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Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

Manikganj is the gateway of Capital city of Bangladesh situated Sixty Four kilometer west to Dhaka. It is surrounded by the famous rivers of Bangladesh, the Padma, the Jamuna,the Dhaleswary, the Kaliganga.Its famous Paturia ferryghat connects Dhaka with the south part of Bangladesh.The natural beauty of Manikganj is so charming that people get attraction at a glance. Its historical famous places and persons remind usits glory. The language martyr Shahid Rafik Uddin, The Noble prize winner Amarta Sen,The father of Film/ Cinema Jahar Lal Sen,The father in Law of national Poet Kazi Nazrul Islam are all from this district. In short Manikganj is a district of thousands of MANIKS ( pearls).Great Poets, Singers, Educationists. Politicians, Spiritual saints, Famous Doctors, Journalists are the persons who have enlighted Manikganj. In health sector it is also enriched, by govt Medical college, govt Nursing college, govt MATS, govt IHT, 50 beded Diabetic hospital, private Medical college, two private Nursing colleges, & finally 250 beded District Hospital have provided service of excellence in health sector. I the undersigned hereby expressing my pleasure& happiness to become the Leader of the health service of this district. Consisting of Seven Upazillas & sixty five Unions its health sector is improving abruptly. Specially with the kind attention of our Honourable State Minister of Health & Family Welfare Zahid Maleque MP. who has turned this district into a model district. We all are grateful & thankful to him.Fillay I want to throw my heartiest thanks and gratitud to then who extent there outmost coperaton in publishing this bulletin.

DR.MD.IMRAN ALI
Civil Surgeon
Manikganj Civil Surgeon Office
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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EDITORIAL BOARD

Chief Editor

DR.MD.IMRAN ALI, CIVIL SURGEON


Special Acknowledgement

1. Md.Shawkat Hossin, Head Asstt.

2. Md.AkterUzzaman, Dis.EPI Superintendent

Editors

1. Dr. Md. Saiful Islam, ICT Focal Point

2. Sunita Rani Mondal, Statistical Assistant

Contributors

1. Dr. Abdul Malek Khan, MO,CS

2. Md. Rafiqul Islam, Sr. Medical Technologist(Lab)


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 Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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Basic Information
Name of District Manikganj
Organization Code 10000296
Name of Civil SurgeonDR.MD.IMRAN ALI
Land Phone No. 1 27710500
Land Phone No. 2 N/A
FAX No. 027710453
Mobile No. 01717249177
Email manikganj@cs.dghs.gov.bd
GPS location of CS Office Lati: 23.5200 And Long: 90.0000
No. of Upazila in the District07
No. of Households in the District 295649
Population in the District 1596038
Area of District in sq km 1379
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 1 0
District Hospital 1 250
General Hospital 0 0
Upazila Health Complexes 6 224
Union Sub Centers 30 0
Union Health & Family Welfare Centers (under DGHS) 36 0
Union Health & Family Welfare Centers (under DGFP) 38 0
Rural Dispensaries 0 0
Community Clinics 155 0
Trauma Centers 1 0
MCWCs (belong to DGFP) 2 0
Chest Disease (TB) Clinics/Hospitals 0 0
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 28 310
NGO Clinics/Facilities 3 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 32,636



Neonatal Mortality Rate: 19.6 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 219,686
Fully Vaccinated Children (<= 12 months): 97 %
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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 Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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 2175 2732 12195 799 552 7260 13060 38773
At least 1 ANC 2175 9346 14204 735 491 7260 3988 38199
ANCs (4+) 303 4952 6389 690 447 0 1282 14063
Normal Delivery 569 1247 4917 1190 1409 466 15223 25021
Cesarean Section 519 107 1429 3335 2040 271 51 7752
Other Assisted Delivery 0 0 0 0 0 0 0 0
PNC Within 2 days 1059 5812 4786 607 2425 2198 966 17853
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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 4 0 6 0 2 0 26 38
Total Deliveries 1088 1354 6346 4525 3449 737 15274 32773
Valid TT5 Coverage (%) 65
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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 29513 27203 56,716 78155 86263 164,418 107668 113466 221134
Upazila Health Complex 30838 32640 63,478 119973 275755 395,728 150811 308395 459206
Union Sub-Centers 18997 22105 41,102 121147 190437 311,584 140144 212542 352686
Union Health & Family Welfare Centers (under DGHS) 18997 35580 54,577 72511 173383 245,894 91508 208963 300471
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
Community Clinics 64755 72477 137,232 405493 902420 1,307,913 470248 974897 1445145
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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) 742 961 1,703 1499 2375 3,874 2241 3336 5577
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
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 Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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 3025 4510 7,535 13200 15400 28,600 16225 19910 36135
Upazila Health Complex 3057 3257 6,314 18315 14641 32,956 21372 17898 39270
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 Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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 1402 1635 3,037 8617 11208 19,825 10019 12843 22862
Upazila Health Complex 1787 2288 4,075 10102 14208 24,310 11889 16496 28385
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 Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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 51 53 104 179 122 301 230 175 405
Upazila Health Complex 2 2 4 35 22 57 37 24 61
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 Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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 2390
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 1048 43.8
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 484 20.3
3 J159 J159 Bacterial pneumonia, unspecified 365 15.3
4 J21 J21 Acute bronchiolitis 314 13.1
5 P21 P21 Birth asphyxia 179 7.5

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 10208
No. ICD-10 Code Disease name No. of Cases %
1 K27 K27 Peptic ulcer, site unspecified 2376 23.3
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2125 20.8
3 Y09 Y09 Assault by unspecified means 2046 20.0
4 I10 I10 Essential (primary) hypertension 1847 18.1
5 H28 H28 Cataract and other disorders of lens in diseases classified elsewhere 1814 17.8
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 150
No. ICD-10 Code Disease name No. of Cases %
1 P21 P21 Birth asphyxia 73 48.7
2 J18 J18 Pneumonia, organism unspecified 41 27.3
3 G009 G009 Bacterial meningitis, unspecified 16 10.7
4 A010 A010 Typhoid fever 12 8.0
5 J45 J45 Asthma 8 5.3

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 4
No. ICD-10 Code Disease name No. of Cases %
1 O15 O15 Eclampsia 4 100.0
2 0.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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) 31
No. ICD-10 Code Disease name No. of Cases %
1 I21 I21 Acute myocardial infarction 12 38.7
2 J44 J44 Other chronic obstructive pulmonary disease 7 22.6
3 G45 G45 Transient cerebral ischaemic attacks and related syndromes 6 19.4
4 N18 N18 Chronic renal failure 4 12.9
5 I64 I64 Stroke, not specified as haemorrhage or infarction 2 6.5
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 99.0
Coverage of households having access to sanitary latrines (%) 97.0
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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Surgeries done under the CS Office
Type No.
Major Surgeries 2584
Minor Surgeries 11648
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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 1 1 0 1 0 0.0
Grade 5 11 10 1 11 0 0.0
Grade 6 32 25 5 30 2 6.3
Grade 7 7 6 0 6 1 14.3
Grade 8 0 0 0 0 0 0.0
Grade 9 113 101 11 112 1 0.9
Grade 10 211 126 85 211 0 0.0
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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 90 78 5 83 7 7.8
Grade 12 8 7 0 7 1 12.5
Grade 13 1 1 0 1 0 0.0
Grade 14 9 9 0 9 0 0.0
Grade 15 65 36 8 44 21 32.3
Grade 16 303 255 25 280 23 7.6
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 3 1 0 1 2 66.7
Grade 20 201 166 20 186 15 7.5
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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

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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 1 1 0 1 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 7 6 1 7 0 0.0
Grade 15 2 2 0 2 0 0.0
Grade 16 3 1 0 1 2 66.7
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 3 1 0 1 2 66.7
Grade 20 7 6 1 7 0 0.0
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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 0 1
Grade 5 10 1 11
Grade 6 25 5 30
Grade 7 6 0 6
Grade 8 0 0 0
Grade 9 101 11 112
Grade 10 126 85 211
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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 78 5 83
Grade 12 7 0 7
Grade 13 1 0 1
Grade 14 9 0 9
Grade 15 36 8 44
Grade 16 255 25 280
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 1 0 1
Grade 20 166 20 186
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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 3 1 4
Grade 8 1 1 2
Grade 9 1 0 1
Grade 10 2 0 2
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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 0 0 0
Grade 13 4 1 5
Grade 14 4 0 4
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 6 1 7
Grade 18 1 0 1
Grade 19 0 0 0
Grade 20 0 0 0
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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 66 66 75 69 21 20 2 2 7 5 0
Nurse 0 0 0 0 75 72 52 52 0 0 8 6 0
Medical Assistant 0 0 66 66 12 12 0 0 0 0 22 5 0
Medical Technologist 0 0 30 30 45 45 0 0 0 0 0 1 0
CHCP 163 146 0 0 0 0 0 0 0 0 0 0 36
HI 0 0 0 0 18 10 0 0 0 0 0 0 0
AHI 0 0 0 0 55 45 0 0 0 0 0 0 0
HA 0 0 0 0 268 240 0 0 0 0 0 0 44
Total 163 146 162 162 548 493 73 72 2 2 37 17 80
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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

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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) 3 0 0 0 3
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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 1 0 0 1 2
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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 0 0 10
Laptop 3 0 0 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 8 0 0 0 8
Scanner 1 0 0 0 1
UPS 7 0 0 0 7
Fax 1 0 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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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 0 0 0 1
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 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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Important information and necessary issues you want to raise
Manikganj district is a Highly densed Populated area. About twelve hundred people live in a Sq. kilometre area. Two Upazillas are in the midst of river erosion . So for these distressed people health service is very essential. Though District hospital is declared as 250 beded hospital , but it needs its manpower as logistics very urgently . Among six Upzilla health complexs two have started as 50 beded , but all others (Four UHC`S) need to be operated soon. Though 2nd batch of MBBS in Manikganj Medical College is running , but it is still on the nursing college . So Permanent campus for Medical college should start soon. 50 beded Diabetic hospital needs govt attention Establishmant of MATS & IHT is going on, With the directs help of honourable state Ministre of health & Family Welfare Janab Zahid Maleque MP.
Local Health Bulletin 2016 for Manikganj Civil Surgeon Office, Manikganj Sadar, Manikganj

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