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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 inform you that we have able to publish district local health bulletin of Madaripur. Practically this is an attempt to disseminate information on our annual performance of 2015. This bulletin contains almost all information on health activities of 2015(January-December) about institutions and field services . I hope this health bulletin will help all level managers to analyze health status of our district also will help for planning and bridging the gaps in health services of the district. This health bulletin will help find out constraints and achievement of 2015. This bulletin also contains the status of MDG -4 & MDG-5 of district. It will also provide information about safe drinking water and sanitation status of this district . Health manpower of this district can be assessed from this bulletin . In this aspect, I would like to draw the attention of concerned authority to fill up vacant posts specially of consultant doctors . If there is any suggestion to improve and correct this bulletin , it will be highly appreciated . Lastly I like to offer thanks to MIS DGHS and other concerned staffs for their cordial cooperation to publish this bulletin .

Dr. Dilip Kumar Das
Civil Surgeon
Madaripur Civil Surgeon Office
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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EDITORIAL BOARD

Chief Editor

Dr. Dilip Kumar Das, Civil Surgeon


Special Acknowledgement

1. Mir Riaz Ahmed, Statistical Assistant

Editors

1. Dr. SM Khaliluzzaman, Medical Officer

2. Dr. Akhil Sarker, Medical Officer

Contributors

1. KM Mozammel Haque, Junior Health Education Officer


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 Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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Basic Information
Name of District Madaripur
Organization Code 10000262
Name of Civil SurgeonDr. Dilip Kumar Das
Land Phone No. 1 066162309
Land Phone No. 2 N/A
FAX No. 066162460
Mobile No. 01712865853
Email madaripur@cs.dghs.gov.bd
GPS location of CS Office Lati: 23.1651 And Long: 90.2120
No. of Upazila in the District4
No. of Households in the District 221183
Population in the District 1186184
Area of District in sq km 1144.96
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 0 0
District Hospital 1 100
General Hospital 0 0
Upazila Health Complexes 3 150
Union Sub Centers 13 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 44 0
Rural Dispensaries 0 0
Community Clinics 130 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 0
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 24 271
NGO Clinics/Facilities 2 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 23,874



Neonatal Mortality Rate: 16.4 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 30,472
Fully Vaccinated Children (<= 12 months): 92 %
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 5950 2003 5669 803 465 415 13670 28975
At least 1 ANC 5825 1996 5576 803 465 415 13404 28484
ANCs (4+) 1456 1052 2432 2599 41 2256 4278 14114
Normal Delivery 696 562 1520 2279 1486 278 15337 22158
Cesarean Section 410 136 547 0 6514 199 0 7806
Other Assisted Delivery 15 0 0 0 0 0 0 15
PNC Within 2 days 1306 1191 1750 2500 1342 0 4668 12757
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 0 1 0 1 0 0 23 25
Total Deliveries 1121 698 2067 2279 8000 477 15337 29979
Valid TT5 Coverage (%) 46
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 9188 11690 20,878 37792 59396 97,188 46980 71086 118066
Upazila Health Complex 30553 39033 69,586 45340 60803 106,143 75893 99836 175729
Union Sub-Centers 16411 25145 41,556 49803 98627 148,430 66214 123772 189986
Union Health & Family Welfare Centers (under DGHS) 6735 11619 18,354 26388 56410 82,798 33123 68029 101152
Union Health & Family Welfare Centers (belong to DGFP) 7081 7914 14,995 27514 93917 121,431 34595 101831 136426
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 129656 174522 304,178 179874 376790 556,664 309530 551312 860842
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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) 2219 2117 4,336 233 10917 11,150 2452 13034 15486
Chest Disease (TB) Clinics/Hospitals 0 1 1 184 90 274 184 91 275
Private Clinics/Facilities 11815 13762 25,577 10670 7444 18,114 22485 21206 43691
NGO Clinics/Facilities 9262 18884 28,146 3168 1924 5,092 12430 20808 33238
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 Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 2108 1980 4,088 4088 12040 16,128 6196 14020 20216
Upazila Health Complex 4770 2556 7,326 8743 7841 16,584 13513 10397 23910
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 1 1 184 90 274 184 91 275
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 Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 1832 1677 3,509 8036 9725 17,761 9868 11402 21270
Upazila Health Complex 1468 2272 3,740 5522 7316 12,838 6990 9588 16578
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 Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 13 14 27 71 51 122 84 65 149
Upazila Health Complex 4 1 5 20 19 39 24 20 44
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 1 1 2 1 1 2
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 Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 5905
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 2770 46.9
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1740 29.5
3 R509 R509 Fever, unspecified 950 16.1
4 R100 R100 Acute abdomen 325 5.5
5 X48 X48 Accidental poisoning by and exposure to pesticides 120 2.0

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 7741
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2851 36.8
2 R456 R456 Physical violence 1996 25.8
3 K27 K27 Peptic ulcer, site unspecified 1430 18.5
4 R509 R509 Fever, unspecified 762 9.8
5 J18 J18 Pneumonia, organism unspecified 702 9.1
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 27
No. ICD-10 Code Disease name No. of Cases %
1 P219 P219 Birth asphyxia, unspecified 12 44.4
2 J189 J189 Pneumonia, unspecified 6 22.2
3 P070 P070 Extremely low birth weight 6 22.2
4 Q209 Q209 Congenital malformation of cardiac chambers and connections, unspecified 2 7.4
5 R100 R100 Acute abdomen 1 3.7

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 2
No. ICD-10 Code Disease name No. of Cases %
1 O84 O84 Multiple delivery 1 50.0
2 0.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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) 97
No. ICD-10 Code Disease name No. of Cases %
1 I219 I219 Acute myocardial infarction, unspecified 33 34.0
2 J459 J459 Asthma, unspecified 29 29.9
3 I679 I679 Cerebrovascular disease, unspecified 20 20.6
4 I469 I469 Cardiac arrest, unspecified 9 9.3
5 I119 I119 Hypertensive heart disease without (congestive) heart failure 6 6.2
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 98.0
Coverage of households having access to sanitary latrines (%) 94.0
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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Surgeries done under the CS Office
Type No.
Major Surgeries 532
Minor Surgeries 1904
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 3 2 0 2 1 33.3
Grade 5 9 7 0 7 2 22.2
Grade 6 21 15 0 15 6 28.6
Grade 7 10 9 1 10 0 0.0
Grade 8 75 49 31 80 -5 -6.7
Grade 9 19 3 12 15 4 21.1
Grade 10 75 13 47 60 15 20.0
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 79 39 20 59 20 25.3
Grade 12 11 5 0 5 6 54.5
Grade 13 43 18 12 30 13 30.2
Grade 14 146 63 76 139 7 4.8
Grade 15 55 33 19 52 3 5.5
Grade 16 252 114 91 205 47 18.7
Grade 17 22 18 4 22 0 0.0
Grade 18 4 4 0 4 0 0.0
Grade 19 5 2 3 5 0 0.0
Grade 20 119 34 29 63 56 47.1
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 0 0 0 0 0 0.0
Grade 7 1 1 0 1 0 0.0
Grade 8 2 0 1 1 1 50.0
Grade 9 4 2 1 3 1 25.0
Grade 10 1 0 0 0 1 100.0
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 2 1 0 1 1 50.0
Grade 12 4 4 0 4 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 2 1 1 2 0 0.0
Grade 15 1 1 0 1 0 0.0
Grade 16 1 1 0 1 0 0.0
Grade 17 2 2 0 2 0 0.0
Grade 18 1 1 0 1 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 2 2 0 2 0 0.0
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 2 0 2
Grade 5 7 0 7
Grade 6 15 0 15
Grade 7 9 1 10
Grade 8 49 31 80
Grade 9 3 12 15
Grade 10 13 47 60
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 39 20 59
Grade 12 5 0 5
Grade 13 18 12 30
Grade 14 63 76 139
Grade 15 33 19 52
Grade 16 114 91 205
Grade 17 18 4 22
Grade 18 4 0 4
Grade 19 2 3 5
Grade 20 34 29 63
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 0 0 0
Grade 5 1 0 1
Grade 6 0 0 0
Grade 7 1 0 1
Grade 8 0 1 1
Grade 9 2 1 3
Grade 10 0 0 0
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 1 0 1
Grade 12 4 0 4
Grade 13 0 0 0
Grade 14 1 1 2
Grade 15 1 0 1
Grade 16 1 0 1
Grade 17 2 0 2
Grade 18 1 0 1
Grade 19 0 0 0
Grade 20 2 0 2
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 55 47 42 31 22 17 0 0 4 2 0
Nurse 0 0 0 0 38 36 34 31 0 0 10 4 0
Medical Assistant 0 0 38 20 4 4 0 0 0 0 1 0 0
Medical Technologist 0 0 9 6 21 18 6 5 0 0 0 0 0
CHCP 136 129 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 17 13 0 0 0 0 0 0 0
AHI 0 0 0 0 51 51 0 0 0 0 0 0 0
HA 0 0 0 0 254 205 0 0 0 0 0 0 0
Total 136 129 102 73 427 358 62 53 0 0 15 6 0
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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) 2 0 1 0 3
Air conditioner (window) 0 0 0 0 0
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 0 0 0 0
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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) 9 1 0 1 11
Laptop 2 0 0 0 2
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 0 0 0 3
Scanner 1 0 0 0 1
UPS 9 6 0 0 15
Fax 2 1 0 0 3
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 1 1
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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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 1 1 0 0 2
OHP 0 0 0 0 0
PA system 1 0 0 0 1
Land phone 1 0 0 0 1
Mobile phone 0 0 0 0 0
Photocopier machine 0 0 0 0 0
Digital camera 10 0 0 0 10
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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Important information and necessary issues you want to raise
By overcoming a lot of challenges in the last year Kalkini upazil health complex awarded by Honorable Health Minister for best performing & Civil Surgeon office for 2nd top ten in Dhaka Division for HSS. Here we like to mention some important factors which will help us to achieve expected result in future. 1. All vacant post of doctors especially consultant post should be filled up 2. Statistician post of Civil Surgeon Office should be filled up immediately. 3. CC camera should be set up at Sadar Hospital to improve health services & to control unexpected issues. 4. Comprehensive EmOC should be established at Kalkini health complex . 5. One new ambulance needed at Sadar Hospital.
Local Health Bulletin 2016 for Madaripur Civil Surgeon Office, Madaripur Sadar, Madaripur

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