coordination) Secretary 4. Dr. Fazli Rabi DMS (Store) Member 5. Dr. Naseer DMS (OT, OPD, Casualty) Member 6. Prof. Dr.Atta ur Rehman Member 7. Dr.Sultan Zaffar Akhtar Member 8. Mr. A. Moneem Manger Accounts Infrastructure: The Institute has following sections:1. OPD 2. Dialysis Unit 3. Wards (Bed status-40) 4. Isolation Rooms (Bed Status-6) 5. Private Room ( 7) 6. ICU (Bed Status-3) 7. OT -5 (2-operationalized) 8. Radiology Unit 9. Pathology Unit 10. Pharmacy Unit 11. Urodynamics 12. Lithotripsy 13. I.T section -2- Member MAN POWER: Medical Staff Teaching Staff Total = 13 Non Teaching Staff Medical Officer Total = 27 Paramedical Staff Charge Nurses Total = 38 Operation Theater Assistant Total = 02 OT Technician Total = 02 Dialysis Technician Total = 03 Lab Technicians Total = 07 Anesthesia Technician Total = 04 Radiographers Total = 01 Sterilization Assistant(CSSD) Total = 02 Administration Staff Total = 13 Class-IV Total = 49 SERVICES: The Institute since it has commissioned aimed at providing state of the Art facilities to patients with diseases of the genito urinary tract. These facilities aim to provide investigations including laboratory work up, Radiology including X-ray and Ultrasound, Urodynamics, Out door treatment of patients with diseases relating to urinary tract and Indoor admissions for patients requiring invasive and non-invasive methods of treating diseases ranging from congenital disorders, stone disease, cancer and traumatic reconstruction of injuries of the urinary tract. So far seven Renal Transplant Surgeries have been carried out at the Institute. DEVELOPMENTAL WORK: 1. A ten Bedded Ward has been operationalized since August 2008, in view of excessive work load. 2. Computerization of the Institute will be completed in the near future. 3. Mosque – has been furnished 4. Computerized Radiology System has been installed & operationalized. -3- 5. Termite treatment has been given to entire structure. 6. Drug Store run by the Institute itself has been operationalized. 7. Public Car parking facility has been provided. 8. Temporary customer service including cafeteria and public Toilets will be open to the public by the end of December 2008. 9. Work on establishing 30 Bedded ward is in progress and will be completed within three months. 10. Work on Library and Doctors lounge is in progress and shell be completed within three months. 11. Free Ambulance service for patients on long term dialysis residing within Peshawar. ACADEMIC: 1. IKD will soon be inspected by College of Physicians and Surgeons Pakistan for Accreditation of FCPS Part-II training in the fields of Urology and renal Transplantation. 2. Conditionalties of collaboration with PGMI, regarding placement of Trainee is in progress. 3. Weekly clinical symposia held at the Institute. 4. Library to be operationalized in near future. 5. Total Number of Outdoor patients from Dec-2007 to Sept-2008 = 12803 patients. 6. Total No. of Admitted patient from Dec-2007 to Oct-2008, = 1873 patients. 7. Total No. of Lithotripsy patients from Dec-2007 to Oct-2008. = 386 Patients. 8. Total No. of Ultrasound patients from Dec-2007 to Sep-2008 = 1261 patients. 9. Total No. Dialysis patient from Dec-2007 to Sep-2008 = 1263 patients. 10. Total No. of Urodynamic patients from Dec-2007 to Sep-2008 is = 257 Patients. 11. Total No. of X-ray patient from Dec-2007 to Oct-2008 = 3101 patients. 12. Total No. of operations from Dec-2007 to Oct-2008 = more than 1000. 13. The Institute has established Liaison with Tanzeem Liassaail-E-Wal Mahroom through which free dialysis is offered to the dispossessed and very needy patients and providing free post Transplant Medications to the patients under going Transplantation at the Institute. FINANCIAL STATUS: -4- BUDGET ALLOCATION (2007-2008) S.No Budget Allocation 2007-2008 Budget Received 2007-2008 8,70,00,000/- 6,63,65,500/- Expenditure Salaries Non-Salaries 1,66,06,862/- 4,97,58,638/- Revenue Generated Balance Liabilities 22,67,740/- nill Bill Approx Electricity 1. 2,10,00,000/- BUDGET ALLOCATION (2008-2009) S.No 1. Budget Allocation 2008-2009 Budget Received 2008-2009 9,30,00,000/- 1,70,00,000/- Expenditure Salaries Non-Salaries 1,15,70,455/- 79,38,815/- Revenue Generated Liabilities 31,52,818/- nill DEMANDS: 1. Permanent customer service area is need of the hour at the Institute, which should include accommodation, public toilets and Cafeteria. Lack of these facilities is putting immense burden on the Indoor patients of the Institute. 2. As is evident from the data the Institute is running at full capacity and the demand for Indoor admissions is rising by the day. Currently bookings for Urological admissions are running into February 2009. This explains the clear need for enhancing the Bed strength. It is highly desirable to put forward a case for construction of the first floor of the Institute which was part of the original design. 3. IKD has already made correspondence with Zakat and Biathul Mal for allocation of funds for the poor patient, it is desired that the Government may pursue the matter for early allocation of Funds. 4. In view of the Volume of patients requiring CT Scans, it is one of the essential needs of patients at the Institute. 5. Renal patients need isotope scanning for which Gamma Camera is required. This can be utilized for diagnosing many other diseases and can be used to generate funds for the institute. 6. The institute has so far not operationalised the emergency department. This is manly due to lack of space/beds for emergency admissions. 7. In view of the increasing demand for Transplantation and Allied services, the Institute requires to have experts in the fields of Histo-Pathology Immunology and interventional renal Radiology. Director IKD Hayatabad Peshawar. -5- -6-