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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

This is a great pleasure and opportunity for me to publish health bulletin 2016 of Mymensingh District. The bulletin represents the overall picture of the health conditions of Mymensingh District . The bulletin depicted our achievements and gaps. It also contains the status of MDG 4 & MDG 5 which will help us to achieve the target and sustain the development goals (SDG) in future. I am grateful to Professor Dr. Deen Mohd. Noorul Huq, Director General of Health Services and Professor Dr. Abul Kalam Azad, Additional Director General (Admin) and director Management Information System (MIS) for their constant support and guidance. I thank to those who work hard for the creation of health bulletin software which help us to forward one step closer towards `Digital Bangladesh` which is the vision of our Honorable Prime Minister. I hope this bulletin will help the future planning and implementation of health services of Mymensingh District. Finally,I would like to thank the editorial board and all my colleagues. Dr A K M Mostafa Kamal Civil Surgeon Mymensingh

Dr A K M Mostafa Kamal
Civil Surgeon
Mymensingh Civil Surgeon Office
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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EDITORIAL BOARD

Chief Editor

Dr. A K M Mostafa Kamall, Civil Surgeon


Special Acknowledgement

1. Principal Motior Rahman, Honourable Minister, Ministry of Religious Affairs., Govt.ot the People's Republic of Bangladesh

2. Professor Dr. Abul Kalam Azad, Additional Director General (Admin) and director Management Information System (MIS)

3. Dr. Md Shah Alam, Divisional Director, Dhaka Division, Dhaka

Editors

1. Dr Parikshit Kumar Parh, Deputy Civil Surgeon

2. Dr. Mir Anwar Hossain, MO (DC), ICT Focal Point

3. Dr. Asifur Rahman Akonjee, MO (CS)

4. Md Kamrul Hasan Bhuiyan, Statisticain

5. Dr. Ashiq, DMCH &IO

Contributors

1. Mir Raihan Ali, Asstt. Chief (MIS), Dhaka Division

2. Rina Chakraborty, Statistical Asstt.

3. Faridul Haq, Administrativie Officer

4. Khaledha Khatun, Dist. Manager IMNCH Programe, BRAC, Mymesingh

5. Md Abdul Mannan, Dist Public Health Nurse, Mymensingh


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 Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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Basic Information
Name of District Mymensingh
Organization Code 10000395
Name of Civil SurgeonDr A K M Mostafa Kamal
Land Phone No. 1 09165720
Land Phone No. 2 09166789
FAX No. 09161160
Mobile No. 01719599394
Email mymensingh@cs.dghs.gov.bd
GPS location of CS Office Lati: 24.4506 And Long: 90.2500
No. of Upazila in the District13
No. of Households in the District 1125206
Population in the District 5521928
Area of District in sq km 4395
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 2 1650
District Hospital 0 0
General Hospital 0 0
Upazila Health Complexes 11 513
Union Sub Centers 147 0
Union Health & Family Welfare Centers (under DGHS) 43 0
Union Health & Family Welfare Centers (under DGFP) 98 0
Rural Dispensaries 0 0
Community Clinics 496 0
Trauma Centers 1 20
MCWCs (belong to DGFP) 1 20
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 134 1400
NGO Clinics/Facilities 6 50
10 Bed Hospitals 0 0
20 Bed Hospitals 2 40
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 106,728



Neonatal Mortality Rate: 25.6 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 531,076
Fully Vaccinated Children (<= 12 months): 96 %
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 13883 20131 520 13907 1294 66105 115840
At least 1 ANC 0 13883 20131 520 13907 1294 66105 115840
ANCs (4+) 0 6200 8900 230 6399 647 30947 53323
Normal Delivery 0 9154 10534 332 1474 804 61789 84087
Cesarean Section 0 117 4630 188 12433 490 0 17858
Other Assisted Delivery 0 49 0 0 0 0 0 49
PNC Within 2 days 0 9522 14500 490 12907 1294 59100 97813
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 91 0 25 0 63 179
Total Deliveries 0 9320 15164 520 13907 1294 61789 101994
Valid TT5 Coverage (%) 59
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 70333 77590 147,923 203790 333645 537,435 274123 411235 685358
Union Sub-Centers 36202 42563 78,765 189158 245974 435,132 225360 288537 513897
Union Health & Family Welfare Centers (under DGHS) 206 221 427 8368 10437 18,805 8574 10658 19232
Union Health & Family Welfare Centers (belong to DGFP) 16421 29744 46,165 43326 162359 205,685 59747 192103 251850
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 226833 276639 503,472 690630 1125407 1,816,037 917463 1402046 2319509
Trauma Centers 2735 2156 4,891 4532 6635 11,167 7267 8791 16058
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 1286 1,286 0 1286 1286
Chest Disease (TB) Clinics/Hospitals 4 11 15 53 213 266 57 224 281
Private Clinics/Facilities 1850 2050 3,900 905 1500 2,405 2755 3550 6305
NGO Clinics/Facilities 211 166 377 418 639 1,057 629 805 1434
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 808 1170 1,978 8422 12459 20,881 9230 13629 22859
Medical College Hospital 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 1220 1300 2,520 1220 1300 2520
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 11461 9511 20,972 59332 110426 169,758 70793 119937 190730
Trauma Centers 2735 2156 4,891 4532 6635 11,167 7267 8791 16058
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 Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 7383 7141 14,524 24905 38473 63,378 32288 45614 77902
Trauma Centers 1 3 4 10 5 15 11 8 19
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 0 750 1050 1,800 750 1050 1800
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 12 15 27 60 35 95 72 50 122
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 Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 10709
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3792 35.4
2 J189 J189 Pneumonia, unspecified 3269 30.5
3 A010 A010 Typhoid fever 291 2.7
4 J21 J21 Acute bronchiolitis 187 1.7
5 J45 J45 Asthma 69 0.6

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 33963
No. ICD-10 Code Disease name No. of Cases %
1 Y00 Y00 Assault by blunt object 4996 14.7
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 4706 13.9
3 K27 K27 Peptic ulcer, site unspecified 4249 12.5
4 D649 D649 Anaemia, unspecified 1530 4.5
5 J45 J45 Asthma 1431 4.2
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 42
No. ICD-10 Code Disease name No. of Cases %
1 J189 J189 Pneumonia, unspecified 22 52.4
2 P21 P21 Birth asphyxia 8 19.0
3 J21 J21 Acute bronchiolitis 7 16.7
4 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 4 9.5
5 P59 P59 Neonatal jaundice from other and unspecified causes 1 2.4

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 Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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) 80
No. ICD-10 Code Disease name No. of Cases %
1 J46 J46 Status asthmaticus 19 23.8
2 I110 I110 Hypertensive heart disease with (congestive) heart failure 11 13.8
3 I64 I64 Stroke, not specified as haemorrhage or infarction 4 5.0
4 I21 I21 Acute myocardial infarction 4 5.0
5 V892 V892 Person injured in unspecified motor-vehicle accident, traffic 3 3.8
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 98.0
Coverage of households having access to sanitary latrines (%) 87.0
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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Surgeries done under the CS Office
Type No.
Major Surgeries 117
Minor Surgeries 18648
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 1 1 0 1 0 0.0
Grade 6 99 60 22 82 17 17.2
Grade 7 2 1 0 1 1 50.0
Grade 8 0 0 0 0 0 0.0
Grade 9 233 139 81 220 13 5.6
Grade 10 178 25 140 165 13 7.3
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 11 287 213 60 273 14 4.9
Grade 12 0 0 0 0 0 0.0
Grade 13 8 4 3 7 1 12.5
Grade 14 119 109 3 112 7 5.9
Grade 15 178 131 38 169 9 5.1
Grade 16 977 478 309 787 190 19.4
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 11 8 0 8 3 27.3
Grade 20 295 181 50 231 64 21.7
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 2 1 0 1 1 50.0
Grade 8 6 5 1 6 0 0.0
Grade 9 0 0 0 0 0 0.0
Grade 10 10 8 0 8 2 20.0
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 0 0 0 0 0 0.0
Grade 13 2 1 1 2 0 0.0
Grade 14 9 8 1 9 0 0.0
Grade 15 2 1 0 1 1 50.0
Grade 16 11 7 1 8 3 27.3
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 13 11 0 11 2 15.4
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 1 0 1
Grade 6 60 22 82
Grade 7 1 0 1
Grade 8 0 0 0
Grade 9 139 81 220
Grade 10 25 140 165
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
District Total
Grade 11 231 60 291
Grade 12 0 0 0
Grade 13 4 3 7
Grade 14 109 3 112
Grade 15 131 38 169
Grade 16 477 309 786
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 8 0 8
Grade 20 181 50 231
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 5 1 6
Grade 9 0 0 0
Grade 10 8 0 8
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 0 0 0
Grade 13 1 1 2
Grade 14 8 1 9
Grade 15 1 0 1
Grade 16 7 1 8
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 1 0 1
Grade 20 11 0 11
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 98 90 189 164 0 0 39 34 36 6 6
Nurse 0 0 5 5 156 123 0 0 11 10 58 16 0
Medical Assistant 0 0 98 95 29 29 0 0 16 14 54 0 0
Medical Technologist 0 0 14 12 84 68 0 0 2 2 13 0 0
CHCP 584 508 0 0 0 0 0 0 0 0 67 0 0
HI 0 0 0 0 55 47 0 0 0 0 15 0 0
AHI 0 0 0 0 165 160 0 0 0 0 55 0 0
HA 0 0 0 0 830 643 0 0 0 0 221 0 32
Total 584 508 215 202 1508 1234 0 0 68 60 519 22 38
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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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 Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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

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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 0 0 0 9
Laptop 2 0 0 0 2
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 5 0 0 0 5
Printer (laser) 4 0 0 0 4
Scanner 1 0 0 0 1
UPS 4 0 0 0 4
Fax 2 2 0 0 4
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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

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Important information and necessary issues you want to raise
I try my level best to input all accurate data of our district. Here I would like to mention some important remedies which will help us to achieve good results in future. Our manpower shortage is a bar. In this sector we aspect support from concern authorities. One more issue to be mentioned here though not directly related to this health bulletin workshop that civil surgeon office, Mymensingh lacks own building campus which hampers its day to day activities as well as MIS activities. The general store and EPI store in UHC should be made spacious and district reserve store should be extended. Two phased electricity supply should ensured in order to keep the live saving vaccine in good qualities. It is necessary to start quarterly at least half yearly Data Monitoring Meeting at dist levelto maintain quality of data. A well furnished MIS room need at CS office. A Motor Cycle with fuel and maintenance cost should be given to District and Upazila level Statistical personnel for monitoring and supervision of MIS activities.
Local Health Bulletin 2016 for Mymensingh Civil Surgeon Office, Mymensingh Sadar, Mymensingh

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