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

Preface

I am very glad to know that the Local Health bulletin-2016 is published with the cordial assistance of ICT related officers and staffs of the health sector of Joypurhat district. This is the government policy to publish the Local health bulletin in every year to disseminate the information to the public, different GOs and NGOs organization. I hope all the information of this bulletin will help for making planning and also help to know the health situation of this district. So it is the mirror of district level health activities. This bulletin contains all health related information of 2015. In 2014, Maternal & Child Mortality rate of Joypurhat district was under the target line of MDG 4 and MDG 5. I am very happy to inform you all that the Maternal & Child Mortality rate of Joypurhat district of 2014 is sustained by the cordial support of all health service providers of the district in 2015. So we can say, this district is going to achieve SDG vision. We try to keep every health parameter within the target level. In spite of our all efforts, there may be lacks and gaps in health sector of this district. We are highly glad, if the public/GO & NGOs organization find out the lacks and gaps and discuss us with the matter. I would like to congratulate the Line Director of MIS, DGHS and the initiator of the health bulletin software for moving us one step ahead toward e-health. I also thanks to everybody who were involved for making Local Health bulletin-2016 of Joypurhat District. Dr. Jasim Uddin Howlader Civil Surgeon,Joypurhat.

Dr.Jasim Uddin Howlader
Civil Surgeon
Joypurhat Civil Surgeon Office
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

2

EDITORIAL BOARD

Chief Editor

Dr.Jasim Uddin Howlader, Civil Surgeon Joypurhat


Special Acknowledgement

1. Dr.Md. Shahid Hossain, MO (ICT Focal Point)

2. Md. Shamsujjaman, Sr.H.E.O

3. Md. Qudratullah, Jr.H.E.O

4. Md. Rafiqul Islam, Office Asstt.

Editors

1. Dr.Md. Shahid Hossain, MO (ICT Focal Point)

2. Md. Akhtiar Hossain, Statistical Assistant

Contributors

1. Md.Shamsujjaman, Sr.H.E.O

2. Md. Maher Murad, DHS

3. Md. Aminul Islam, DSI


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 Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

3

Basic Information
Name of District Joypurhat
Organization Code 10001297
Name of Civil SurgeonDr.Jasim Uddin Howlader
Land Phone No. 1 57162207
Land Phone No. 2 N/A
FAX No. N/A
Mobile No. 01719874171
Email joypurhat@cs.dghs.gov.bd
GPS location of CS Office Lati: 24.0000 And Long: 89.0000
No. of Upazila in the District5
No. of Households in the District 242556
Population in the District 941386
Area of District in sq km 995
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

4

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 0 0
District Hospital 1 150
General Hospital 0 0
Upazila Health Complexes 5 200
Union Sub Centers 12 0
Union Health & Family Welfare Centers (under DGHS) 21 0
Union Health & Family Welfare Centers (under DGFP) 25 0
Rural Dispensaries 0 0
Community Clinics 112 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 20
Chest Disease (TB) Clinics/Hospitals 0 0
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

5

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 16 160
NGO Clinics/Facilities 2 20
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

6

No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 19,790



Neonatal Mortality Rate: 13.7 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 106,983
Fully Vaccinated Children (<= 12 months): 98.4 %
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

7

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 Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

8

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 5407 3271 2771 0 0 208 12509 24166
At least 1 ANC 5407 3271 2771 0 0 565 12059 24073
ANCs (4+) 3151 1941 945 0 233 0 5218 11488
Normal Delivery 2240 1206 1309 0 512 187 8348 13802
Cesarean Section 703 326 693 0 4304 0 0 6026
Other Assisted Delivery 22 1 0 0 0 0 0 23
PNC Within 2 days 3760 1904 1848 0 4716 137 4142 16507
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

9

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 8 0 2 0 0 0 14 24
Total Deliveries 2965 1533 2002 0 4816 187 8348 19851
Valid TT5 Coverage (%) 35.08
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

10

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 18110 15682 33,792 72743 114070 186,813 90853 129752 220605
Upazila Health Complex 18290 19015 37,305 72125 128763 200,888 90415 147778 238193
Union Sub-Centers 3206 3291 6,497 59555 89060 148,615 62761 92351 155112
Union Health & Family Welfare Centers (under DGHS) 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (belong to DGFP) 7998 8166 16,164 21153 39119 60,272 29151 47285 76436
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 46108 51355 97,463 344925 802559 1,147,484 391033 853914 1244947
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

11

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) 1423 1766 3,189 0 16920 16,920 1423 18686 20109
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 301 334 635 10792 11280 22,072 11093 11614 22707
NGO Clinics/Facilities 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 Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

12

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 455 444 899 2122 2031 4,153 2577 2475 5052
Upazila Health Complex 1929 1605 3,534 11990 13110 25,100 13919 14715 28634
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 Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

13

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 1320 952 2,272 10131 13229 23,360 11451 14181 25632
Upazila Health Complex 949 754 1,703 6507 11414 17,921 7456 12168 19624
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 Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

14

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 29 40 69 212 106 318 241 146 387
Upazila Health Complex 2 1 3 21 20 41 23 21 44
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 Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

15

Morbidity Profile

Top (5) causes of child morbidity (age <= 5 years)

Total No. of admitted patients reviewed for under five morbidity profile 5445
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1573 28.9
2 J189 J189 Pneumonia, unspecified 750 13.8
3 R50 R50 Fever of unknown origin 488 9.0
4 E46 E46 Unspecified protein-energy malnutrition 311 5.7
5 D598 D598 Other acquired haemolytic anaemias 282 5.2

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 35341
No. ICD-10 Code Disease name No. of Cases %
1 J459 J459 Asthma, unspecified 6481 18.3
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 4847 13.7
3 I119 I119 Hypertensive heart disease without (congestive) heart failure 4717 13.3
4 V892 V892 Person injured in unspecified motor-vehicle accident, traffic 1461 4.1
5 K03 K03 Other diseases of hard tissues of teeth 1121 3.2
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

16

Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 72
No. ICD-10 Code Disease name No. of Cases %
1 P219 P219 Birth asphyxia, unspecified 18 25.0
2 J069 J069 Acute upper respiratory infection, unspecified 14 19.4
3 P361 P361 Sepsis of newborn due to other and unspecified streptococci 9 12.5
4 J189 J189 Pneumonia, unspecified 7 9.7
5 0.0

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 O159 O159 Eclampsia, unspecified as to time period 3 30.0
2 O441 O441 Placenta praevia with haemorrhage 3 30.0
3 O720 O720 Third-stage haemorrhage 2 20.0
4 D509 D509 Iron deficiency anaemia, unspecified 1 10.0
5 A150 A150 Tuberculosis of lung, confirmed by sputum microscopy with or without culture 1 10.0
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

17

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) 346
No. ICD-10 Code Disease name No. of Cases %
1 I64 I64 Stroke, not specified as haemorrhage or infarction 57 16.5
2 I219 I219 Acute myocardial infarction, unspecified 41 11.8
3 I500 I500 Congestive heart failure 35 10.1
4 T600 T600 Organophosphate and carbamate insecticides 13 3.8
5 R570 R570 Cardiogenic shock 12 3.5
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 99.9
Coverage of households having access to sanitary latrines (%) 93.3
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

18

Surgeries done under the CS Office
Type No.
Major Surgeries 2100
Minor Surgeries 7938
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

19

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 7 6 1 7 0 0.0
Grade 6 41 14 5 19 22 53.7
Grade 7 3 2 0 2 1 33.3
Grade 8 38 15 11 26 12 31.6
Grade 9 58 20 7 27 31 53.4
Grade 10 136 5 123 128 8 5.9
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

20

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
District Total
Grade 11 99 74 22 96 3 3.0
Grade 12 0 0 0 0 0 0.0
Grade 13 2 0 0 0 2 100.0
Grade 14 157 75 59 134 23 14.6
Grade 15 45 34 2 36 9 20.0
Grade 16 198 106 69 175 23 11.6
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 8 5 1 6 2 25.0
Grade 20 164 82 26 108 56 34.1
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

21

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 1 0 1 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 4 2 0 2 2 50.0
Grade 10 5 4 1 5 0 0.0
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

22

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 0 0 0 1 100.0
Grade 14 7 6 0 6 1 14.3
Grade 15 0 0 0 0 0 0.0
Grade 16 5 3 1 4 1 20.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 2 1 0 1 1 50.0
Grade 20 6 5 1 6 0 0.0
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

23

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 6 1 7
Grade 5 7 4 11
Grade 6 6 0 6
Grade 7 35 10 45
Grade 8 28 48 76
Grade 9 9 23 32
Grade 10 7 63 70
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

24

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
District Total
Grade 11 45 23 68
Grade 12 8 0 8
Grade 13 57 17 74
Grade 14 46 50 96
Grade 15 23 14 37
Grade 16 72 45 117
Grade 17 49 13 62
Grade 18 10 3 13
Grade 19 17 6 23
Grade 20 13 6 19
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

25

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 4 1 5
Grade 8 2 0 2
Grade 9 0 0 0
Grade 10 3 0 3
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

26

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Civil Surgeon Office
Grade 11 4 0 4
Grade 12 0 0 0
Grade 13 2 0 2
Grade 14 1 0 1
Grade 15 1 1 2
Grade 16 1 0 1
Grade 17 4 0 4
Grade 18 0 0 0
Grade 19 1 0 1
Grade 20 0 1 1
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

27

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 33 23 63 28 43 25 0 0 8 7 0
Nurse 0 0 0 0 57 52 76 68 0 0 32 13 0
Medical Assistant 0 0 33 32 8 8 0 0 0 0 9 0 0
Medical Technologist 0 0 12 12 39 38 0 0 0 0 0 0 0
CHCP 112 110 0 0 0 0 0 0 0 0 0 0 37
HI 0 0 0 0 10 7 0 0 0 0 0 0 0
AHI 0 0 0 0 31 26 0 0 0 0 0 0 0
HA 0 0 0 0 150 139 0 0 0 0 0 0 0
Total 112 110 78 67 358 298 119 93 0 0 49 20 37
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

28

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

29

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) 3 0 0 0 3
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

30

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

31

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) 8 2 0 0 10
Laptop 1 0 0 0 1
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 0 0 0 2
Printer (laser) 3 0 0 0 3
Scanner 1 0 0 0 1
UPS 3 2 0 0 5
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 1 0 0 1
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

32

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 1 0 0 0 1
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 1 0 0 0 1
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

33

Important information and necessary issues you want to raise
1. As per manpower status,inadequate number of doctors is posted against the sanctioned post of Joypurhat District. So, I would like to draw attention to the higher authority to make solution regarding increasing the number of doctors as soon as possible for better health service. 2. All equipment and OT facilities are available in Akkelpur upzalia, Joypurhat. Junior Consultant Gyane & Anesthesia is not posted against the vacant post for a long time. EoMC activities has been stooped due to lack of pair. So make solution to continue EoMC activities in Akkelpur upzalia, Joypurhat. Kalai UHC has been started Cesarean delivery in this year with their existing manpower, so we are expecting declaration for Kalai Upazila as a EoMC upazila very soon.
Local Health Bulletin 2016 for Joypurhat Civil Surgeon Office, Joypurhat Sadar, Joypurhat

34