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Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

I am very glad to see the health bulletin-2016 in light this health bulletin. This bulletin retains various health related information of 2015. This bulletin is manifested to sensitise the information linked to health. I desire all the information of this bulletin will help and enrich for planning and upholding of health services of Gaibandha district. The bulletin contains the status of MDG which will help Sustain SDG target. It has also the information on Maternal Mortality Rate(MMR)and Neonatal Mortality Rate (NMR),EPI coverage,Safe Water and Sanitation and early marriage status of Gaibandha District. All the sanctioned and vacant post of health department in Gaibandha district are published here for information of all,which will draw attention of the concern authority to mitigate the gap of human resource in this district on the next year. Finally I would like to convey thanks and congratulate the motivator and initiator of this bulletin all walks of staff of Gaibandha district health department who make easier this bulletin to be published for the authority.

Dr. Nirmalendu Chowdhury
Civil Surgeon
Gaibandha Civil Surgeon Office
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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EDITORIAL BOARD

Chief Editor

Dr. Nirmalendu Chowdhury, Civil Surgeon


Editors

1. Shihab Md. Rezoyanur Rahman, MO(CS)

2. MD. AYNUL HAQUE, Statistical Assistant(In-charge)

Contributors

1. Md. Abdul Halim, EPI Suparintendent

2. Md. Abdul Hannan, Jonier Health Education Officer


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 Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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Basic Information
Name of District Gaibandha
Organization Code 10001253
Name of Civil SurgeonDr. Nirmalendu Chowdhury
Land Phone No. 1 54151560
Land Phone No. 2 N/A
FAX No. 54151644
Mobile No. 01712156595
Email gaibandha@cs.dghs.gov.bd
GPS location of CS Office Lati: 25.3269 And Long: 89.5383
No. of Upazila in the District07
No. of Households in the District 574848
Population in the District 2503507
Area of District in sq km 2181
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 6 205
Union Sub Centers 36 0
Union Health & Family Welfare Centers (under DGHS) 0
Union Health & Family Welfare Centers (under DGFP) 54 0
Rural Dispensaries 0 0
Community Clinics 301 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 2 20
Chest Disease (TB) Clinics/Hospitals 0 0
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 14 140
NGO Clinics/Facilities 0 0
10 Bed Hospitals 1 10
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 42,261



Neonatal Mortality Rate: 27.2 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 261,577
Fully Vaccinated Children (<= 12 months): 97 %
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 2990 26346 0 15159 1807 6784 0 53086
At least 1 ANC 2990 26346 0 15159 1807 6784 0 53086
ANCs (4+) 93 5992 0 0 0 3108 0 9193
Normal Delivery 798 4433 0 1697 569 3349 0 10846
Cesarean Section 117 1046 0 735 1744 170 0 3812
Other Assisted Delivery 2 0 0 0 0 0 0 2
PNC Within 2 days 963 5743 0 4158 2350 4358 0 17572
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 9 5 0 0 0 0 0 14
Total Deliveries 917 5479 0 2432 2313 3519 0 14660
Valid TT5 Coverage (%) 8
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 13480 16651 30,131 45391 57237 102,628 58871 73888 132759
Upazila Health Complex 62248 45530 107,778 90895 126769 217,664 153143 172299 325442
Union Sub-Centers 87740 94166 181,906 171728 181978 353,706 259468 276144 535612
Union Health & Family Welfare Centers (under DGHS) 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (belong to DGFP) 57546 53520 111,066 94625 125455 220,080 152171 178975 331146
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 209316 322975 532,291 730662 1454235 2,184,897 939978 1777210 2717188
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 3122 3742 6,864 8974 17668 26,642 12096 21410 33506
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 Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 1455 1588 3,043 9035 9428 18,463 10490 11016 21506
Upazila Health Complex 1480 1558 3,038 5625 4962 10,587 7105 6520 13625
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 Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 3025 1839 4,864 7720 10039 17,759 10745 11878 22623
Upazila Health Complex 4042 4967 9,009 9953 14818 24,771 13995 19785 33780
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 Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 14 5 19 10 11 21 24 16 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 Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 6992
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1761 25.2
2 J06 J06 Acute upper respiratory infections of multiple and unspecified sites 820 11.7
3 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 793 11.3
4 J189 J189 Pneumonia, unspecified 607 8.7
5 K52 K52 Other noninfective gastroenteritis and colitis 557 8.0

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 17930
No. ICD-10 Code Disease name No. of Cases %
1 K52 K52 Other noninfective gastroenteritis and colitis 4367 24.4
2 Y09 Y09 Assault by unspecified means 1697 9.5
3 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1517 8.5
4 J459 J459 Asthma, unspecified 1128 6.3
5 V79 V79 Bus occupant injured in other and unspecified transport accidents 740 4.1
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 20
No. ICD-10 Code Disease name No. of Cases %
1 J219 J219 Acute bronchiolitis, unspecified 4 20.0
2 J18 J18 Pneumonia, organism unspecified 4 20.0
3 P210 P210 Severe birth asphyxia 2 10.0
4 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2 10.0
5 A419 A419 Septicaemia, unspecified 2 10.0

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 20
No. ICD-10 Code Disease name No. of Cases %
1 O15 O15 Eclampsia 3 15.0
2 O72 O72 Postpartum haemorrhage 3 15.0
3 O150 O150 Eclampsia in pregnancy 2 10.0
4 O031 O031 Spontaneous abortion, incomplete, complicated by delayed or excessive haemorrhage 2 10.0
5 O44 O44 Placenta praevia 1 5.0
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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) 48
No. ICD-10 Code Disease name No. of Cases %
1 J45 J45 Asthma 12 25.0
2 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 6 12.5
3 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 4 8.3
4 I679 I679 Cerebrovascular disease, unspecified 3 6.3
5 I255 I255 Ischaemic cardiomyopathy 3 6.3
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 83.0
Coverage of households having access to sanitary latrines (%) 80.0
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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Surgeries done under the CS Office
Type No.
Major Surgeries 1300
Minor Surgeries 3571
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 0 0 0 0 0 0.0
Grade 6 18 8 2 10 8 44.4
Grade 7 14 12 2 14 0 0.0
Grade 8 44 18 16 34 10 22.7
Grade 9 73 36 5 41 32 43.8
Grade 10 69 8 42 50 19 27.5
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 11 141 93 22 115 26 18.4
Grade 12 0 0 0 0 0 0.0
Grade 13 76 65 22 87 -11 -14.5
Grade 14 33 32 1 33 0 0.0
Grade 15 31 23 3 26 5 16.1
Grade 16 407 253 112 365 42 10.3
Grade 17 3 2 1 3 0 0.0
Grade 18 1 1 0 1 0 0.0
Grade 19 2 2 0 2 0 0.0
Grade 20 151 92 32 124 27 17.9
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 2 0 2 0 0.0
Grade 8 2 1 1 2 0 0.0
Grade 9 0 0 0 0 0 0.0
Grade 10 4 4 0 4 0 0.0
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 5 5 0 5 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 2 2 0 2 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 1 1 0 1 0 0.0
Grade 17 3 2 1 3 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 1 1 0 1 0 0.0
Grade 20 4 4 0 4 0 0.0
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 8 2 10
Grade 7 12 2 14
Grade 8 18 16 34
Grade 9 36 5 41
Grade 10 8 42 50
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 93 22 115
Grade 12 0 0 0
Grade 13 65 22 87
Grade 14 32 1 33
Grade 15 23 3 26
Grade 16 253 112 365
Grade 17 2 1 3
Grade 18 1 0 1
Grade 19 2 0 2
Grade 20 92 32 124
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 0 0 0
Grade 9 0 0 0
Grade 10 4 0 4
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 5 0 5
Grade 12 0 0 0
Grade 13 2 0 2
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 1 0 1
Grade 17 2 1 3
Grade 18 0 0 0
Grade 19 1 0 1
Grade 20 4 0 4
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 83 70 59 35 42 13 9 3 0 2 0
Nurse 0 0 8 6 73 67 38 38 0 0 0 4 0
Medical Assistant 0 0 83 78 12 12 0 0 0 0 0 0 0
Medical Technologist 0 0 1 1 41 41 6 6 0 0 0 0 0
CHCP 305 305 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 27 27 0 0 0 0 0 0 0
AHI 0 0 0 0 78 78 0 0 0 0 0 0 0
HA 0 0 0 0 390 355 0 0 0 0 0 0 0
Total 305 305 175 155 680 615 86 57 9 3 0 6 0
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 1 1 0 4
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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) 7 7 0 0 14
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 1 0 0 2
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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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 5 0 3 18
Laptop 2 2 0 0 4
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 3 0 0 6
Scanner 1 0 0 0 1
UPS 2 2 0 0 4
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 Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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

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Important information and necessary issues you want to raise
We are thankful to Directorate General of Health Services to take part in developing Digital Health by publishing Health Bulletin of Gaibandha District.Gaibandha is one of the Socially and Economically least developed district in the Rangpur Divission. Some unions of 3 upazilla are vary much hard to reach area for health services. We think that it should be known to everybody that we could not give our maximum efforts to improve the health status of Gaibandha district last year due to many reasons which were not intentional. We like to mention here some important factors which will help us to improve our performences in future Fist of all the vacant post should be filled- up immediately such as Sr. Consultant(Surgery),Junior Consultant(Medicine,pediatrice,Eye,Skin&VD) at Adhunik Sadar Hospital.There is Shortness of Medicine & Logistic Suplly and also 3rd & 4th Class Emplyce. Thats why our performances are not achived upto the desired level. So if we want to improve our health services at Gaibandha District Vacant post of all Catagories of Doctors,Nurrses and Others should be filled-up immediately also improve the Supervisson,Monitoring from District to upazilla and upazilla to Union and Community level . We should also ensure the accountability of all level of staffs for their perfomances.
Local Health Bulletin 2016 for Gaibandha Civil Surgeon Office, Gaibandha Sadar, Gaibandha

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