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Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

I am delighted to present the Health Bulletin of Upazila & District level in Coxsbazar,2016. This Health Bulletin Presents the Over All Pictures of the Health Status of the People and Performance of the Health Institution in Coxsbazar Districts. The Information Contained in this Health Bulletin Will Help the Planning and Decision Making in Future. I Pay May Regards to Visionary Leader Professor Dr. Abul Kalam Azad, The Additional Director General (Admin ) and Line Director MIS to Take the Initiative of Health Bulletin Software. I Thanks to those Who Worked for Publications of this Health Bulletin OnTime (Dr.Pu Chaw Nu) Civil Surgeon Cox's Bazar.

Dr.Pu Chaw Nu
Civil Surgeon
Cox's Bazar Civil Surgeon Office
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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EDITORIAL BOARD

Chief Editor

Dr. Pu Chaw Nu, Civil Surgeon


Special Acknowledgement

1. Dr.Pu Chaw Nu, Civil Surgeon

Editors

1. Md.Rashel Mostafa, Statistician(In-Charge)

Contributors

1. Dr.Mohi Uddin Md Alamgir, ICT Focal Person

2. Ucha Prue Marma, Senior Health Education Officer

3. Dr. SM Zamsadul Hoq, District Monitoring and Supervision Officer(DEPB)

4. Md.Rafiqul Islam, Head Assistant

5. Sreedram Chandra Shusil, EPI Suparintendent

6. Tarun Barua, DSI


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 Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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Basic Information
Name of District Cox's Bazar
Organization Code 10000921
Name of Civil SurgeonDr.Pu Chaw Nu
Land Phone No. 1 34163768
Land Phone No. 2 0341636768
FAX No. 0341-63638
Mobile No. 01714371426
Email coxsbazar@cs.dghs.gov.bd
GPS location of CS Office Lati: N/A And Long: N/A
No. of Upazila in the District8
No. of Households in the District 418,729
Population in the District 2466568
Area of District in sq km 222850
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 7 312
Union Sub Centers 12 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 53 0
Rural Dispensaries 1 0
Community Clinics 174 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 0
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 22 355
NGO Clinics/Facilities 12 61
10 Bed Hospitals 1 10
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 68,732



Neonatal Mortality Rate: 34.6 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 272,616
Fully Vaccinated Children (<= 12 months): N/A %
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 12937 25257 6820 2720 0 94966 142700
At least 1 ANC 0 12937 25257 6820 2720 8987 85933 142654
ANCs (4+) 3038 12668 9891 6896 373 0 7926 40792
Normal Delivery 1134 72597 9238 4547 3520 2023 24331 117390
Cesarean Section 1904 71 653 387 1250 0 0 4265
Other Assisted Delivery 109 0 0 0 0 0 0 109
PNC Within 2 days 4624 72668 8528 4934 4770 2023 1964 99511
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 11 1 15 0 0 0 14 41
Total Deliveries 3147 72668 9891 4934 4770 2023 24331 121764
Valid TT5 Coverage (%) 54%
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 53623 68643 122,266 42910 49338 92,248 96533 117981 214514
Upazila Health Complex 60455 6130 66,585 104388 185786 290,174 164843 191916 356759
Union Sub-Centers 13595 30222 43,817 66878 108308 175,186 80473 138530 219003
Union Health & Family Welfare Centers (under DGHS) 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (belong to DGFP) 33801 19574 53,375 32814 144097 176,911 66615 163671 230286
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 76322 73894 150,216 208934 494755 703,689 285256 568649 853905
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 1 2 3 2327 1582 3,909 2328 1584 3912
Private Clinics/Facilities 18405 24420 42,825 2820 2950 5,770 21225 27370 48595
NGO Clinics/Facilities 21687 29324 51,011 11052 13118 24,170 32739 42442 75181
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 Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 8352 10690 19,042 6685 7683 14,368 15037 18373 33410
Upazila Health Complex 7494 5691 13,185 17609 18657 36,266 25103 24348 49451
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 Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 12535 16066 28,601 10039 11540 21,579 22574 27606 50180
Upazila Health Complex 7083 6881 13,964 14989 51300 66,289 22072 58181 80253
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 Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 407 210 617 402 286 688 809 496 1305
Upazila Health Complex 23 19 42 16 23 39 39 42 81
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 Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 236
No. ICD-10 Code Disease name No. of Cases %
1 J189 J189 Pneumonia, unspecified 68 28.8
2 J180 J180 Bronchopneumonia, unspecified 50 21.2
3 A419 A419 Septicaemia, unspecified 46 19.5
4 P21 P21 Birth asphyxia 37 15.7
5 P369 P369 Bacterial sepsis of newborn, unspecified 35 14.8

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 326
No. ICD-10 Code Disease name No. of Cases %
1 J45 J45 Asthma 107 32.8
2 J180 J180 Bronchopneumonia, unspecified 76 23.3
3 A419 A419 Septicaemia, unspecified 70 21.5
4 R570 R570 Cardiogenic shock 45 13.8
5 G049 G049 Encephalitis, myelitis and encephalomyelitis, unspecified 28 8.6
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 7768
No. ICD-10 Code Disease name No. of Cases %
1 J189 J189 Pneumonia, unspecified 2554 32.9
2 J180 J180 Bronchopneumonia, unspecified 1652 21.3
3 A419 A419 Septicaemia, unspecified 1549 19.9
4 P21 P21 Birth asphyxia 1201 15.5
5 P369 P369 Bacterial sepsis of newborn, unspecified 812 10.5

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 12
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 3 25.0
2 O85 O85 Puerperal sepsis 3 25.0
3 O15 O15 Eclampsia 2 16.7
4 O469 O469 Antepartum haemorrhage, unspecified 2 16.7
5 O72 O72 Postpartum haemorrhage 2 16.7
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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) 12937
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 5815 44.9
2 Y09 Y09 Assault by unspecified means 2626 20.3
3 J449 J449 Chronic obstructive pulmonary disease, unspecified 2300 17.8
4 I10 I10 Essential (primary) hypertension 1281 9.9
5 V899 V899 Person injured in unspecified vehicle accident 915 7.1
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 96.0
Coverage of households having access to sanitary latrines (%) 82.0
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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Surgeries done under the CS Office
Type No.
Major Surgeries 989
Minor Surgeries 15666
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 13 8 0 8 5 38.5
Grade 6 72 29 9 38 34 47.2
Grade 7 4 2 0 2 2 50.0
Grade 8 27 16 3 19 8 29.6
Grade 9 66 39 10 49 17 25.8
Grade 10 197 8 88 96 101 51.3
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 84 41 1 42 42 50.0
Grade 12 1 1 0 1 0 0.0
Grade 13 2 1 1 2 0 0.0
Grade 14 53 28 0 28 25 47.2
Grade 15 49 34 2 36 13 26.5
Grade 16 248 165 40 205 43 17.3
Grade 17 4 2 0 2 2 50.0
Grade 18 2 0 0 0 2 100.0
Grade 19 7 6 0 6 1 14.3
Grade 20 193 60 27 87 106 54.9
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 1 0 1 0 0.0
Grade 8 2 1 0 1 1 50.0
Grade 9 3 2 0 2 1 33.3
Grade 10 4 2 1 3 1 25.0
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 1 1 0 1 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 7 6 0 6 1 14.3
Grade 15 4 1 0 1 3 75.0
Grade 16 3 3 0 3 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 6 3 1 4 2 33.3
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 6 0 6
Grade 5 13 1 14
Grade 6 16 4 20
Grade 7 15 0 15
Grade 8 32 23 55
Grade 9 16 10 26
Grade 10 29 58 87
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 25 5 30
Grade 12 2 0 2
Grade 13 41 6 47
Grade 14 19 1 20
Grade 15 32 12 44
Grade 16 78 28 106
Grade 17 26 10 36
Grade 18 8 0 8
Grade 19 0 0 0
Grade 20 16 8 24
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 0 0
Grade 5 1 0 1
Grade 6 0 0 0
Grade 7 1 0 1
Grade 8 2 1 3
Grade 9 0 0 0
Grade 10 3 0 3
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 2 0 2
Grade 12 1 0 1
Grade 13 6 0 6
Grade 14 0 0 0
Grade 15 1 0 1
Grade 16 2 0 2
Grade 17 1 1 2
Grade 18 0 0 0
Grade 19 3 0 3
Grade 20 0 0 0
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 73 64 112 71 62 43 0 0 1 4 0
Nurse 0 0 16 0 0 0 85 57 0 0 1 1 0
Medical Assistant 0 0 71 27 13 10 0 0 0 0 0 0 0
Medical Technologist 0 0 10 4 58 26 11 7 11 9 0 0 0
CHCP 213 180 0 0 0 0 0 0 0 0 177 0 0
HI 0 0 0 0 0 0 0 0 21 17 0 0 0
AHI 0 0 0 0 0 0 0 0 63 63 0 0 0
HA 0 0 0 0 0 0 0 0 314 235 0 0 71
Total 213 180 170 95 183 107 158 107 409 324 179 5 71
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 2 0 0 0 2
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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) 2 0 0 0 2
Air conditioner (window) 0 0 0 0 0
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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) 1 1 0 0 2
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 Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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) 3 5 2 3 13
Laptop 2 0 0 0 2
Printer (dot matrix) 1 0 1 0 2
Printer (inkjet) 2 2 0 0 4
Printer (laser) 0 0 0 0 0
Scanner 1 0 0 0 1
UPS 5 0 0 0 5
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 Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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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 1 0 0 2
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 2 0 0 2
Digital camera 0 1 0 0 1
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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Important information and necessary issues you want to raise
As you know, Cox's Bazar district is the most important tourism locality among the 64 districts of Bangladesh. We have a rapidly changing city where the tourist friendly facilities are available except well equipped health care services. On the other hand, out of 8 Upazillas we have also a number of hard to reach areas. Moheskhali and Kutubdia are islands. Teknaf and Ukhiya are carrying Myanmar refugees. A large vulnerable population are residing throughout the district, who are health care service seekers. Existing health care services have few insufficiency in different sectors like Human resources, infrastructural, machineries, transport vehicles etc. It is necessary to give interventions about the mentioned insufficiency like Capacity building of human resources, Construction and repair of infrastructures, Restoration of machinery, Repair and allocation of ambulances and speed boats ( for islands). Finally, I am glad to write this Health Bulletin, 2016, because this document will help us to compare our progression in upcoming years. This useful document will help the public to understand health health services and to provide us the useful advice's which help to improve health care services. .................................. (Dr. Pu Chaw Nu) Civil Surgeon Cox' Bazar
Local Health Bulletin 2016 for Cox's Bazar Civil Surgeon Office, COX'S BAZAR SADAR, Cox's Bazar

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