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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

It is a great pleasure for me to have the opportunity to attend this very important yearly MIS Conference for the exchange of views and interactions with other learned participants and the distinguished guests from health discipline. More over I will be able to display health related all the activities of the district. I could show the shortage of manpower and other logistics. Finally I like to give thanks to our Director General of health services Professor Dr. Din Mohammad Nural Haque and also Professor Abul Kalam Azad ADG Planning & Development and line director MIS. Dr. Md.Anwar Hossain Civil Surgeon Sherpur Civil Surgeon Office

Dr. Md. Anwar Hossain
Civil Surgeon
Sherpur Civil Surgeon Office
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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EDITORIAL BOARD

Chief Editor

Dr. Md. Anwar Hossain, Civil Surgeon


Editors

1. Md. Bozlur Rashid, Statistical Asstt.

Contributors

1. Dr. Niladree Hore, MODC


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 Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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Basic Information
Name of District Sherpur
Organization Code 10000577
Name of Civil SurgeonDr. Md. Anwar Hossain
Land Phone No. 1 093161396
Land Phone No. 2 N/A
FAX No. 093161396
Mobile No. 01712870187
Email sherpur@cs.dghs.gov.bd
GPS location of CS Office Lati: 25.8680 And Long: N/A
No. of Upazila in the District5
No. of Households in the District 300594
Population in the District 1476309
Area of District in sq km 1363.76
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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 4 181
Union Sub Centers 9 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 38 0
Rural Dispensaries 0 0
Community Clinics 163 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 0
Chest Disease (TB) Clinics/Hospitals 0 0
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 17 0
NGO Clinics/Facilities 2 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 38,590



Neonatal Mortality Rate: 25.3 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 66,257
Fully Vaccinated Children (<= 12 months): 94 %
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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 Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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 3555 1023 1260 1319 2650 2249 32127 44183
At least 1 ANC 3555 1023 1260 1319 2650 2249 29083 41139
ANCs (4+) 639 312 1326 816 202 410 7863 11568
Normal Delivery 694 930 1619 142 633 771 31060 35849
Cesarean Section 532 2 0 71 3032 48 0 3685
Other Assisted Delivery 0 0 0 0 47 0 0 47
PNC Within 2 days 2359 938 1536 416 3712 825 13420 23206
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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 3 0 0 0 0 0 50 53
Total Deliveries 1226 932 1619 213 3712 819 31060 39581
Valid TT5 Coverage (%) 50.4
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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 9095 7189 16,284 68429 78273 146,702 77524 85462 162986
Upazila Health Complex 26553 19972 46,525 117723 173663 291,386 144276 193635 337911
Union Sub-Centers 17487 28486 45,973 38710 54871 93,581 56197 83357 139554
Union Health & Family Welfare Centers (under DGHS) 1168 1129 2,297 10854 12482 23,336 12022 13611 25633
Union Health & Family Welfare Centers (belong to DGFP) 1108 1036 2,144 17920 23677 41,597 19028 24713 43741
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 1074010 105393 1,179,403 319906 582037 901,943 1393916 687430 2081346
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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 632 365 997 2300 2509 4,809 2932 2874 5806
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 Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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 1719 1345 3,064 9169 5869 15,038 10888 7214 18102
Upazila Health Complex 2716 2447 5,163 12575 10952 23,527 15291 13399 28690
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 Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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 4539 4081 8,620 9213 10682 19,895 13752 14763 28515
Upazila Health Complex 1233 1182 2,415 7246 5441 12,687 8479 6623 15102
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 Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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 33 21 54 127 74 201 160 95 255
Upazila Health Complex 7 3 10 19 10 29 26 13 39
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 Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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 11269
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1505 13.4
2 J18 J18 Pneumonia, organism unspecified 1178 10.5
3 P21 P21 Birth asphyxia 708 6.3
4 B34 B34 Viral infection of unspecified site 511 4.5
5 E46 E46 Unspecified protein-energy malnutrition 343 3.0

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 21430
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3283 15.3
2 Y00 Y00 Assault by blunt object 3017 14.1
3 K27 K27 Peptic ulcer, site unspecified 1120 5.2
4 J45 J45 Asthma 1030 4.8
5 V892 V892 Person injured in unspecified motor-vehicle accident, traffic 735 3.4
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 64
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 13 20.3
2 P21 P21 Birth asphyxia 12 18.8
3 P071 P071 Other low birth weight 9 14.1
4 P361 P361 Sepsis of newborn due to other and unspecified streptococci 4 6.3
5 V892 V892 Person injured in unspecified motor-vehicle accident, traffic 2 3.1

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 O72 O72 Postpartum haemorrhage 3 100.0
2 0.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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) 162
No. ICD-10 Code Disease name No. of Cases %
1 I21 I21 Acute myocardial infarction 33 20.4
2 J449 J449 Chronic obstructive pulmonary disease, unspecified 18 11.1
3 J46 J46 Status asthmaticus 16 9.9
4 I64 I64 Stroke, not specified as haemorrhage or infarction 9 5.6
5 V99 V99 Unspecified transport accident 9 5.6
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 85.0
Coverage of households having access to sanitary latrines (%) 76.0
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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Surgeries done under the CS Office
Type No.
Major Surgeries 3589
Minor Surgeries 6371
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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 8 4 0 4 4 50.0
Grade 6 34 14 3 17 17 50.0
Grade 7 0 0 0 0 0 0.0
Grade 8 11 4 1 5 6 54.5
Grade 9 56 28 11 39 17 30.4
Grade 10 83 3 72 75 8 9.6
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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 11 101 79 13 92 9 8.9
Grade 12 0 0 0 0 0 0.0
Grade 13 2 1 0 1 1 50.0
Grade 14 199 110 78 188 11 5.5
Grade 15 59 24 30 54 5 8.5
Grade 16 279 120 79 199 80 28.7
Grade 17 2 1 0 1 1 50.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 127 54 34 88 39 30.7
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 6 1 0 1 5 83.3
Grade 10 3 2 1 3 0 0.0
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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

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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 2 0 2
Grade 6 5 2 7
Grade 7 20 2 22
Grade 8 17 31 48
Grade 9 24 8 32
Grade 10 6 49 55
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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 64 19 83
Grade 12 2 0 2
Grade 13 90 44 134
Grade 14 74 71 145
Grade 15 14 12 26
Grade 16 63 44 107
Grade 17 49 26 75
Grade 18 0 0 0
Grade 19 4 3 7
Grade 20 4 1 5
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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

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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 7 0 7
Grade 12 2 0 2
Grade 13 1 2 3
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 2 0 2
Grade 17 0 1 1
Grade 18 0 0 0
Grade 19 3 0 3
Grade 20 0 0 0
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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 52 35 31 23 36 19 0 0 9 3 0
Nurse 0 0 1 1 39 36 37 36 0 0 19 3 0
Medical Assistant 0 0 52 52 8 8 0 0 0 0 40 0 0
Medical Technologist 0 0 8 6 32 27 9 8 0 0 0 0 0
CHCP 168 162 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 17 17 0 0 0 0 17 0 0
AHI 0 0 0 0 50 50 0 0 0 0 50 0 9
HA 0 0 0 0 250 178 0 0 0 0 0 0 1
Total 168 162 113 94 427 339 82 63 0 0 135 6 10
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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 6 5 0 0 11
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 Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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) 12 0 0 0 12
Air conditioner (window) 15 8 2 1 26
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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) 5 2 0 0 7
Generator (Gas) 0 0 0 0 0
Solar panel 5 0 0 0 5
IPS 14 4 1 0 19
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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) 70 9 5 0 84
Laptop 155 34 3 0 192
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 2 0 2
Printer (laser) 17 6 9 0 32
Scanner 3 0 0 0 3
UPS 31 7 1 0 39
Fax 2 0 0 0 2
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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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) 166 1 0 0 167
Multimedia 5 0 0 0 5
OHP 1 1 0 0 2
PA system 0 0 0 0 0
Land phone 9 0 0 0 9
Mobile phone 5 0 0 0 5
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 Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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Important information and necessary issues you want to raise
In CS Office Sherpur MOCS & Sr. Health Education Officer post is vacant for long time, many post of doctors & field staffs are vacant in sherpur district. 1. District Hospital stands to 100 bed but its manpower and structure are 50 beded. 2. Doctor & Other staff position remain still vacant for long time. 3. Sanitary Systems are not Adequate. 4. Sr. Con. Gynae, Sr. Con.Medicine, Sr. Con.Surgery, Jr. Con. Orthopedic, Jr. Con.Pathology, Jr. Con. Dental, Jr. Con. Skin & VD, Both of 02 RMO post, 01 MO, 04 Assistant Surgeon, 02 EMO post (18 post out of 36) are vacant for long time. NB- Sr. Con. ENT has been Un-authorized Absent for 09 years. 5. All vacant post should be filled up immediately. 6. Bed occupancy rate of DH above 225%. 7. Huge number of visitor are turn over daily.
Local Health Bulletin 2016 for Sherpur Civil Surgeon Office, Sherpur Sadar, Sherpur

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