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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

I am highly pleased and honored to publish the health bulletin 2015 of Brahmanbaria district. By publishing the bulletin, it gives me a great opportunity to be a part of the unique thought of present government to make digital Bangladesh by the year 2021. I really appreciate the innovative ideas and the excellent information systems that have been developed by the MIS, DGHS. The health bulletin-2015 reflects all important health related information of Brahmanbaria district at a glance. This bulletin will show the constrains as well as the success 2015 in health related events of Brahmanbaria district. It also contains the status of MDG4 and MDG5 thereby it will illuminate the MDG target and achievement simultaneously. I hope all this data provided in this bulletin will help the government and other health related development partners for planning in upcoming year and also identify the pitfalls and lacking of current year. Thus it can help us to identify the strengths, weakness, opportunities and threats related to service delivery which would guide us to take necessary action for further improvement. This bulletin also contains the information of safe drinking water, sanitation and human resources. I am really glad to declare that the percentage of fully vaccinated child of Brahmanbaria district was 98% and total TT coverage is 71% during the year 2015. I also like to mention that we achieved all indicators of AFP surveillance in 2014.Community clinic gave us a new arena of health care delivery at grass root level.I believe near future we can increase the number of institutional delivery and thus we can achieve our target in MDG5. I appreciate MIS for their kind help to sort out our limitations of under reporting. Finally I would like to give my heartiest thanks to all the people who worked for this bulletin to make it perfect informative and easy to realize.

Dr.Hasina Akter
Civil Surgeon
Brahmanbaria Civil Surgeon Office
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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EDITORIAL BOARD

Chief Editor

Dr.Hasina Akter, Civil Surgeon


Special Acknowledgement

1. Md. Jahidul Haq, Head Assistent

2. Md.Aminul Islam, Superintendent

Editors

1. Dr.Abdul Kadir, MOCS

Contributors

1. Md.Asraf Ahmed, Statistician

2. Mrs. Tahmina Akter, Statistical Assistent


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 Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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Basic Information
Name of District Brahmanbaria
Organization Code 10000673
Name of Civil SurgeonDr.Hasina Akter
Land Phone No. 1 085161255
Land Phone No. 2 085158503
FAX No. 085158503
Mobile No. 01711812014
Email brahmanbaria@cs.dghs.gov.bd
GPS location of CS Office Lati: 23.9800 And Long: 91.1700
No. of Upazila in the District9
No. of Households in the District 469148
Population in the District 3042638
Area of District in sq km 1731
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 0 0
District Hospital 1 250
General Hospital 0 0
Upazila Health Complexes 6 224
Union Sub Centers 24 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 67 0
Rural Dispensaries 1 10
Community Clinics 241 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 20
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 57 880
NGO Clinics/Facilities 3 0
10 Bed Hospitals 1 10
20 Bed Hospitals 1 20
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 86,038



Neonatal Mortality Rate: 4.3 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 192,397
Fully Vaccinated Children (<= 12 months): 98 %
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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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 Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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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 0 3553 18139 1731 7772 5421 49733 86349
At least 1 ANC 0 3553 18139 1731 7772 5421 49733 86349
ANCs (4+) 0 1892 10042 460 3543 3257 27766 46960
Normal Delivery 0 680 1677 0 1807 745 71280 76189
Cesarean Section 0 23 0 0 7216 33 0 7272
Other Assisted Delivery 0 0 0 0 0 0 2771 2771
PNC Within 2 days 0 935 11093 31 4112 776 22896 39843
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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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 0 0 0 0 0 62 62
Total Deliveries 0 703 1677 0 9023 778 74051 86232
Valid TT5 Coverage (%) 71
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 48166 52127 100,293 99583 131854 231,437 147749 183981 331730
Union Sub-Centers 43102 61552 104,654 75386 123263 198,649 118488 184815 303303
Union Health & Family Welfare Centers (under DGHS) 4132 4438 8,570 22439 24453 46,892 26571 28891 55462
Union Health & Family Welfare Centers (belong to DGFP) 50148 64057 114,205 61559 264838 326,397 111707 328895 440602
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 179580 142304 321,884 303328 660909 964,237 482908 803213 1286121
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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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) 3042 3900 6,942 175 36018 36,193 3217 39918 43135
Chest Disease (TB) Clinics/Hospitals 352 397 749 11147 8565 19,712 11499 8962 20461
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 2532 2593 5,125 6826 8347 15,173 9358 10940 20298
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 Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 7740 9101 16,841 17048 18238 35,286 24788 27339 52127
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 Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 6155 7083 13,238 9879 10939 20,818 16034 18022 34056
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 261 119 380 261 119 380
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 1374 1275 2,649 2582 4767 7,349 3956 6042 9998
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 15 17 32 23 23 46 38 40 78
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 Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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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 10740
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 5123 47.7
2 J189 J189 Pneumonia, unspecified 2602 24.2
3 R509 R509 Fever, unspecified 1196 11.1
4 T659 T659 Toxic effect of unspecified substance 1037 9.7
5 T751 T751 Drowning and nonfatal submersion 782 7.3

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 8514
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 4720 55.4
2 Y09 Y09 Assault by unspecified means 2096 24.6
3 K27 K27 Peptic ulcer, site unspecified 1038 12.2
4 Y00 Y00 Assault by blunt object 340 4.0
5 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 320 3.8
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 25
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 15 60.0
2 P210 P210 Severe birth asphyxia 4 16.0
3 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3 12.0
4 P071 P071 Other low birth weight 2 8.0
5 J13 J13 Pneumonia due to Streptococcus pneumoniae 1 4.0

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 30
No. ICD-10 Code Disease name No. of Cases %
1 O720 O720 Third-stage haemorrhage 16 53.3
2 O721 O721 Other immediate postpartum haemorrhage 6 20.0
3 O152 O152 Eclampsia in the puerperium 4 13.3
4 O159 O159 Eclampsia, unspecified as to time period 2 6.7
5 V99 V99 Unspecified transport accident 2 6.7
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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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) 25
No. ICD-10 Code Disease name No. of Cases %
1 J449 J449 Chronic obstructive pulmonary disease, unspecified 15 60.0
2 X49 X49 Accidental poisoning by and exposure to other and unspecified chemicals and noxious substances 4 16.0
3 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 2 8.0
4 V99 V99 Unspecified transport accident 2 8.0
5 I610 I610 Intracerebral haemorrhage in hemisphere, subcortical 2 8.0
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 92.0
Coverage of households having access to sanitary latrines (%) 87.0
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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Surgeries done under the CS Office
Type No.
Major Surgeries 24
Minor Surgeries 8256
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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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 1 0 1 1 0 0.0
Grade 5 41 16 6 22 19 46.3
Grade 6 8 7 1 8 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 134 56 40 96 38 28.4
Grade 9 0 0 0 0 0 0.0
Grade 10 79 4 38 42 37 46.8
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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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 11 150 73 7 80 70 46.7
Grade 12 0 0 0 0 0 0.0
Grade 13 1 0 0 0 1 100.0
Grade 14 365 154 135 289 76 20.8
Grade 15 96 87 6 93 3 3.1
Grade 16 539 241 145 386 153 28.4
Grade 17 6 4 0 4 2 33.3
Grade 18 0 0 0 0 0 0.0
Grade 19 3 3 0 3 0 0.0
Grade 20 198 121 48 169 29 14.6
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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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 1 0 1 1 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 0 0 0 0 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 3 0 0 0 3 100.0
Grade 9 3 0 0 0 3 100.0
Grade 10 0 0 0 0 0 0.0
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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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 7 5 1 6 1 14.3
Grade 12 0 0 0 0 0 0.0
Grade 13 1 0 0 0 1 100.0
Grade 14 6 5 1 6 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 5 5 0 5 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 4 4 0 4 0 0.0
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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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 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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

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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 1 1
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 2 2 4
Grade 8 1 1 2
Grade 9 1 0 1
Grade 10 1 0 1
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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

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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 96 69 90 58 0 0 0 0 0 0 0
Nurse 0 0 0 0 77 37 0 0 0 0 0 0 0
Medical Assistant 0 0 95 36 13 11 0 0 0 0 0 0 0
Medical Technologist 0 0 2 0 50 30 0 0 0 0 0 0 0
CHCP 307 250 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 32 27 0 0 0 0 0 0 0
AHI 0 0 0 0 98 81 0 0 0 0 0 0 0
HA 0 0 0 0 480 434 0 0 0 0 0 0 0
Total 307 250 193 105 840 678 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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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 0 0 1
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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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) 6 0 0 0 6
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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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 1 0 0 1
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 Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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

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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 1 0 0 1
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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Important information and necessary issues you want to raise
The most important thing that i would like to mention that our district store is insufficient to store medicine and other stuffs.Thereby we need a more spacious central store for brahmanbaria district.Another thing that i would like to add that Brahmanbaria district surrounded by river,during rainy season it is difficult for us to continue our service without a boat.Country boat health care delivery system will help us in this regard. In 2014 new vechile was given to maximum civil surgeon, but unfortunately Brahmanbaria civil surgeon office was deprived the vechile is given to the civil surgeon office Brahbanbaria it would be very healpful for the inspection of field service activities.
Local Health Bulletin 2016 for Brahmanbaria Civil Surgeon Office, Brahmanbaria Sadar, Brahmanbaria

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