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

Preface

Kurigram District is situated in north western part of Bangladesh under Rangpur Division; along the border of West Bengal and Assam states of India. The average maximum temperature is about 32.3 degree Celsius when average minimum temperature is about 11.2 degree Celsius. Heavy rainfall is usually observed during the rainy season like other parts of Bangladesh and the average annual rainfall is about 2931 mm. Kurigram is a highly disaster prone areas and is regularly affected by heavy rains, water logging, flash flood, river erosion etc.About 16 rivers are flowing through this district and the major rivers are Brahmaputra, Dharla, and Tista with minors are Dudhkumar, Phulkumar, Gangadhar, Jinjiram, Sonaburi, Halhali and Jalchira etc. It`s my great pleasure to publish this health bulletin 2016 of Kurigram district. Publication of the district health bulletin is one of the most significant events in the health service delivery system and an important step forward in planning and implementation of people-friendly health program. This bulletin contains not only health related information but will also serve as a tool for fixing new criteria and standard for further planning and achievement of the post-MDG targets. I would like to thank to all of my colleagues from district administration, officers and staffs of health department for their supports and helps in the accomplishment of this work. Finally, I wish to express my heartiest gratitude and thanks to the honorable Director of MIS, DGHS and Divisional Director (H) of Rangpur division for their cordial co-operation and all kinds of support. Dr. Md. Jaynal Abedin (Zillur) Civil Surgeon Kurigram Civil Surgeon Office

Dr. Md. Jaynal Abedin (Zillur)
Civil Surgeon
Kurigram Civil Surgeon Office
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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EDITORIAL BOARD

Chief Editor

Dr. Md. Jaynal Abedin (Zillur), Civil Surgeon


Special Acknowledgement

1. ., ,

Editors

1. Dr . Nasrin Begum , deputy Civil Surgeon

2. Dr. Subhas Chandara sarkar , Medical Officer (Focal Point)

3. Md. Akher Ali , Staistical Assistant

Contributors

1. Md.Hannan, Program Organizer

2. Md.Mostafizer Rahman, Head Assistant

3. Abul Hyat Muhmud Hosen, HMIS Consultant


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 Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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Basic Information
Name of District Kurigram
Organization Code 10001316
Name of Civil SurgeonDr. Md. Jaynal Abedin (Zillur)
Land Phone No. 1 58161616
Land Phone No. 2 058161322
FAX No. 0581-61322
Mobile No. 01711109078
Email kurigram@cs.dghs.gov.bd
GPS location of CS Office Lati: 25.4800 And Long: 89.3800
No. of Upazila in the District9
No. of Households in the District 440369
Population in the District 2168157
Area of District in sq km 2236.94
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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 8 362
Union Sub Centers 20 0
Union Health & Family Welfare Centers (under DGHS) 6 0
Union Health & Family Welfare Centers (under DGFP) 41 0
Rural Dispensaries 0 0
Community Clinics 280 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 20
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 14 245
NGO Clinics/Facilities 2 155
10 Bed Hospitals 1 10
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 36,476



Neonatal Mortality Rate: 28.2 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 44,029
Fully Vaccinated Children (<= 12 months): 97 %
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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 Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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 4612 11776 0 1126 3330 2027 19097 41968
At least 1 ANC 4612 11776 0 1126 3330 2027 19097 41968
ANCs (4+) 872 10223 0 1082 3242 1492 18321 35232
Normal Delivery 848 4093 0 1061 3182 1251 21130 31565
Cesarean Section 637 0 0 1327 3412 82 0 5458
Other Assisted Delivery 5 0 0 0 0 0 0 5
PNC Within 2 days 1725 4090 0 2014 2312 1125 14368 25634
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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 7 11 0 0 0 3 31 52
Total Deliveries 1490 4093 0 2388 6594 1333 21130 37028
Valid TT5 Coverage (%) 44.86
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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 18961 16514 35,475 55881 78133 134,014 74842 94647 169489
Upazila Health Complex 189250 212478 401,728 24847 25256 50,103 214097 237734 451831
Union Sub-Centers 111302 166751 278,053 21112 19542 40,654 132414 186293 318707
Union Health & Family Welfare Centers (under DGHS) 35214 32451 67,665 8541 8954 17,495 43755 41405 85160
Union Health & Family Welfare Centers (belong to DGFP) 0 0 0 0 0 0 0 0 0
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 78586 80384 158,970 763596 853254 1,616,850 842182 933638 1775820
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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) 00 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 81 79 160 815 784 1,599 896 863 1759
Private Clinics/Facilities 1015 986 2,001 2415 1958 4,373 3430 2944 6374
NGO Clinics/Facilities 102 110 212 210 214 424 312 324 636
10 Bed Hospitals 415 396 811 987 895 1,882 1402 1291 2693
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 Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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 6857 7560 14,417 12941 13785 26,726 19798 21345 41143
Upazila Health Complex 21540 20685 42,225 38479 32943 71,422 60019 53628 113647
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 213 185 398 435 412 847 648 597 1245
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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 4002 4401 8,403 8992 7815 16,807 12994 12216 25210
Upazila Health Complex 13135 12245 25,380 39152 37125 76,277 52287 49370 101657
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 Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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 138 116 254 130 101 231 268 217 485
Upazila Health Complex 33 37 70 15 11 26 48 48 96
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 1 2 3 3 2 5 4 4 8
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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 33783
No. ICD-10 Code Disease name No. of Cases %
1 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 3185 9.4
2 J18 J18 Pneumonia, organism unspecified 1256 3.7
3 A419 A419 Septicaemia, unspecified 1054 3.1
4 P071 P071 Other low birth weight 371 1.1
5 E46 E46 Unspecified protein-energy malnutrition 289 0.9

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 54123
No. ICD-10 Code Disease name No. of Cases %
1 Y00 Y00 Assault by blunt object 2541 4.7
2 J44 J44 Other chronic obstructive pulmonary disease 1352 2.5
3 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 1235 2.3
4 R509 R509 Fever, unspecified 702 1.3
5 J45 J45 Asthma 569 1.1
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 302
No. ICD-10 Code Disease name No. of Cases %
1 A419 A419 Septicaemia, unspecified 114 37.7
2 P21 P21 Birth asphyxia 86 28.5
3 P071 P071 Other low birth weight 58 19.2
4 J11 J11 Influenza, virus not identified 39 12.9
5 A87 A87 Viral meningitis 5 1.7

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 18
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 9 50.0
2 D06 D06 Carcinoma in situ of cervix uteri 5 27.8
3 K56 K56 Paralytic ileus and intestinal obstruction without hernia 2 11.1
4 A41 A41 Other septicaemia 1 5.6
5 T88 T88 Other complications of surgical and medical care, NEC 1 5.6
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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) 297
No. ICD-10 Code Disease name No. of Cases %
1 I516 I516 Cardiovascular disease, unspecified 185 62.3
2 I110 I110 Hypertensive heart disease with (congestive) heart failure 89 30.0
3 I469 I469 Cardiac arrest, unspecified 11 3.7
4 R092 R092 Respiratory arrest 8 2.7
5 V892 V892 Person injured in unspecified motor-vehicle accident, traffic 4 1.3
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 98.0
Coverage of households having access to sanitary latrines (%) 99.0
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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Surgeries done under the CS Office
Type No.
Major Surgeries 1104
Minor Surgeries 5224
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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 1 1 0 1 0 0.0
Grade 5 11 7 0 7 4 36.4
Grade 6 79 16 1 17 62 78.5
Grade 7 12 5 0 5 7 58.3
Grade 8 0 0 0 0 0 0.0
Grade 9 103 90 13 103 0 0.0
Grade 10 36 33 3 36 0 0.0
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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 29 21 8 29 0 0.0
Grade 12 48 40 8 48 0 0.0
Grade 13 725 625 100 725 0 0.0
Grade 14 304 250 154 404 -100 -32.9
Grade 15 25 24 1 25 0 0.0
Grade 16 35 30 5 35 0 0.0
Grade 17 38 30 8 38 0 0.0
Grade 18 28 24 4 28 0 0.0
Grade 19 103 90 13 103 0 0.0
Grade 20 158 150 8 158 0 0.0
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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 0 0 0 1 100.0
Grade 8 0 0 0 0 0 0.0
Grade 9 5 4 1 5 0 0.0
Grade 10 3 3 0 3 0 0.0
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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 2 2 0 2 0 0.0
Grade 12 1 0 1 1 0 0.0
Grade 13 10 8 2 10 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 3 3 0 3 0 0.0
Grade 16 2 2 0 2 0 0.0
Grade 17 6 6 0 6 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 1 1 0 1 0 0.0
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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 1 1 2
Grade 5 10 10 20
Grade 6 15 15 30
Grade 7 56 56 112
Grade 8 13 13 26
Grade 9 103 103 206
Grade 10 36 36 72
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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 29 29 58
Grade 12 48 48 96
Grade 13 725 725 1450
Grade 14 304 304 608
Grade 15 25 25 50
Grade 16 35 35 70
Grade 17 38 38 76
Grade 18 28 28 56
Grade 19 103 103 206
Grade 20 158 158 316
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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 1 2
Grade 5 0 0 0
Grade 6 1 1 2
Grade 7 3 3 6
Grade 8 1 1 2
Grade 9 0 0 0
Grade 10 3 3 6
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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 2 4
Grade 12 0 0 0
Grade 13 10 10 20
Grade 14 0 0 0
Grade 15 3 3 6
Grade 16 2 2 4
Grade 17 6 6 12
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 1 1 2
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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 35 16 119 52 42 16 0 0 48 25 0
Nurse 0 0 0 0 108 95 38 38 0 0 42 25 13
Medical Assistant 0 0 43 41 24 23 0 0 0 0 65 0 0
Medical Technologist 0 0 0 0 65 32 6 6 0 0 0 0 0
CHCP 314 280 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 24 24 0 0 0 0 24 0 0
AHI 0 0 0 0 67 67 0 0 0 0 15 0 0
HA 0 0 0 0 335 250 0 0 0 0 0 0 0
Total 314 280 78 57 742 543 86 60 0 0 194 50 13
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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

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

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

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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) 5 3 2 0 10
Laptop 2 1 0 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 2 0 0 2
Printer (laser) 5 1 0 0 6
Scanner 1 0 0 0 1
UPS 1 0 0 0 1
Fax 0 1 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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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) 0 0 0 0 0
Multimedia 0 0 0 0 0
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 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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Important information and necessary issues you want to raise
All the data presented in the bulletin is very important for the health administration, authorities, service providers and beneficiaries for better understanding of the health services in Kurigram district. It brings positive force and encouragement among the staffs of health department to publish information of their own works, achievements and challenges. The most important success is that Kurigram district is on right track of achieving the target of MDG 4 & 5. Besides all of the achievements, I would like to mention several challenges that need to be resolved right away for better health services in the district. (1) Vacant post of MO, EMO, IMO and Anesthesia & Gynee Consultants at DH and all UHC should be filled up (2) Vacant posts of support staffs in UHC and DH need also to be filled up (3) Indoor health services in Roygonj 10 bedded RD in Nageswari should be made operational, currently outdoor services are only functional. (4) Internet facility and speed is very low in Kurigram which could be resolved for better reporting and information management (5) Electricity problem in UHC should be solved and expansion of electrify connection to all CC need to be considered. It is worth mentioning the Health Management Committee (HMC) at district and upazila level is active and meeting held regularly. Apart from that, the consultants, doctors, technicians at district hospital and all UHC sit together regularly to share their knowledge, expertise and to improve service quality and management in their own hospital. As such, I express my gratitude to all managers, doctors, nurses and other support staffs of health department for their hard work and contribution to ensure quality health services for the people of Kurigram district. Thanks to all. Dr. Md. Jaynal Abedin (Zillur) Civil Surgeon, Kurigram
Local Health Bulletin 2016 for Kurigram Civil Surgeon Office, Kurigram Sadar, Kurigram

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