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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 health bulletin has been started to publish since 2012 and from then it is increasing its caliber & dimension progressively. It is a great pleasure for me to publish "Health Bulletin 2016" of Civil Surgeon Office Shariatpur. I would like to pay my best regards to MIS of DGHS for initiating this prestigious program. This is our 5th bulletin which displays different data of some important health services delivered by health institutions/hospitals of Shariatpur. This bulletin will reflect the health status of government & non-government hospitals at Shariatpur. We hope it will be precious & informative and will help in the creating the digital Bangladesh. We are also thankful to our concerned doctors and staff who were associated with the publication of this Health Bulletin 2016.

Dr.Md. Mashiur Rahman
Civil Surgeon
Shariatpur Civil Surgeon Office
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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EDITORIAL BOARD

Chief Editor

Dr.Md.Mashiur Rahman, Civil Surgeon


Editors

1. Md.Salauddin Howlader, Statistician

2. Sanjay Gosh, Statistical Asstt.


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 Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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Basic Information
Name of District Shariatpur
Organization Code 10000558
Name of Civil SurgeonDr.Md. Mashiur Rahman
Land Phone No. 1 60161560
Land Phone No. 2 N/A
FAX No. 60161588
Mobile No. 01712297025
Email shariatpur@cs.dghs.gov.bd
GPS location of CS Office Lati: 23.2119 And Long: 90.3475
No. of Upazila in the District06
No. of Households in the District 19700
Population in the District 1233008
Area of District in sq km 1272
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 5 155
Union Sub Centers 18 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 34 0
Rural Dispensaries 0 0
Community Clinics 115 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 0 0
Chest Disease (TB) Clinics/Hospitals 0 0
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 20 200
NGO Clinics/Facilities 0 0
10 Bed Hospitals 0 0
20 Bed Hospitals 1 20
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 24,856



Neonatal Mortality Rate: 10.1 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 190,202
Fully Vaccinated Children (<= 12 months): 98 %
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 2927 6418 14811 12672 1603 0 16161 54592
At least 1 ANC 2927 6418 14811 12672 1603 0 16161 54592
ANCs (4+) 115 2524 2020 3011 740 0 3239 11649
Normal Delivery 617 2039 0 3521 1151 0 11916 19244
Cesarean Section 963 0 0 0 4477 0 0 5440
Other Assisted Delivery 0 0 0 0 11 0 0 11
PNC Within 2 days 1700 3435 124 2557 4899 0 4832 17547
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 3 0 0 7 0 20 32
Total Deliveries 1580 2039 0 3521 5639 0 11916 24695
Valid TT5 Coverage (%) 53
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 28650 20880 49,530 30620 44388 75,008 59270 65268 124538
Upazila Health Complex 24633 32766 57,399 88718 140405 229,123 113351 173171 286522
Union Sub-Centers 12944 15392 28,336 43580 81991 125,571 56524 97383 153907
Union Health & Family Welfare Centers (under DGHS) 4261 4311 8,572 7496 17125 24,621 11757 21436 33193
Union Health & Family Welfare Centers (belong to DGFP) 22867 26815 49,682 13465 48621 62,086 36332 75436 111768
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 37681 41444 79,125 136246 305273 441,519 173927 346717 520644
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 2798 2549 5,347 2350 5187 7,537 5148 7736 12884
NGO Clinics/Facilities 1068 1309 2,377 984 2282 3,266 2052 3591 5643
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 1289 1452 2,741 2854 3159 6,013 4143 4611 8754
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 Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 2560 3403 5,963 14200 24329 38,529 16760 27732 44492
Upazila Health Complex 4747 4909 9,656 11586 11601 23,187 16333 16510 32843
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 Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 2560 3403 5,963 13200 23329 36,529 15760 26732 42492
Upazila Health Complex 2913 3484 6,397 6769 10249 17,018 9682 13733 23415
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 Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 22 23 45 86 71 157 108 94 202
Upazila Health Complex 24 19 43 50 34 84 74 53 127
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 Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 12380
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1921 15.5
2 P21 P21 Birth asphyxia 1366 11.0
3 J18 J18 Pneumonia, organism unspecified 1364 11.0
4 A41 A41 Other septicaemia 618 5.0
5 B34 B34 Viral infection of unspecified site 413 3.3

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 53547
No. ICD-10 Code Disease name No. of Cases %
1 T94 T94 Sequelae of injuries involving multiple and unspecified body regions 5534 10.3
2 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 4066 7.6
3 I64 I64 Stroke, not specified as haemorrhage or infarction 3393 6.3
4 V021 V021 Pedestrian injured in collision with two- or three-wheeled motor vehicle, traffic accident 2819 5.3
5 J45 J45 Asthma 2165 4.0
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 83
No. ICD-10 Code Disease name No. of Cases %
1 P21 P21 Birth asphyxia 51 61.4
2 J18 J18 Pneumonia, organism unspecified 31 37.3
3 0.0
4 0.0
5 0.0

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 24
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 10 41.7
2 O66 O66 Other obstructed labour 9 37.5
3 O15 O15 Eclampsia 4 16.7
4 O44 O44 Placenta praevia 1 4.2
5 0.0
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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) 236
No. ICD-10 Code Disease name No. of Cases %
1 X68 X68 Intentional self-poisoning by and exposure to pesticides 39 16.5
2 I64 I64 Stroke, not specified as haemorrhage or infarction 33 14.0
3 I509 I509 Heart failure, unspecified 23 9.7
4 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 23 9.7
5 I219 I219 Acute myocardial infarction, unspecified 7 3.0
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 100.0
Coverage of households having access to sanitary latrines (%) 98.0
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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Surgeries done under the CS Office
Type No.
Major Surgeries 2607
Minor Surgeries 6055
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 27 5 4 9 18 66.7
Grade 7 1 0 0 0 1 100.0
Grade 8 17 3 5 8 9 52.9
Grade 9 19 6 4 10 9 47.4
Grade 10 75 6 48 54 21 28.0
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 49 32 2 34 15 30.6
Grade 12 4 4 0 4 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 34 18 9 27 7 20.6
Grade 15 44 29 13 42 2 4.5
Grade 16 299 176 97 273 26 8.7
Grade 17 1 1 0 1 0 0.0
Grade 18 19 9 5 14 5 26.3
Grade 19 0 0 0 0 0 0.0
Grade 20 83 41 30 71 12 14.5
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 0 0 0 1 100.0
Grade 8 0 0 0 0 0 0.0
Grade 9 4 2 1 3 1 25.0
Grade 10 4 3 1 4 0 0.0
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 0 0 0 1 100.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 7 5 1 6 1 14.3
Grade 15 0 0 0 0 0 0.0
Grade 16 4 1 2 3 1 25.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 2 2 0 2 0 0.0
Grade 20 6 6 0 6 0 0.0
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 5 2 7
Grade 6 4 3 7
Grade 7 9 2 11
Grade 8 8 14 22
Grade 9 14 6 20
Grade 10 8 39 47
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 16 1 17
Grade 12 4 0 4
Grade 13 76 26 102
Grade 14 6 3 9
Grade 15 20 20 40
Grade 16 129 71 200
Grade 17 18 12 30
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 44 26 70
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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

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

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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 65 39 51 29 19 10 0 0 8 2 0
Nurse 0 0 0 0 53 36 28 17 0 0 7 3 2
Medical Assistant 0 0 65 21 10 6 0 0 0 0 12 0 0
Medical Technologist 0 0 3 0 31 21 2 2 0 0 2 0 0
CHCP 134 125 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 18 12 0 0 0 0 0 0 0
AHI 0 0 0 0 55 55 0 0 0 0 0 0 0
HA 0 0 0 0 277 257 0 0 0 0 0 0 2
Total 134 125 133 60 495 416 49 29 0 0 29 5 4
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 4 0 9 0 13
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 Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 0 0 0 3
Air conditioner (window) 10 0 0 0 10
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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) 6 1 0 0 7
Generator (Gas) 0 0 0 0 0
Solar panel 1 0 0 0 1
IPS 1 0 0 0 1
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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) 89 0 15 0 104
Laptop 99 17 0 0 116
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 25 0 15 0 40
Scanner 6 0 0 0 6
UPS 25 0 0 0 25
Fax 1 0 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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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 7 0 0 0 7
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 10 0 0 0 10
Mobile phone 7 0 0 0 7
Photocopier machine 0 1 0 0 1
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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Important information and necessary issues you want to raise
It is a great pleasure to me for getting such an opportunity to present the Health Bulletin of Shariatpur District through which health status & its relevant data of this District focused in public. I have to mention the various limitations such as lack of manpower, logistic support & infrastructure facilities which are the barriers for proper health cares. In order to overcome these barriers, all these lacking should be addressed & taken in action immediately. It is to be mentioned that ``50 bedded Shariatpur District Sadar Hospital was converted into 100 Bedded one in 2003. But no manpower infrastructure facilities and logistic supports are not provided still now. Moreover , manpower and infrastructure facilities are being shortened day by day. Similar pictures are applicable to all other health facilities in the district. Some important posts especially in the District Sadar Hospital were abolished such as Security Guard, Junior Mechanic, Radiographer, Ticket clerk etc which should be recreated & fulfilled immediately. At the same time all other vacant posts, infrastructure facilities and logistic supports in the district should need special & effective attention to be addressed as early as possible. In fine, I beg pardon for my unwanted mistakes of the bulletin & presentation and convey my best compliments to all concerned for this publication. Finally, I wish to inform my special and cordial thanks to the authority of MIS, DGHS, Bangladesh for doing successfully such a great , valuable & difficult job. Thanks to all.
Local Health Bulletin 2016 for Shariatpur Civil Surgeon Office, Shariatpur Sadar, Shariatpur

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