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Mohakhali, Dhaka-1212

Preface

I am honored to publish the Health Bulletin 2016 of Chandpur District. This Bulletin contains all the important information on health related issues of Chandpur district. This Health Bulletin will elucidate the constrains as well as the success of the year 2016. It reflects the health status of the whole district at a glance & I am very much happy to find that important health indicators of Chandpur district is improving day by day the cooperation & direction of DGHS, MIS, Other Gov't, NGO & health related all personels. This continual cooperation & direction will help us to achieve our SDG goals in future. At last, I am very glad to congratulate the originator and all the staffs related to the Health Bulletin software to publish a complete and informative Health Bulletin in time and help us one step ahead towards the Digital Bangladesh. With Thanks.

Dr. Rathindra Nath Majumdar
Civil Surgeon
Chandpur Civil Surgeon Office
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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EDITORIAL BOARD

Chief Editor

Dr. Rathindra Nath Majumdar, Civil Surgeon, Chandpur


Editors

1. Dr. Ashraf Ahmed Chowduary, Medical Officer (MOCS)

2. Tahmina Rahman, Statistical Asstt.

Contributors

1. Mohammad Yousuf, Jr. Health Education Officer

2. Md Alamgir Hossain, Dist. EPI Superintentdent

3. Morsheda Akhter, Dist. Pablic Health Nurse

4. Md Salim Hossain, Office Asstt. cum Computer Oparator

5. Md Abdul Hannan, Cashier


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 Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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Basic Information
Name of District Chandpur
Organization Code 10000701
Name of Civil SurgeonDr. Rathindra Nath Majumdar
Land Phone No. 1 84163570
Land Phone No. 2 N/A
FAX No. N/A
Mobile No. 01913370767
Email chandpur@cs.dghs.gov.bd
GPS location of CS Office Lati: 23.2230 And Long: 90.6526
No. of Upazila in the District8
No. of Households in the District 466858
Population in the District 2626944
Area of District in sq km 1704
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 0 0
District Hospital 0 0
General Hospital 1 250
Upazila Health Complexes 7 293
Union Sub Centers 20 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 79 0
Rural Dispensaries 0 0
Community Clinics 210 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 2 26
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 43 500
NGO Clinics/Facilities 9 202
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 60,523



Neonatal Mortality Rate: 13.5 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 164,925
Fully Vaccinated Children (<= 12 months): 99.17 %
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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 Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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 3655 3834 16307 2967 5795 8854 34721 76133
At least 1 ANC 3655 5135 21453 3278 7061 8854 22314 71750
ANCs (4+) 1318 1814 7918 2099 2276 0 8292 23717
Normal Delivery 1774 1679 9919 1691 2537 522 33647 51769
Cesarean Section 440 336 441 0 7834 160 0 9211
Other Assisted Delivery 7 9 7 0 4 1 0 28
PNC Within 2 days 2221 2035 8481 1882 9341 815 11792 36567
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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 1 0 0 8 0 56 67
Total Deliveries 2221 2024 10367 1691 10375 683 33647 61008
Valid TT5 Coverage (%) 57
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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 26240 39360 65,600 59904 59780 119,684 86144 99140 185284
Upazila Health Complex 30194 33198 63,392 92175 160380 252,555 122369 193578 315947
Union Sub-Centers 12354 16890 29,244 63653 77867 141,520 76007 94757 170764
Union Health & Family Welfare Centers (under DGHS) 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (belong to DGFP) 35536 98101 133,637 55091 100623 155,714 90627 198724 289351
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 148583 257001 405,584 342469 635178 977,647 491052 892179 1383231
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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) 37880 2822 40,702 3439 3926 7,365 41319 6748 48067
Chest Disease (TB) Clinics/Hospitals 173 112 285 2766 1784 4,550 2939 1896 4835
Private Clinics/Facilities 17033 17516 34,549 22009 19687 41,696 39042 37203 76245
NGO Clinics/Facilities 7534 6743 14,277 2318 25817 28,135 9852 32560 42412
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 Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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 5811 8717 14,528 17847 15305 33,152 23658 24022 47680
Upazila Health Complex 10897 4480 15,377 20096 18552 38,648 30993 23032 54025
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 Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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 5098 3424 8,522 9601 14132 23,733 14699 17556 32255
Upazila Health Complex 2930 3197 6,127 10502 15131 25,633 13432 18328 31760
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 Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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 55 44 99 104 84 188 159 128 287
Upazila Health Complex 5 7 12 43 35 78 48 42 90
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 Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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 13620
No. ICD-10 Code Disease name No. of Cases %
1 J189 J189 Pneumonia, unspecified 2614 19.2
2 J18 J18 Pneumonia, organism unspecified 1422 10.4
3 J40 J40 Bronchitis, not specified as acute or chronic 1320 9.7
4 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1162 8.5
5 A409 A409 Streptococcal septicaemia, unspecified 1056 7.8

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 34669
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2015 5.8
2 Y00 Y00 Assault by blunt object 1791 5.2
3 K27 K27 Peptic ulcer, site unspecified 1513 4.4
4 I11 I11 Hypertensive heart disease 1500 4.3
5 J45 J45 Asthma 1203 3.5
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 111
No. ICD-10 Code Disease name No. of Cases %
1 P210 P210 Severe birth asphyxia 20 18.0
2 J189 J189 Pneumonia, unspecified 15 13.5
3 O85 O85 Puerperal sepsis 15 13.5
4 P071 P071 Other low birth weight 15 13.5
5 P361 P361 Sepsis of newborn due to other and unspecified streptococci 08 7.2

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 03
No. ICD-10 Code Disease name No. of Cases %
1 O669 O669 Obstructed labour, unspecified 01 33.3
2 O15 O15 Eclampsia 01 33.3
3 O95 O95 Obstetric death of unspecified cause 01 33.3
4 0.0
5 0.0
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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) 6212
No. ICD-10 Code Disease name No. of Cases %
1 I21 I21 Acute myocardial infarction 31 0.5
2 I11 I11 Hypertensive heart disease 21 0.3
3 J449 J449 Chronic obstructive pulmonary disease, unspecified 15 0.2
4 D649 D649 Anaemia, unspecified 10 0.2
5 A41 A41 Other septicaemia 8 0.1
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 88.1
Coverage of households having access to sanitary latrines (%) 94.3
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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Surgeries done under the CS Office
Type No.
Major Surgeries 1412
Minor Surgeries 7246
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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 3 3 0 3 0 0.0
Grade 5 21 11 3 14 7 33.3
Grade 6 60 38 7 45 15 25.0
Grade 7 8 6 1 7 1 12.5
Grade 8 97 58 29 87 10 10.3
Grade 9 94 49 17 66 28 29.8
Grade 10 180 9 97 106 74 41.1
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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 11 191 109 28 137 54 28.3
Grade 12 1 0 1 1 0 0.0
Grade 13 46 23 11 34 12 26.1
Grade 14 290 121 103 224 66 22.8
Grade 15 92 40 47 87 5 5.4
Grade 16 392 159 111 270 122 31.1
Grade 17 66 19 27 46 20 30.3
Grade 18 1 1 0 1 0 0.0
Grade 19 10 6 3 9 1 10.0
Grade 20 180 102 45 147 33 18.3
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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 3 1 0 1 2 66.7
Grade 9 4 1 1 2 2 50.0
Grade 10 4 2 0 2 2 50.0
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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

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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 0 4
Grade 5 25 5 30
Grade 6 14 4 18
Grade 7 51 4 55
Grade 8 77 57 134
Grade 9 25 20 45
Grade 10 10 61 71
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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 69 23 92
Grade 12 5 1 6
Grade 13 66 70 136
Grade 14 124 123 247
Grade 15 38 28 66
Grade 16 121 75 196
Grade 17 52 39 91
Grade 18 3 0 3
Grade 19 16 8 24
Grade 20 61 27 88
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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

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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 1 1 2
Grade 14 1 1 2
Grade 15 4 0 4
Grade 16 0 1 1
Grade 17 5 0 5
Grade 18 2 0 2
Grade 19 1 0 1
Grade 20 1 0 1
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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 86 72 106 83 64 45 0 0 4 4 0
Nurse 0 0 0 0 86 56 104 54 0 0 10 20 0
Medical Assistant 0 0 89 58 13 13 0 0 0 0 19 0 0
Medical Technologist 0 0 9 5 53 39 11 10 0 0 0 0 0
CHCP 276 215 0 0 0 0 0 0 0 0 0 0 34
HI 0 0 0 0 34 27 0 0 0 0 0 0 0
AHI 0 0 0 0 100 90 0 0 0 0 0 0 10
HA 0 0 0 0 494 329 0 0 0 0 0 0 39
Total 276 215 184 135 886 637 179 109 0 0 33 24 83
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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 Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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) 1 0 0 0 1
Air conditioner (window) 2 0 0 0 2
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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 1 0 0 0 1
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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) 8 0 0 0 8
Laptop 2 0 0 0 2
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 0 0 0 7
Scanner 1 0 0 0 1
UPS 8 0 0 0 8
Fax 1 0 0 0 1
Intercom 1 0 0 0 1
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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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 1 0 0 0 1
PA system 0 0 0 0 0
Land phone 3 0 0 0 3
Mobile phone 0 0 0 0 0
Photocopier machine 1 0 0 0 1
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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Important information and necessary issues you want to raise
I would like to focus some issues which have already become the crying need for the development of health sector of our district. Firstly, I want to ask for the set up of EPI stores at CS office as well as at all UHCs, as from the very beginning we are keeping our valuable logistics at passages (varanda) which lead to risk of damage of those materials. Secondly, we need 4 wheeled vehicle for our UHFPO as they need to go for regular field visits and they have to move on emergencies. This is all about our demand and request to help us to work with confidence for the success of government of Bangladesh. As it is a good platform to talk, I have taken the opportunity to get your support. Thanks a lot for your time and consideration.
Local Health Bulletin 2016 for Chandpur Civil Surgeon Office, Chandpur Sadar, Chandpur

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