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Preface

I am very glad to publish this health bulletin of Civil Surgeon Office, This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Lakshmipur district to others. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this district. Government health office has many data stored on line. This health bulletin will help us to find constrains and also to see the results and achievements of 2015. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information of safe drinking water and sanitation status of our district. All the sanctioned and vacant posts are published in this bulletin of running month. I like to take attention of the higher authority to look into to this issue. On conclusion, I would like to thanks the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh and thanks all staffs involved in this procedure. -- Dr. Md. Golam Faruque Bhuiyan Civil Surgeon Lakshmipur Civil Surgeon Office

Dr. Md. Golam Faruque Bhuiyan
Civil Surgeon
Lakshmipur Civil Surgeon Office
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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EDITORIAL BOARD

Chief Editor

Dr. Md. Golam Faruque Bhuiyan, Civil Surgeon


Editors

1. Dr. Md. Jakir Hossain, Medical Officer

2. A. H. M. Faruqe, Statistician

Contributors

1. Harun Al Rashid, Head Assistant

2. Zaidul Hoque Md. Shah Alamgir, Head Assistant cum Accountant

3. Md. Delwar Hossain, Accountant

4. Md. Shahjahan Ali, District EPI Superintendent


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 Lakshmipur Civil Surgeon Office, , Lakshmipur

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Basic Information
Name of District Lakshmipur
Organization Code 10001000
Name of Civil SurgeonDr. Md. Golam Faruque Bhuiyan
Land Phone No. 1 61336
Land Phone No. 2 62474
FAX No. 0381-62474
Mobile No. 01712620409
Email laksmipur@cs.dghs.gov.bd
GPS location of CS Office Lati: 22.9412 And Long: 90.8398
No. of Upazila in the District5
No. of Households in the District 338574
Population in the District 1804254
Area of District in sq km 1654
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 0 0
District Hospital 1 100
General Hospital 0 0
Upazila Health Complexes 5 143
Union Sub Centers 10 0
Union Health & Family Welfare Centers (under DGHS) 11 0
Union Health & Family Welfare Centers (under DGFP) 28 0
Rural Dispensaries 0 0
Community Clinics 175 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 2 20
Chest Disease (TB) Clinics/Hospitals 0 0
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 25 320
NGO Clinics/Facilities 0 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 45,263



Neonatal Mortality Rate: 18.2 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 115,800
Fully Vaccinated Children (<= 12 months): 99.97 %
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 0 0 0 0 0 45374 45374
At least 1 ANC 1022 1822 13485 0 3620 3213 19212 42374
ANCs (4+) 468 615 5611 0 2452 1224 9621 19991
Normal Delivery 683 833 0 0 1726 857 37359 41458
Cesarean Section 612 694 0 0 2452 69 0 3827
Other Assisted Delivery 20 38 0 0 24 7 0 89
PNC Within 2 days 1315 1565 0 0 4202 933 0 8015
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 39 39
Total Deliveries 1315 1565 0 0 4202 933 37359 45374
Valid TT5 Coverage (%) 78
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 6597 9159 15,756 43062 92356 135,418 49659 101515 151174
Upazila Health Complex 19061 24251 43,312 103763 157455 261,218 122824 181706 304530
Union Sub-Centers 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (under DGHS) 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (belong to DGFP) 0 0 0 0 0 0 0 0 0
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 43612 47720 91,332 75217 188003 263,220 118829 235723 354552
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 0 0 0 0 0 0 0 0 0
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 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 Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 554 340 894 7709 4555 12,264 8263 4895 13158
Upazila Health Complex 1893 1234 3,127 7002 6514 13,516 8895 7748 16643
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 Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 3384 2203 5,587 6046 7802 13,848 9430 10005 19435
Upazila Health Complex 3681 2217 5,898 6655 9362 16,017 10336 11579 21915
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 Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 23 9 32 106 64 170 129 73 202
Upazila Health Complex 2 5 7 19 14 33 21 19 40
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 Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 9837
No. ICD-10 Code Disease name No. of Cases %
1 A009 A009 Cholera, unspecified 5157 52.4
2 J14 J14 Pneumonia due to Haemophilus influenzae 2162 22.0
3 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 249 2.5
4 A99 A99 Unspecified viral haemorrhagic fever 204 2.1
5 T751 T751 Drowning and nonfatal submersion 85 0.9

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 16254
No. ICD-10 Code Disease name No. of Cases %
1 Y09 Y09 Assault by unspecified means 3923 24.1
2 A009 A009 Cholera, unspecified 1911 11.8
3 K27 K27 Peptic ulcer, site unspecified 1235 7.6
4 V89 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified 673 4.1
5 J45 J45 Asthma 524 3.2
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 39
No. ICD-10 Code Disease name No. of Cases %
1 P00 P00 Fetus and newborn affected by maternal conditions that may be unrelated to present pregnancy 11 28.2
2 J14 J14 Pneumonia due to Haemophilus influenzae 7 17.9
3 P071 P071 Other low birth weight 3 7.7
4 B99 B99 Other and unspecified infectious diseases 3 7.7
5 A390 A390 Meningococcal meningitis 3 7.7

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 3
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 2 66.7
2 O15 O15 Eclampsia 1 33.3
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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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) 81
No. ICD-10 Code Disease name No. of Cases %
1 I21 I21 Acute myocardial infarction 18 22.2
2 I20 I20 Angina pectoris 11 13.6
3 T37 T37 Poisoning by other systemic anti-infectives and antiparasitics 11 13.6
4 V89 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified 9 11.1
5 I516 I516 Cardiovascular disease, unspecified 5 6.2
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 95.0
Coverage of households having access to sanitary latrines (%) 89.0
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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Surgeries done under the CS Office
Type No.
Major Surgeries 3252
Minor Surgeries 6524
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 36 17 2 19 17 47.2
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 97 51 21 72 25 25.8
Grade 10 106 9 35 44 62 58.5
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 0 0 0 0 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 23 11 0 11 12 52.2
Grade 15 68 57 40 97 -29 -42.6
Grade 16 757 674 409 1083 -326 -43.1
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 114 64 16 80 34 29.8
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 1 0 1 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 0 0 0 0 0 0.0
Grade 7 2 1 1 2 0 0.0
Grade 8 4 4 0 4 0 0.0
Grade 9 4 0 0 0 4 100.0
Grade 10 2 1 0 1 1 50.0
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 4 2 0 2 2 50.0
Grade 12 0 0 0 0 0 0.0
Grade 13 3 3 0 3 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 4 3 0 3 1 25.0
Grade 17 4 2 1 3 1 25.0
Grade 18 0 0 0 0 0 0.0
Grade 19 1 0 0 0 1 100.0
Grade 20 1 0 0 0 1 100.0
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 17 2 19
Grade 6 7 2 9
Grade 7 6 3 9
Grade 8 10 3 13
Grade 9 28 13 41
Grade 10 9 35 44
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 1 0 1
Grade 14 151 50 201
Grade 15 187 54 241
Grade 16 424 249 673
Grade 17 0 0 0
Grade 18 15 4 19
Grade 19 22 5 27
Grade 20 29 7 36
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 0 0 0
Grade 9 0 1 1
Grade 10 1 0 1
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 0 0 0
Grade 12 1 0 1
Grade 13 6 0 6
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 4 0 4
Grade 18 0 0 0
Grade 19 4 1 5
Grade 20 0 0 0
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 21 20 51 40 21 13 29 26 5 10 0
Nurse 0 0 0 0 67 32 50 31 0 0 0 0 0
Medical Assistant 0 0 21 21 7 7 0 0 37 37 15 0 0
Medical Technologist 0 0 0 0 30 19 6 6 0 0 0 0 0
CHCP 181 181 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 23 11 0 0 0 0 0 0 0
AHI 0 0 0 0 68 63 0 0 0 0 0 0 0
HA 0 0 0 0 340 266 0 0 0 0 100 0 15
Total 181 181 42 41 586 438 77 50 66 63 120 10 15
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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

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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 2 0 0 4
Air conditioner (window) 0 0 0 0 0
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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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 Lakshmipur Civil Surgeon Office, , Lakshmipur

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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) 6 3 0 0 9
Laptop 2 1 0 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 0 1
Printer (laser) 4 2 0 0 6
Scanner 1 0 0 0 1
UPS 4 0 10 0 14
Fax 0 1 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 1 0 0 0 1
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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

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Important information and necessary issues you want to raise
I tried my best to input all accurate data of our district Based on DHIS-2 an all of our running database. We need LAN connection ofto all Computer in our Office for smooth ICT works and alternative source of power supply needed for continuous support. Our manpower shortage is also a bar. In this sector, We aspect support from concern authorities. Laptop/Twin Tab for concern officers and staffs are also needed for continues monitoring and self up-gradation. We need a guest room to build over Civil Surgeon Office. One Statistical Assistant post should be created for Civil Surgeon Office. A Motor Cycle with fuel and maintenance cost should be given to Statistical Assistant to look after MIS's activity and equipment of our district.
Local Health Bulletin 2016 for Lakshmipur Civil Surgeon Office, , Lakshmipur

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