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

Preface

It is my great pleasure to publish this health bulletin of Dinajpur district for the year 2015. This bulletin contains all health related necessary information. I hope all this informations will help us and our development-partners for proper planning and improvement of health service delivery system. This bulletin contains the status of achived targets of MDG-4 and MDG-5 . This health bulletin has also the information on safe drinking water and sanitation status of the district. Sanction and vacant post of all categorical manpower are published in this bulletin, which reflect acute shortage of Doctors& Staff. I would like to draw attention of the higher authority to look into this issue. Finally I like to express my thanks and gratitude to Director of MIS for his cordial and continuous support and also express thanks to all the technical hands of MIS for their great contribution Dr. Amalendu Biswas Civil Surgeon Dinajpur Civil Surgeon Office.

Dr. Amalendu Biswas
Civil Surgeon
Dinajpur Civil Surgeon Office
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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EDITORIAL BOARD

Chief Editor

Dr. Amalendu Biswas , Civil Surgeon,Dinajpur.


Editors

1. Dr. Shamim Ara Nazneen, Deputy Civil Surgeon

2. Md. Azahar Ali, Statistical Asstt.

3. Md: Khairul Islam, Office Asstt. Cum Computer Operator

Contributors

1. Md. Echhamuddin, 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 Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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Basic Information
Name of District Dinajpur
Organization Code 10001213
Name of Civil SurgeonDr. Amalendu Biswas
Land Phone No. 1 053165006
Land Phone No. 2 053165125
FAX No. 053165125
Mobile No. 01716040229
Email dinajpur@cs.dghs.gov.bd
GPS location of CS Office Lati: 25.6265 And Long: 88.6378
No. of Upazila in the District13
No. of Households in the District 647500
Population in the District 3109628
Area of District in sq km 3444.30
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 01 500
District Hospital 0 0
General Hospital 01 250
Upazila Health Complexes 12 410
Union Sub Centers 105 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 0 0
Rural Dispensaries 01 0
Community Clinics 322 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 01 20
Chest Disease (TB) Clinics/Hospitals 01 0
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 29 250
NGO Clinics/Facilities 5 210
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 61,058



Neonatal Mortality Rate: 11.4 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 329,777
Fully Vaccinated Children (<= 12 months): 97.08 %
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 2258 59979 0 2886 2781 455 0 68359
At least 1 ANC 2258 59979 0 2886 2781 455 0 68359
ANCs (4+) 929 35766 0 2866 2761 425 0 42747
Normal Delivery 382 43094 0 1195 265 324 0 45260
Cesarean Section 655 10029 0 1632 2496 101 0 14913
Other Assisted Delivery 282 1026 0 39 0 0 0 1347
PNC Within 2 days 1300 54149 0 2866 2761 425 0 61501
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 48 0 2 0 0 0 50
Total Deliveries 1319 54149 0 2866 2761 425 0 61520
Valid TT5 Coverage (%) 17.15
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 14283 10583 24,866 90202 48878 139,080 104485 59461 163946
Upazila Health Complex 53764 58400 112,164 301419 384568 685,987 355183 442968 798151
Union Sub-Centers 41138 42631 83,769 202600 242686 445,286 243738 285317 529055
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 00 0 0 0 0 0 0 0
Rural/Urban/Thana Health Centers 2672 2685 5,357 8347 19746 28,093 11019 22431 33450
Community Clinics 109496 116116 225,612 831094 1670128 2,501,222 940590 1786244 2726834
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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) 300 393 693 1400 1658 3,058 1700 2051 3751
Chest Disease (TB) Clinics/Hospitals 21 18 39 752 601 1,353 773 619 1392
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 4998 4124 9,122 124997 133666 258,663 129995 137790 267785
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 Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 1932 1702 3,634 12336 8263 20,599 14268 9965 24233
Upazila Health Complex 3759 3314 7,073 32385 30652 63,037 36144 33966 70110
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 5 5 707 818 1,525 707 823 1530
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 1932 1702 3,634 12336 8263 20,599 14268 9965 24233
Upazila Health Complex 4270 3918 8,188 20355 29646 50,001 24625 33564 58189
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 378 406 784 9396 13089 22,485 9774 13495 23269
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 12 8 20 30 29 59 42 37 79
Upazila Health Complex 3 6 9 42 47 89 45 53 98
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 6 4 10 22 18 40 28 22 50
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 12606
No. ICD-10 Code Disease name No. of Cases %
1 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 4123 32.7
2 J189 J189 Pneumonia, unspecified 863 6.8
3 J18 J18 Pneumonia, organism unspecified 760 6.0
4 A010 A010 Typhoid fever 278 2.2
5 A928 A928 Other specified mosquito-borne viral fevers 234 1.9

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 29555
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 6990 23.7
2 Y09 Y09 Assault by unspecified means 4409 14.9
3 K27 K27 Peptic ulcer, site unspecified 1710 5.8
4 A010 A010 Typhoid fever 1004 3.4
5 J46 J46 Status asthmaticus 723 2.4
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 P36 P36 Bacterial sepsis of newborn 8 20.5
2 J18 J18 Pneumonia, organism unspecified 6 15.4
3 P21 P21 Birth asphyxia 5 12.8
4 V04 V04 Pedestrian injured in collision with heavy transport vehicle or bus 5 12.8
5 G05 G05 Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere 4 10.3

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 50
No. ICD-10 Code Disease name No. of Cases %
1 O82 O82 Single delivery by caesarean section 3 6.0
2 O159 O159 Eclampsia, unspecified as to time period 2 4.0
3 O66 O66 Other obstructed labour 2 4.0
4 O72 O72 Postpartum haemorrhage 2 4.0
5 0.0
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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) 188
No. ICD-10 Code Disease name No. of Cases %
1 J46 J46 Status asthmaticus 25 13.3
2 I120 I120 Hypertensive renal disease with renal failure 19 10.1
3 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 13 6.9
4 I21 I21 Acute myocardial infarction 6 3.2
5 I619 I619 Intracerebral haemorrhage, unspecified 6 3.2
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 99.6
Coverage of households having access to sanitary latrines (%) 91.6
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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Surgeries done under the CS Office
Type No.
Major Surgeries 3625
Minor Surgeries 11958
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 3 3 0 3 0 0.0
Grade 5 5 3 2 5 0 0.0
Grade 6 65 24 10 34 31 47.7
Grade 7 34 16 10 26 8 23.5
Grade 8 71 22 38 60 11 15.5
Grade 9 147 42 46 88 59 40.1
Grade 10 180 12 122 134 46 25.6
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 11 241 153 42 195 46 19.1
Grade 12 8 7 1 8 0 0.0
Grade 13 64 47 17 64 0 0.0
Grade 14 78 57 2 59 19 24.4
Grade 15 96 75 6 81 15 15.6
Grade 16 462 278 125 403 59 12.8
Grade 17 72 61 11 72 0 0.0
Grade 18 2 2 0 2 0 0.0
Grade 19 19 8 6 14 5 26.3
Grade 20 265 178 54 232 33 12.5
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 0 1 1 0 0.0
Grade 7 1 1 0 1 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 6 1 0 1 5 83.3
Grade 10 10 5 1 6 4 40.0
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 0 7 1 12.5
Grade 15 6 4 0 4 2 33.3
Grade 16 8 7 1 8 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 13 12 0 12 1 7.7
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 5 4 9
Grade 6 12 7 19
Grade 7 52 10 62
Grade 8 46 68 114
Grade 9 26 32 58
Grade 10 18 80 98
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 97 32 129
Grade 12 21 1 22
Grade 13 158 67 225
Grade 14 25 1 26
Grade 15 61 12 73
Grade 16 139 48 187
Grade 17 103 30 133
Grade 18 1 0 1
Grade 19 22 10 32
Grade 20 790 402 1192
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 1 1
Grade 7 1 0 1
Grade 8 0 0 0
Grade 9 1 0 1
Grade 10 5 1 6
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 1 1 2
Grade 12 1 0 1
Grade 13 1 0 1
Grade 14 7 0 7
Grade 15 4 0 4
Grade 16 7 1 8
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 1 0 1
Grade 20 12 12 24
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 0 105 70 136 69 35 16 12 7 22 0 0
Nurse 0 0 0 0 150 110 128 63 0 0 0 8 0
Medical Assistant 0 0 106 87 24 22 0 0 0 0 65 0 0
Medical Technologist 0 0 0 0 79 70 3 3 0 0 0 0 0
CHCP 324 321 0 0 0 0 0 0 0 0 0 0 55
HI 0 0 0 0 30 27 0 0 0 0 0 0 0
AHI 0 0 0 0 83 79 0 0 0 0 0 0 0
HA 0 0 0 0 414 359 0 0 0 0 0 0 48
Total 324 321 211 157 916 736 166 82 12 7 87 8 103
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 2 0 0 0 2
Microbus 0 0 0 0 0
Pickup 0 1 0 0 1
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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 2 0 0 0 2
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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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) 10 2 5 0 17
Laptop 2 0 0 0 2
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 0 3 0 6
Scanner 1 0 0 0 1
UPS 5 0 3 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 Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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

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Important information and necessary issues you want to raise
Last Year we could not give our maximum efforts to improve the Health Status due to many reasons. Here I Iike to suggest some important issues which will help to achieve our goal for the Improvement of health status of the district in up-coming years. 1. Fulfilment of vacant post of Doctors and Others e.g Nurse, Pharmacist, Store Keeper, Seccurity Guard, Sweeper is an urgent need.2.Prescence of Pair (Gynaecologist & Anaesthesiology ) Should be ensured. Doctors Anaesthesiology Should be Posted immediately in the Upazilla under DSF & EOC.3. Repeated transfers of UHFPOs hamper the progress of achievement. 4.Manpower should be sanctioned and posted in structurally upgraded 50 beded hospitals 5.All the managers of District and upazila level should be given a training or financial management .6. A fruitful practical training on medical jurisprudence should be given among all the Doctors.2-Doctors and nurses need more training on ICT, IMCI and EOC . Finally. I am very happy to write this health bulletin of 2015 because this document will help us to compare our progress in upcoming years. this is vary useful document and will help to pubilic to understand health services and to provide us the useful advice for improvement in future.
Local Health Bulletin 2016 for Dinajpur Civil Surgeon Office, Dinajpur Sadar, Dinajpur

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