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 this e-health bulletin of Barisal sadar Upazila. This bulletin contains all the health related informations of 2015. This bulletin is published to disseminate the informations of barisal sadar upazila to other line departments and development partners of health. I hope all the informations of this bulletin will help for planning and bridging the gaps in health services of this upazila. This e-health bulletin will help us to find constrains and also to see the results and achievements of 2015.The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin. I like to take attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Hope we will be able to serve a better Bulletin in the next Time. Thanks to MIS, DG, Health and all our health workers for their kind Cooperation in printing this matter

Dr.Jatin Chandra Roy
UHFPO
Barisal (sadar) Upazila Health Office

2

EDITORIAL BOARD

Chief Editor


Dr. Jatin Chandra Roy, UH&FPO


Special Acknowledgement


1. Dr. AFM Safiuddin, Civil Surgeon Barisal.

Editors


1. Dr.Susmita Islam., Asst.Surgeon.

2. Md. Anwarul Salam, Statistician.

Contributors


1. ABM. Enayet Hossen, M.T. (EPI)

2. Md.Abdul Jalil Matubber, Head Assisttant

3. Md. Gias Uddin Sikder, HI (Incharge)


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.

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Basic Information
Name of the Upazila Barisal Sadar (kotwali)
Organization Code 10001969
Name of UHFPO Dr.Jatin Chandra Roy
Land Phone No. 1 43163895
Land Phone No. 2 N/A
FAX No. N/A
Mobile No. 1711288321
Email barisalsadar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 90.3600 And Long: 22.7500
No. of Unions in the Upazila10
No. of Households in the Upazila 42623
Population in the Upazila 221759
Area of Upazila in sq km 324.40

4

Existing Health Facilities in the Upazila
Facility Type Total No.of Faciliti(es) No. of Beds
OPD at Sadar Upazila Health facility 1 0
Union Sub Centers 1 0
Union Health & Family Welfare Centers (belong to DGHS) 0 0
Union Health & Family Welfare Centers (belong to DGFP) 9 0
Rural/Urban/Thana Health Centers 0 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Community Clinics 36 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 0 0
Chest Disease (TB) Clinics/Hospitals 0 0
Private Clinics/Facilities 0 0

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 : 5,006



Under 5 Mortality Rate: 22.2 (Per 1,000 live births)
Infant Mortality Rate: 11.0 (Per 1,000 live births)
Neonatal Mortality Rate: 7.2 (Per 1,000 live births)
Still Birth Rate: 3.0 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 40,516
Fully Vaccinated Children (<= 12 months): 100 %

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 5022 5022
At least 1 ANC 0 0 0 5022 5022
ANCs (4+) 0 0 0 490 490
Normal Delivery 300 0 295 3440 4035
Cesarean Section 471 0 500 0 971
Other Assisted Delivery 0 0 0 0 0
PNC Within 2 days 0 0 0 1566 1566

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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 6 0 0 0 6
Total Deliveries 771 0 795 3440 5006
Valid TT5 Coverage (%) 30

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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 2072 2088 4,160 3359 7172 10,531 5431 9260 14691
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) 0 0 0 0 0 0 0 0 0
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 13311 14164 27,475 85927 203356 289,283 99238 217520 316758

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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

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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

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Water & sanitation in the Upazila
Indicators Upazila %
Coverage of households having access to safe drinking water (%) 99.0
Coverage of households having access to sanitary latrines (%) 98.0

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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 1 1 0 1 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 2 0 2 2 0 0.0
Grade 9 0 0 0 0 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 4 0 4 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 63 29 34 63 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 1 1 0 1 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 4 2 2 4 0 0.0

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 1 1 0 1 0 0.0
Grade 8 7 4 3 7 0 0.0
Grade 9 1 0 1 1 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 7 1 6 7 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 1 1 0 1 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 36 14 21 35 1 2.8
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 2 2 0 2 0 0.0
Grade 8 1 0 1 1 0 0.0
Grade 9 0 0 0 0 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 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 1 1 0 1 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 1 0 1
Grade 7 0 0 0
Grade 8 0 2 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 4 0 4
Grade 12 0 0 0
Grade 13 29 34 63
Grade 14 0 0 0
Grade 15 1 0 1
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 2 2 4

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 4 3 7
Grade 9 0 1 1
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 1 6 7
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 14 21 35
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 2 0 2
Grade 8 0 1 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 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 1 0 1

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 9 9 2 2 0 0 0 0 0
Nurse 0 0 0 0 1 1 0 0 0 0 0
Medical Assistant 0 0 9 9 0 0 0 0 10 0 0
Medical Technologist 0 0 1 1 2 1 0 0 3 0 0
CHCP 36 35 0 0 0 0 0 0 0 0 5
HI 0 0 0 0 3 2 0 0 0 0 0
AHI 0 0 0 0 10 10 0 0 0 0 2
HA 0 0 0 0 50 48 0 0 0 0 9
Total 36 35 19 19 68 64 0 0 13 0 16

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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) 5 0 0 0 5
Laptop 30 8 0 0 38
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 1 0 0 4
Scanner 0 0 0 0 0
UPS 0 0 0 0 0
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) 0 0 0 0 0
Multimedia 0 1 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
mportant information and necessary issues for Barisal (Sadar) Upazila Health office. All the health and family welfare workers & CHCP in this upazila are hard working and punctual. some recent training may make them more skillful which will help us to achieve good performance in future. 13 (thirteen) HA is in SIT training . Some of them are there more than 3 (three) years . It is requested to higher authority to cancel their deputation so that they can be involved in health service. our doctors & health workers need more training on imci also.Instruments & furniture are not sufficient in CC which should be increased. vehicle facilities for the field workers should be improved. This is very useful document for the administration , local govt & all the people of this locality to know & realize the health situation & give Suggestions to improve our health services furthermore according to the need. THANKS TO ALL

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