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Preface

I am very glad to publish this health bulletin of Civil Surgeon Office, Narayanganj . This bulletin contains all the health related information of 2016 . this bulletin is published to disseminate the health information of Narayanganj to other department and development partners of health . I hope all the infomation of this bulletin with help for planning and bridging the gaps in health services of this Civil surgeon office, Narayanganj .The bulletin contains the status of MDG 4 and MDG 5 Which will help to attain the MDG targets . This health bulletin has also the information of safe drinking water and sanitation status of the District . We are serving people with our all available resources, But our health staff are not sufficient for these large population . All the sanctioned and vacant posts are published in this bulletin of 2017 . Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead towards digital Bangladesh . Dr.Mohd Ahsanul Haque Civil Surgeon Narayanganj

Dr.Md.Ahsanul Haque
Civil Surgeon
Narayanganj Civil Surgeon Office
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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EDITORIAL BOARD

Chief Editor

Dr.Mohd Ahsanul Haque, Civil Surgeon


Editors

1. Md.Golam Mortuza, Statistical Asstt.

Contributors

1. Dr.Probir Kumar Das, Medical Officer TB&Lep


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 Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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Basic Information
Name of District Narayanganj
Organization Code 10000426
Name of Civil SurgeonDr.Md.Ahsanul Haque
Land Phone No. 1 7642966
Land Phone No. 2 7642967
FAX No. 27646955
Mobile No. 01753516207
Email narayanganj@cs.dghs.gov.bd
GPS location of CS Office Lati: N/A And Long: N/A
No. of Upazila in the District5
No. of Households in the District 411409
Population in the District 3194101
Area of District in sq km 759
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 0 0
District Hospital 1 300
General Hospital 1 100
Upazila Health Complexes 4 162
Union Sub Centers 12 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 29 0
Rural Dispensaries 0 0
Community Clinics 135 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 10
Chest Disease (TB) Clinics/Hospitals 0 0
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 65 1190
NGO Clinics/Facilities 4 116
10 Bed Hospitals 0 0
20 Bed Hospitals 3 0
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 61,340



Neonatal Mortality Rate: 11.0 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 216,058
Fully Vaccinated Children (<= 12 months): 100 %
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 2450 16169 8047 15299 35182 482 34397 112026
At least 1 ANC 2450 16169 8047 15299 20168 482 34397 97012
ANCs (4+) 1809 3438 2582 4372 2314 117 8410 23042
Normal Delivery 497 1565 1182 4372 7172 123 23698 38609
Cesarean Section 603 62 0 1227 28010 34 0 29936
Other Assisted Delivery 0 0 0 0 267 15 0 282
PNC Within 2 days 1628 1830 1886 5942 18336 202 24517 54341
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 3 0 0 8 0 38 49
Total Deliveries 1100 1627 1182 5599 35449 172 23698 68827
Valid TT5 Coverage (%) 41
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 23516 31525 55,041 62401 117240 179,641 85917 148765 234682
Upazila Health Complex 62595 100368 162,963 60289 136366 196,655 122884 236734 359618
Union Sub-Centers 26066 53350 79,416 29847 47122 76,969 55913 100472 156385
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 115643 257510 373,153 244475 400193 644,668 360118 657703 1017821
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 1011 903 1,914 5311 19205 24,516 6322 20108 26430
NGO Clinics/Facilities 464 522 986 6254 5129 11,383 6718 5651 12369
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 Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 11445 13630 25,075 59320 60075 119,395 70765 73705 144470
Upazila Health Complex 4608 3442 8,050 7926 5819 13,745 12534 9261 21795
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 Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 1395 1646 3,041 3041 7075 10,116 4436 8721 13157
Upazila Health Complex 1349 1868 3,217 3279 3142 6,421 4628 5010 9638
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 Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 21 13 34 21 13 34
Upazila Health Complex 8 4 12 36 23 59 44 27 71
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 Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 1501
No. ICD-10 Code Disease name No. of Cases %
1 R509 R509 Fever, unspecified 660 44.0
2 J18 J18 Pneumonia, organism unspecified 360 24.0
3 A009 A009 Cholera, unspecified 264 17.6
4 A01 A01 Typhoid and paratyphoid fevers 144 9.6
5 P21 P21 Birth asphyxia 73 4.9

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 13244
No. ICD-10 Code Disease name No. of Cases %
1 Y00 Y00 Assault by blunt object 4320 32.6
2 A009 A009 Cholera, unspecified 2376 17.9
3 X99 X99 Assault by sharp object 2327 17.6
4 J449 J449 Chronic obstructive pulmonary disease, unspecified 2160 16.3
5 O669 O669 Obstructed labour, unspecified 2061 15.6
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 29
No. ICD-10 Code Disease name No. of Cases %
1 P007 P007 Fetus and newborn affected by other medical procedures on mother, NEC 12 41.4
2 P21 P21 Birth asphyxia 8 27.6
3 J18 J18 Pneumonia, organism unspecified 4 13.8
4 W709 W709 Drowning and submersion following fall into natural water, unspecified place 4 13.8
5 V099 V099 Pedestrian injured in unspecified transport accident 1 3.4

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 34
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 15 44.1
2 O669 O669 Obstructed labour, unspecified 11 32.4
3 O85 O85 Puerperal sepsis 4 11.8
4 O15 O15 Eclampsia 3 8.8
5 O05 O05 Other abortion 1 2.9
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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) 133
No. ICD-10 Code Disease name No. of Cases %
1 I21 I21 Acute myocardial infarction 56 42.1
2 I64 I64 Stroke, not specified as haemorrhage or infarction 38 28.6
3 J449 J449 Chronic obstructive pulmonary disease, unspecified 18 13.5
4 V99 V99 Unspecified transport accident 16 12.0
5 C34 C34 Malignant neoplasm of bronchus and lung 5 3.8
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 Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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Surgeries done under the CS Office
Type No.
Major Surgeries 1311
Minor Surgeries 6158
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 2 1 1 2 0 0.0
Grade 5 20 15 5 20 0 0.0
Grade 6 15 12 3 15 0 0.0
Grade 7 17 15 2 17 0 0.0
Grade 8 62 21 41 62 0 0.0
Grade 9 24 9 13 22 2 8.3
Grade 10 101 59 39 98 3 3.0
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 60 53 6 59 1 1.7
Grade 12 1 0 1 1 0 0.0
Grade 13 35 20 13 33 2 5.7
Grade 14 26 16 1 17 9 34.6
Grade 15 53 30 12 42 11 20.8
Grade 16 211 89 73 162 49 23.2
Grade 17 25 13 12 25 0 0.0
Grade 18 8 0 5 5 3 37.5
Grade 19 7 2 5 7 0 0.0
Grade 20 69 25 15 40 29 42.0
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 3 2 1 3 0 0.0
Grade 8 3 2 1 3 0 0.0
Grade 9 2 1 0 1 1 50.0
Grade 10 3 3 0 3 0 0.0
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 4 4 0 4 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 6 5 1 6 0 0.0
Grade 14 1 1 0 1 0 0.0
Grade 15 2 2 0 2 0 0.0
Grade 16 0 0 0 0 0 0.0
Grade 17 3 3 0 3 0 0.0
Grade 18 1 1 0 1 0 0.0
Grade 19 3 3 0 3 0 0.0
Grade 20 1 1 0 1 0 0.0
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 1 3
Grade 5 15 5 20
Grade 6 12 3 15
Grade 7 17 3 20
Grade 8 23 42 65
Grade 9 10 13 23
Grade 10 62 39 101
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 57 6 63
Grade 12 0 1 1
Grade 13 25 14 39
Grade 14 17 1 18
Grade 15 32 12 44
Grade 16 89 73 162
Grade 17 16 12 28
Grade 18 1 5 6
Grade 19 5 5 10
Grade 20 26 15 41
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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

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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 4 0 4
Grade 12 0 0 0
Grade 13 5 1 6
Grade 14 1 0 1
Grade 15 2 0 2
Grade 16 0 0 0
Grade 17 3 0 3
Grade 18 1 0 1
Grade 19 3 0 3
Grade 20 1 0 1
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 39 39 52 51 33 33 6 6 14 2 0
Nurse 0 0 0 0 40 36 98 91 0 0 8 11 0
Medical Assistant 0 0 47 47 8 8 0 0 0 0 20 0 0
Medical Technologist 0 0 9 8 32 31 3 3 0 0 0 0 0
CHCP 151 148 0 0 0 0 0 0 0 0 14 0 0
HI 0 0 0 0 16 13 0 0 0 0 2 0 0
AHI 0 0 0 0 48 48 0 0 0 0 6 0 0
HA 0 0 0 0 238 177 0 0 0 0 15 0 5
Total 151 148 95 94 434 364 134 127 6 6 79 13 5
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 1 0 0 2
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 2 0 0 2
Air conditioner (window) 4 2 0 0 6
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 4 0 0 14
Laptop 3 0 0 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 10 4 0 5 19
Scanner 1 0 0 0 1
UPS 10 0 4 0 14
Fax 1 0 1 0 2
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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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 0 0 0 2
OHP 0 0 0 0 0
PA system 1 0 0 0 1
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 Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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Important information and necessary issues you want to raise
Important information and necessary issues for Narayanganj Civil Surgeon Office More then 31,94,101 people live in Narayanganj Distrect . Total Land area of Narayanganj District 759 sq km . Officially there are three 20 beded hospital and we have 12 Union Sub Center But in physically there are no structure of 20 beded hospital . We Have no large Conference room for monthly meeting and other program . So we face serious problem . Our Honorable prime minister Sheikh Hasina declared to make digital Banglaedsh, we are contributing to reach that go al ( digaital Bantgladesh) in Narayanganj District. We proposed for 100 Beded Genaral Hospital to be upgraded into 250 Beded Hospital. We also proposed for extention of Civil Surgeon office building and construction of quarter for 3rd and 4th class employee of General Hospital and Civil Surgeon office. It is very much needed to constructe One 20 Beded Hospital in Alirteck Union which is hard to reach area under sadar Upazila. The high authority should take necessary steps to solve these problems .Thanks for All. (Dr. Ashutush Das) Civil Surgeon Narayanganj.
Local Health Bulletin 2016 for Narayanganj Civil Surgeon Office, Narayanganj Sadar, Narayanganj

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