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Mohakhali, Dhaka-1212

Preface

I am very glad to publish this Health Bulletin of Civil Surgeon Office, Comilla. This Bulletin contains all the Health related Information of 2015. This Bulletin is Published to disseminate the information of Government sector as well as Private sector to other line Department and Development partners of health. I hope all the information's of this Health Bulletin will help for planning and bridging the gaps in health services of this district. Government Health Office has many datas stored in this file. This Health Bulletin will help us to find contents and also to see the results and achievements of 2015. The Bulletin contains the status of MDG4 and MDG5 which will help to localize the MDG targets. This Health Bulletin has also the information on safe drinking water and sanitation status of this district. All the sanctioned and vacant posts are published in this bulletin of 2015. I would like to draw attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator of the Health Bulletin software for setting us one step ahead toward Digital Bangladesh.

Dr.Md. Mojibur Rahman
Civil Surgeon
Comilla Civil Surgeon Office
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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EDITORIAL BOARD

Chief Editor

Dr.Md. Mojibur Rahaman, Civil Surgeon


Special Acknowledgement

1. Dr. Kamal Uddin Ahmed, Deputy Civil Surgeon

Editors

1. Dr. Md. Sahadat Hossan, Medical Officer(CS)

2. Dr.Sultana Chowdhuary, ICT FocalPoint

3. Md. Jahangir Alam, Statistician

Contributors

1. Md. Abu Taher Mojumdar, District EPI SUpdt.

2. Bisnu Chandra Bomik, Statistical Assistant ( Incharge ) Deputation

3. A.K.M.Azad, Head Assistant-Cum-Accountant (Deputation)


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 Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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Basic Information
Name of District Comilla
Organization Code 10000863
Name of Civil SurgeonDr.Md. Mojibur Rahman
Land Phone No. 1 08160400
Land Phone No. 2 N/A
FAX No. 08160402
Mobile No. 01712078619
Email comilla@cs.dghs.gov.bd
GPS location of CS Office Lati: 23.4556 And Long: 91.1811
No. of Upazila in the District16
No. of Households in the District 999303
Population in the District 5824878
Area of District in sq km 3089
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 1 500
District Hospital 0 0
General Hospital 1 100
Upazila Health Complexes 15 548
Union Sub Centers 45 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 131 0
Rural Dispensaries 0 0
Community Clinics 461 0
Trauma Centers 1 20
MCWCs (belong to DGFP) 3 0
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 110 2098
NGO Clinics/Facilities 6 0
10 Bed Hospitals 1 10
20 Bed Hospitals 6 120
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 159,185



Neonatal Mortality Rate: 18.0 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 332,662
Fully Vaccinated Children (<= 12 months): 91 %
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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 Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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 4821 92973 11152 637 7018 0 48402 165003
At least 1 ANC 4821 92973 11152 637 7018 0 48402 165003
ANCs (4+) 4656 78258 6738 530 6354 0 18765 115301
Normal Delivery 1256 76361 5918 1906 6838 0 46758 139037
Cesarean Section 451 1595 33 0 16413 0 0 18492
Other Assisted Delivery 2 962 283 0 820 0 924 2991
PNC Within 2 days 1175 60465 8123 1826 18496 0 39302 129387
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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 12 0 0 55 0 117 184
Total Deliveries 1709 78918 6234 1906 24071 0 47682 160520
Valid TT5 Coverage (%) 65.7
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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 146210 13229 159,439 26912 41668 68,580 173122 54897 228019
Upazila Health Complex 119483 144291 263,774 182252 301130 483,382 301735 445421 747156
Union Sub-Centers 35461 46810 82,271 62386 101940 164,326 97847 148750 246597
Union Health & Family Welfare Centers (under DGHS) 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (belong to DGFP) 118987 164641 283,628 130931 198519 329,450 249918 363160 613078
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 274993 434906 709,899 715667 1636241 2,351,908 990660 2071147 3061807
Trauma Centers 225 132 357 623 742 1,365 848 874 1722
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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) 234 324 558 0 2320 2,320 234 2644 2878
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 61919 82336 144,255 89485 115152 204,637 151404 197488 348892
NGO Clinics/Facilities 4320 4976 9,296 2943 2589 5,532 7263 7565 14828
10 Bed Hospitals 605 829 1,434 1202 1599 2,801 1807 2428 4235
20 Bed Hospitals 2152 2277 4,429 7663 4668 12,331 9815 6945 16760
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 Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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 17200 1162 18,362 8166 4148 12,314 25366 5310 30676
Upazila Health Complex 11758 10591 22,349 28159 27216 55,375 39917 37807 77724
Trauma Centers 98 125 223 387 589 976 485 714 1199
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
10 Bed Hospitals 61 85 146 103 86 189 164 171 335
20 Bed Hospitals 83 72 155 28 19 47 111 91 202
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 Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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 1248 897 2,145 3139 2713 5,852 4387 3610 7997
Upazila Health Complex 14543 12751 27,294 25643 29311 54,954 40186 42062 82248
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 1 2 3 3 7 10 4 9 13
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 Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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 3 3 6 17 13 30 20 16 36
Upazila Health Complex 82 67 149 195 117 312 277 184 461
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 Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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 21950
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 4056 18.5
2 J189 J189 Pneumonia, unspecified 1988 9.1
3 J18 J18 Pneumonia, organism unspecified 1354 6.2
4 X85 X85 Assault by drugs, medicaments and biological substances 1324 6.0
5 A009 A009 Cholera, unspecified 726 3.3

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 36464
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 4662 12.8
2 Y00 Y00 Assault by blunt object 3344 9.2
3 Y09 Y09 Assault by unspecified means 2606 7.1
4 K27 K27 Peptic ulcer, site unspecified 1445 4.0
5 Y009 Y009 Assault by blunt object, unspecified place 1147 3.1
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 66
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 16 24.2
2 P21 P21 Birth asphyxia 7 10.6
3 P36 P36 Bacterial sepsis of newborn 4 6.1
4 W700 W700 Drowning and submersion following fall into natural water, home 4 6.1
5 J45 J45 Asthma 3 4.5

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 8
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 4 50.0
2 O15 O15 Eclampsia 2 25.0
3 N939 N939 Abnormal uterine and vaginal bleeding, unspecified 1 12.5
4 O159 O159 Eclampsia, unspecified as to time period 1 12.5
5 0.0
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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) 128
No. ICD-10 Code Disease name No. of Cases %
1 J449 J449 Chronic obstructive pulmonary disease, unspecified 16 12.5
2 I21 I21 Acute myocardial infarction 15 11.7
3 I64 I64 Stroke, not specified as haemorrhage or infarction 14 10.9
4 J969 J969 Respiratory failure, unspecified 9 7.0
5 J44 J44 Other chronic obstructive pulmonary disease 8 6.3
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 98.9
Coverage of households having access to sanitary latrines (%) 97.3
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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Surgeries done under the CS Office
Type No.
Major Surgeries 40190
Minor Surgeries 17461
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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 2 1 1 2 0 0.0
Grade 5 41 25 8 33 8 19.5
Grade 6 91 58 20 78 13 14.3
Grade 7 49 39 7 46 3 6.1
Grade 8 187 107 78 185 2 1.1
Grade 9 135 73 50 123 12 8.9
Grade 10 285 44 188 232 53 18.6
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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 11 283 140 58 198 85 30.0
Grade 12 6 6 0 6 0 0.0
Grade 13 81 72 8 80 1 1.2
Grade 14 94 53 14 67 27 28.7
Grade 15 153 107 32 139 14 9.2
Grade 16 719 284 164 448 271 37.7
Grade 17 34 28 4 32 2 5.9
Grade 18 7 3 2 5 2 28.6
Grade 19 20 16 3 19 1 5.0
Grade 20 341 182 53 235 106 31.1
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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 1 1 0 1 0 0.0
Grade 7 1 1 0 1 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 5 4 1 5 0 0.0
Grade 10 10 7 0 7 3 30.0
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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 2 2 0 2 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 10 9 0 9 1 10.0
Grade 15 4 3 0 3 1 25.0
Grade 16 9 4 1 5 4 44.4
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 3 1 1 2 1 33.3
Grade 20 14 9 0 9 5 35.7
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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 7 3 10
Grade 5 44 12 56
Grade 6 26 20 46
Grade 7 81 23 104
Grade 8 97 101 198
Grade 9 74 68 142
Grade 10 63 143 206
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
District Total
Grade 11 122 74 196
Grade 12 19 0 19
Grade 13 121 16 137
Grade 14 239 240 479
Grade 15 112 52 164
Grade 16 264 203 467
Grade 17 82 22 104
Grade 18 11 5 16
Grade 19 26 9 35
Grade 20 115 66 181
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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

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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 6 0 6
Grade 12 0 0 0
Grade 13 8 0 8
Grade 14 0 0 0
Grade 15 3 0 3
Grade 16 1 1 2
Grade 17 9 0 9
Grade 18 0 0 0
Grade 19 0 1 1
Grade 20 1 0 1
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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 0 176 165 229 207 33 28 44 40 11 11 5
Nurse 0 0 0 0 208 160 78 70 15 11 21 16 3
Medical Assistant 0 0 196 176 29 27 0 0 0 0 42 1 0
Medical Technologist 0 0 23 14 97 74 7 7 3 0 0 0 0
CHCP 461 478 0 0 0 0 0 0 0 0 0 0 21
HI 0 0 0 0 55 52 0 0 0 0 0 0 0
AHI 0 0 0 0 164 156 0 0 0 0 0 0 1
HA 0 0 0 0 738 464 0 0 0 0 0 0 32
Total 461 478 395 355 1520 1140 118 105 62 51 74 28 62
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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 12 7 10 0 29
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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) 4 0 1 0 5
Air conditioner (window) 35 8 1 2 46
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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) 9 7 0 0 16
Generator (Gas) 0 0 0 0 0
Solar panel 11 0 0 0 11
IPS 3 3 2 0 8
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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) 86 16 1 20 123
Laptop 513 26 3 2 544
Printer (dot matrix) 2 1 0 0 3
Printer (inkjet) 3 0 2 0 5
Printer (laser) 63 7 4 0 74
Scanner 18 4 5 0 27
UPS 72 12 5 0 89
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 3 0 0 0 3
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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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) 71 0 0 0 71
Multimedia 13 2 0 0 15
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 20 3 0 0 23
Mobile phone 16 0 0 0 16
Photocopier machine 0 0 0 0 0
Digital camera 1 0 0 0 1
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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Important information and necessary issues you want to raise
omilla is one of the biggest District of the country and it comprises of 16 Upazilas. Here it is needed to create 02(two) posts of Additional Civil Surgeon, 02(two) posts of Deputy Civil Surgeon, 02(two) posts of MOCS(one for MOCS administration and one for MOCS planning), Class one (Upgrade ) Assistant Chief (Non-Medical) MIS. Routine EPI and EPI Diseases Surveillance are going with good shape and District is free from wild poliomyelitis for more than last 15 years in comparison of the country for the last 8 years. Right now 274 Health Assistant posts are vacant. It is emergency need to fill up this vacant posts immediately to keep up the good and quality work. The present Vehicle used by Civil Surgeon Comilla, is not in good condition. it is 13 years old vehicle.One new Vehicle for Civil Surgeon Comilla is very much needed. It is also needed another vehicle for Deputy Civil Surgeon that Will be helpful for monitoring of the District Program activities. Present Civil Surgeon office is placed at old building & condition is not good. EPI Store room and EPI cold room is placed under Comilla General Hospital building stair. We are very glad to inform that new building for Civil Surgeon office and as well as EPI store room is under construction. We hope the construction work will be ended at the end of this year(2016). Gradual increase of population, demand Comilla General Hospital 100 bedded to be improved to 250 bedded hospital & 31 bedded upazila Health Complex to be upgraded to 50 bedded hospitals.
Local Health Bulletin 2016 for Comilla Civil Surgeon Office, Comilla Adarsha Sadar, Comilla

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