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Preface

I am Dr. Prodhan Md. Abul Kalam Azad, Civil Surgeon, Chapainawabganj newly posted here. Yearly health bulletin is a store of knowledge where we get various status of health activities indifferent health institutions and I am happy to publish the yearly health bulletin of 2016. I hope all the information of this bulletin will help for planning and getting decision of the gaps of this district in health services. Dr. Prodhan Md. Abul Kalam Azad Civil Surgeon,Chapainawabganj.

Dr. Prodhan Md. Abul Kalam Azad
Civil Surgeon
Chapai Nababganj Civil Surgeon Office
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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EDITORIAL BOARD

Chief Editor

Dr. Prodhan Md. Abul Kalam Azad, Civil Surgeon


Editors

1. Dr. Md. Abdul Matin, Medical Officer

2. Mohammad Ali, Statistical Assistnat

Contributors

1. Md. Bodruzzaman, Head Assistant

2. Md.Naimul Haque, Office Assistant Cum Computer Operator

3. Md. Saidur Hasan, Soter Keeper

4. Md. Amirul Islam, EPI Supperintendent


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 Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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Basic Information
Name of District Chapai Nawabganj
Organization Code 10001185
Name of Civil SurgeonDr. Prodhan Md. Abul Kalam Azad
Land Phone No. 1 078152314
Land Phone No. 2 N/A
FAX No. 078153459
Mobile No. 01871507820
Email chapainawabganj@cs.dghs.gov.bd
GPS location of CS Office Lati: 24.5970 And Long: 88.2759
No. of Upazila in the District05
No. of Households in the District 279218
Population in the District 1733026
Area of District in sq km 1758.5
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 0 0
District Hospital 01 100
General Hospital 0 0
Upazila Health Complexes 05 143
Union Sub Centers 20 0
Union Health & Family Welfare Centers (under DGHS) 25 0
Union Health & Family Welfare Centers (under DGFP) 25 0
Rural Dispensaries 0 0
Community Clinics 143 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 01 20
Chest Disease (TB) Clinics/Hospitals 01 0
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 45 419
NGO Clinics/Facilities 02 20
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 42,695



Neonatal Mortality Rate: 6.4 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 88,644
Fully Vaccinated Children (<= 12 months): 98 %
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 2950 24354 0 4042 9395 5566 3404 49711
At least 1 ANC 2950 18320 5566 732 9635 6063 1799 45065
ANCs (4+) 1500 3262 0 0 0 20 0 4782
Normal Delivery 1863 4119 0 375 5280 572 13226 25435
Cesarean Section 180 10 0 228 15477 56 1244 17195
Other Assisted Delivery 210 0 0 0 0 0 0 210
PNC Within 2 days 2043 4084 0 1569 15477 793 11105 35071
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 6 0 0 0 1 0 2 9
Total Deliveries 2253 4129 0 603 20757 628 14470 42840
Valid TT5 Coverage (%) 55.64
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 14040 23538 37,578 51335 97148 148,483 65375 120686 186061
Upazila Health Complex 43663 40720 84,383 65245 79165 144,410 108908 119885 228793
Union Sub-Centers 13971 16115 30,086 72161 143921 216,082 86132 160036 246168
Union Health & Family Welfare Centers (under DGHS) 8766 9642 18,408 54110 97832 151,942 62876 107474 170350
Union Health & Family Welfare Centers (belong to DGFP) 12864 24687 37,551 14520 86179 100,699 27384 110866 138250
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 89583 120292 209,875 241776 524464 766,240 331359 644756 976115
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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) 1510 2324 3,834 0 5301 5,301 1510 7625 9135
Chest Disease (TB) Clinics/Hospitals 1 2 3 3 324 327 4 326 330
Private Clinics/Facilities 5024 5175 10,199 9730 21051 30,781 14754 26226 40980
NGO Clinics/Facilities 280 323 603 0 3685 3,685 280 4008 4288
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 Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 3934 3444 7,378 7378 14430 21,808 11312 17874 29186
Upazila Health Complex 2711 2266 4,977 7809 6919 14,728 10520 9185 19705
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 Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 3143 2531 5,674 9649 10584 20,233 12792 13115 25907
Upazila Health Complex 2823 2718 5,541 5381 10636 16,017 8204 13354 21558
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 Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 122 67 189 74 49 123 196 116 312
Upazila Health Complex 7 5 12 23 14 37 30 19 49
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 Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 20807
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3422 16.4
2 P21 P21 Birth asphyxia 1890 9.1
3 J14 J14 Pneumonia due to Haemophilus influenzae 1229 5.9
4 A01 A01 Typhoid and paratyphoid fevers 365 1.8
5 A41 A41 Other septicaemia 247 1.2

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 15522
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 5418 34.9
2 X85 X85 Assault by drugs, medicaments and biological substances 1314 8.5
3 J06 J06 Acute upper respiratory infections of multiple and unspecified sites 923 5.9
4 A01 A01 Typhoid and paratyphoid fevers 840 5.4
5 J45 J45 Asthma 507 3.3
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 196
No. ICD-10 Code Disease name No. of Cases %
1 P21 P21 Birth asphyxia 63 32.1
2 E639 E639 Nutritional deficiency, unspecified 32 16.3
3 Q210 Q210 Ventricular septal defect 22 11.2
4 O60 O60 Preterm delivery 20 10.2
5 A41 A41 Other septicaemia 18 9.2

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 9
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 6 66.7
2 O149 O149 Pre-eclampsia, unspecified 2 22.2
3 I46 I46 Cardiac arrest 1 11.1
4 0.0
5 0.0
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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) 140
No. ICD-10 Code Disease name No. of Cases %
1 I21 I21 Acute myocardial infarction 35 25.0
2 I509 I509 Heart failure, unspecified 11 7.9
3 J45 J45 Asthma 11 7.9
4 I10 I10 Essential (primary) hypertension 9 6.4
5 J44 J44 Other chronic obstructive pulmonary disease 7 5.0
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 90.0
Coverage of households having access to sanitary latrines (%) 95.0
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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Surgeries done under the CS Office
Type No.
Major Surgeries 1111
Minor Surgeries 4830
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 12 3 0 3 9 75.0
Grade 6 44 14 4 18 26 59.1
Grade 7 1 0 0 0 1 100.0
Grade 8 0 0 0 0 0 0.0
Grade 9 89 38 26 64 25 28.1
Grade 10 71 11 52 63 8 11.3
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 95 65 26 91 4 4.2
Grade 12 4 3 0 3 1 25.0
Grade 13 12 7 4 11 1 8.3
Grade 14 38 29 4 33 5 13.2
Grade 15 57 46 7 53 4 7.0
Grade 16 236 136 63 199 37 15.7
Grade 17 27 10 4 14 13 48.1
Grade 18 0 0 0 0 0 0.0
Grade 19 10 4 1 5 5 50.0
Grade 20 110 67 23 90 20 18.2
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 5 1 3 4 1 20.0
Grade 10 4 2 1 3 1 25.0
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 1 1 0 1 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 8 7 1 8 0 0.0
Grade 15 2 2 0 2 0 0.0
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 1 0 1 2 66.7
Grade 20 6 5 0 5 1 16.7
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 3 0 3
Grade 5 6 0 6
Grade 6 3 4 7
Grade 7 20 4 24
Grade 8 9 21 30
Grade 9 6 17 23
Grade 10 7 11 18
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 22 18 40
Grade 12 0 0 0
Grade 13 50 17 67
Grade 14 16 21 37
Grade 15 38 5 43
Grade 16 42 17 59
Grade 17 15 7 22
Grade 18 0 0 0
Grade 19 9 3 12
Grade 20 20 7 27
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 2 1 3
Grade 9 0 1 1
Grade 10 3 1 4
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 1 3
Grade 12 0 0 0
Grade 13 8 1 9
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 1 0 1
Grade 17 5 0 5
Grade 18 0 0 0
Grade 19 1 0 1
Grade 20 1 0 1
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 50 30 42 15 6 6 0 1 0
Nurse 0 0 0 0 45 45 36 36 1 1 2 16 0
Medical Assistant 0 0 45 45 8 8 0 0 0 0 11 0 0
Medical Technologist 0 0 0 0 29 29 5 5 2 2 0 0 0
CHCP 149 140 0 0 0 0 0 0 0 0 0 0 36
HI 0 0 0 0 15 6 0 0 0 0 0 0 0
AHI 0 0 0 0 43 43 0 0 0 0 0 0 0
HA 0 0 0 0 215 176 0 0 0 0 0 0 43
Total 149 140 90 78 405 337 83 56 9 9 13 17 79
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 1 0 2
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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) 3 0 0 0 3
Air conditioner (window) 1 0 0 0 1
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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) 9 0 0 0 9
Laptop 2 0 0 0 2
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 0 0 0 5
Scanner 1 0 0 0 1
UPS 2 0 0 0 2
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 Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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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 1 0 0 0 1
Land phone 2 0 0 0 2
Mobile phone 0 0 0 0 0
Photocopier machine 0 1 0 0 1
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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Important information and necessary issues you want to raise
To the best of my knowledge the Statistician are the key person for this purpose. They are all university graduate but their scale salary and dignity is not expectable as well as their status. So it is very very necessary to upgrade their salary and service status. Authorities are requested to give extra vision for changing their luck who are more skilled than other health service providers. Thank to the initiator and all of you. See you next time.
Local Health Bulletin 2016 for Chapai Nababganj Civil Surgeon Office, Chapai Nababganj Sadar, Chapai Nawabganj

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