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

Preface

It is a matter of pleasure that a Health Bulletin of Rangpur District is going to be published. This Bulletin contains all the information regarding Health services during the year 2015. The aim of this publication is to disseminate these Information to other department related to Health service. I hope this Bulletin will help for proper planing and implementation of Health services of Rangpur District for the next year. This Bulletin also can find out the constrains and achievement during the year 2015. In this Bulletin all the sanctioned and vacant post of Rangpur District are published. So the higher authority will give attention regurding this situation and take necessary action. I would like to congratulate the initiator of this Bulletin which has created a good medium for proper dissemination of health services related information.Finally I'd like to thanks MIS and grateful to the Honorable ADG (planing & dev.) Sir who are still now working to success the HIS and e-health services throughout the country and abroad. Dr.Himangshu Lal Roy Civil surgeon , Rangpur Civil surgeon Office, Rangpur.

Dr.Himangshu Lal Roy
Civil Surgeon
Rangpur Civil Surgeon Office
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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EDITORIAL BOARD

Chief Editor

Dr.Himangshu Lal Roy, Civil surgeon ,


Editors

1. Dr.Ruhul Amin, MOCS

2. Dr. Sobnom, MODC

3. DR. Zinya Afrin, MODRS

Contributors

1. Most Sultana Begum, Statical Asst

2. Md.Nurul Sharif, HMIS Consultant

3. Arobidu Modok, DHS

4. Md Mahobub , DHI

5. Most Nargis Akter Banu, PHN


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 Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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Basic Information
Name of District Rangpur
Organization Code 10001616
Name of Civil SurgeonDr.Himangshu Lal Roy
Land Phone No. 1 52162150
Land Phone No. 2 N/A
FAX No. 0521-62989
Mobile No. 1721009633
Email rangpur@cs.dghs.gov.bd
GPS location of CS Office Lati: N/A And Long: 89.1462
No. of Upazila in the District08
No. of Households in the District 720,621
Population in the District 3,112,975
Area of District in sq km 2,367
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 04 3250
District Hospital 0 0
General Hospital 0 0
Upazila Health Complexes 07 331
Union Sub Centers 83 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 65 0
Rural Dispensaries 01 31
Community Clinics 309 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 01 0
Chest Disease (TB) Clinics/Hospitals 02 0
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 56 0
NGO Clinics/Facilities 01 10
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 59,765



Neonatal Mortality Rate: 16.9 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 155,931
Fully Vaccinated Children (<= 12 months): 95 %
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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 Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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 0 16022 12339 19067 15062 4836 19781 87107
At least 1 ANC 0 13012 9554 15857 13135 4836 16781 73175
ANCs (4+) 0 5604 4203 1978 9874 1478 8470 31607
Normal Delivery 0 4219 5735 5254 7119 330 16720 39377
Cesarean Section 0 275 7123 3533 9592 324 0 20847
Other Assisted Delivery 0 83 596 0 0 0 0 679
PNC Within 2 days 0 2580 7704 3893 9787 351 15721 40036
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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 0 0 71 0 12 0 6 89
Total Deliveries 0 4577 13454 8787 16711 654 16720 60903
Valid TT5 Coverage (%) 25
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 12472 16879 29,351 13578 13975 27,553 26050 30854 56904
Union Sub-Centers 187569 234870 422,439 49875 61478 111,353 237444 296348 533792
Union Health & Family Welfare Centers (under DGHS) 52786 63145 115,931 48725 31245 79,970 101511 94390 195901
Union Health & Family Welfare Centers (belong to DGFP) 58794 78451 137,245 57421 45784 103,205 116215 124235 240450
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 772610 1412888 2,185,498 125471 136274 261,745 898081 1549162 2447243
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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) 478 5390 5,868 1973 4136 6,109 2451 9526 11977
Chest Disease (TB) Clinics/Hospitals 3574 3987 7,561 104 87 191 3678 4074 7752
Private Clinics/Facilities 57894 36879 94,773 15789 12456 28,245 73683 49335 123018
NGO Clinics/Facilities 598 1201 1,799 587 512 1,099 1185 1713 2898
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 9124 8891 18,015 221550 40280 261,830 230674 49171 279845
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 31452 27542 58,994 3874 1247 5,121 35326 28789 64115
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 124 203 327 458 501 959 582 704 1286
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 16789 26874 43,663 24789 2145 26,934 41578 29019 70597
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 42 26 68 42 26 68
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 68 94 162 806 809 1,615 874 903 1777
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 7 3 10 29 28 57 36 31 67
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 Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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 28549
No. ICD-10 Code Disease name No. of Cases %
1 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 1918 6.7
2 P783 P783 Noninfective neonatal diarrhoea 736 2.6
3 J180 J180 Bronchopneumonia, unspecified 632 2.2
4 J16 J16 Pneumonia due to other infectious organisms, NEC 396 1.4
5 P21 P21 Birth asphyxia 358 1.3

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 25579
No. ICD-10 Code Disease name No. of Cases %
1 Y009 Y009 Assault by blunt object, unspecified place 3270 12.8
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2482 9.7
3 Y00 Y00 Assault by blunt object 1439 5.6
4 J459 J459 Asthma, unspecified 1080 4.2
5 R509 R509 Fever, unspecified 941 3.7
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 344
No. ICD-10 Code Disease name No. of Cases %
1 T751 T751 Drowning and nonfatal submersion 45 13.1
2 J189 J189 Pneumonia, unspecified 36 10.5
3 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 29 8.4
4 O071 O071 Failed medical abortion, complicated by delayed or excessive haemorrhage 26 7.6
5 R568 R568 Other and unspecified convulsions 20 5.8

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 89
No. ICD-10 Code Disease name No. of Cases %
1 O731 O731 Retained portions of placenta and membranes, without haemorrhage 12 13.5
2 O72 O72 Postpartum haemorrhage 11 12.4
3 O669 O669 Obstructed labour, unspecified 9 10.1
4 O141 O141 Severe pre-eclampsia 7 7.9
5 O441 O441 Placenta praevia with haemorrhage 5 5.6
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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) 67
No. ICD-10 Code Disease name No. of Cases %
1 J96 J96 Respiratory failure, NEC 17 25.4
2 I50 I50 Heart failure 13 19.4
3 T609 T609 Pesticide, unspecified 9 13.4
4 I219 I219 Acute myocardial infarction, unspecified 7 10.4
5 I64 I64 Stroke, not specified as haemorrhage or infarction 5 7.5
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 96.0
Coverage of households having access to sanitary latrines (%) 91.0
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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Surgeries done under the CS Office
Type No.
Major Surgeries 0
Minor Surgeries 0
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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 1 1 2 0 0.0
Grade 5 10 9 1 10 0 0.0
Grade 6 39 24 12 36 3 7.7
Grade 7 19 19 0 19 0 0.0
Grade 8 82 30 46 76 6 7.3
Grade 9 53 23 24 47 6 11.3
Grade 10 77 17 57 74 3 3.9
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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 11 132 83 24 107 25 18.9
Grade 12 0 0 0 0 0 0.0
Grade 13 119 89 28 117 2 1.7
Grade 14 278 123 154 277 1 0.4
Grade 15 56 48 7 55 1 1.8
Grade 16 298 203 67 270 28 9.4
Grade 17 35 22 14 36 -1 -2.9
Grade 18 3 2 1 3 0 0.0
Grade 19 15 13 4 17 -2 -13.3
Grade 20 123 72 18 90 33 26.8
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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 8 8 0 8 0 0.0
Grade 8 3 2 1 3 0 0.0
Grade 9 4 2 2 4 0 0.0
Grade 10 3 0 0 0 3 100.0
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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 5 5 0 5 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 6 4 2 6 0 0.0
Grade 14 1 1 0 1 0 0.0
Grade 15 5 5 0 5 0 0.0
Grade 16 3 3 0 3 0 0.0
Grade 17 6 6 0 6 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 5 5 0 5 0 0.0
Grade 20 3 3 0 3 0 0.0
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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

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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 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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 85 79 103 90 0 0 0 0 8 9 0
Nurse 0 0 0 0 75 60 0 0 0 0 25 12 0
Medical Assistant 0 0 68 42 30 29 0 0 0 0 32 9 0
Medical Technologist 0 0 38 25 40 38 0 0 0 0 0 0 0
CHCP 312 309 0 0 0 0 0 0 0 0 309 0 30
HI 0 0 0 0 24 24 0 0 0 0 5 0 0
AHI 0 0 0 0 73 71 0 0 0 0 4 0 0
HA 0 0 0 0 364 313 0 0 0 0 8 3 20
Total 312 309 191 146 709 625 0 0 0 0 391 33 50
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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 01 01 0 0 2
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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) 1 0 0 0 1
Air conditioner (window) 2 0 0 0 2
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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 Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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) 8 0 1 0 9
Laptop 1 1 1 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 1 0 0 7
Scanner 1 0 0 0 1
UPS 4 0 0 0 4
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 Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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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 2 0 0 0 2
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 2 0 0 0 2
Mobile phone 0 0 0 0 0
Photocopier machine 1 0 0 0 1
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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Important information and necessary issues you want to raise
We are thankful to Government to take part in developing Digital Bangladesh by publishing Health Bulletin of Rangpur District. But we think that it should be known to everybody that we could not give our maximum efforts to improve the health status of Rangpur district last year due to many reasons which are not our intentional. We like to mention here some important factors which will help us to improve our performance in future. First of all the vacant post should be filled-up immediately such as Consultant (sr. & Jr.) of medicine, surgery, Anesthesia, Gynae, Pediatrics, & Orthopedics and nurse etc.We want to give a standard treatment service to our people in Rangpur but we face so many difficult issues mostly the shortness of manpower. Our Doctors & Nurses need more training on IMCI. We are very happy to write this Health Bulletin 2015. Because this document will help us to compare our progress in upcoming year. This is very useful document which will help the public to understand health services and provide us the useful advice for improvement in future.
Local Health Bulletin 2016 for Rangpur Civil Surgeon Office, Rangpur Sadar, Rangpur

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