Feedback
HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

I am very glad to publish the Health Bulletin 2016 of Adarsha Sadar Upazila Health Office, Comilla. This Bulletin contains all the health related informations of 2015. I hope it will meet the need to disseminate our health relevant achievements to other organizations including our development partners. This will also help us in planning & bridging the gaps of the health service of our Upazila. This Bulletin will act as mirror of our activities and will help us to accelerate & stand arise the prefixed & on going job. The MDG 4 & MDG 5 status stated here will guide us to reach our destination. Status of safe drinking water, sanitation & other components of primary health care are stated in the Bulletin. The Bulletin also contains the status of our sanctioned & vacant post. My humble request to higher authority to look into the issue. I thank all my colleagues who were engaged in publishing the Bulletin. Over all, I congratulate the initiator of the Health Bulletin software for setting us one step ahead for-words Digital Bangladesh.Dr. Sajeda khatun, Uhfpo, Adarsha Sadar Upazila Health Office,Comilla.

Dr. Sajeda khatun
UHFPO
Comilla (sadar) Upazila Health Office

2

EDITORIAL BOARD

Chief Editor


Dr. Sajeda Khatun, UH&FPO


Special Acknowledgement


1. Md. Saihum Hossaim Bhuiyan, MO(DC)

Editors


1. Dr Khandaker Md. Abdul Muee, MO. ICT Focal Person

2. Dr. Ayesha Akter, MO

3. Md. Showkat khan, Statistician

Contributors


1. Khlilur rahman, HI

2. Md. Golam faruk, MT(EPI)

3. Shamsher Ahmed Chowdhuary,

4. Dr.Sagar Chakraborty, Assistant Surgeon


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.

3

Basic Information
Name of the Upazila Comilla Adarsha Sadar
Organization Code 10000859
Name of UHFPO Dr. Sajeda khatun
Land Phone No. 1 08176333
Land Phone No. 2 N/A
FAX No. N/A
Mobile No. 01711171456
Email comillasadar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.4546 And Long: 91.1811
No. of Unions in the Upazila6
No. of Households in the Upazila 51352
Population in the Upazila 265345
Area of Upazila in sq km 142.72

4

Existing Health Facilities in the Upazila
Facility Type Total No.of Faciliti(es) No. of Beds
OPD at Sadar Upazila Health facility 0 0
Union Sub Centers 1 0
Union Health & Family Welfare Centers (belong to DGHS) 0 0
Union Health & Family Welfare Centers (belong to DGFP) 5 0
Rural/Urban/Thana Health Centers 0 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Community Clinics 27 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 0 0
Chest Disease (TB) Clinics/Hospitals 0 0
Private Clinics/Facilities 15 165

5

Existing Health Facilities in the Upazila
Facility Type Total No.of Faciliti(es) No. of Beds
NGO Clinics/Facilities 0 0
Any other health facility 0 0

6

No. of Live Births & Child Deaths in the Upazila (Jan-Dec, 2015)
Total No. of live births : 7,697



Under 5 Mortality Rate: 5.5 (Per 1,000 live births)
Infant Mortality Rate: 2.3 (Per 1,000 live births)
Neonatal Mortality Rate: 0.8 (Per 1,000 live births)
Still Birth Rate: 0.3 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : N/A
Fully Vaccinated Children (<= 12 months): 98.16 %

7

No. of Maternal Health Services Provided in the Upazila (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;

8

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

Indicator Govt. Facilities NGO Facilities Private Facilities Not in Facilities (Home, Camps, etc. by govt. & other providers) Total
Reg. Pregnent Women 0 0 0 7764 7764
At least 1 ANC 0 0 0 7764 7764
ANCs (4+) 0 0 0 5405 5405
Normal Delivery 0 0 30 6304 6334
Cesarean Section 0 0 1328 0 1328
Other Assisted Delivery 0 0 0 0 0
PNC Within 2 days 0 0 1358 3152 4510

9

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

Indicator Govt. Facilities NGO Facilities Private Facilities Not in Facilities (Home, Camps, etc. by govt. & other providers) Total
Maternal Death 0 0 3 0 3
Total Deliveries 0 0 1358 6304 7662
Valid TT5 Coverage (%) 60

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No. of OPD & Emergency visits, Admissions & Deaths in the Upazila
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
OPD at Sadar Upazila Health facility 0 0 0 0 0 0 0 0 0
Union Sub-Centers 623 709 1,332 987 2587 3,574 1610 3296 4906
Union Health & Family Welfare Centers (belong to DGHS) 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (belong to DGFP) 375 435 810 1200 1720 2,920 1575 2155 3730
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0
Community Clinics 15753 16832 32,585 57256 151612 208,868 73009 168444 241453

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No. of OPD & Emergency visits, Admissions & Deaths in the Upazila
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
Trauma Centers 0 0 0 0 0 0 0 0 0
MCWCs (belong to DGFP) 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0

12

No. of OPD & Emergency visits, Admissions & Deaths in the Upazila
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
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0

13

No. of OPD & Emergency visits, Admissions & Deaths in the Upazila
Health Facility Admissions (Year 2023)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0

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No. of OPD & Emergency visits, Admissions & Deaths in the Upazila
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
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0

15

Water & sanitation in the Upazila
Indicators Upazila %
Coverage of households having access to safe drinking water (%) 98.0
Coverage of households having access to sanitary latrines (%) 92.0

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
UHC/Sadar Upazila Health Office
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 0 0 0 0 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 0 0 0 0 0 0.0
Grade 7 1 0 1 1 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 2 1 1 2 0 0.0
Grade 10 0 0 0 0 0 0.0

17

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
UHC/Sadar Upazila Health Office
Grade 11 4 2 0 2 2 50.0
Grade 12 0 0 0 0 0 0.0
Grade 13 1 0 1 1 0 0.0
Grade 14 5 3 1 4 1 20.0
Grade 15 5 2 3 5 0 0.0
Grade 16 28 12 7 19 9 32.1
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 6 4 0 4 2 33.3

18

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Union Health & Family Welfare Center (under DGHS)
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 0 0 0 0 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 0 0 0 0 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 5 3 2 5 0 0.0
Grade 10 0 0 0 0 0 0.0

19

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Union Health & Family Welfare Center (under DGHS)
Grade 11 5 0 5 5 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 0 0 0 0 0 0.0

20

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Rural Dispensaries
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 0 0 0 0 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 0 0 0 0 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 0 0 0 0 0 0.0
Grade 10 0 0 0 0 0 0.0

21

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Rural Dispensaries
Grade 11 0 0 0 0 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 0 0 0 0 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 0 0 0 0 0 0.0

22

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Community Clinics
Grade 11 0 0 0 0 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 27 8 19 27 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 0 0 0 0 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 0 0 0 0 0 0.0

23

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Other Hospitals/Facilities
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 0 0 0 0 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 0 0 0 0 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 0 0 0 0 0 0.0
Grade 10 0 0 0 0 0 0.0

24

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Other Hospitals/Facilities
Grade 11 0 0 0 0 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 0 0 0 0 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 0 0 0 0 0 0.0

25

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Union Sub Centers (USC)
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 0 0 0 0 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 0 0 0 0 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 1 1 0 1 0 0.0
Grade 10 0 0 0 0 0 0.0

26

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Union Sub Centers (USC)
Grade 11 1 0 1 1 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 0 0 0 0 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 0 0 0 0 0 0.0

27

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
UHC/Sadar Upazila Health Office
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 0 1 1
Grade 7 0 0 0
Grade 8 1 1 2
Grade 9 0 0 0
Grade 10 0 0 0

28

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
UHC/Sadar Upazila Health Office
Grade 11 2 0 2
Grade 12 0 0 0
Grade 13 5 1 6
Grade 14 1 1 2
Grade 15 1 3 4
Grade 16 10 6 16
Grade 17 1 0 1
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 5 0 5

29

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Union Health & Family Welfare Center (under DGHS)
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 1 0 1
Grade 8 3 2 5
Grade 9 0 0 0
Grade 10 0 0 0

30

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Union Health & Family Welfare Center (under DGHS)
Grade 11 0 4 4
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0

31

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Rural Dispensaries
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0

32

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Rural Dispensaries
Grade 11 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0

33

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Community Clinics
Grade 11 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 8 19 27
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0

34

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Other Hospitals/Facilities
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0

35

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Other Hospitals/Facilities
Grade 11 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0

36

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Union Sub Centers (USC)
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 1 0 1
Grade 9 0 0 0
Grade 10 0 0 0

37

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Union Sub Centers (USC)
Grade 11 0 1 1
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0

38

Status of Human Resources under DGHS updated during this report preparation
Man
power
Commu-
nity
Clinic
USC/
UHFWC/
RD
UHC Others IM-
CI
Trai-
ned
Basic
EOC
Trai-
ned
CS-
BA
Tr-
-ai-
ned
San-
cti-
on-
ed
Fill-
ed-
up
San-
cti-
on-
ed
Fill-
ed-
up
San-
cti-
on-
ed
Fill-
ed-
up
San-
cti-
on-
ed
Fill-
ed-
up
Physician 0 0 0 0 9 9 0 0 0 0 0
Nurse 0 0 0 0 0 0 0 0 0 0 0
Medical Assistant 0 0 6 6 0 0 0 0 0 0 0
Medical Technologist 0 0 0 0 1 1 0 0 0 0 0
CHCP 27 26 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0 0
AHI 0 0 0 0 5 5 0 0 0 0 0
HA 0 0 0 0 25 16 0 0 0 0 0
Total 27 26 6 6 42 33 0 0 0 0 0

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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 0 0 0 0 0
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0

40

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) 0 0 0 0 0
Air conditioner (window) 0 0 0 0 0

41

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) 0 0 0 0 0
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0

42

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) 3 0 0 0 3
Laptop 30 0 0 0 30
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 0 0 0 3
Scanner 0 0 0 0 0
UPS 3 0 0 0 3
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0

43

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 0 0 1
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 1 0 0 0 1
Mobile phone 0 0 0 0 0
Photocopier machine 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0

44

Important information and necessary issues you want to raise
Important information & issues that may be raised: 1. Qualitative & effective health service can be delivered through skilled health personnel, which can be ensured through Human Resource Development (HRD). We have a training center, established through Thana functional Improvement Pilot Project by European Union. But we have no fund for maintenance, such as stationories, linens (Table cloth, Door/Windoe cloth), cookeries, furniture's (Chair, Table) etc for running it well. 2. Safe water is essential for service providers & service receivers. We are in trouble of water in Sub-center & Community Clinics. 3. the ceilings of Community Clinic) are soaking water and rain drops fall so much that service can't be delivered. Besides, there is break/crack in wall/floors in Bolorampur, olipur, Horipur, krisnapur Community Clinic, the building may fall at any time.

45