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

Preface

This is my great pleasure to publish HEALTH BULLETIN 2016 of District Narsingdi which contains all the health related information of 2015. It is published to disseminate the information of Health Service to other department and development partners of health . From the top to bottom of district wise Health personnel including field staff were engaged to make huge data available, analyze them and prepare reports . I hope all the information of this bulletin will be helpful for planning and bridging the gaps in the health services of this district . This is an important publication and we use it as our reference of health data . We use health bulletin to understand how much progress we made in the past year in the health sector . We also understand through this bulletin where we made little progress , where we need to pay more attention and where we could do better . The health bulletin 2016 will contribute to improving transparency about health issues of the country . The bulletin contains the status of MDG-4 & MDG-5 which will help to locate the MDG targets. The sanctioned and vacant posts are published in this bulletin so that we can take prompt necessary action. I express my sincere thanks to Professor Dr. Abul Kalam Azad, Additional Director General (Admin) and Line director MIS for providing his moral support, Positive attitude towards development of this health bulletin . This is my responsibility to thank all the team member of MIS for their continuous effort and creation.

Dr. Putul Roy
Civil Surgeon
Narsingdi Civil Surgeon Office
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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EDITORIAL BOARD

Chief Editor

Dr. Putul Roy, Civil Surgeon


Special Acknowledgement

1. Muhammad Nazrul Islam, Bir Protik, Hon'ble State Minister, Ministry of Water Resources, Govt. of the People's Republic of Bangladesh

Editors

1. Dr Md. Abu Kawser Suman, MO (Leprosy) and District ICT Focal point

2. Abdul Matin, Statistical Assistant

Contributors

1. Dr. Munni Das, MO (CS)

2. Dr. Md, Nasim Al- Islam, MO(DC)

3. Abdur Rahim Mollah, Head Assistant

4. Md. Abul Kalam Sarwar, Steno Typist Cum Computer Operator

5. Md. Monsurn Ahmed, Accountant

6. Md. Shohidul Islam , Dist. EPI Superintendent


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 Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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Basic Information
Name of District Narsingdi
Organization Code 10000451
Name of Civil SurgeonDr. Putul Roy
Land Phone No. 1 9463181
Land Phone No. 2 9463100
FAX No. N/A
Mobile No. 01797000888
Email norshingdi@cs.dghs.gov.bd
GPS location of CS Office Lati: 23.5557 And Long: 90.4246
No. of Upazila in the District6
No. of Households in the District 439385
Population in the District 2397550
Area of District in sq km 1112
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 0 0
District Hospital 2 200
General Hospital 0 0
Upazila Health Complexes 5 174
Union Sub Centers 18 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 54 0
Rural Dispensaries 0 0
Community Clinics 201 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 10
Chest Disease (TB) Clinics/Hospitals 0 0
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 42 450
NGO Clinics/Facilities 1 10
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 56,357



Neonatal Mortality Rate: 12.7 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 243,927
Fully Vaccinated Children (<= 12 months): 98 %
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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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 Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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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 4932 4891 8679 983 9400 2537 30407 61829
At least 1 ANC 4932 4891 8679 983 9334 2537 30407 61763
ANCs (4+) 2646 2249 5794 2065 6116 1357 10393 30620
Normal Delivery 1175 2742 8375 316 1769 824 30582 45783
Cesarean Section 415 341 0 667 8755 533 0 10711
Other Assisted Delivery 20 32 0 0 88 0 0 140
PNC Within 2 days 1742 3381 8375 1881 11244 1367 28344 56334
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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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 2 1 0 0 0 0 37 40
Total Deliveries 1610 3115 8375 983 10612 1357 30582 56634
Valid TT5 Coverage (%) 45
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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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 34966 35023 69,989 94512 113721 208,233 129478 148744 278222
Upazila Health Complex 19393 20685 40,078 58680 114820 173,500 78073 135505 213578
Union Sub-Centers 25672 25365 51,037 50490 147418 197,908 76162 172783 248945
Union Health & Family Welfare Centers (under DGHS) 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (belong to DGFP) 42434 56333 98,767 41835 223339 265,174 84269 279672 363941
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 119966 163692 283,658 364461 1097227 1,461,688 484427 1260919 1745346
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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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) 150 6530 6,680 180 6315 6,495 330 12845 13175
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 16815 18425 35,240 95837 280619 376,456 112652 299044 411696
NGO Clinics/Facilities 3547 3646 7,193 3204 31144 34,348 6751 34790 41541
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 Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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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 7891 8720 16,611 31138 31885 63,023 39029 40605 79634
Upazila Health Complex 1841 1545 3,386 11421 10714 22,135 13262 12259 25521
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 Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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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 2457 1965 4,422 6044 7259 13,303 8501 9224 17725
Upazila Health Complex 723 614 1,337 4139 7203 11,342 4862 7817 12679
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 Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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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 102 107 209 122 102 224 224 209 433
Upazila Health Complex 0 1 1 7 4 11 7 5 12
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 Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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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 5577
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1616 29.0
2 J189 J189 Pneumonia, unspecified 1579 28.3
3 B978 B978 Other viral agents as the cause of diseases classified to other chapters 230 4.1
4 T982 T982 Sequelae of certain early complications of trauma 60 1.1
5 N390 N390 Urinary tract infection, site not specified 55 1.0

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 16204
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2346 14.5
2 T149 T149 Injury, unspecified 2200 13.6
3 J459 J459 Asthma, unspecified 619 3.8
4 J449 J449 Chronic obstructive pulmonary disease, unspecified 456 2.8
5 I119 I119 Hypertensive heart disease without (congestive) heart failure 438 2.7
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 210
No. ICD-10 Code Disease name No. of Cases %
1 P210 P210 Severe birth asphyxia 60 28.6
2 P072 P072 Extreme immaturity 22 10.5
3 A419 A419 Septicaemia, unspecified 16 7.6
4 J189 J189 Pneumonia, unspecified 9 4.3
5 Q249 Q249 Congenital malformation of heart, unspecified 5 2.4

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 3
No. ICD-10 Code Disease name No. of Cases %
1 O751 O751 Shock during or following labour and delivery 1 33.3
2 O083 O083 Shock following abortion and ectopic and molar pregnancy 1 33.3
3 O15 O15 Eclampsia 1 33.3
4 0.0
5 0.0
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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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) 230
No. ICD-10 Code Disease name No. of Cases %
1 I64 I64 Stroke, not specified as haemorrhage or infarction 20 8.7
2 I219 I219 Acute myocardial infarction, unspecified 12 5.2
3 J440 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection 8 3.5
4 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 6 2.6
5 J64 J64 Unspecified pneumoconiosis 6 2.6
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 85.0
Coverage of households having access to sanitary latrines (%) 92.0
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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Surgeries done under the CS Office
Type No.
Major Surgeries 8826
Minor Surgeries 4425
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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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 5 3 2 5 0 0.0
Grade 6 40 28 9 37 3 7.5
Grade 7 1 1 0 1 0 0.0
Grade 8 50 34 19 53 -3 -6.0
Grade 9 86 50 34 84 2 2.3
Grade 10 61 6 49 55 6 9.8
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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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 11 152 118 27 145 7 4.6
Grade 12 0 0 0 0 0 0.0
Grade 13 7 6 1 7 0 0.0
Grade 14 193 83 103 186 7 3.6
Grade 15 50 20 23 43 7 14.0
Grade 16 375 195 163 358 17 4.5
Grade 17 5 3 0 3 2 40.0
Grade 18 0 0 0 0 0 0.0
Grade 19 6 4 1 5 1 16.7
Grade 20 178 95 47 142 36 20.2
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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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 0 1 1 0 0.0
Grade 6 0 0 0 0 0 0.0
Grade 7 1 1 0 1 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 6 4 1 5 1 16.7
Grade 10 5 4 1 5 0 0.0
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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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 1 1 0 1 0 0.0
Grade 14 8 7 0 7 1 12.5
Grade 15 1 1 0 1 0 0.0
Grade 16 4 4 0 4 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 3 3 0 3 0 0.0
Grade 20 6 5 1 6 0 0.0
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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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 4 1 5
Grade 5 9 3 12
Grade 6 19 4 23
Grade 7 43 13 56
Grade 8 24 40 64
Grade 9 31 27 58
Grade 10 15 85 100
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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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 66 18 84
Grade 12 16 3 19
Grade 13 53 29 82
Grade 14 82 89 171
Grade 15 23 23 46
Grade 16 85 84 169
Grade 17 34 21 55
Grade 18 7 0 7
Grade 19 2 1 3
Grade 20 49 20 69
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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

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

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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 47 46 64 64 30 30 22 21 12 4 0
Nurse 0 0 0 0 59 54 86 84 0 0 22 21 10
Medical Assistant 0 0 44 42 10 10 0 0 22 21 21 0 0
Medical Technologist 0 0 13 11 38 38 8 8 0 0 0 0 0
CHCP 229 203 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 20 20 0 0 0 0 0 0 0
AHI 0 0 0 0 60 52 0 0 0 0 0 0 10
HA 0 0 0 0 298 282 0 0 0 0 0 0 15
Total 229 203 104 99 549 520 124 122 44 42 55 25 35
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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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 2 0 3
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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

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

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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 2 1 0 12
Laptop 2 0 1 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 1 0 1
Printer (laser) 7 0 1 0 8
Scanner 2 0 0 0 2
UPS 9 0 1 0 10
Fax 0 0 2 0 2
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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

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Important information and necessary issues you want to raise
In the year 2015 we could not give maximum effort to improve the health status due to many reasons. I like to mention some important factors which will help us to bring good result in future. (1) the vacant post should be filled up immediately. (2) IMCI Training is necessary for Physicians, Nurses and SACMOs. (3) All the reparable equipments should be repaired as soon as possible. So,we are very glad to write this Health Bulletin of 2016. Because these documents will help us to compare our progress in coming years. It will also be helpful for people to understand health services and to provide us the useful advice for the improvement in future activities of our community.
Local Health Bulletin 2016 for Narsingdi Civil Surgeon Office, Narsingdi Sadar, Narsingdi

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