KHYBER TEACHING HOSPITAL

Background
Khyber Teaching Hospital, NWFP, Peshawar was commissioned in 1976 for the development of scientific and research base of the province. It is octagonal in shape with extension of Y shaped wings in the form of units. The present capacity of beds is 1202. The recently constructed underground passage and the over-head bridge have made safer the smooth flow of patients and students between KMC, IRNUM and KTH. During this period of 1976 to 2000 additions and deletions taking place within the developmental phases of the 3 tertiary care hospitals namely KTH, LRH, HMC made these institutions more effective, viable and productive for the beneficiaries i,e patients , undergraduate and postgraduate trainees playing major role in human resource development in the health sector.

Components of the Institution

Although mutually reliant and a product of the advancement in the core institution i,e The Khyber Medical College, The Khyber College of Dentistry and The Khyber Teaching Hospital; the three institutions remained independent ever since their creation. Need for the integration of these institutions was felt in the best interest of the public. In the year 1999, the NWFP health and Medical institutions Reform Act was passed by the provincial assembly thus declaring the Khyber Teaching Hospital, Khyber Medical College and Khyber College of Dentistry as autonomous institution headed by the Chief Executive.

The Khyber Teaching Hospital

Khyber Teaching Hospital (KTH) Peshawar has been providing tertiary health care delivery and teaching facilities to local population in NWFP ever since 1976. established over a covered area of 962,000 square feet on busy Jamrud Road, this 1202 bed hospital caters for the health requirements through OPD, Casualty and Evening OPD of over 739500 patients (in the Year 2007) (approx) an year. However with massive increase in urban population during Afghan war (1978-98), its ability to serve the local population has been seriously impaired. The local population has also grown manifolds admission and treatment facilities domestically. Coupled with presence of 0.6 million Afghan refugees and their rush on this hospital, the institution seems over burdened given its present physical size, administrative human resource and financial position.

Training Components
In line with its basic purpose of its creation, the Khyber Teaching Hospital has been training facilities to a large number of medical students, nurses and paramedics. Following are the yearly figures of the trainees provided with the training . Viz 1. 2. 3. 4. 5. MBBS Students (KMC).. 1200 Nursing / Students. 300 House Job Doctors.. 149 TMOs (Post Graduate Trainee).. 120 Paramedical.. 70

Teaching Components (Compulsory units PMDC requirements)

Quality teaching to the above mentioned categories of the students is provided in the basic health sciences and certain specialties with due regard to the professional requirements of the Pakistan Medical and Dental Council. Following is the list of Basic teaching components of the Hospital: 1. Medical 5 Units 2. Surgical 5 Units 3. Gynae & Obst 3 Units 4. Eye 2 Units 5. ENT 2 Units 6. Paediatric 2 Units 7. Orthopedic & Trauma 2 Units 8. Psychiatry One 9. Anesthesiology One 10. Radiology One 11. Dermatology One

Other Specialties
Khyber Teaching Hospital has developed specialized treatment of diseases in various fields. The excellence and rich faculty provides for the students to have off hand experience prior to their formal recognition. Following is the list of specialties offered in the Khyber Teaching Hospital. Viz 1. 2. 3. 4. Cardiology Nephrology Pulmonology Peads Surgery One One One 1 Unit

Other Services
Besides the basic health and special services performed by the Khyber Teaching Hospital, the institution also provides ancillary care and diagnostic services in the following fields. 1. 2. 3. 4. 5. 6. Medical ICU CCU Surgical ICU CT Scan MRI Accident & Emergency Deptt. (providing 24 hrs free Emergency services)

The Management
With the introduction of the Health and Medical Institution Reform act 1999, the management of the affairs of medical institutions has been vested in the Management Council of the Institution.

The management Council comprises of a total of Ten members with Chief Executive as its Chairman. Following is the present composition of the management Council. Viz;

1. The Chief Executive of the

Medical institution (KTH/KMC/KCD) 2. Principal Khyber Medical College 3. Principal of Khyber College of Dentistry 4. The Medical Superintendent of the Khyber Teaching Hospital 5. The Director of Finance KTH/KMC/KCD 6. Five Non-official members nominated by Government

Chairman Member Member Member Member Member

There are certain sub committees constituted under the Management Council for the discharge of function interested to the Management Committee. These are as follows.

a. Academic, Research and Publication Committee. b. Procurement Committee c. Inspection Committee d. Selection & Promotion Committee e. Clinical / Medical Audit Committee f. Accommodation Committee The Chief Executive of the KTH/KMC/KCD has been entrusted the task of performing the administrative and financial functions under the Health and Medical Institutions Reform Act 1999 called as Autonomy Act. The Organization Chart of the Proposed Chief Executive Office is as following.
CHIEF EXECUTIVE KTH/KMC/KCD

MANAGEMENT COUNCIL KTH/KMC/KCD

PRINCIPAL KHYBER MEDICAL COLLEGE

PRINCIPAL KHYBER COLLEGE OF DENTISTRY, PESHAWR

MEDICAL SUPERINTENDENT KHYBER TEACHING HOSPITAL

FINANCE OFFICE
The Health and Medical Institute Reform Act has created the Directorate of Finance for controlling the financial affairs of the Medical institution for sustainable growth under the autonomous set up. The Director Finance as member of the Institutional Management Committee covers all financial aspects of the Organization. Following is the organization Chart of the Directorate of Finance.

Budget for the Hospital for the Financial Year 2007-08

Budget released for Khyber Teaching Hospital, in the financial year 2007-08 is Rs. 194759500/ + Rs. 600000/- Financial Assistant ace + 16 million for Emergency Medicine.

FINANCE DIRECTORATE
DIRECTOR FINANCE KTH & ALLIED INSTITUTES

FINANCE & ACCOUNTS OFFICER

AUDIT OFFICER

OBJECTIVES
CHARTER OF THE HEALTH & MEDICAL INSTITUTION REFORM ACT 1999 It was considered expedient by the Government to establish and improve medical and health institutions and to give them an autonomous character in order to provide quality health care for the people of the Province of the N.W.F.P. The objectives of an institution have been therefore considered to be the following: a) b) To undertake all functions required for providing medical deduction, To perform such other functions as are assigned to it by Government. training and health facilities to the people.

OBJECTIVES & TASKS OF THE MEDICAL INSTITUTES (KTH/KMC/KCD)

1. To improve health services to the patients with quality assurance. 2. To restructure and organize teaching / training, and research needs based on problem envisaging and orientations in medical education, with emphasis on application of skills, attitudes and ethics.

3. To work within the policy guidelines and frame work covering National and Provincial Health Policies. 4. To develop, promote and market the services to make the system sustainable and self reliant.

MISSION STATEMENT
The Management Council of the Khyber Teaching Hospital and allied institutes keeping in view, the objectives entrusted by the Health and medical Institutions Reform Act have adopted the following mission to be accomplished within three years of the autonomy on sustainable basis. Viz;

Is to improve, develop and sustain quality assurance of Health care to the patients with an impact on over all health care delivery in strengthening of the TRI-POD of the system linking training, service delivery and research through an interactive approach focusing mainly on the human resource development

a.

Clinical Services
This hospital provides both indoor and outdoor clinical services of the following specialties. Medicine, Surgery, Ophthalmology, ENT, Pediatrics, Gynecology, Orthopedic, Dermatology, Psychiatry, Anesthesiology, Radiology, Nephrology, Oncology and Pediatric Surgery. There are well-equipped units, which provide specialized services to the different wards of the hospital like CCU, Medical ICU, Surgical ICU, Pediatric Nursery, NICU Dialysis unit, Burn Unit and Laboratory. There is Physiotherapy Department and Artificial Limb workshop, which provide rehabilitation and support services. Hospital has well equipped blood bank, sterilization and laundry section and medical record room.

b.

Teaching Training and Research Facilities

Hospital has qualified teaching staff which provides teaching / training facilities to the undergraduates students of Khyber Medical College and to Post Graduate students. House Job facility is given to Graduates of Medical Colleges. Training is also given to Nurses Students for which there is a nursing school attached to the hospital. Hospital has well-equipped and updated Library for the purpose of study and reference for the medical staff. The hospital acts as a major resource center for medical research.

FUTURE GOALS AND PLANS

REFORMS
Keeping in view the adverse financial and administrative conditions and the objectives laid down by the Health and Medical institution Reform Act 1999, the Management in Khyber Teaching Hospital has embarked upon an ambitious plan for the sustainable growth of the organization. Two factors have been considered to be top priority. Viz 1. 2. Quality Service Providence and Re-assurance Financial Discipline and Sustainable Growth

The management at Khyber Teaching Hospital under the Chief Executive has performed following vital functions for the development on Institution. These are following:
1. Good Governance 2. Formulation of Rules and Regulations

3. 4. 5. 6. 7. 8. 9.

Adoption of Information Technology Provision of Diagnostic Services Resolution of Long Standing Issue Stores Verification Standardization of Contracts Anti Leakage Measures Revenue Raising Measures

Computerization in Khyber Teaching Hospital,

Computerization was started in the hospital form a Payroll System in 2000. in 2002 it was decided that gradually the other units are also be computerized, for which full fledged I.T department was established. For which System Analyst, Computer Programmers, Data Entry Supervisor, Hardware Technician and number of Key punch operators were hired on fix pay. The hospital is running the I.T department in its own recourses as there is no separate Budget allocation for the computerization from the finance department till now. So far OPD, Casualty, Pathology, Radiology, Physiotherapy, 4 wards, ECG Section, Ward Admission and Almoner Section is computerized and the rest are in progress.

Beds Strength
Khyber Teaching Hospital, Peshawar
Wards / Units Medical A Ward Medical B Ward Medical C Ward Medical D Ward Surgical A Ward Surgical B Ward Surgical C Ward Surgical D Ward ENT A Ward ENT B Ward Eye A Ward Eye B Ward Orthopedic Ward Trauma Ward Children A Ward Children B Ward Peads Surgery Ward Spl. Gynae Ward Gynae A Ward Gynae B Ward Labour Room Nursery Unit Psychiatry Ward Skin Ward Regular Beds 38 38 38 38 38 38 38 38 38 38 38 38 38 38 38 38 26 38 32 32 10 20 Baby cutts 38 22 Extra Beds 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 04

1. 2. 3. 4. 5. 6. 7. 8. 9. 1 0. 1 1. 1 2. 1 3. 1 4. 1 5. 1 6. 1 7. 1 8. 1 9. 2 0. 2 1. 2 2. 2 3. 2 4.

2 5. 2 6. 2 7. 2 8. 2 9. 3 0. 3 1. 3 2. 3 3. 3 4. 3 5. 3 6.

DATC Nephrology Ward Oncology Unit CCU Pulmonology Ward Private Rooms Medical ICU Surgical ICU Burn Unit Casualty Recovery Room Cardiology Ward

08 27 16 12 19 90 12 08 12 12 18 10 1070 132

Total: 1202

OPD Days and Doctors Medical-A OPD

Monday / Saturday

Surgical-A OPD
Tuesday / Friday

Prof. Dr. Sultan Mahmood Associate Prof. Dr. Hamza Khan Asstt: Prof. Dr. Jamal-ud-Din Medical-B OPD
Tuesday / Saturday

Prof. Dr. Changaiz Hakeem Khan Associate Prof. Dr. Atta ur Rehman Asstt: Prof. Dr. Qutub e Aalam Surgical-B OPD
Wednesday / Saturday

Professor Dr. Siddiq ur Rehman Associate. Prof. Ghulam Shabbir Asst:Prof. Dr. Mohd. Ishaq Khattak Asstt: Prof. Dr. Saleem Iqbal

Prof. Dr. Mian Asad Ullah Jan Associate Prof. Dr. Mah Munir Snr Reg. Dr. Atta Ullah Surgical-C OPD
Monday / Saturday

Medical-C OPD
Wednesday / Saturday

Prof. Dr. Zafar Hayat Associate. Prof. Dr. Hashim-ud-Din Asstt: Prof. Dr. Zahid Fida Medical-D OPD
Thursday

Professor. Dr Atta Ullah Jan Associate. Prof. Dr. Ijaz Ahmad Asstt: Prof. Dr. Abid Haleem Surgical-D OPD
Saturday / Thursday

Prof. Dr. Humayon Associate Prof. Dr. Faiz ur Rahman Asistant Prof. Dr. Wazir Muhammad Medical-E OPD
Friday

Prof. Dr. Aziz Wazir Associate. Prof. Dr. Rooh ul Muqeem Asstt: Prof. Dr. Muhammad Zarin Surgical-E OPD
I/c Assotiate Prof. Dr. Mehmood

Prof. Dr. Noor ul Iman Associate Prof. Dr. Shahid Jamil Jr, Reg. Taj Muhammad ENT-A OPD
Monday /Wednesday / Thursday

Aurangzeb Gynae-A OPD

Monday / Wednesday

Prof. Dr. Fazl-e-Sattar Associate Prof. Dr. Zakir Ullah Asstt: Prof. Dr. Inayat Ullah ENT-B OPD
Tuesday / Friday / Saturday

Prof. Dr. Bilqees Afridi Assistant Prof. Dr. Perveen Azeem Assistant Dr. Jamila Javed Shah Gynae-B OPD
Tuesday / Friday

Prof. Dr. Tanweer Jamal Asstt. Prof. Dr. Shanaz Nadir Gynae-C OPD
Thursday/Saturday

Prof. Dr. Shahideen Associate. Prof. Dr. Noor Sahib Khan Assistant Prof. Dr. Arif Raza Khan Sr. Reg. Dr. Ajmal Hussain

Associate Prof. Dr. Anwar Sultana Asstt: Prof. Dr. Saima Gilani

Eye-A OPD
Monday / Wednesday /Thursday

Prof. Dr. Naimat Ullah Kundi Associate Prof. Dr. Sadia Sethi Asstt. Prof Dr. Tajamul Khan Eye-B OPD
Saturday / Tuesday / Friday

Orthopedic & Trauma OPD

Monday / Thursday

Prof. Dr. Zafar Durrani Associate Prof. Dr. Zahid Askar Asstt. Prof. Dr. Muhammad Ayaz Children-A OPD
Monday / Wednesday / Friday

Daily

Prof. Dr. Mustafa Iqbal Associate Prof. Dr. Abrar Hussain Asstt: Prof. Dr. Bakht Samar

Skin & VD Prof. Dr. Azer Rashid

Tuesday / Thursday / Saturday

Prof. Dr. Abdul Hameed Associate Prof. Dr. Habib ur Rahman Assistant. Prof. Dr. Irshad Ahmad Asstt. Prof. Dr. Sabir Khan

Children-B OPD
Tuesday / Thursday / Saturday

Psychiatry OPD
Saturday /Tuesday/Wednesday/Friday

Associate. Prof. Dr. S.M Sultan Asstt. Prof. Dr. Muhammad Idrees Cardiology
Monday/Wednesday

Professor. Dr. Nadeem Khawar Associate Prof. Dr. Amin Jan Gandapor Assistant Prof. Dr. Fazl-e-Raheem Asstt. Prof. Dr. Jan Muhammad Children Surgical OPD
Wednesday / Saturday

Asstt. Prof. Dr. Ambar Ashraf Snr . Rg. Dr. Muhammad Arabi
(Monday)

Snr . Rg. Dr. Abdul Samad

(Wednesday)

Asst Prof. Dr. Inayat Ur Rahman Snr. Reg. Dr. Tariq Waheed Dr. Ikram ud Din Child Health OPD
Friday

Chest & T.B OPD

Tuesday / Thursday

Prof. Dr. Mukhtiar Zaman Asstt. Prof. Dr. Sadia Asharf

Assistant. Prof. Dr. Qamar Ali Nephrology OPD

Tuesday / Thursday

Associate. Prof. Dr. Nisar Anwar Asstt. Prof. Dr. Amir Azhar Jnr. Reg. Dr. Naushad Khan