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Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

The undersigned with his team is very glad to publish the Health Bulletin of Kishoreganj District for the year 2016. We have tried to disclose the performance of all health activities through this bulletin. I think this bulletin will be very helpful in the dissemination of health information to service providers and acceptors. I would like to congratulate MOHFW, DGHS, MIS for initiating to publish this health bulletin Software to build ourselves towards digital Bangladesh. Dr.Md.Habibur Rahman Civil Surgeon Kishoreganj Civil Surgeon Office

Dr.Md. Habibur Rahman
Civil Surgeon
Kishoreganj Civil Surgeon Office
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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EDITORIAL BOARD

Chief Editor

Dr.Md. Habibur Rahman, Civil Surgeon


Special Acknowledgement

1. Nazmun Naher, District Public Health Nures

Editors

1. Md.Ziaur Rahman, Statistician

2. Dr.Md.Rafsan, MODC

Contributors

1. Md. Obaydul Huq , Junior Health Education Officer

2. Mr. Dipak Kanti Sarkar, Head Assistant

3. Mr. Shankar Chandra Paul, D S I

4. Mr. Juton Kumar Paul, Office Assistant

5. Dr.Md.Mojibur Rahman, Deputy Civil Surgeon

6. Md.Ziaur Rahman, Sttistician

7. Bimol Chandra Roy , EPI Superintendent


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 Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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Basic Information
Name of District Kishorgonj
Organization Code 10000244
Name of Civil SurgeonDr.Md. Habibur Rahman
Land Phone No. 1 094161817
Land Phone No. 2 094161774
FAX No. 094161907
Mobile No. 01712629025
Email kishoreganj@cs.dghs.gov.bd
GPS location of CS Office Lati: 24.4548 And Long: 90.7767
No. of Upazila in the District13
No. of Households in the District 642950
Population in the District 3248776
Area of District in sq km 2688
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 12 505
Union Sub Centers 17 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 73 0
Rural Dispensaries 0 0
Community Clinics 294 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 3 0
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 22 570
NGO Clinics/Facilities 8 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 82,773



Neonatal Mortality Rate: 13.4 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 511,802
Fully Vaccinated Children (<= 12 months): 98 %
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 3800 0 0 0 0 0 82411 86211
At least 1 ANC 6795 0 0 0 0 0 78516 85311
ANCs (4+) 936 6780 9608 0 0 0 17214 34538
Normal Delivery 2015 3010 340 0 2804 752 60783 69704
Cesarean Section 1785 936 0 0 9867 114 0 12702
Other Assisted Delivery 34 12 0 0 316 5 0 367
PNC Within 2 days 3800 3958 340 0 9867 866 16682 35513
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 14 0 0 0 11 0 95 120
Total Deliveries 3834 3958 340 0 12987 871 60783 82773
Valid TT5 Coverage (%) 32.0
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 14144 12177 26,321 138064 130948 269,012 152208 143125 295333
Upazila Health Complex 104947 122723 227,670 566609 439013 1,005,622 671556 561736 1233292
Union Sub-Centers 16021 18123 34,144 98898 137096 235,994 114919 155219 270138
Union Health & Family Welfare Centers (under DGHS) 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (belong to DGFP) 57408 61729 119,137 56611 112156 168,767 114019 173885 287904
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 159279 172456 331,735 664194 1613363 2,277,557 823473 1785819 2609292
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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) 1505 1545 3,050 0 5965 5,965 1505 7510 9015
Chest Disease (TB) Clinics/Hospitals 140 139 279 3557 2497 6,054 3697 2636 6333
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0
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 Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 4492 4025 8,517 27668 15492 43,160 32160 19517 51677
Upazila Health Complex 13680 13505 27,185 31666 23025 54,691 45346 36530 81876
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 Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 6562 4652 11,214 21095 28068 49,163 27657 32720 60377
Upazila Health Complex 6916 5157 12,073 19197 22053 41,250 26113 27210 53323
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 Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 177 154 331 271 139 410 448 293 741
Upazila Health Complex 17 19 36 103 53 156 120 72 192
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 Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 23287
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 5962 25.6
2 J18 J18 Pneumonia, organism unspecified 5580 24.0
3 J21 J21 Acute bronchiolitis 2058 8.8
4 P219 P219 Birth asphyxia, unspecified 1098 4.7
5 J459 J459 Asthma, unspecified 641 2.8

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 65250
No. ICD-10 Code Disease name No. of Cases %
1 Y09 Y09 Assault by unspecified means 7868 12.1
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 6591 10.1
3 J45 J45 Asthma 3015 4.6
4 K279 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 2568 3.9
5 I10 I10 Essential (primary) hypertension 1634 2.5
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 367
No. ICD-10 Code Disease name No. of Cases %
1 P210 P210 Severe birth asphyxia 167 45.5
2 J18 J18 Pneumonia, organism unspecified 60 16.3
3 P07 P07 Disorders related to short gestation and low birth weight, NEC 58 15.8
4 J21 J21 Acute bronchiolitis 25 6.8
5 A419 A419 Septicaemia, unspecified 12 3.3

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 15
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 6 40.0
2 O159 O159 Eclampsia, unspecified as to time period 4 26.7
3 O85 O85 Puerperal sepsis 2 13.3
4 O649 O649 Obstructed labour due to malposition and malpresentation, unspecified 2 13.3
5 O711 O711 Rupture of uterus during labour 1 6.7
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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) 401
No. ICD-10 Code Disease name No. of Cases %
1 I64 I64 Stroke, not specified as haemorrhage or infarction 92 22.9
2 I21 I21 Acute myocardial infarction 61 15.2
3 J449 J449 Chronic obstructive pulmonary disease, unspecified 45 11.2
4 I516 I516 Cardiovascular disease, unspecified 29 7.2
5 I501 I501 Left ventricular failure 26 6.5
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 96.0
Coverage of households having access to sanitary latrines (%) 92.0
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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Surgeries done under the CS Office
Type No.
Major Surgeries 3803
Minor Surgeries 35796
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 0 0 0 0 0 0.0
Grade 5 12 4 1 5 7 58.3
Grade 6 96 46 15 61 35 36.5
Grade 7 1 0 0 0 1 100.0
Grade 8 0 0 0 0 0 0.0
Grade 9 238 79 64 143 95 39.9
Grade 10 267 11 164 175 92 34.5
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 11 272 132 51 183 89 32.7
Grade 12 2 1 0 1 1 50.0
Grade 13 4 4 0 4 0 0.0
Grade 14 103 75 11 86 17 16.5
Grade 15 146 96 21 117 29 19.9
Grade 16 597 312 224 536 61 10.2
Grade 17 4 2 0 2 2 50.0
Grade 18 2 0 0 0 2 100.0
Grade 19 12 11 1 12 0 0.0
Grade 20 282 189 69 258 24 8.5
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 1 0 1 0 0.0
Grade 7 1 0 0 0 1 100.0
Grade 8 0 0 0 0 0 0.0
Grade 9 3 1 0 1 2 66.7
Grade 10 5 3 1 4 1 20.0
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 1 0 1 0 0.0
Grade 12 1 1 0 1 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 7 7 0 7 0 0.0
Grade 15 5 4 0 4 1 20.0
Grade 16 4 1 3 4 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 3 3 0 3 0 0.0
Grade 20 7 7 0 7 0 0.0
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 8 2 10
Grade 5 15 3 18
Grade 6 19 9 28
Grade 7 41 6 47
Grade 8 45 67 112
Grade 9 27 19 46
Grade 10 16 87 103
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 50 21 71
Grade 12 4 3 7
Grade 13 222 114 336
Grade 14 36 8 44
Grade 15 77 35 112
Grade 16 113 73 186
Grade 17 74 31 105
Grade 18 1 0 1
Grade 19 52 16 68
Grade 20 35 13 48
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 1 0 1
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 1 1 2
Grade 9 1 0 1
Grade 10 2 0 2
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 6 0 6
Grade 12 0 0 0
Grade 13 9 1 10
Grade 14 1 0 1
Grade 15 2 1 3
Grade 16 0 1 1
Grade 17 6 0 6
Grade 18 0 0 0
Grade 19 2 0 2
Grade 20 0 0 0
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 0 109 81 167 135 61 24 5 4 14 9 0
Nurse 0 0 0 0 183 116 78 57 0 0 26 15 0
Medical Assistant 0 0 109 73 24 20 0 0 0 0 42 0 0
Medical Technologist 0 0 0 0 120 81 11 3 3 3 0 1 0
CHCP 321 317 0 0 0 0 0 0 0 0 0 0 18
HI 0 0 0 0 35 20 0 0 0 0 0 0 0
AHI 0 0 0 0 105 94 0 0 0 0 0 0 0
HA 0 0 0 0 525 473 0 0 0 0 0 0 135
Total 321 317 218 154 1159 939 150 84 8 7 82 25 153
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 0 0 2
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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) 4 0 0 0 4
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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) 0 0 0 0 0
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 1 0 0 1
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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) 5 0 0 3 8
Laptop 1 1 0 0 2
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 1 2 0 6
Scanner 1 0 0 0 1
UPS 3 0 2 0 5
Fax 1 1 0 0 2
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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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 0 3 0 0 3
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 3 0 0 0 3
Mobile phone 0 0 0 0 0
Photocopier machine 0 2 0 0 2
Digital camera 1 0 0 0 1
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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Important information and necessary issues you want to raise
Local Health Bulletin 2016 for Kishoreganj Civil Surgeon Office, Kishoreganj Sadar, Kishorgonj

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