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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 health bulletin of Jamalpur district. The bulletin contains all the health related informations of 2015 which disseminate the overall health related activities under my district that the other departments and development partners to get a clear health information about Jamalpur. This bulletin contains the status of MDG 4 and MDG 5 which helps us to improve health status of our mother and children. Sanitation situation, patients information, hospital information and manpower situation are also covered in this bulletin. I hope all the informations of this bulletin will help for planning and bridging to meet-up the gaps in health services of the district. I would like to take the attention of our higher authority to focus on our problem and would expect their full cooperation to solve it immediately. In this connection, I would like to thanks all my colleagues for their remarkable contribution to publish the health bulletin successfully. Finally I would like to thanks and congratulate of our MIS department of DGHS who took this initiative for publishing the health bulletin. It is setting us one step ahead towards Digital Bangladesh. Dr. Md. Mushair-ul-Islam Civil Surgeon Jamalpur

Dr. Md.Mushair-ul-Islam
Civil Surgeon
Jamalpur Civil Surgeon Office
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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EDITORIAL BOARD

Chief Editor

Dr. Md. Mushair-ul-Islam, Civil Surgeon


Special Acknowledgement

1. Dr. Md. Mushair-ul-Islam, Civil Surgeon

Editors

1. Dr. Shahin Sultana, Deputy Civil Surgeon

2. Dr. ABM Shafikur Rahman, Medical Officer

3. Md. Anisur Rahman, Junior Health Education Officer

4. Md. Ainul Hoque, Statistical Assistant

Contributors

1. Md. Harun-or-Rashid, Accountant

2. Mr. Haradan Babu, EPI Superentendent

3. Md.Mehidi Hassain, Head Assistant


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.

Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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Basic Information
Name of District Jamalpur
Organization Code 10000209
Name of Civil SurgeonDr. Md.Mushair-ul-Islam
Land Phone No. 1 98163269
Land Phone No. 2 098163118
FAX No. 098163618
Mobile No. 01711632276
Email jamalpur@cs.dghs.gov.bd
GPS location of CS Office Lati: 24.9421 And Long: 89.9331
No. of Upazila in the District07
No. of Households in the District 521748
Population in the District 2371885
Area of District in sq km 2032
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 1 0
District Hospital 0 0
General Hospital 1 250
Upazila Health Complexes 6 262
Union Sub Centers 28 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 46 0
Rural Dispensaries 0 0
Community Clinics 290 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 2 30
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 37 406
NGO Clinics/Facilities 8 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 57,563



Neonatal Mortality Rate: 18.8 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 175,996
Fully Vaccinated Children (<= 12 months): 95 %
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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

Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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

Indicator DH's Total UHC Total Govt. Facilities NGO Facilities Private Facilities MCWCs (belongs to DGFP) Not in Facilities (Home, Camps, etc. by govt. & other providers) Total
Reg. Pregnent Women 11949 10589 11182 7452 8303 1015 27174 77664
At least 1 ANC 11949 10589 11182 7452 8303 1015 27174 77664
ANCs (4+) 1160 4589 5009 5089 4461 601 12374 33283
Normal Delivery 1135 3310 1583 92 1606 571 42909 51206
Cesarean Section 1263 9 0 0 5817 42 0 7131
Other Assisted Delivery 0 0 0 0 1 4 0 5
PNC Within 2 days 3614 3545 2689 2122 8116 613 21736 42435
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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

Indicator DH's Total UHC Total Govt. Facilities NGO Facilities Private Facilities MCWCs (belongs to DGFP) Not in Facilities (Home, Camps, etc. by govt. & other providers) Total
Maternal Death 10 1 0 0 5 0 68 84
Total Deliveries 2398 3319 1583 92 7424 617 42909 58342
Valid TT5 Coverage (%) 30.0
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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No. of OPD & Emergency visits, Admissions & Deaths
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
District Hospital 14429 17551 31,980 32930 81487 114,417 47359 99038 146397
Upazila Health Complex 22185 25560 47,745 120888 175841 296,729 143073 201401 344474
Union Sub-Centers 24216 25481 49,697 166043 207589 373,632 190259 233070 423329
Union Health & Family Welfare Centers (under DGHS) 3868 4890 8,758 28875 35104 63,979 32743 39994 72737
Union Health & Family Welfare Centers (belong to DGFP) 4369 3274 7,643 33953 48541 82,494 38322 51815 90137
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 105861 113941 219,802 747800 1472918 2,220,718 853661 1586859 2440520
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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No. of OPD & Emergency visits, Admissions & Deaths
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
MCWCs (belong to DGFP) 1200 1480 2,680 1114 5649 6,763 2314 7129 9443
Chest Disease (TB) Clinics/Hospitals 700 780 1,480 4088 5015 9,103 4788 5795 10583
Private Clinics/Facilities 3500 4000 7,500 45900 46500 92,400 49400 50500 99900
NGO Clinics/Facilities 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
Medical College Hospital 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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No. of OPD & Emergency visits, Admissions & Deaths
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
District Hospital 8136 6819 14,955 14964 22036 37,000 23100 28855 51955
Upazila Health Complex 4191 3888 8,079 25676 22158 47,834 29867 26046 55913
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
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0
Medical College Hospital 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility Admissions (Year 2023)
Male
(Age
<= 5)		 Female
(Age
<= 5)		 Total Male
(Age
> 5)		 Female
(Age
> 5)		 Total Grand-Total
Male Female Both
District Hospital 7378 4212 11,590 13875 21466 35,341 21253 25678 46931
Upazila Health Complex 2644 2383 5,027 8969 12610 21,579 11613 14993 26606
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
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0
Medical College Hospital 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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No. of OPD & Emergency visits, Admissions & Deaths
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
District Hospital 233 132 365 157 113 270 390 245 635
Upazila Health Complex 8 5 13 38 23 61 46 28 74
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 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
Medical College Hospital 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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Morbidity Profile

Top (5) causes of child morbidity (age <= 5 years)

Total No. of admitted patients reviewed for under five morbidity profile 16617
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3697 22.2
2 J18 J18 Pneumonia, organism unspecified 2309 13.9
3 J219 J219 Acute bronchiolitis, unspecified 702 4.2
4 A41 A41 Other septicaemia 475 2.9
5 J11 J11 Influenza, virus not identified 448 2.7

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 54984
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 7218 13.1
2 K27 K27 Peptic ulcer, site unspecified 3086 5.6
3 Y009 Y009 Assault by blunt object, unspecified place 2707 4.9
4 J459 J459 Asthma, unspecified 1557 2.8
5 J11 J11 Influenza, virus not identified 1507 2.7
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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Mortality Profile

Top (5) causes of death for age <= 5 years

Total No. of cases reviewed for age <= 5 years 377
No. ICD-10 Code Disease name No. of Cases %
1 P21 P21 Birth asphyxia 102 27.1
2 P36 P36 Bacterial sepsis of newborn 54 14.3
3 P071 P071 Other low birth weight 40 10.6
4 J180 J180 Bronchopneumonia, unspecified 27 7.2
5 P070 P070 Extremely low birth weight 26 6.9

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 11
No. ICD-10 Code Disease name No. of Cases %
1 O15 O15 Eclampsia 5 45.5
2 O72 O72 Postpartum haemorrhage 4 36.4
3 I50 I50 Heart failure 2 18.2
4 0.0
5 0.0
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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Mortality Profile

Top (5) causes of death between ages 30 & 70 years

Total No. of cases reviewed for causes of death (30 to 70 years) 319
No. ICD-10 Code Disease name No. of Cases %
1 I21 I21 Acute myocardial infarction 36 11.3
2 R579 R579 Shock, unspecified 33 10.3
3 I469 I469 Cardiac arrest, unspecified 24 7.5
4 I516 I516 Cardiovascular disease, unspecified 21 6.6
5 T600 T600 Organophosphate and carbamate insecticides 19 6.0
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 95.0
Coverage of households having access to sanitary latrines (%) 94.0
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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Surgeries done under the CS Office
Type No.
Major Surgeries 4041
Minor Surgeries 17147
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
District Total
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 2 1 0 1 1 50.0
Grade 5 33 21 11 32 1 3.0
Grade 6 89 44 7 51 38 42.7
Grade 7 1 1 0 1 0 0.0
Grade 8 18 9 3 12 6 33.3
Grade 9 162 67 20 87 75 46.3
Grade 10 405 11 220 231 174 43.0
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
District Total
Grade 11 148 109 14 123 25 16.9
Grade 12 0 0 0 0 0 0.0
Grade 13 4 4 0 4 0 0.0
Grade 14 60 49 6 55 5 8.3
Grade 15 70 38 20 58 12 17.1
Grade 16 464 257 174 431 33 7.1
Grade 17 6 5 0 5 1 16.7
Grade 18 0 0 0 0 0 0.0
Grade 19 16 8 0 8 8 50.0
Grade 20 350 202 111 313 37 10.6
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Civil Surgeon 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 1 1 0 1 0 0.0
Grade 6 1 0 1 1 0 0.0
Grade 7 1 0 0 0 1 100.0
Grade 8 0 0 0 0 0 0.0
Grade 9 5 1 0 1 4 80.0
Grade 10 10 9 0 9 1 10.0
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Civil Surgeon Office
Grade 11 1 0 1 1 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 2 2 0 2 0 0.0
Grade 14 7 6 0 6 1 14.3
Grade 15 3 3 0 3 0 0.0
Grade 16 7 5 1 6 1 14.3
Grade 17 3 2 0 2 1 33.3
Grade 18 0 0 0 0 0 0.0
Grade 19 3 2 0 2 1 33.3
Grade 20 10 9 0 9 1 10.0
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
District Total
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 1 2 3
Grade 5 30 2 32
Grade 6 37 7 44
Grade 7 20 2 22
Grade 8 16 11 27
Grade 9 61 20 81
Grade 10 12 186 198
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
District Total
Grade 11 61 11 72
Grade 12 2 1 3
Grade 13 129 83 212
Grade 14 13 2 15
Grade 15 69 24 93
Grade 16 109 78 187
Grade 17 34 6 40
Grade 18 4 0 4
Grade 19 29 8 37
Grade 20 122 97 219
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Civil Surgeon Office
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 1 0 1
Grade 5 0 0 0
Grade 6 1 1 2
Grade 7 7 0 7
Grade 8 1 0 1
Grade 9 0 0 0
Grade 10 2 0 2
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Civil Surgeon Office
Grade 11 2 0 2
Grade 12 1 1 2
Grade 13 7 0 7
Grade 14 2 0 2
Grade 15 1 1 2
Grade 16 4 0 4
Grade 17 5 0 5
Grade 18 0 0 0
Grade 19 2 0 2
Grade 20 3 0 3
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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Status of Human Resources under DGHS updated during this report preparation
Man
power		 Commu-
nity
Clinic		 USC/
UHFWC/
RD		 UHC DH/GH 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		 San-
cti-
on-
ed		 Fill-
ed-
up
Physician 0 0 65 53 99 63 92 52 8 7 18 10 2
Nurse 0 0 8 8 82 55 162 91 0 0 39 105 8
Medical Assistant 0 0 70 67 12 12 0 0 0 0 44 0 0
Medical Technologist 0 0 22 13 49 46 19 14 4 4 12 0 0
CHCP 290 287 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 25 25 0 0 0 0 0 0 0
AHI 0 0 0 0 75 75 0 0 0 0 0 0 0
HA 0 0 0 0 375 356 0 0 0 0 0 0 52
Total 290 287 165 141 717 632 273 157 12 11 113 115 62
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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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 2 0 1 0 3
Microbus 0 0 0 0 0
Pickup 0 1 0 0 1
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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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.)
Air conditioner
Air conditioner (split type) 0 0 0 0 0
Air conditioner (window) 1 0 0 0 1
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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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.)
Generator
Generator (diesel/petrol) 1 1 0 0 2
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 0 0 0 1
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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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.)
ICT equipment
Computer (desktop) 10 0 1 0 11
Laptop 1 1 0 0 2
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 9 1 0 0 10
Scanner 1 0 0 0 1
UPS 9 1 0 0 10
Fax 2 0 0 0 2
Intercom 0 0 0 0 0
Internet fixed line 1 0 0 0 1
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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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.)
ICT equipment
Internet wireless line (Modem) 1 0 0 0 1
Multimedia 2 1 0 0 3
OHP 0 0 0 0 0
PA system 1 0 0 0 1
Land phone 3 0 0 0 3
Mobile phone 0 0 0 0 0
Photocopier machine 2 1 0 0 3
Digital camera 2 0 0 0 2
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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Important information and necessary issues you want to raise
In spite of many constraints, we the Jamalpur Civil Surgeon Office tried to provide our maximum efforts to improve our health services among the people of Jamalpur and surrounding districts. But we couldn't achieve the expected results in some areas which can be achieved if the below factors are minimized:- 1. All the vacant posts should be filled up immediately 2. Ensuring Pair of EmOC doctor in EmOC upazilas 3. All the repairable equipments should be repaired as soon as possible 4. Organize more IMCI & midwifery training for the better service of Mother and child health. Finllay, we are very happy to publish this bulletin. It contains many important data which will help us to improve our service in future.
Local Health Bulletin 2016 for Jamalpur Civil Surgeon Office, Jamalpur Sadar, Jamalpur

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