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

Preface

It is my great pleasure to publish this HEALTH BULLETIN-2016 of Civil Surgeon Office, Rajbari. This bulletin contains all the health related information of Rajbari District in the year 2015. At a glance, the bulletin contains the organization of the district, existing health facilities in this district, number of patients received treatment in emergency, outdoor & indoor department of different health facilities of the district. It also contains top 5 diseases according to the number of patients admitted in the hospitals in the year, water & sanitation status of the district and data on child and maternal health. Mortality and morbidity profile of the district and list of surgeries and interventions done in hospitals are also included in this bulletin. Existing important equipment, pay scale wise manpower data with sanctioned and vacant post are also published in this bulletin which may draw the attention of higher authority to take necessary action as well as the local officials & elites to realize the working situation in the hospitals of the district. I would like to thank the personnel who helped me to publish this bulletin with the data and effort. I would like to convey my heartiest thanks to the MIS department of DGHS for introducing this health bulletin, which will set us one step ahead towards achieving sustainable development goal in the health sector.

Dr. Md. Mahbubul Hoque
Civil Surgeon
Rajbari Civil Surgeon Office
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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EDITORIAL BOARD

Chief Editor

Dr. Md. Mahbubul Hoque, Civil Surgeon


Special Acknowledgement

1. Dr. Md. Rahim Baksh, UH&FPO, Sadar, Rajbari

2. Dr. Salma Siddiqua, UH&FPO, Goalunda, Rajbari

3. Dr. Sufia Yesmin, UH&FPO, Baliakandi, Rajbari

4. Dr. Dipak Kumar Biswas, UH&FPO, Kalukhali, Rajbari

5. Dr. Md. Ziaul Hossain, UH&FPO, Pangsha, Rajbari

6. Dr. S.M.A Hannan, RMO, Sadar Hospital, Rajbari

Editors

1. Dr. Asif Mahmud, Medical Officer

2. Sonjoy Kumar Sarker, 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 Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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Basic Information
Name of District Rajbari
Organization Code 10000535
Name of Civil SurgeonDr. Md. Mahbubul Hoque
Land Phone No. 1 64165572
Land Phone No. 2 N/A
FAX No. N/A
Mobile No. 01769957132
Email rajbari@cs.dghs.gov.bd
GPS location of CS Office Lati: 23.7490 And Long: 89.6460
No. of Upazila in the District5
No. of Households in the District 238153
Population in the District 1170939
Area of District in sq km 1236
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 3 131
Union Sub Centers 24 0
Union Health & Family Welfare Centers (under DGHS) 4 0
Union Health & Family Welfare Centers (under DGFP) 19 0
Rural Dispensaries 0 0
Community Clinics 133 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 20
Chest Disease (TB) Clinics/Hospitals 0 0
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 16 160
NGO Clinics/Facilities 2 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 25,605



Neonatal Mortality Rate: 19.2 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 134,239
Fully Vaccinated Children (<= 12 months): 96 %
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 3458 1087 0 0 0 0 22993 27538
At least 1 ANC 3458 1087 0 0 0 0 22993 27538
ANCs (4+) 1214 546 2470 0 821 267 5567 10885
Normal Delivery 815 599 0 0 1140 388 19167 22109
Cesarean Section 397 12 0 0 3420 147 0 3976
Other Assisted Delivery 0 0 0 0 0 0 0 0
PNC Within 2 days 1207 612 1803 0 4560 535 7666 16383
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 0 0 0 0 0 28 30
Total Deliveries 1212 611 0 0 4560 535 19167 26085
Valid TT5 Coverage (%) 27
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 4453 5431 9,884 57824 74107 131,931 62277 79538 141815
Upazila Health Complex 11341 12441 23,782 40099 59855 99,954 51440 72296 123736
Union Sub-Centers 11416 12652 24,068 79491 119048 198,539 90907 131700 222607
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 45578 53440 99,018 247647 513953 761,600 293225 567393 860618
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 0 0 0 0 0 0 0 0 0
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 Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 812 882 1,694 6986 5957 12,943 7798 6839 14637
Upazila Health Complex 837 572 1,409 5230 4173 9,403 6067 4745 10812
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 Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 1239 1263 2,502 7271 10056 17,327 8510 11319 19829
Upazila Health Complex 1760 1032 2,792 6750 8448 15,198 8510 9480 17990
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 Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 9 11 20 73 54 127 82 65 147
Upazila Health Complex 7 7 14 23 20 43 30 27 57
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 Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 5294
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 1111 21.0
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1085 20.5
3 R50 R50 Fever of unknown origin 155 2.9
4 A01 A01 Typhoid and paratyphoid fevers 44 0.8
5 J219 J219 Acute bronchiolitis, unspecified 38 0.7

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 24476
No. ICD-10 Code Disease name No. of Cases %
1 R10 R10 Abdominal and pelvic pain 2984 12.2
2 I25 I25 Chronic ischaemic heart disease 2090 8.5
3 Y09 Y09 Assault by unspecified means 2037 8.3
4 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1967 8.0
5 J45 J45 Asthma 779 3.2
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 36
No. ICD-10 Code Disease name No. of Cases %
1 P21 P21 Birth asphyxia 12 33.3
2 J110 J110 Influenza with pneumonia, virus not identified 8 22.2
3 P369 P369 Bacterial sepsis of newborn, unspecified 5 13.9
4 P070 P070 Extremely low birth weight 3 8.3
5 A419 A419 Septicaemia, unspecified 2 5.6

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 2
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 2 100.0
2 0.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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) 159
No. ICD-10 Code Disease name No. of Cases %
1 I259 I259 Chronic ischaemic heart disease, unspecified 58 36.5
2 I679 I679 Cerebrovascular disease, unspecified 31 19.5
3 J96 J96 Respiratory failure, NEC 18 11.3
4 V09 V09 Pedestrian injured in other and unspecified transport accidents 12 7.5
5 C80 C80 Malignant neoplasm without specification of site 9 5.7
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 97.0
Coverage of households having access to sanitary latrines (%) 94.0
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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Surgeries done under the CS Office
Type No.
Major Surgeries 862
Minor Surgeries 2328
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 5 0 5 0 0.0
Grade 6 41 11 8 19 22 53.7
Grade 7 2 0 1 1 1 50.0
Grade 8 0 0 0 0 0 0.0
Grade 9 86 48 19 67 19 22.1
Grade 10 87 7 79 86 1 1.1
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 11 115 76 20 96 19 16.5
Grade 12 1 0 1 1 0 0.0
Grade 13 3 2 0 2 1 33.3
Grade 14 42 22 3 25 17 40.5
Grade 15 49 25 12 37 12 24.5
Grade 16 200 121 61 182 18 9.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 9 6 2 8 1 11.1
Grade 20 112 48 37 85 27 24.1
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 1 1 0 1 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 4 1 1 2 2 50.0
Grade 10 4 3 1 4 0 0.0
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 1 1 0 1 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 6 5 0 5 1 16.7
Grade 15 2 2 0 2 0 0.0
Grade 16 2 2 0 2 0 0.0
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 4 2 2 4 0 0.0
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 0 2
Grade 5 8 4 12
Grade 6 2 2 4
Grade 7 24 8 32
Grade 8 50 38 88
Grade 9 8 11 19
Grade 10 8 42 50
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 50 12 62
Grade 12 7 0 7
Grade 13 38 36 74
Grade 14 10 5 15
Grade 15 25 8 33
Grade 16 91 35 126
Grade 17 19 26 45
Grade 18 12 0 12
Grade 19 10 4 14
Grade 20 16 10 26
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 7 0 7
Grade 8 3 1 4
Grade 9 0 0 0
Grade 10 1 1 2
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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

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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 43 38 55 47 19 10 0 0 4 4 0
Nurse 0 0 0 0 49 47 35 35 0 0 10 3 0
Medical Assistant 0 0 43 43 7 7 0 0 0 0 21 0 0
Medical Technologist 0 0 0 0 36 27 3 3 0 0 0 0 0
CHCP 134 134 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 12 4 0 0 0 0 0 0 0
AHI 0 0 0 0 36 28 0 0 0 0 0 0 0
HA 0 0 0 0 163 150 0 0 0 0 0 0 0
Total 134 134 86 81 358 310 57 48 0 0 35 7 0
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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 Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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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) 4 2 0 3 9
Laptop 2 1 0 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 2 0 0 6
Scanner 1 0 1 0 2
UPS 4 2 1 0 7
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 Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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

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Important information and necessary issues you want to raise
We tried to our best to provide a good health service.To offer better health services we have to overcome some constrain :- 1) All the vacant posts should be filled up. 2) Strengthening of IMCI services by proper training of IMCI related health providers. 3) For better maternal health services both FWA & HA should work jointly. This Health Bulletin-2015 may help us to plan for the next year. From this document the people of the District will came to know the present health status of the District and they can give us useful advice for further improvement of their health status. Wish co-operation from peoples of all levels for approaching to achieve SDG by reducing maternal, neonatal & under 5 death.
Local Health Bulletin 2016 for Rajbari Civil Surgeon Office, Rajbari Sadar, Rajbari

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