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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

This is of my great pleasure to publish this Health Bulletin containing different health related information and some important indicators of health services of Bogra district. The indicators, especially those for neonatal and maternal mortality; which have been published here will not represent the existing national figure because of unavailability of Complete information and data particularly from the communities. I would like to congratulate the initiation of the health bulletin software for setting a current data based health services in Bangladesh. And at the same time I felt honour to be a part of this new era of health services. My heartfelt thanks to MIS, DGHS, Bangladesh, for this time demanding initiative. Dr. Ardhendu Deb Civil Surgeon, Bogra.

Dr.Ardhendu Deb
Civil Surgeon
Bogra Civil Surgeon Office
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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EDITORIAL BOARD

Chief Editor

Dr. Ardhendu Deb, Civil surgeon


Special Acknowledgement

1. Dr.Mostafa Alam Nannu, President(BMA),Bogra

Editors

1. Dr.ATM Nuruzzaman, Deputy Civil Surgeon

2. Dr.Shazzadul Karim, MO(ICT)

3. Shaherul Islam Khan, Statistician

Contributors

1. Abdul latif, Head assistance

2. Mr.Ashok kumar, Accountant

3. Md.jasim Uddin, Store kepper


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 Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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Basic Information
Name of District Bogra
Organization Code 10001104
Name of Civil SurgeonDr.Ardhendu Deb
Land Phone No. 1 05160820
Land Phone No. 2 05166186
FAX No. 05160920
Mobile No.
Email bogra@cs.dghs.gov.bd
GPS location of CS Office Lati: 24.8434 And Long: 89.3789
No. of Upazila in the District12
No. of Households in the District 800725
Population in the District 3368564
Area of District in sq km 2857
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 2 1250
District Hospital 1 250
General Hospital 0 0
Upazila Health Complexes 11 493
Union Sub Centers 33 0
Union Health & Family Welfare Centers (under DGHS) 05 0
Union Health & Family Welfare Centers (under DGFP) 71 0
Rural Dispensaries 12 0
Community Clinics 363 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 3 30
Chest Disease (TB) Clinics/Hospitals 2 20
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 91 930
NGO Clinics/Facilities 16 120
10 Bed Hospitals 0 0
20 Bed Hospitals 3 60
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 61,962



Neonatal Mortality Rate: 4.1 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 480,854
Fully Vaccinated Children (<= 12 months): 94.91 %
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 4816 19958 804 0 4491 45200 75269
At least 1 ANC 0 4816 43853 804 0 4491 19827 73791
ANCs (4+) 0 2656 11078 666 0 0 19342 33742
Normal Delivery 0 1791 7148 692 1451 1115 36519 48716
Cesarean Section 0 0 2605 153 10189 355 0 13302
Other Assisted Delivery 0 0 0 2 0 0 0 2
PNC Within 2 days 0 1822 9803 568 12496 1435 19401 45525
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 2 0 0 0 13 15
Total Deliveries 0 1791 9753 847 11640 1470 36519 62020
Valid TT5 Coverage (%) 47.29
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 56112 66203 122,315 235449 360589 596,038 291561 426792 718353
Union Sub-Centers 58044 65272 123,316 128720 220024 348,744 186764 285296 472060
Union Health & Family Welfare Centers (under DGHS) 5642 6350 11,992 64824 95158 159,982 70466 101508 171974
Union Health & Family Welfare Centers (belong to DGFP) 39855 44994 84,849 123900 281191 405,091 163755 326185 489940
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 178992 256048 435,040 947527 1903550 2,851,077 1126519 2159598 3286117
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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) 1960 2560 4,520 919 10657 11,576 2879 13217 16096
Chest Disease (TB) Clinics/Hospitals 3 2 5 2024 1178 3,202 2027 1180 3207
Private Clinics/Facilities 0 0 0 2728 4208 6,936 2728 4208 6936
NGO Clinics/Facilities 288 175 463 5690 11020 16,710 5978 11195 17173
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 1901 2167 4,068 8276 26734 35,010 10177 28901 39078
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 Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 7761 7579 15,340 38463 36592 75,055 46224 44171 90395
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 0 522 522 0 522 522
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 3719 3418 7,137 19269 27354 46,623 22988 30772 53760
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 110 50 160 110 50 160
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 0 466 466 0 466 466
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 4 4 8 30 22 52 34 26 60
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 Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 7002
No. ICD-10 Code Disease name No. of Cases %
1 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 2983 42.6
2 J189 J189 Pneumonia, unspecified 1368 19.5
3 R509 R509 Fever, unspecified 366 5.2
4 A010 A010 Typhoid fever 145 2.1
5 J219 J219 Acute bronchiolitis, unspecified 112 1.6

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 29106
No. ICD-10 Code Disease name No. of Cases %
1 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 7448 25.6
2 Y099 Y099 Assault by unspecified means, unspecified place 3515 12.1
3 R509 R509 Fever, unspecified 1749 6.0
4 J459 J459 Asthma, unspecified 1724 5.9
5 K279 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 1202 4.1
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 8
No. ICD-10 Code Disease name No. of Cases %
1 J189 J189 Pneumonia, unspecified 6 75.0
2 R509 R509 Fever, unspecified 1 12.5
3 V899 V899 Person injured in unspecified vehicle accident 1 12.5
4 0.0
5 0.0

Top (5) Maternal causes of death

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

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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) 52
No. ICD-10 Code Disease name No. of Cases %
1 J459 J459 Asthma, unspecified 20 38.5
2 J449 J449 Chronic obstructive pulmonary disease, unspecified 9 17.3
3 I219 I219 Acute myocardial infarction, unspecified 4 7.7
4 X689 X689 Intentional self-poisoning by and exposure to pesticides, unspecified place 3 5.8
5 V899 V899 Person injured in unspecified vehicle accident 2 3.8
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 94.0
Coverage of households having access to sanitary latrines (%) 95.0
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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Surgeries done under the CS Office
Type No.
Major Surgeries 0
Minor Surgeries 18680
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 1 1 0 1 0 0.0
Grade 7 1 0 0 0 1 100.0
Grade 8 0 0 0 0 0 0.0
Grade 9 6 1 0 1 5 83.3
Grade 10 10 6 2 8 2 20.0
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 1 0 1 1 0 0.0
Grade 12 1 1 0 1 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 9 8 0 8 1 11.1
Grade 15 4 2 0 2 2 50.0
Grade 16 9 5 1 6 3 33.3
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 3 2 0 2 1 33.3
Grade 20 13 9 1 10 3 23.1
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 0 0 0 1 100.0
Grade 8 0 0 0 0 0 0.0
Grade 9 6 1 0 1 5 83.3
Grade 10 10 6 2 8 2 20.0
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 9 8 0 8 1 11.1
Grade 15 4 2 0 2 2 50.0
Grade 16 9 5 1 6 3 33.3
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 3 2 0 2 1 33.3
Grade 20 13 9 1 10 3 23.1
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 0 0 0
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 0 108 96 0 0 0 0 0 0 0 0 0
Nurse 0 0 0 0 0 0 0 0 0 0 0 0 0
Medical Assistant 0 0 0 0 0 0 0 0 0 0 0 0 0
Medical Technologist 0 0 0 0 0 0 0 0 0 0 0 0 0
CHCP 363 363 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 0 0 30 30 0 0 0
AHI 0 0 0 0 0 0 0 0 98 88 0 0 0
HA 0 0 0 0 0 0 0 0 481 396 0 0 0
Total 363 363 108 96 0 0 0 0 609 514 0 0 0
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 0 0 0
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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) 0 0 0 0 0
Air conditioner (window) 1 0 0 0 1
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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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 2 0 0 8
Laptop 1 1 0 0 2
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 1 0 0 4
Scanner 1 0 0 0 1
UPS 6 2 0 0 8
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 Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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

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Important information and necessary issues you want to raise
Important information and necessary issues for Bogra Civil Surgeon Office: As Bogra is a very old and large district to ensure proper health services in the district, I would like to draw attention of my higher authorities and all concerned on the following issues : 1.All vacant posts and supporting staff should be filled immediately . 2. Residence of Civil Surgeon which was declared condemn to be repaired on urgent basis . 3. Condition of vehicle for Civil Surgeon is very poor with no air conditioning system, it should be replaced soon. 4. DRS should be extended with proper ventilation in confined premises. 5. There is no guest room in our sector in the district,so provision of at least two guest rooms(with one VIP) to be created to meet the need of different situations. 6. Training of doctors and other staff is needed to ensure proper and updated health services. 7. Funding of different programs in district level to be available duly and properly.
Local Health Bulletin 2016 for Bogra Civil Surgeon Office, Bogra Sadar, Bogra

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