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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

The health bulletin is a new and clear concept in our health sector. My best regards and thanks prof. Dr. Md. Abul Kalam Azad,Additional DG ( Administation) and Line director MIS and e-health for his miracle change in health information system. This inspired me to publish quarterly health bulletin of Pabna district. Health bulletin will be helpful in strengthening our health system to achieve SDG target that will lead Bangladesh a glorious and prosperous country and will be the model of the world.

Dr. Md. Saieef Uddin Yeahia
Civil Surgeon
Pabna Civil Surgeon Office
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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EDITORIAL BOARD

Chief Editor

Dr. Md. Saieef Uddin Yeahia, Civil Surgeon


Special Acknowledgement

1. Md. Rabiul Alam, District EPI Superintendent

2. Md. Afaz Uddin, Head Assistant

Editors

1. Dr. S.M. Mostafizur Rahman, Medical Officer ( D.R.S )

2. Md. Amzad Hossain, Statistical Assistant

Contributors

1. Md. Mahmud Alam, District Sanitary Inspector

2. Md. Shamsul Alam, District Health Superintendent


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 Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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Basic Information
Name of District Pabna
Organization Code 10001485
Name of Civil SurgeonDr. Md. Saieef Uddin Yeahia
Land Phone No. 1 73166360
Land Phone No. 2 073166346
FAX No. 073152462
Mobile No. 01967714459
Email pabna@cs.dghs.gov.bd
GPS location of CS Office Lati: 24.0006 And Long: 89.0000
No. of Upazila in the District09
No. of Households in the District 54516
Population in the District 2675728
Area of District in sq km 2464
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 0 0
District Hospital 01 250
General Hospital 0 0
Upazila Health Complexes 09 363
Union Sub Centers 13 0
Union Health & Family Welfare Centers (under DGHS) 59 0
Union Health & Family Welfare Centers (under DGFP) 57 0
Rural Dispensaries 0 0
Community Clinics 249 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 01 30
Chest Disease (TB) Clinics/Hospitals 02 20
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 70 750
NGO Clinics/Facilities 5 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 70,789



Neonatal Mortality Rate: 5.1 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 466,916
Fully Vaccinated Children (<= 12 months): 97 %
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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 Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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 15045 17098 36239 0 7642 2153 18763 96940
At least 1 ANC 15045 19620 37160 0 4422 10491 10202 96940
ANCs (4+) 5794 10433 16172 0 3232 6755 4798 47184
Normal Delivery 6332 7524 21258 0 1341 1675 24093 62223
Cesarean Section 1322 389 626 0 6059 363 0 8759
Other Assisted Delivery 45 0 0 0 36 7 0 88
PNC Within 2 days 18756 7475 16583 0 6704 3358 6033 58909
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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 34 15 3 0 0 0 9 61
Total Deliveries 7699 7913 21884 0 7436 2045 24093 71070
Valid TT5 Coverage (%) 68
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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 10700 10838 21,538 99887 67367 167,254 110587 78205 188792
Upazila Health Complex 70566 66517 137,083 150242 303192 453,434 220808 369709 590517
Union Sub-Centers 24507 34643 59,150 85452 135044 220,496 109959 169687 279646
Union Health & Family Welfare Centers (under DGHS) 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (belong to DGFP) 28046 29930 57,976 18608 138660 157,268 46654 168590 215244
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 132292 164961 297,253 731128 1778742 2,509,870 863420 1943703 2807123
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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) 4340 4134 8,474 3426 10881 14,307 7766 15015 22781
Chest Disease (TB) Clinics/Hospitals 0 0 0 6893 4772 11,665 6893 4772 11665
Private Clinics/Facilities 4515 4824 9,339 24982 32988 57,970 29497 37812 67309
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 1756 1221 2,977 1756 1221 2977
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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 2349 2066 4,415 15811 16236 32,047 18160 18302 36462
Upazila Health Complex 13921 12852 26,773 38783 41146 79,929 52704 53998 106702
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 Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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 9837 6530 16,367 27819 30533 58,352 37656 37063 74719
Upazila Health Complex 6138 6922 13,060 18378 30647 49,025 24516 37569 62085
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 124 51 175 124 51 175
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 Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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 233 166 399 488 361 849 721 527 1248
Upazila Health Complex 9 11 20 94 72 166 103 83 186
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 4 2 6 4 2 6
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 Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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 22913
No. ICD-10 Code Disease name No. of Cases %
1 J189 J189 Pneumonia, unspecified 6824 29.8
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 5909 25.8
3 P210 P210 Severe birth asphyxia 3174 13.9
4 P070 P070 Extremely low birth weight 2713 11.8
5 A419 A419 Septicaemia, unspecified 1533 6.7

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 79489
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 6851 8.6
2 K273 K273 Peptic ulcer, site unspecified, acute without haemorrhage or perforation 6188 7.8
3 Y09 Y09 Assault by unspecified means 4945 6.2
4 J459 J459 Asthma, unspecified 3906 4.9
5 X999 X999 Assault by sharp object, unspecified place 3175 4.0
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 419
No. ICD-10 Code Disease name No. of Cases %
1 P219 P219 Birth asphyxia, unspecified 174 41.5
2 P070 P070 Extremely low birth weight 142 33.9
3 J159 J159 Bacterial pneumonia, unspecified 37 8.8
4 A419 A419 Septicaemia, unspecified 25 6.0
5 A879 A879 Viral meningitis, unspecified 21 5.0

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 61
No. ICD-10 Code Disease name No. of Cases %
1 O150 O150 Eclampsia in pregnancy 13 21.3
2 O721 O721 Other immediate postpartum haemorrhage 12 19.7
3 N939 N939 Abnormal uterine and vaginal bleeding, unspecified 6 9.8
4 O469 O469 Antepartum haemorrhage, unspecified 4 6.6
5 O861 O861 Other infection of genital tract following delivery 3 4.9
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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) 1021
No. ICD-10 Code Disease name No. of Cases %
1 I219 I219 Acute myocardial infarction, unspecified 72 7.1
2 I679 I679 Cerebrovascular disease, unspecified 62 6.1
3 T571 T571 Phosphorus and its compounds 36 3.5
4 S069 S069 Intracranial injury, unspecified 30 2.9
5 I40 I40 Acute myocarditis 26 2.5
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 100.0
Coverage of households having access to sanitary latrines (%) 100.0
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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Surgeries done under the CS Office
Type No.
Major Surgeries 6826
Minor Surgeries 15528
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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 13 7 2 9 4 30.8
Grade 6 73 25 6 31 42 57.5
Grade 7 2 1 0 1 1 50.0
Grade 8 32 11 8 19 13 40.6
Grade 9 142 53 45 98 44 31.0
Grade 10 281 23 147 170 111 39.5
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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 11 181 137 43 180 1 0.6
Grade 12 3 1 1 2 1 33.3
Grade 13 6 4 0 4 2 33.3
Grade 14 86 65 8 73 13 15.1
Grade 15 80 54 1 55 25 31.3
Grade 16 399 237 81 318 81 20.3
Grade 17 0 0 0 0 0 0.0
Grade 18 2 2 0 2 0 0.0
Grade 19 13 10 0 10 3 23.1
Grade 20 246 154 58 212 34 13.8
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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 1 0 1 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 5 2 1 3 2 40.0
Grade 10 10 7 1 8 2 20.0
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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 0 1 1 0 0.0
Grade 12 1 1 0 1 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 9 7 0 7 2 22.2
Grade 15 4 4 0 4 0 0.0
Grade 16 8 8 0 8 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 3 1 0 1 2 66.7
Grade 20 13 13 0 13 0 0.0
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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 4 0 4
Grade 5 11 3 14
Grade 6 15 4 19
Grade 7 45 7 52
Grade 8 59 68 127
Grade 9 17 21 38
Grade 10 27 120 147
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
District Total
Grade 11 105 36 141
Grade 12 10 3 13
Grade 13 172 44 216
Grade 14 31 4 35
Grade 15 43 13 56
Grade 16 105 26 131
Grade 17 58 28 86
Grade 18 2 0 2
Grade 19 37 9 46
Grade 20 67 23 90
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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

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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 7 0 7
Grade 12 0 0 0
Grade 13 7 0 7
Grade 14 1 0 1
Grade 15 2 0 2
Grade 16 2 0 2
Grade 17 8 0 8
Grade 18 0 0 0
Grade 19 4 0 4
Grade 20 2 0 2
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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 72 48 116 63 57 36 11 5 5 4 0
Nurse 0 0 0 0 118 90 165 78 0 0 27 13 0
Medical Assistant 0 0 72 72 16 16 0 0 0 0 74 0 0
Medical Technologist 0 0 0 0 66 66 6 6 4 4 0 0 0
CHCP 269 247 0 0 0 0 0 0 0 0 0 0 31
HI 0 0 0 0 22 20 0 0 0 0 0 0 0
AHI 0 0 0 0 66 59 0 0 0 0 0 0 0
HA 0 0 0 0 322 254 0 0 0 0 0 0 60
Total 269 247 144 120 726 568 228 120 15 9 106 17 91
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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 1 0 0 3
Microbus 0 0 0 0 0
Pickup 0 0 1 0 1
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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 Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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) 2 1 0 0 3
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 Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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) 9 1 0 0 10
Laptop 2 0 0 0 2
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 8 1 0 0 9
Scanner 2 0 0 0 2
UPS 0 2 4 0 6
Fax 1 0 1 0 2
Intercom 0 0 0 0 0
Internet fixed line 4 0 0 0 4
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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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 2 1 0 0 3
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 5 0 0 0 5
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 Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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Important information and necessary issues you want to raise
EPI Coverage is excellent except BCG and IPV. Because BCG 0.05 ml Syringe and IPV Vaccine is not Supplied from EPI Head Quarter ( Period January to March 2016). At Present no filaria and leprosy case in my Pabna district. Due to disorder of Gene X-part machine MDR case diagnosis is hampered. LED microscope yet not supplied in the Upazillas. Community clinic is running very nicely. In spite of shortage of manpower Pabna district( Civil Surgeon office) become national champion for the last two consecutive years.
Local Health Bulletin 2016 for Pabna Civil Surgeon Office, Pabna Sadar, Pabna

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