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

Preface

This is my great pleasure to publish this HEALTH BULLETIN -2016 of Naogaon District . This bulletin contains all the health related information of (Jan.-Dec.) 2015. It is published to disseminate the information of district to other department and development partners of health .For health bulletin we gather data from wide range of sources across the district .The health managers .officers and health staff at the head and subordinate offices and health facilities and the fields , all were engaged to make huge data available, analyze them and prepare reports . I hope all the information of this bulletin will be helpful for planning and bridging the gaps in the health services of this district . This is an important publication and we use it as our reference of health data . we use health bulletin to understand how much progress we made in the past year in health sector . We also understand through this bulletin where we made little progress , where we need to pay more attention and where we could do better . The health bulletin 2016 will contribute to improving transparency about health issues of the country . The sanctioned and vacant posts are published in this bulletin . I like to take attention of the higher authority to look after this burning issue.Health bulletin will be helpful in strengthening our health system to achieve SDG-2030 target.I always believe that there is enough scope for perfection in the future health bulletin. I hope in future we can publish health bulletin 2016 by timely generation and dissemination of quality data by the help of valuable comment & suggestion from your side and MOHF&W & MIS -Health. I express my sincere thanks to Professor Dr. Abul Kalam Azad, Additional director general (Admin) and Line director of MIS Health for providing his moral support. Positive attitude towards development of this health bulletin. This is my responsibility to thank all the team member of MIS Health for their continuous effort and creation. Finally I would like to congratulate the initiator of the health bulletin software for setting us step ahead toward Digital Bangladesh.

Dr.A K M Mozaher Hossain
Civil Surgeon
Naogaon Civil Surgeon Office
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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EDITORIAL BOARD

Chief Editor

Dr.A K M Mozaher Hossain, Civil Surgeon, Naogaon


Special Acknowledgement

1. Md. Abdul Maleque, Member of Parliament,Naogaon-5

2. Dr. Md. Aminur Rahman, Deputy Commissioner(DC),Naogaon

3. Md. Mozammel Haque,BPM;PPM, Superintendent of Police(SP),Naogaon

4. Md. Nazmul Haque Sony, Mayor, Naogaon Pourashava, Naogaon

Editors

1. Md. Abdus Sobur, Statistician/Statistical Officer, CS Office, Naogaon

2. Al Mahmud Mostafa Chowdhury, Statistical Asstistant, CS Office Naogaon

Contributors

1. Dr. Kazi Mizanur Rahman, Deputy Civil Surgeon

2. Dr. Shammam Fayeka, Medical Officer (Disease Control)

3. Mrs. Rebana Khatun, Public Health Nurse

4. Md. Toslim Uddin, District EPI Superintendent

5. Md. Abul Kalam Azad, Accounant

6. Md. Mahmodul Hassan Khan, Office Asstt. Cum Computer 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 Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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Basic Information
Name of District Naogaon
Organization Code 10001393
Name of Civil SurgeonDr.A K M Mozaher Hossain
Land Phone No. 1 074162303
Land Phone No. 2 074162341
FAX No. 88074162303
Mobile No. 01736900670
Email naogaon@cs.dghs.gov.bd
GPS location of CS Office Lati: 24.8225 And Long: 88.9383
No. of Upazila in the District11
No. of Households in the District 557850
Population in the District 2859948
Area of District in sq km 3436
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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 11 424
Union Sub Centers 45 0
Union Health & Family Welfare Centers (under DGHS) 59 0
Union Health & Family Welfare Centers (under DGFP) 62 0
Rural Dispensaries 1 0
Community Clinics 300 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 2 20
Chest Disease (TB) Clinics/Hospitals 0 0
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 73 830
NGO Clinics/Facilities 1 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 46,196



Neonatal Mortality Rate: 13.9 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 372,226
Fully Vaccinated Children (<= 12 months): 95 %
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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 Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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 1860 10030 18328 0 4781 997 22473 58469
At least 1 ANC 1860 10030 18328 0 4781 997 22473 58469
ANCs (4+) 944 5006 6242 0 4227 211 8748 25378
Normal Delivery 681 5080 6168 146 1255 550 23140 37020
Cesarean Section 559 520 32 79 7989 33 0 9212
Other Assisted Delivery 0 0 87 0 12 11 8 118
PNC Within 2 days 1240 4363 6596 225 9216 718 6164 28522
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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 4 7 1 0 2 0 30 44
Total Deliveries 1240 5600 6287 225 9256 594 23148 46350
Valid TT5 Coverage (%) 59
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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 22508 27370 49,878 91101 95977 187,078 113609 123347 236956
Upazila Health Complex 55363 60263 115,626 158407 223188 381,595 213770 283451 497221
Union Sub-Centers 25799 32079 57,878 128501 205413 333,914 154300 237492 391792
Union Health & Family Welfare Centers (under DGHS) 3178 3599 6,777 38984 39137 78,121 42162 42736 84898
Union Health & Family Welfare Centers (belong to DGFP) 29367 60867 90,234 41956 183109 225,065 71323 243976 315299
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 132059 140413 272,472 795655 1694864 2,490,519 927714 1835277 2762991
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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) 7566 48017 55,583 13161 31313 44,474 20727 79330 100057
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 13 318 331 13 318 331
NGO Clinics/Facilities 220 216 436 323 412 735 543 628 1171
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 Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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 5304 7802 13,106 17203 22117 39,320 22507 29919 52426
Upazila Health Complex 2950 3126 6,076 21450 21611 43,061 24400 24737 49137
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 Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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 1581 2329 3,910 7933 11448 19,381 9514 13777 23291
Upazila Health Complex 3063 2826 5,889 15322 22698 38,020 18385 25524 43909
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 Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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 11 17 28 212 241 453 223 258 481
Upazila Health Complex 9 15 24 129 73 202 138 88 226
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 Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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 9799
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3747 38.2
2 J17 J17 Pneumonia in diseases classified elsewhere 1031 10.5
3 P210 P210 Severe birth asphyxia 685 7.0
4 D649 D649 Anaemia, unspecified 305 3.1
5 J10 J10 Influenza due to identified influenza virus 154 1.6

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 36757
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 4571 12.4
2 B82 B82 Unspecified intestinal parasitism 3256 8.9
3 D649 D649 Anaemia, unspecified 1140 3.1
4 E11 E11 Non-insulin-dependent diabetes mellitus 950 2.6
5 F41 F41 Other anxiety disorders 871 2.4
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 52
No. ICD-10 Code Disease name No. of Cases %
1 P21 P21 Birth asphyxia 14 26.9
2 P05 P05 Slow fetal growth and fetal malnutrition 11 21.2
3 J18 J18 Pneumonia, organism unspecified 7 13.5
4 A419 A419 Septicaemia, unspecified 4 7.7
5 P36 P36 Bacterial sepsis of newborn 3 5.8

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 11
No. ICD-10 Code Disease name No. of Cases %
1 O64 O64 Obstructed labour due to malposition and malpresentation of fetus 4 36.4
2 O72 O72 Postpartum haemorrhage 4 36.4
3 O15 O15 Eclampsia 2 18.2
4 O46 O46 Antepartum haemorrhage, NEC 1 9.1
5 0.0
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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) 378
No. ICD-10 Code Disease name No. of Cases %
1 I64 I64 Stroke, not specified as haemorrhage or infarction 99 26.2
2 I21 I21 Acute myocardial infarction 79 20.9
3 J45 J45 Asthma 31 8.2
4 X48 X48 Accidental poisoning by and exposure to pesticides 16 4.2
5 I65 I65 Occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction 15 4.0
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 99.0
Coverage of households having access to sanitary latrines (%) 98.0
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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Surgeries done under the CS Office
Type No.
Major Surgeries 1420
Minor Surgeries 13857
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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 0 1 1 0 0.0
Grade 5 10 5 0 5 5 50.0
Grade 6 87 23 6 29 58 66.7
Grade 7 12 3 0 3 9 75.0
Grade 8 0 0 0 0 0 0.0
Grade 9 203 89 31 120 83 40.9
Grade 10 182 4 130 134 48 26.4
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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 11 266 196 47 243 23 8.6
Grade 12 0 0 0 0 0 0.0
Grade 13 6 0 0 0 6 100.0
Grade 14 383 201 147 348 35 9.1
Grade 15 108 72 5 77 31 28.7
Grade 16 504 231 182 413 91 18.1
Grade 17 2 0 0 0 2 100.0
Grade 18 0 0 0 0 0 0.0
Grade 19 18 13 3 16 2 11.1
Grade 20 293 113 60 173 120 41.0
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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 1 0 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 2 1 3 2 40.0
Grade 10 5 3 0 3 2 40.0
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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 7 7 0 7 0 0.0
Grade 15 5 4 0 4 1 20.0
Grade 16 5 4 0 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 7 5 1 6 1 14.3
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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 5 2 7
Grade 5 8 1 9
Grade 6 13 3 16
Grade 7 95 14 109
Grade 8 57 48 105
Grade 9 48 35 83
Grade 10 11 81 92
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
District Total
Grade 11 103 35 138
Grade 12 3 0 3
Grade 13 157 113 270
Grade 14 167 144 311
Grade 15 52 18 70
Grade 16 104 58 162
Grade 17 65 35 100
Grade 18 1 0 1
Grade 19 38 12 50
Grade 20 23 13 36
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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

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

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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 99 57 166 69 42 32 0 0 19 5 0
Nurse 0 0 0 0 150 99 46 38 0 0 56 9 0
Medical Assistant 0 0 99 95 20 20 0 0 0 0 32 0 0
Medical Technologist 0 0 0 0 75 69 6 5 0 0 0 0 0
CHCP 300 297 0 0 0 0 0 0 0 0 0 0 54
HI 0 0 0 0 27 17 0 0 0 0 0 0 0
AHI 0 0 0 0 82 62 0 0 0 0 0 0 0
HA 0 0 0 0 410 336 0 0 0 0 0 0 59
Total 300 297 198 152 930 672 94 75 0 0 107 14 113
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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

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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 Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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 0 0 0 0 0
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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) 12 0 1 0 13
Laptop 2 0 1 0 3
Printer (dot matrix) 1 0 1 0 2
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 0 0 0 7
Scanner 2 0 0 0 2
UPS 5 0 0 0 5
Fax 1 0 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 1 0 0 0 1
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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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) 2 0 0 0 2
Multimedia 1 0 0 0 1
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 4 0 0 0 4
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 Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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Important information and necessary issues you want to raise
In the year 2015 we could not give maximum effort to improve the health status due to many reasons. I like to mention some important factors which will help us to bring good result in future. (1) the vacant post should be filled up immediately. (2) IMCI Training is necessary for Physicians, Nurses and SACMOs. (3) All the repairable equipment's should be repaired as soon as possible. So,we are very glad to write this Health Bulletin of 2016. Because these documents will help us to compare our progress in coming years. It will also be helpful for people to understand health services and to provide us the useful advice for the improvement in future activities of health sector..
Local Health Bulletin 2016 for Naogaon Civil Surgeon Office, Naogaon Sadar, Naogaon

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