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Mohakhali, Dhaka-1212

Preface

I am very much Pleased to Present the " District Health Bulletin-2015" consisting health related informations from the upazillas of district Natore.The automated health bulletin is already prepared from all upazilla Health Complexes/District Hospital and those informations are compiled in district health bulletin which presents an overview of achievements in different health indicators of our district. The informations in this bulletin is just a compilation of the data provided by the Upazilla Health Complexes. So I would like to convey my thanks and gratitude to all of them who worked hard to prepare the bulletin. My special thanks to MIS of DGHS and concern personnel of Civil Surgeon office, Natore for their great effort to present the bulletin in due time. Finally I would like to mention that the data presented in this bulletin will be meaningless if we do not analyse and interpret them. We have to find out our strength and weakness in our services provided to the community. Our effort will be successful if we can engage our full strength to overcome the identified weakness and sustain.

DR.MD.AZIZUL ISLAM
Civil Surgeon
Natore Civil Surgeon Office
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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EDITORIAL BOARD

Chief Editor

DR.MD.AZIZUL ISLAM ,CIVIL SURGEON, NATORE,


Special Acknowledgement

1. Dr.Abul Kalam Azad, RMO, Adhunik Sadar Hospital, Natore,

2. Dr.Kumar Bappi Raj Sarkar, Medical Officer(ICT Focal Point),Civil Surgeon office,Natore.,

Editors

1. Md. Shahidul Islam, Statistical Asstt.Civil Surgeon office,Natore.

Contributors

1. Md.Rezaul Karim, EPI Superintendent,civil surgeon office,Natore


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 Natore Civil Surgeon Office, Natore Sadar, Natore

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Basic Information
Name of District Natore
Organization Code 10001432
Name of Civil SurgeonDR.MD.AZIZUL ISLAM
Land Phone No. 1 88077166770
Land Phone No. 2 077166205
FAX No. 077162912
Mobile No. 01712217930
Email natore@cs.dghs.gov.bd
GPS location of CS Office Lati: 24.4096 And Long: 88.9833
No. of Upazila in the District7
No. of Households in the District 395105
Population in the District 1779360
Area of District in sq km 1896.45
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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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 5 193
Union Sub Centers 15 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 37 0
Rural Dispensaries 0 0
Community Clinics 189 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 2 20
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 56 680
NGO Clinics/Facilities 7 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 39,379



Neonatal Mortality Rate: 7.9 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 357,772
Fully Vaccinated Children (<= 12 months): 94 %
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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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 Natore Civil Surgeon Office, Natore Sadar, Natore

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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 3668 2775 11052 270 6831 2555 18486 45637
At least 1 ANC 3668 2775 11052 270 6831 2555 18486 45637
ANCs (4+) 2543 3215 5577 114 3704 1812 3710 20675
Normal Delivery 1234 1113 1884 41 4810 845 19317 29244
Cesarean Section 355 75 119 0 9724 48 0 10321
Other Assisted Delivery 0 0 0 0 0 0 0 0
PNC Within 2 days 1589 1188 2003 41 14534 893 18613 38861
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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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 0 0 0 2 0 2 13
Total Deliveries 1589 1188 2003 41 14534 893 19317 39565
Valid TT5 Coverage (%) 22
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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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 18944 24566 43,510 72111 83963 156,074 91055 108529 199584
Upazila Health Complex 25679 25534 51,213 153909 216938 370,847 179588 242472 422060
Union Sub-Centers 12505 15665 28,170 95051 142412 237,463 107556 158077 265633
Union Health & Family Welfare Centers (under DGHS) 7525 7688 15,213 51502 40223 91,725 59027 47911 106938
Union Health & Family Welfare Centers (belong to DGFP) 41079 48883 89,962 82042 209280 291,322 123121 258163 381284
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 93095 104615 197,710 280764 1067820 1,348,584 373859 1172435 1546294
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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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) 6447 6304 12,751 1121 13396 14,517 7568 19700 27268
Chest Disease (TB) Clinics/Hospitals 72 40 112 1712 1205 2,917 1784 1245 3029
Private Clinics/Facilities 14472 15027 29,499 31885 38545 70,430 46357 53572 99929
NGO Clinics/Facilities 4276 3982 8,258 4859 7233 12,092 9135 11215 20350
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 Natore Civil Surgeon Office, Natore Sadar, Natore

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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 1880 1632 3,512 4304 4046 8,350 6184 5678 11862
Upazila Health Complex 2556 2628 5,184 19196 20545 39,741 21752 23173 44925
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 1069 1,069 0 1069 1069
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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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 3321 3612 6,933 10409 10197 20,606 13730 13809 27539
Upazila Health Complex 1429 1371 2,800 10624 14309 24,933 12053 15680 27733
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 2850 2,850 0 2850 2850
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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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 22 17 39 141 80 221 163 97 260
Upazila Health Complex 5 3 8 42 38 80 47 41 88
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 Natore Civil Surgeon Office, Natore Sadar, Natore

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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 12090
No. ICD-10 Code Disease name No. of Cases %
1 J189 J189 Pneumonia, unspecified 2906 24.0
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1552 12.8
3 K92 K92 Other diseases of digestive system 1458 12.1
4 J459 J459 Asthma, unspecified 1356 11.2
5 J00 J00 Acute nasopharyngitis [common cold] 1252 10.4

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 31368
No. ICD-10 Code Disease name No. of Cases %
1 K279 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 7158 22.8
2 J459 J459 Asthma, unspecified 3923 12.5
3 I10 I10 Essential (primary) hypertension 3756 12.0
4 V899 V899 Person injured in unspecified vehicle accident 2844 9.1
5 T600 T600 Organophosphate and carbamate insecticides 1514 4.8
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 47
No. ICD-10 Code Disease name No. of Cases %
1 P21 P21 Birth asphyxia 25 53.2
2 A419 A419 Septicaemia, unspecified 5 10.6
3 J18 J18 Pneumonia, organism unspecified 4 8.5
4 J129 J129 Viral pneumonia, unspecified 3 6.4
5 T600 T600 Organophosphate and carbamate insecticides 2 4.3

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 13
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 9 69.2
2 O63 O63 Long labour 4 30.8
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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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) 202
No. ICD-10 Code Disease name No. of Cases %
1 I219 I219 Acute myocardial infarction, unspecified 48 23.8
2 I509 I509 Heart failure, unspecified 34 16.8
3 J459 J459 Asthma, unspecified 28 13.9
4 T600 T600 Organophosphate and carbamate insecticides 18 8.9
5 V899 V899 Person injured in unspecified vehicle accident 12 5.9
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 98.0
Coverage of households having access to sanitary latrines (%) 100.0
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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Surgeries done under the CS Office
Type No.
Major Surgeries 1473
Minor Surgeries 5738
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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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 7 4 1 5 2 28.6
Grade 6 35 14 3 17 18 51.4
Grade 7 10 3 2 5 5 50.0
Grade 8 17 9 3 12 5 29.4
Grade 9 98 45 28 73 25 25.5
Grade 10 122 11 102 113 9 7.4
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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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 11 129 103 22 125 4 3.1
Grade 12 0 0 0 0 0 0.0
Grade 13 5 3 1 4 1 20.0
Grade 14 103 57 35 92 11 10.7
Grade 15 47 36 7 43 4 8.5
Grade 16 301 189 62 251 50 16.6
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 3 0 0 0 3 100.0
Grade 20 200 86 61 147 53 26.5
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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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 0 0 0 0 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 7 2 2 4 3 42.9
Grade 9 0 0 0 0 0 0.0
Grade 10 3 3 0 3 0 0.0
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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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 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 5 4 1 5 0 0.0
Grade 15 1 1 0 1 0 0.0
Grade 16 3 3 0 3 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 6 5 1 6 0 0.0
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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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 0 1
Grade 5 12 3 15
Grade 6 4 3 7
Grade 7 58 6 64
Grade 8 31 52 83
Grade 9 30 24 54
Grade 10 7 58 65
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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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 56 19 75
Grade 12 6 3 9
Grade 13 115 30 145
Grade 14 35 19 54
Grade 15 31 8 39
Grade 16 83 42 125
Grade 17 46 30 76
Grade 18 2 0 2
Grade 19 8 1 9
Grade 20 29 21 50
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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

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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 1 4
Grade 12 0 0 0
Grade 13 5 1 6
Grade 14 1 0 1
Grade 15 1 0 1
Grade 16 1 0 1
Grade 17 2 1 3
Grade 18 0 0 0
Grade 19 1 0 1
Grade 20 2 0 2
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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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 55 45 74 47 33 18 0 0 13 0 0
Nurse 0 0 0 0 63 57 60 55 0 0 18 25 0
Medical Assistant 0 0 55 55 10 10 0 0 0 0 48 0 0
Medical Technologist 0 0 15 15 41 41 7 7 0 0 0 0 0
CHCP 205 189 0 0 0 0 0 0 0 0 0 0 54
HI 0 0 0 0 16 11 0 0 0 0 0 0 0
AHI 0 0 0 0 48 47 0 0 0 0 0 0 0
HA 0 0 0 0 236 195 0 0 0 0 0 0 32
Total 205 189 125 115 488 408 100 80 0 0 79 25 86
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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

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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) 2 2 0 0 4
Air conditioner (window) 0 0 0 0 0
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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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 Natore Civil Surgeon Office, Natore Sadar, Natore

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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 0 0 12
Laptop 3 0 0 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 0 0 0 2
Printer (laser) 6 0 0 0 6
Scanner 1 0 0 0 1
UPS 3 0 0 0 3
Fax 1 0 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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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 1 0 0 0 1
OHP 0 0 0 0 0
PA system 1 0 0 0 1
Land phone 2 0 0 0 2
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 Natore Civil Surgeon Office, Natore Sadar, Natore

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Important information and necessary issues you want to raise
In Comparison to last Year data, MMR and NMR have been reduced and at the same time percentage of fully vaccinated children (FVC) is increased in Natore district. Complete registration of all adolescent girls and women of child bearing age (15-49 yrs) should be done properly to increase TT coverage up to the mark. Number of IMCI and EOC trained doctors and nurses are very few in this district, So more physicians and nurses should be trained to serve the people of rural areas. Repair or replacement of the medical equipments are required to provide a better service to the community . It is only possible to improve our services if we do our own duties sincerely with the resources we have.
Local Health Bulletin 2016 for Natore Civil Surgeon Office, Natore Sadar, Natore

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