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Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

It gives me an immense pleasure that The Health Bulletin of management system (MIS) under the DGHS are going to published each and every Upazila & district throughout Bangladesh. I am glad to publish this Health Bulletin of Noakhali district. This Bulletin contains all the Health related information of 2015. For health bulletin we gather data from wide range of source across the district. I hope all the information of this bulletin will be helpful for planning and bridging the gaps in the health service of the district. We use health bulletin to understand how much progress we made in the past year in the health sector. We also understand through this bulletin where we made little progress, where we need to pay more attention and where we could do better. The health bulletin 2015 will contribute to improving transparency about health issue of the country. The bulletin contains the status of MDG-4 and MDG-5 which will help to locate the MDG targets. The sanction and vacant post are published in this bulletin. I like draw attention of the higher authority to look after this burning issue. I always believe that there is enough scope for perfection in the future health bulletin. I am looking forward to better version in the coming year by the help of valuable comments and suggestion from your side and MOHFW & MIS-Health. This is my responsibility to thank all the team member of MIS_health for their continuous effort and creation of health bulletin software for setting us one step ahead towards "Digital Bangladesh". DR. MD. MOZIBUL HAQUE Civil Surgeon, Noakhali District

DR. MD. MOZIBUL HAQUE
Civil Surgeon
Noakhali Civil Surgeon Office
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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EDITORIAL BOARD

Chief Editor

Dr. Md. Mozibul Haque, Civil Surgeon


Editors

1. Dr. Depon Chandra Mazumder, M.O (CS)

2. Laizu Eaismin, Statistical Asstt

Contributors

1. Mr. Sishir Kanti Das, Head Asstt.

2. Md. Rezaul Haque, H.I (EPI ,S.K)


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 Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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Basic Information
Name of District Noakhali
Organization Code 10001050
Name of Civil SurgeonDR. MD. MOZIBUL HAQUE
Land Phone No. 1 32161068
Land Phone No. 2 32161406
FAX No. 032161044
Mobile No. 01718463819
Email noakhali@cs.dghs.gov.bd
GPS location of CS Office Lati: 22.8414 And Long: 91.2293
No. of Upazila in the District9
No. of Households in the District 518904
Population in the District 3642272
Area of District in sq km 3686
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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 7 331
Union Sub Centers 25 0
Union Health & Family Welfare Centers (under DGHS) 4 0
Union Health & Family Welfare Centers (under DGFP) 55 0
Rural Dispensaries 0 0
Community Clinics 273 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 3 0
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 75 1020
NGO Clinics/Facilities 2 0
10 Bed Hospitals 0 0
20 Bed Hospitals 1 20
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 97,494



Neonatal Mortality Rate: 6.5 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 620,073
Fully Vaccinated Children (<= 12 months): 98 %
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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 Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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 6528 7405 34202 282 7222 325 52540 108504
At least 1 ANC 6528 7405 34202 282 7722 325 49533 105997
ANCs (4+) 0 3999 12773 892 9019 452 12854 39989
Normal Delivery 1700 2470 12292 382 5854 322 67356 90376
Cesarean Section 1983 277 0 0 4452 0 0 6712
Other Assisted Delivery 60 21 6 0 706 2 0 795
PNC Within 2 days 3743 2844 12298 382 10012 324 5333 34936
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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 23 2 3 0 7 0 46 81
Total Deliveries 3743 2768 12298 382 11012 324 67356 97883
Valid TT5 Coverage (%) 98
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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 19773 20503 40,276 63625 72173 135,798 83398 92676 176074
Upazila Health Complex 53264 59946 113,210 119025 156922 275,947 172289 216868 389157
Union Sub-Centers 37936 47875 85,811 48571 72934 121,505 86507 120809 207316
Union Health & Family Welfare Centers (under DGHS) 5552 6531 12,083 22380 57710 80,090 27932 64241 92173
Union Health & Family Welfare Centers (belong to DGFP) 31249 56296 87,545 30181 38549 68,730 61430 94845 156275
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 103709 152849 256,558 410959 709950 1,120,909 514668 862799 1377467
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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) 1280 1020 2,300 2170 38351 40,521 3450 39371 42821
Chest Disease (TB) Clinics/Hospitals 67 45 112 2184 937 3,121 2251 982 3233
Private Clinics/Facilities 7717 6157 13,874 30558 34073 64,631 38275 40230 78505
NGO Clinics/Facilities 0 0 0 4350 6756 11,106 4350 6756 11106
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 Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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 21045 18112 39,157 10125 9079 19,204 31170 27191 58361
Upazila Health Complex 7119 6797 13,916 17217 20233 37,450 24336 27030 51366
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 Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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 17242 15866 33,108 7381 5609 12,990 24623 21475 46098
Upazila Health Complex 5778 6140 11,918 10981 14840 25,821 16759 20980 37739
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 Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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 84 54 138 249 189 438 333 243 576
Upazila Health Complex 59 36 95 65 36 101 124 72 196
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 Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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 18632
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 4129 22.2
2 B349 B349 Viral infection, unspecified 2438 13.1
3 J18 J18 Pneumonia, organism unspecified 1810 9.7
4 K27 K27 Peptic ulcer, site unspecified 1723 9.2
5 A009 A009 Cholera, unspecified 811 4.4

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 11432
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1705 14.9
2 K231 K27 Peptic ulcer, site unspecified 1356 11.9
3 T00 T00 Superficial injuries involving multiple body regions 720 6.3
4 Y09 Y09 Assault by unspecified means 658 5.8
5 J45 J45 Asthma 607 5.3
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 230
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 35 15.2
2 P021 P021 Fetus and newborn affected by other forms of placental separation and haemorrhage 33 14.3
3 W70 W70 Drowning and submersion following fall into natural water 25 10.9
4 A18 A18 Tuberculosis of other organs 24 10.4
5 P210 P210 Severe birth asphyxia 21 9.1

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 10
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 6 60.0
2 O15 O15 Eclampsia 2 20.0
3 O63 O63 Long labour 1 10.0
4 I21 I21 Acute myocardial infarction 1 10.0
5 0.0
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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) 55
No. ICD-10 Code Disease name No. of Cases %
1 I64 I64 Stroke, not specified as haemorrhage or infarction 11 20.0
2 I21 I21 Acute myocardial infarction 6 10.9
3 I10 I10 Essential (primary) hypertension 4 7.3
4 J45 J45 Asthma 2 3.6
5 J960 J960 Acute respiratory failure 2 3.6
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 94.0
Coverage of households having access to sanitary latrines (%) 88.0
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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Surgeries done under the CS Office
Type No.
Major Surgeries 3901
Minor Surgeries 5382
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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 4 2 2 4 0 0.0
Grade 6 62 30 4 34 28 45.2
Grade 7 16 13 2 15 1 6.3
Grade 8 79 39 26 65 14 17.7
Grade 9 86 46 27 73 13 15.1
Grade 10 100 14 45 59 41 41.0
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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 11 156 89 36 125 31 19.9
Grade 12 3 3 0 3 0 0.0
Grade 13 558 49 6 55 503 90.1
Grade 14 322 162 127 289 33 10.2
Grade 15 90 62 22 84 6 6.7
Grade 16 287 134 67 201 86 30.0
Grade 17 13 10 3 13 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 23 16 1 17 6 26.1
Grade 20 131 63 25 88 43 32.8
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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 15 7 1 8 7 46.7
Grade 9 0 0 0 0 0 0.0
Grade 10 0 0 0 0 0 0.0
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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 1 0 1 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 8 7 1 8 0 0.0
Grade 15 3 2 0 2 1 33.3
Grade 16 6 2 0 2 4 66.7
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 10 7 1 8 2 20.0
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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 8 3 11
Grade 6 19 4 23
Grade 7 49 7 56
Grade 8 49 43 92
Grade 9 32 21 53
Grade 10 7 22 29
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
District Total
Grade 11 104 54 158
Grade 12 5 0 5
Grade 13 146 39 185
Grade 14 173 145 318
Grade 15 46 20 66
Grade 16 82 48 130
Grade 17 52 18 70
Grade 18 8 0 8
Grade 19 13 4 17
Grade 20 20 8 28
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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 4 0 4
Grade 8 2 0 2
Grade 9 0 0 0
Grade 10 2 0 2
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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 1 4
Grade 12 1 0 1
Grade 13 5 1 6
Grade 14 0 0 0
Grade 15 1 0 1
Grade 16 2 0 2
Grade 17 9 0 9
Grade 18 0 0 0
Grade 19 1 0 1
Grade 20 1 0 1
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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 84 74 161 91 0 0 15 10 20 5 0
Nurse 0 0 0 0 116 60 0 0 0 0 2 7 0
Medical Assistant 0 0 84 84 14 14 0 0 0 0 77 0 0
Medical Technologist 0 0 0 0 92 67 0 0 0 0 0 0 0
CHCP 319 277 0 0 0 0 0 0 0 0 0 18 0
HI 0 0 0 0 29 28 0 0 0 0 0 0 0
AHI 0 0 0 0 86 84 0 0 0 0 0 0 8
HA 0 0 0 0 430 270 0 0 0 0 0 0 45
Total 319 277 168 158 928 614 0 0 15 10 99 30 53
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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

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

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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 Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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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) 11 1 0 0 12
Laptop 3 0 1 0 4
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 1 1 0 8
Scanner 1 0 0 0 1
UPS 4 1 0 0 5
Fax 1 1 0 0 2
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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

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Important information and necessary issues you want to raise
Local Health Bulletin 2016 for Noakhali Civil Surgeon Office, Noakhali Sadar, Noakhali

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