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Mohakhali, Dhaka-1212

Preface

I am very glad to publish this health bulletin of Feni District. This bulletin contains all the health related information of this District for 2015. This bulletin is published to disseminate the information of Feni District to other department and health related development partners. I hope that all the information of this bulletin will help for planning and bridging the gaps in health services of this District. We have many data stored in the file. This health bulletin will provide opportunity to see the results and achievements of 2015and also to identify strengths, weakness, opportunities and threats related to service delivery which would guide to take necessary action for further improvement. It is essential to create awareness among the people regarding service provided by the different health facilities throughout the District. I hope that this bulletin will facilitate effective disseminating information. Our success in preventing diseases through awareness building among people by health education and others services is remarkable. The introduction of DHIS2 (District Health Information Software Version-2) is a great development for digital data management. The benefit will be more visible and tangible in subsequent health bulletins. This bulletin contains the status of MDG4 and MDG5 which will to localize the MDG targets. This bulletin also contains information of safe drinking water, sanitation and human resources. I would like to draw kind attention of the higher authority to look the human resource issue. Finally I would like to congratulate all concerned for initiating this health bulletin software and setting us one step ahead in achieving digital Bangladesh as is dreamed by our Honourable Prime Minister. Civil Surgeon, Feni.

Dr.Hasan Shahriar Kabir
Civil Surgeon
Feni Civil Surgeon Office
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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EDITORIAL BOARD

Chief Editor

Dr.Hasan Shahriar Kabir, Civil Surgeon, Feni.


Special Acknowledgement

1. Dr. Hasan Shahriar Kabir, Civil Surgeon, Feni.

Editors

1. Dr. Elias Bhuiyan, M.O(CS)

Contributors

1. Md. Sifuddin Mahamud Chowdhury, SrHEO & ICT Focal Point

2. Md. Abul Hossain, Statistical Asst.


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 Feni Civil Surgeon Office, Feni Sadar, Feni

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Basic Information
Name of District Feni
Organization Code 10000953
Name of Civil SurgeonDr.Hasan Shahriar Kabir
Land Phone No. 1 033174042
Land Phone No. 2 033173238
FAX No. 0331-73238
Mobile No. 01972233201
Email feni@cs.dghs.gov.bd
GPS location of CS Office Lati: 23.0192 And Long: 91.3871
No. of Upazila in the District6
No. of Households in the District 261962
Population in the District 1555510
Area of District in sq km 929
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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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 5 193
Union Sub Centers 9 0
Union Health & Family Welfare Centers (under DGHS) 10 0
Union Health & Family Welfare Centers (under DGFP) 33 0
Rural Dispensaries 0 0
Community Clinics 148 0
Trauma Centers 1 20
MCWCs (belong to DGFP) 1 0
Chest Disease (TB) Clinics/Hospitals 2 0
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 24 333
NGO Clinics/Facilities 3 0
10 Bed Hospitals 0 0
20 Bed Hospitals 1 20
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 33,543



Neonatal Mortality Rate: 20.0 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 121,871
Fully Vaccinated Children (<= 12 months): 98 %
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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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 Feni Civil Surgeon Office, Feni Sadar, Feni

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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 6142 7946 5134 0 13147 5521 25160 63050
At least 1 ANC 6142 7946 5134 0 13147 5521 25160 63050
ANCs (4+) 4170 5296 2945 0 10050 4490 18509 45460
Normal Delivery 2321 1998 06 0 1667 877 20223 27092
Cesarean Section 1356 10 0 0 4987 204 0 6557
Other Assisted Delivery 98 1 0 0 102 0 0 201
PNC Within 2 days 2992 2009 0 0 6756 1081 20223 33061
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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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 45 45
Total Deliveries 3775 2009 6 0 6756 1081 20223 33850
Valid TT5 Coverage (%) 56
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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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 46720 55275 101,995 72562 94545 167,107 119282 149820 269102
Upazila Health Complex 35426 37265 72,691 99740 141800 241,540 135166 179065 314231
Union Sub-Centers 18209 19347 37,556 68474 93118 161,592 86683 112465 199148
Union Health & Family Welfare Centers (under DGHS) 6346 6225 12,571 15536 21578 37,114 21882 27803 49685
Union Health & Family Welfare Centers (belong to DGFP) 27912 28574 56,486 56872 114497 171,369 84784 143071 227855
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 47671 51912 99,583 335096 660462 995,558 382767 712374 1095141
Trauma Centers 0 2 2 434 367 801 434 369 803
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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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 1500 1371 2,871 7616 7100 14,716 9116 8471 17587
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 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 763 794 1,557 2401 5655 8,056 3164 6449 9613
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 Feni Civil Surgeon Office, Feni Sadar, Feni

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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 6430 10340 16,770 11390 16433 27,823 17820 26773 44593
Upazila Health Complex 1380 1551 2,931 9456 8466 17,922 10836 10017 20853
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 Feni Civil Surgeon Office, Feni Sadar, Feni

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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 4865 4980 9,845 9730 11940 21,670 14595 16920 31515
Upazila Health Complex 2521 4077 6,598 7072 15617 22,689 9593 19694 29287
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 Feni Civil Surgeon Office, Feni Sadar, Feni

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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 57 61 118 147 123 270 204 184 388
Upazila Health Complex 0 2 2 29 23 52 29 25 54
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 Feni Civil Surgeon Office, Feni Sadar, Feni

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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 12124
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2214 18.3
2 J189 J189 Pneumonia, unspecified 1356 11.2
3 G04 G04 Encephalitis, myelitis and encephalomyelitis 1260 10.4
4 A419 A419 Septicaemia, unspecified 1057 8.7
5 P36 P36 Bacterial sepsis of newborn 923 7.6

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 29628
No. ICD-10 Code Disease name No. of Cases %
1 A099 A099 Gastroenteritis and colitis of unspecified origin 3123 10.5
2 J45 J45 Asthma 2678 9.0
3 V011 V011 Pedestrian injured in collision with pedal cycle, traffic accident 2638 8.9
4 W509 W509 Hit, struck, kicked, twisted, bitten or scratched by another person, unspecified place 2575 8.7
5 T609 T609 Pesticide, unspecified 2140 7.2
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 152
No. ICD-10 Code Disease name No. of Cases %
1 G04 G04 Encephalitis, myelitis and encephalomyelitis 45 29.6
2 P210 P210 Severe birth asphyxia 35 23.0
3 A419 A419 Septicaemia, unspecified 24 15.8
4 P36 P36 Bacterial sepsis of newborn 20 13.2
5 P070 P070 Extremely low birth weight 12 7.9

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 00
No. ICD-10 Code Disease name No. of Cases %
1 0.0
2 0.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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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) 120
No. ICD-10 Code Disease name No. of Cases %
1 V011 V011 Pedestrian injured in collision with pedal cycle, traffic accident 30 25.0
2 I501 I501 Left ventricular failure 25 20.8
3 I213 I213 Acute transmural myocardial infarction of unspecified site 21 17.5
4 J449 J449 Chronic obstructive pulmonary disease, unspecified 17 14.2
5 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 14 11.7
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 95.0
Coverage of households having access to sanitary latrines (%) 90.0
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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Surgeries done under the CS Office
Type No.
Major Surgeries 851
Minor Surgeries 3726
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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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 1 1 0 1 0 0.0
Grade 6 42 21 5 26 16 38.1
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 84 37 26 63 21 25.0
Grade 10 69 3 35 38 31 44.9
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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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 11 124 59 25 84 40 32.3
Grade 12 0 0 0 0 0 0.0
Grade 13 16 16 0 16 0 0.0
Grade 14 104 67 28 95 9 8.7
Grade 15 40 31 2 33 7 17.5
Grade 16 255 124 30 154 101 39.6
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 11 7 1 8 3 27.3
Grade 20 139 48 17 65 74 53.2
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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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 0 0 0 1 100.0
Grade 8 0 0 0 0 0 0.0
Grade 9 3 1 0 1 2 66.7
Grade 10 4 4 0 4 0 0.0
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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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 0 0 0 0 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 5 5 0 5 0 0.0
Grade 15 3 2 0 2 1 33.3
Grade 16 3 0 0 0 3 100.0
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 4 0 4 2 33.3
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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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 1 0 1
Grade 5 9 3 12
Grade 6 11 2 13
Grade 7 23 8 31
Grade 8 16 29 45
Grade 9 14 11 25
Grade 10 5 14 19
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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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 44 22 66
Grade 12 10 0 10
Grade 13 105 22 127
Grade 14 25 6 31
Grade 15 45 12 57
Grade 16 54 14 68
Grade 17 38 13 51
Grade 18 9 2 11
Grade 19 5 1 6
Grade 20 0 10 10
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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

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

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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 45 33 72 52 55 33 10 5 8 4 0
Nurse 0 0 0 0 61 32 81 62 6 3 6 19 0
Medical Assistant 0 0 0 0 45 44 10 10 0 0 13 0 0
Medical Technologist 0 0 0 0 34 21 10 7 5 1 0 0 0
CHCP 148 147 0 0 0 0 0 0 0 0 0 0 18
HI 0 0 0 0 0 0 0 0 14 14 0 0 0
AHI 0 0 0 0 0 0 0 0 42 42 0 0 0
HA 0 0 0 0 0 0 0 0 205 136 0 0 24
Total 148 147 45 33 212 149 156 112 282 201 27 23 42
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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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 2 0 3
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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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) 5 0 0 0 5
Air conditioner (window) 2 0 0 0 2
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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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 0 0 0 1
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 Feni Civil Surgeon Office, Feni Sadar, Feni

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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 1 2 0 15
Laptop 2 0 0 0 2
Printer (dot matrix) 0 1 0 0 1
Printer (inkjet) 0 3 0 0 3
Printer (laser) 7 2 0 0 9
Scanner 1 0 0 0 1
UPS 9 0 0 0 9
Fax 1 0 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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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 1 0 0 0 1
PA system 1 0 0 0 1
Land phone 2 2 0 0 4
Mobile phone 0 0 0 0 0
Photocopier machine 1 2 0 0 3
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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Important information and necessary issues you want to raise
In the Year 2015 we have been working with all our Strength and limitations to improve health status of our population. This year we are committed to provide even better service despite persistence of the limitations. The previous of better service could be facilitate by :- (1) Fillup the Vacant posts as soon as possible.2)Our Doctor,nurses,others officers and staffs need more training for gather knowledge,development of skills and also change their attitude for give better service to people .3)NeedTraining of Doctor,nurses and paramedics for IMCI. 4)All the repairable equipments should be repaire as soon as possible for ensure service delivery. 5) Trauma Centre of Feni District is urgently established in all department including residential facilities. I am very happy to published the Health Bulletin 2016. Dr. Hasan Shahriar Kabir Civil Surgeon, Feni.
Local Health Bulletin 2016 for Feni Civil Surgeon Office, Feni Sadar, Feni

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