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

Preface

The Health Population and Nutrition Sector Development Program (HPNSDP) has been initiated by The Ministry of Health and Family Welfare, Government of Bangladesh for a period of five years from July 2011 to June 2016. There are 32 Operational Plans (OPs). Health Information Systems and e-Health (HIS-EH) one of them.I am delighted that the Local Health Bulletin 2016 is going to be published from The Office of Civil Surgeon Lalmonirhat.This Health Bulletin is the year of 2016 and there are available data for the period of January 2015 to December 2015. It is expected that this Local Health Bulletin will help us to understand progressing trend. From this lesson, we would be benefited achieving the Goal. I hope that The facility Specific data will guide and help the policy makers and other concerned to take future step in improving the Health Services.I like to thank all who were involved in developing and editing The Health Bulletin and Special thanks to Management Information System (MIS) DGHS for providing technical and financial support. Dr. Md. Siddiqur Rahman Civil Surgeon Lalmonirhat.

Dr.Md.Siddiqur Rahman
Civil Surgeon
Lalmonirhat Civil Surgeon Office
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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EDITORIAL BOARD

Chief Editor

Dr.Md.Siddiqur Rahman, Civil Surgeon


Special Acknowledgement

1. Eng. Abu Saleh Md. Sayeed Dulal, M.P.

Editors

1. Dr.Md.Serajul Islam, Medical Officer

2. Md. Abdul Mannan, Statistician

3. Sree Saroda Mohan Roy, Statistical Assistant.

Contributors

1. Md. Safiur Rahman, District Manager BRAC(HNPP)

2. Md.Hamider Rahman, Statistician

3. Md. Abdur Razzak, Statistician

4. Md Golam Faruk, Statistician

5. Md. Aminul Islam, Statistician

6. Md. Safique Suza, Statistician (Incharge)

7. Md. Maidul Islam, Data Entry Operator


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 Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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Basic Information
Name of District Lalmonirhat
Organization Code 10001352
Name of Civil SurgeonDr.Md.Siddiqur Rahman
Land Phone No. 1 059161534
Land Phone No. 2 059161535
FAX No. 059161444
Mobile No. 01714051117
Email lalmonirhat@cs.dghs.gov.bd
GPS location of CS Office Lati: 25.9190 And Long: 89.4550
No. of Upazila in the District5
No. of Households in the District 294986
Population in the District 1416734
Area of District in sq km 1242
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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 5 210
Union Sub Centers 12 0
Union Health & Family Welfare Centers (under DGHS) 4 0
Union Health & Family Welfare Centers (under DGFP) 38 0
Rural Dispensaries 0 0
Community Clinics 161 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 10
Chest Disease (TB) Clinics/Hospitals 0 0
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 12 120
NGO Clinics/Facilities 2 20
10 Bed Hospitals 1 10
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 30,479



Neonatal Mortality Rate: 21.2 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 169,600
Fully Vaccinated Children (<= 12 months): 92 %
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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 Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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 2074 3725 10476 981 0 2205 13934 33395
At least 1 ANC 2074 3725 10476 981 0 2205 13934 33395
ANCs (4+) 755 3306 9411 195 0 1200 11431 26298
Normal Delivery 623 1348 1702 358 135 447 21989 26602
Cesarean Section 67 0 1232 20 3043 0 0 4362
Other Assisted Delivery 16 5 0 6 16 0 0 43
PNC Within 2 days 706 1353 5894 198 3043 447 12121 23762
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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 2 1 13 0 8 0 19 43
Total Deliveries 706 1353 2934 384 3194 447 21989 31007
Valid TT5 Coverage (%) 56
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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 6493 5633 12,126 49915 55166 105,081 56408 60799 117207
Upazila Health Complex 12789 14378 27,167 52410 57889 110,299 65199 72267 137466
Union Sub-Centers 5584 6544 12,128 53311 66869 120,180 58895 73413 132308
Union Health & Family Welfare Centers (under DGHS) 2242 2705 4,947 8832 10935 19,767 11074 13640 24714
Union Health & Family Welfare Centers (belong to DGFP) 1513 2414 3,927 13304 17716 31,020 14817 20130 34947
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 58083 67195 125,278 342066 552902 894,968 400149 620097 1020246
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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) 2422 4138 6,560 1808 6400 8,208 4230 10538 14768
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 517 586 1,103 4971 5928 10,899 5488 6514 12002
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 Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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 1888 1712 3,600 6857 6707 13,564 8745 8419 17164
Upazila Health Complex 2840 3331 6,171 13891 14144 28,035 16731 17475 34206
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 Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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 1287 1021 2,308 4064 3969 8,033 5351 4990 10341
Upazila Health Complex 1747 2002 3,749 6057 8666 14,723 7804 10668 18472
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 0 448 448 0 448 448
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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 31 39 70 33 21 54 64 60 124
Upazila Health Complex 9 9 18 29 24 53 38 33 71
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 Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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 6057
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1629 26.9
2 J22 J22 Unspecified acute lower respiratory infection 1464 24.2
3 R509 R509 Fever, unspecified 781 12.9
4 J189 J189 Pneumonia, unspecified 330 5.4
5 E440 E440 Moderate protein-energy malnutrition 94 1.6

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 16756
No. ICD-10 Code Disease name No. of Cases %
1 Y009 Y009 Assault by blunt object, unspecified place 4677 27.9
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2343 14.0
3 R509 R509 Fever, unspecified 999 6.0
4 K29 K29 Gastritis and duodenitis 728 4.3
5 J459 J459 Asthma, unspecified 530 3.2
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 88
No. ICD-10 Code Disease name No. of Cases %
1 P210 P210 Severe birth asphyxia 41 46.6
2 J189 J189 Pneumonia, unspecified 18 20.5
3 A419 A419 Septicaemia, unspecified 12 13.6
4 P769 P769 Intestinal obstruction of newborn, unspecified 3 3.4
5 R100 R100 Acute abdomen 3 3.4

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 43
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 22 51.2
2 O15 O15 Eclampsia 10 23.3
3 O754 O754 Other complications of obstetric surgery and procedures 3 7.0
4 I509 I509 Heart failure, unspecified 2 4.7
5 O031 O031 Spontaneous abortion, incomplete, complicated by delayed or excessive haemorrhage 2 4.7
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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) 81
No. ICD-10 Code Disease name No. of Cases %
1 I219 I219 Acute myocardial infarction, unspecified 19 23.5
2 R570 R570 Cardiogenic shock 14 17.3
3 I679 I679 Cerebrovascular disease, unspecified 12 14.8
4 J449 J449 Chronic obstructive pulmonary disease, unspecified 8 9.9
5 I509 I509 Heart failure, unspecified 6 7.4
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 99.0
Coverage of households having access to sanitary latrines (%) 92.0
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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Surgeries done under the CS Office
Type No.
Major Surgeries 214
Minor Surgeries 2948
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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 2 2 0 2 0 0.0
Grade 5 7 0 1 1 6 85.7
Grade 6 30 10 2 12 18 60.0
Grade 7 18 5 0 5 13 72.2
Grade 8 61 20 6 26 35 57.4
Grade 9 20 7 2 9 11 55.0
Grade 10 71 8 51 59 12 16.9
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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 92 45 7 52 40 43.5
Grade 12 1 1 0 1 0 0.0
Grade 13 47 38 9 47 0 0.0
Grade 14 19 16 2 18 1 5.3
Grade 15 28 20 4 24 4 14.3
Grade 16 162 98 36 134 28 17.3
Grade 17 14 9 2 11 3 21.4
Grade 18 8 4 4 8 0 0.0
Grade 19 5 5 0 5 0 0.0
Grade 20 85 61 14 75 10 11.8
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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 2 2 0 2 0 0.0
Grade 10 3 3 0 3 0 0.0
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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

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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 2 0 2
Grade 5 0 1 1
Grade 6 10 2 12
Grade 7 5 0 5
Grade 8 20 6 26
Grade 9 7 2 9
Grade 10 8 51 59
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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 45 7 52
Grade 12 1 0 1
Grade 13 38 9 47
Grade 14 16 2 18
Grade 15 20 4 24
Grade 16 98 36 134
Grade 17 9 2 11
Grade 18 4 4 8
Grade 19 5 0 5
Grade 20 61 14 75
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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 1 1 2
Grade 9 2 0 2
Grade 10 3 0 3
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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

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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 43 27 51 23 39 10 7 6 5 3 0
Nurse 0 0 6 0 49 34 38 34 5 1 10 4 0
Medical Assistant 0 0 43 20 8 6 0 0 0 0 10 0 0
Medical Technologist 0 0 12 6 38 29 9 4 2 2 0 0 0
CHCP 171 171 0 0 0 0 0 0 0 0 0 0 17
HI 0 0 0 0 12 11 0 0 0 0 0 0 0
AHI 0 0 0 0 36 36 0 0 0 0 0 0 0
HA 0 0 0 0 180 153 0 0 0 0 0 0 11
Total 171 171 104 53 374 292 86 48 14 9 25 7 28
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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 6 2 2 0 10
Bus 0 0 0 0 0
Jeep 1 0 0 0 1
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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) 9 0 0 0 9
Air conditioner (window) 16 3 0 0 19
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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) 9 1 0 1 11
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 9 0 2 0 11
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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) 65 7 2 0 74
Laptop 174 7 0 0 181
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 9 2 0 0 11
Printer (laser) 22 0 0 0 22
Scanner 7 0 0 0 7
UPS 49 1 0 0 50
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 Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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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) 169 0 0 0 169
Multimedia 6 0 0 0 6
OHP 0 0 0 0 0
PA system 1 0 0 0 1
Land phone 10 2 0 0 12
Mobile phone 6 0 0 0 6
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 Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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Important information and necessary issues you want to raise
(1) Lalmonirhat District Hospital is Women Friendly Hospital. (2) Inadequqte doctor posting, Sr. Consultant, Jr. consultant.Medical Officer. (3) Lalmonirhat District Hospital is Comprehensive EmOC facilities. 24/7 EmOC Services are available but Cesarean section done 8.00 a.m.to 2.30 p.m.in the district hospital. (4) Inadequate Cleaner, Aya, Secuirity guard in the district hospital. (5) Most of the Community Clinic in various Upazila should be repair for the betterment of Community Health Service. (6) District Hospital situated in one side of the district and distance of the Upazila like 15 kms, 35 kms, 65 kms, 85 kms from the district. (7) Hard to reach area Dahogram-angorpota 10 beded hospital about 120 kms from the district and doctor posted here. (8) Most of people are not aware about ANC, PNC and institutional delivery. (9) In the year 2015 we have received three computer, One Laptop from MIS for Civil Surgeon Office. Thanks to all. Dr. Md. Siddiqur Rahman Civil Surgeon Lalmonirhat.
Local Health Bulletin 2016 for Lalmonirhat Civil Surgeon Office, Lalmonirhat Sadar, Lalmonirhat

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