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Preface

It is my Pleasure to Publish the health bulletin of Munshiganj district. All the health related information of the year 2015 is Published in this bulletin to disseminate to other line department and development partners of our health sector. I hope all these information of this bulletin will help in planning and bridging the gaps in health sector within this district, and with the center as well. This bulletin contains the status of MDG4 & MDG5 . Which will help to localize the loop holes of gaps in achieving the MDG$ targets. The health bulletin also carries the information on safe drinking water and sanitation status of this district. All the sanctioned and vacant posts. as in 2015 calendar year are published in this bulletin. I shall be grateful, if the initiator of the higher authority will be kind enohgh to give attention to this issue. Finally I would like to give thank and congratulate the initiator of the health bulletin software for setting us one step ahead towards digital Bangladesh-A dream - a promise, Which will certainly come true.

Dr. Shahidul Islam
Civil Surgeon
Munshiganj Civil Surgeon Office
Local Health Bulletin 2016 for Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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EDITORIAL BOARD

Chief Editor

Dr. Md. Shahidul Islam, Civil Surgeon


Special Acknowledgement

1. Dr. Md. Shahidul Islam, Civil Surgeon

Editors

1. Dr. Md. Shahidul Islam, Civil Surgeon

2. Kazi Mohammad Ali, Statistician


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 Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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Basic Information
Name of District Munshiganj
Organization Code 10000327
Name of Civil SurgeonDr. Shahidul Islam
Land Phone No. 1 7611132
Land Phone No. 2 N/A
FAX No. 027610522
Mobile No. 01712533335
Email munshiganj@cs.dghs.gov.bd
GPS location of CS Office Lati: 23.5424 And Long: 90.5332
No. of Upazila in the District6
No. of Households in the District 341997
Population in the District 1500251
Area of District in sq km 945
Local Health Bulletin 2016 for Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 1 250
District Hospital 1 100
General Hospital 0 0
Upazila Health Complexes 5 250
Union Sub Centers 26 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 0 0
Rural Dispensaries 0 0
Community Clinics 114 0
Trauma Centers 1 0
MCWCs (belong to DGFP) 1 0
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 53 250
NGO Clinics/Facilities 0 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 36,027



Neonatal Mortality Rate: 24.0 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 67,759
Fully Vaccinated Children (<= 12 months): 100 %
Local Health Bulletin 2016 for Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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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 Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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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 0 0 0 0 0 0 41431 41431
At least 1 ANC 11865 4252 8021 0 3159 1442 12692 41431
ANCs (4+) 7064 5641 2010 0 2306 3421 1341 21783
Normal Delivery 557 1394 0 0 7082 532 20389 29954
Cesarean Section 613 244 0 0 5032 176 0 6065
Other Assisted Delivery 3 2 0 0 2 1 0 8
PNC Within 2 days 2528 5641 6410 0 4032 3421 9031 31063
Local Health Bulletin 2016 for Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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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 0 0 0 8 0 43 51
Total Deliveries 1173 1640 0 0 12116 709 20389 36027
Valid TT5 Coverage (%) 44
Local Health Bulletin 2016 for Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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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 24932 24799 49,731 16548 16212 32,760 41480 41011 82491
Upazila Health Complex 59000 59101 118,101 121218 195762 316,980 180218 254863 435081
Union Sub-Centers 50201 50372 100,573 174184 254411 428,595 224385 304783 529168
Union Health & Family Welfare Centers (under 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
Community Clinics 54131 62590 116,721 322876 738501 1,061,377 377007 801091 1178098
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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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) 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 3291 3090 6,381 23575 21095 44,670 26866 24185 51051
Private Clinics/Facilities 3012 2879 5,891 10121 12245 22,366 13133 15124 28257
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 Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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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 9001 7002 16,003 16548 16212 32,760 25549 23214 48763
Upazila Health Complex 16212 16310 32,522 38108 38216 76,324 54320 54526 108846
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 72 61 133 106 108 214 178 169 347
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 Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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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 945 1022 1,967 5292 8450 13,742 6237 9472 15709
Upazila Health Complex 01061 2081 3,142 6501 11105 17,606 7562 13186 20748
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 Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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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 8 6 14 46 28 74 54 34 88
Upazila Health Complex 8 8 16 19 11 30 27 19 46
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 Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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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 6109
No. ICD-10 Code Disease name No. of Cases %
1 R509 R509 Fever, unspecified 531 8.7
2 J18 J18 Pneumonia, organism unspecified 460 7.5
3 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 351 5.7
4 J219 J219 Acute bronchiolitis, unspecified 205 3.4
5 A41 A41 Other septicaemia 121 2.0

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 31348
No. ICD-10 Code Disease name No. of Cases %
1 K29 K29 Gastritis and duodenitis 3160 10.1
2 J44 J44 Other chronic obstructive pulmonary disease 2125 6.8
3 I110 I110 Hypertensive heart disease with (congestive) heart failure 2010 6.4
4 T00 T00 Superficial injuries involving multiple body regions 690 2.2
5 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 591 1.9
Local Health Bulletin 2016 for Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 30
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 12 40.0
2 A41 A41 Other septicaemia 7 23.3
3 E46 E46 Unspecified protein-energy malnutrition 5 16.7
4 P07 P07 Disorders related to short gestation and low birth weight, NEC 3 10.0
5 W70 W70 Drowning and submersion following fall into natural water 2 6.7

Top (5) Maternal causes of death

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

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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) 104
No. ICD-10 Code Disease name No. of Cases %
1 I219 I219 Acute myocardial infarction, unspecified 14 13.5
2 I64 I64 Stroke, not specified as haemorrhage or infarction 12 11.5
3 J44 J44 Other chronic obstructive pulmonary disease 11 10.6
4 T60 T60 Toxic effect of pesticides 10 9.6
5 V892 V892 Person injured in unspecified motor-vehicle accident, traffic 5 4.8
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 100.0
Coverage of households having access to sanitary latrines (%) 80.0
Local Health Bulletin 2016 for Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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Surgeries done under the CS Office
Type No.
Major Surgeries 819
Minor Surgeries 35420
Local Health Bulletin 2016 for Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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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 10 5 3 8 2 20.0
Grade 6 60 35 25 60 0 0.0
Grade 7 6 5 0 5 1 16.7
Grade 8 14 8 6 14 0 0.0
Grade 9 115 65 50 115 0 0.0
Grade 10 6 1 5 6 0 0.0
Local Health Bulletin 2016 for Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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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 11 271 125 120 245 26 9.6
Grade 12 0 0 9 9 -9 0.0
Grade 13 6 6 0 6 0 0.0
Grade 14 50 25 20 45 5 10.0
Grade 15 76 45 25 70 6 7.9
Grade 16 338 142 113 255 83 24.6
Grade 17 6 4 0 4 2 33.3
Grade 18 0 0 0 0 0 0.0
Grade 19 15 10 5 15 0 0.0
Grade 20 185 95 85 180 5 2.7
Local Health Bulletin 2016 for Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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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 1 1 0 1 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 3 2 1 3 0 0.0
Grade 9 0 0 0 0 0 0.0
Grade 10 3 3 0 3 0 0.0
Local Health Bulletin 2016 for Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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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 2 0 2 0 0.0
Grade 12 2 2 0 2 0 0.0
Grade 13 2 2 0 2 0 0.0
Grade 14 8 7 1 8 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 2 2 0 2 0 0.0
Grade 20 7 5 2 7 0 0.0
Local Health Bulletin 2016 for Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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

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

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

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

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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 68 60 108 102 22 18 0 0 22 0 0
Nurse 0 0 0 0 70 62 37 32 0 0 20 0 0
Medical Assistant 0 0 70 70 10 10 0 0 0 0 20 0 0
Medical Technologist 0 0 0 0 26 26 43 43 0 0 0 0 0
CHCP 148 126 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 20 19 0 0 0 0 0 0 0
AHI 0 0 0 0 59 57 0 0 0 0 0 0 0
HA 0 0 0 0 295 221 0 0 0 0 0 0 0
Total 148 126 138 130 588 497 102 93 0 0 62 0 0
Local Health Bulletin 2016 for Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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

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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 Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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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 0 0 0 1
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 Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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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) 8 0 0 0 8
Laptop 2 1 0 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 1 0 0 7
Scanner 1 0 0 0 1
UPS 5 0 0 0 5
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 Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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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 0 0 0 0 0
Land phone 3 0 0 0 3
Mobile phone 0 0 0 0 0
Photocopier machine 1 0 0 0 1
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Munshiganj Civil Surgeon Office, Munshiganj Sadar, Munshiganj

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

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