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Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

Netrokona was originally a Subdivision of Previous Mymensingh district. It is situated at the Northeast corner of the Bangladesh in the downhill of the Garo hill. It has an area of 2841.39 sq. kilometers with Population about 22,53,853. It has 10 Upazilas, 05 Pourashavas , 86 Unions, 258 Wards, & 4,49,322 Households. It has one district hospital (100 beds), 9 UHCs (7 UHCs 50 bedded 2 UHCs 31 bedded ,total 412 beds), one MCWC (20 beds), one NGO TB hospital (60 beds), 10 Private hospitals (103 beds), 21 USC, 6 UH&FWC (belongs to DGHS) 57 UH&FWC, (belongs to DGFP) 1 NTC (150 students in three batches) & 219 Community Clinics. There are two renowned areas which are one Hajrat Shah Sultan Komoruddin Roomi(R) Rawza Sharif at Madanpur under Netrakona Sadar Upazila & another one is tribal Cultural Academy at Birishiri under Durgapur where national & international persons visit regularly. The district presents a wonderful hills of white sandy clay at Bijoypur in Durgapur Upazila. It is a low-lying, non-Industrialized, economically less solvent, less educated agriculture based district. I am very glad to publish the health bulletin 2016 of this district. This bulletin contains all instructed health related information of the year 1015. This bulletin is published to disseminate the health information of Netrokona district through MOHFW worldwide to see the current health status of this district.

Dr. Bijan Kanti Sarker
Civil Surgeon
Netrokona Civil Surgeon Office
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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EDITORIAL BOARD

Chief Editor

Dr. Bijan Kanti Sarker, Civil Surgeon


Special Acknowledgement

1. Rezaul Murshed Khan Pathan, District Sanitary Inspector

2. Md. Humayun Kobir , Head Assistant

3. Md. Mosiur Rahman Talukder, Store keeper

4. Krishna Dey, Office Assistant

5. Mahabub Murshed, Steno

6. Hirandra Kumer Sarker,

Editors

1. Nilothpol Talukder, Deputy Civil Surgeon

2. Gopal Krisno Sarker, Statistical Asstt..

3. Kamrul Hasan Khan, Assistant Health Inspector

Contributors

1. Mojibur Rahman, Dist. EPI Superintendent

2. Rokya Akter, Public Haelth Nurse

3. A.T.M. Wazadur Rahaman, District Health Superintendent

4. Md. Abdul Haque, Sanitary Inspector

5. Hirandra Kumar Sarker, Accountant


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 Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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Basic Information
Name of District Netrakona
Organization Code 10000495
Name of Civil SurgeonDr. Bijan Kanti Sarker
Land Phone No. 1 9516179
Land Phone No. 2 N/A
FAX No. 95161379
Mobile No. 01712135270
Email netrokona@cs.dghs.gov.bd
GPS location of CS Office Lati: 24.5215 And Long: 90.4400
No. of Upazila in the District10
No. of Households in the District 449322
Population in the District 2253853
Area of District in sq km 2841
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 0 0
District Hospital 1 100
General Hospital 0 0
Upazila Health Complexes 9 412
Union Sub Centers 21 0
Union Health & Family Welfare Centers (under DGHS) 6 0
Union Health & Family Welfare Centers (under DGFP) 57 0
Rural Dispensaries 0 0
Community Clinics 219 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 20
Chest Disease (TB) Clinics/Hospitals 1 60
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 10 103
NGO Clinics/Facilities 3 33
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 61,589



Neonatal Mortality Rate: 17.8 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 118,780
Fully Vaccinated Children (<= 12 months): 97 %
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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 Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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 2789 7457 13018 5611 0 6313 48005 83193
At least 1 ANC 2789 7457 13018 5611 0 6313 48005 83193
ANCs (4+) 451 2758 6554 5388 0 0 18745 33896
Normal Delivery 2068 2144 645 264 276 458 51106 56961
Cesarean Section 891 0 0 551 1729 39 0 3210
Other Assisted Delivery 61 3 0 8 31 1 0 104
PNC Within 2 days 3327 2517 3208 853 1922 732 25868 38427
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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 4 4 0 0 0 96 104
Total Deliveries 3020 2147 645 823 2036 498 51106 60275
Valid TT5 Coverage (%) 62
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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 8016 9444 17,460 28355 29461 57,816 36371 38905 75276
Upazila Health Complex 31541 32068 63,609 129265 175764 305,029 160806 207832 368638
Union Sub-Centers 10331 10890 21,221 43080 76774 119,854 53411 87664 141075
Union Health & Family Welfare Centers (under DGHS) 11967 13081 25,048 53406 73234 126,640 65373 86315 151688
Union Health & Family Welfare Centers (belong to DGFP) 15375 23264 38,639 44277 183884 228,161 59652 207148 266800
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 81179 85290 166,469 464483 956104 1,420,587 545662 1041394 1587056
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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) 4365 4113 8,478 90 6516 6,606 4455 10629 15084
Chest Disease (TB) Clinics/Hospitals 68 63 131 14001 8283 22,284 14069 8346 22415
Private Clinics/Facilities 280 200 480 360 600 960 640 800 1440
NGO Clinics/Facilities 28689 54163 82,852 8240 9033 17,273 36929 63196 100125
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 Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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 4055 3128 7,183 28845 27030 55,875 32900 30158 63058
Upazila Health Complex 6202 4896 11,098 29236 25889 55,125 35438 30785 66223
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 Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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 2790 1583 4,373 8184 15450 23,634 10974 17033 28007
Upazila Health Complex 3769 3373 7,142 14983 19131 34,114 18752 22504 41256
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 1 1 237 98 335 237 99 336
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 Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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 56 41 97 75 55 130 131 96 227
Upazila Health Complex 42 37 79 159 100 259 201 137 338
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 18 10 28 18 10 28
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 Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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 10620
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3204 30.2
2 J18 J18 Pneumonia, organism unspecified 1030 9.7
3 J189 J189 Pneumonia, unspecified 958 9.0
4 A419 A419 Septicaemia, unspecified 452 4.3
5 J06 J06 Acute upper respiratory infections of multiple and unspecified sites 356 3.4

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 70239
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3718 5.3
2 K279 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 2546 3.6
3 T002 T002 Superficial injuries involving multiple regions of upper limb(s) 1807 2.6
4 Y009 Y009 Assault by blunt object, unspecified place 1452 2.1
5 K27 K27 Peptic ulcer, site unspecified 1430 2.0
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 293
No. ICD-10 Code Disease name No. of Cases %
1 P219 P219 Birth asphyxia, unspecified 47 16.0
2 J189 J189 Pneumonia, unspecified 41 14.0
3 P21 P21 Birth asphyxia 21 7.2
4 P369 P369 Bacterial sepsis of newborn, unspecified 18 6.1
5 P210 P210 Severe birth asphyxia 17 5.8

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 O720 O720 Third-stage haemorrhage 2 50.0
2 O72 O72 Postpartum haemorrhage 1 25.0
3 O15 O15 Eclampsia 1 25.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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) 245
No. ICD-10 Code Disease name No. of Cases %
1 I68 I68 Cerebrovascular disorders in diseases classified elsewhere 33 13.5
2 I64 I64 Stroke, not specified as haemorrhage or infarction 24 9.8
3 J449 J449 Chronic obstructive pulmonary disease, unspecified 20 8.2
4 J459 J459 Asthma, unspecified 19 7.8
5 I219 I219 Acute myocardial infarction, unspecified 18 7.3
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 91.0
Coverage of households having access to sanitary latrines (%) 71.0
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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Surgeries done under the CS Office
Type No.
Major Surgeries 891
Minor Surgeries 57026
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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 3 2 0 2 1 33.3
Grade 6 78 24 7 31 47 60.3
Grade 7 5 3 0 3 2 40.0
Grade 8 112 55 25 80 32 28.6
Grade 9 58 27 9 36 22 37.9
Grade 10 173 9 113 122 51 29.5
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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 11 239 119 26 145 94 39.3
Grade 12 0 0 0 0 0 0.0
Grade 13 11 2 2 4 7 63.6
Grade 14 353 187 133 320 33 9.3
Grade 15 94 44 23 67 27 28.7
Grade 16 372 162 155 317 55 14.8
Grade 17 1 1 0 1 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 15 12 1 13 2 13.3
Grade 20 291 92 39 131 160 55.0
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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 1 1 0 1 0 0.0
Grade 7 1 0 0 0 1 100.0
Grade 8 1 0 0 0 1 100.0
Grade 9 3 0 1 1 2 66.7
Grade 10 4 2 0 2 2 50.0
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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 3 2 1 3 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 6 6 0 6 0 0.0
Grade 15 5 3 1 4 1 20.0
Grade 16 5 0 4 4 1 20.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 3 2 0 2 1 33.3
Grade 20 7 5 1 6 1 14.3
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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 8 0 8
Grade 6 15 7 22
Grade 7 21 5 26
Grade 8 63 39 102
Grade 9 29 17 46
Grade 10 14 74 88
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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 72 22 94
Grade 12 14 1 15
Grade 13 127 156 283
Grade 14 159 118 277
Grade 15 30 16 46
Grade 16 83 45 128
Grade 17 41 14 55
Grade 18 1 0 1
Grade 19 48 8 56
Grade 20 17 5 22
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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

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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 2 0 2
Grade 13 3 4 7
Grade 14 0 1 1
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 5 1 6
Grade 18 0 0 0
Grade 19 2 1 3
Grade 20 0 0 0
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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 84 56 144 76 22 16 3 2 12 5 0
Nurse 0 0 0 0 126 78 40 32 0 0 15 8 0
Medical Assistant 0 0 84 0 18 14 0 0 0 0 48 0 0
Medical Technologist 0 0 27 7 85 53 6 6 3 0 0 0 0
CHCP 257 242 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 27 27 0 0 0 0 0 0 0
AHI 0 0 0 0 81 70 0 0 0 0 0 0 0
HA 0 0 0 0 396 345 0 0 0 0 0 0 86
Total 257 242 195 63 877 663 68 54 6 2 75 13 86
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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 Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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) 3 2 0 0 5
Air conditioner (window) 0 0 0 0 0
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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 0 0 0 0
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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) 12 0 2 0 14
Laptop 2 1 1 0 4
Printer (dot matrix) 0 0 2 0 2
Printer (inkjet) 0 0 0 0 0
Printer (laser) 8 0 3 0 11
Scanner 2 0 0 0 2
UPS 4 0 3 0 7
Fax 0 1 1 0 2
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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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) 2 0 0 0 2
Multimedia 1 1 0 0 2
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 1 0 0 2
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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Important information and necessary issues you want to raise
Local Health Bulletin is a new concept in health sector towards digital Bangladesh vision 2021. We appreciate and express a lot of thanks for taking initiatives in this regard for gathering knowledge and taking decision about health related problems from existing health facilities. GOB &.NON-GOB (WHO, UNICEF, GAVIHSS, PHD, , PARI DEVELOPMENT TRUST, Damien Foundation, BRAC etc.) are working together to perform in MDG-4, 5 & 6 to meet the targets. It will help in reducing gaps between Planning and execution of facilities and weaknesses could be properly identified and steps towards correction should be easier. Here I like to mention some important issues which will help us to achieve good results in future. (1) The vacant posts of H.R as many MO/assistant surgeons, consultants, nurses, pharmacists, SACMOs, 3rd class and 4th class staffs are vacant for a long time should be filled immediately. (2) Doctors, nurses and paramedics need more training (3) Previous 50 bedded infrastructure (under construction) will be upgraded to 100 bedded Adhunik Sadar Hospital by July 2016. But BOR (Bed Occupancy Rate) is 171.5 %. So the need of raising 100 bedded Adhunik Sadar Hospital to 250 bedded structure is a demand of time. IHT (Institute of health technology) will help to create paramedical technical staff & meet the unemployment of the mid level educated people. Out of total ambulances (10) in this district, 05 are out of order and the rest (05) are maintainable. In one hard to reach Upazila Khaliajuri health complex has no vehicle to carry emergency patients. Where one boat ambulance & speed boat are urgently needed as no other route is available (4) numbers of community clinics and the bed capacity of the Upazila health complex should be increased. (5) All the repairable equipment`s should be repaired as soon as possible. I think a govt. medical college hospital and IHT should be established as soon as possible & that is the demand of the time as well as demand of the pe
Local Health Bulletin 2016 for Netrokona Civil Surgeon Office, Netrokona Sadar, Netrakona

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