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Mohakhali, Dhaka-1212

Preface

I am Dr.Shahid Md, Sadiqul Islam Civil Surgeon, Sirajgonj . Sirajgonj is the Gateway entry of North Bengal which is situated at the bank of the river Jamuna. Sirajgonj District has 9 Upazila Health Complexes. It has 82 Unions and 6 Pourosavas. Its Population is 29,89,429. Its area is about 2357.90 square kilometer.. I am highly pleased and proud that Health Bulletin containing Health related data and informations are going to be published through out the country. Undoubtedly it is a great initiative of DGHS particularly of MIS section of DGHS. I hope that it can satisfy the demand of Health related data and informations seeking by the people. I am also very glad to publish Health Bulletin of Sirajgonj District containing Health related information of 2015. I think, the data of Health Bulletin collected from different Health Centers and field staffs which will fulfill the need of publication of Health Bulletin. Finally, I would like to congratulate the initiator of the Health Bulletin software for setting us one step ahead towards Digital Bangladesh.

Dr. Shahid Md. Sadiqul Islam
Civil Surgeon
Sirajganj Civil Surgeon Office
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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EDITORIAL BOARD

Chief Editor

Dr.Shahid Md, Sadiqul Islam, Civil Surgeon, Sirajgonj


Special Acknowledgement

1. Md. Humayun Kabir, Statistical Assistant


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 Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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Basic Information
Name of District Sirajganj
Organization Code 10001647
Name of Civil SurgeonDr. Shahid Md. Sadiqul Islam
Land Phone No. 1 75162160
Land Phone No. 2 N/A
FAX No. 75162189
Mobile No. 01715384820
Email serajganj@cs.dghs.gov.bd
GPS location of CS Office Lati: 24.4543 And Long: N/A
No. of Upazila in the District9
No. of Households in the District 625574
Population in the District 2989429
Area of District in sq km 2357.90
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 1 0
District Hospital 0 0
General Hospital 1 250
Upazila Health Complexes 8 248
Union Sub Centers 31 0
Union Health & Family Welfare Centers (under DGHS) 71 0
Union Health & Family Welfare Centers (under DGFP) 71 0
Rural Dispensaries 0 0
Community Clinics 340 0
Trauma Centers 1 20
MCWCs (belong to DGFP) 2 20
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 69 935
NGO Clinics/Facilities 7 70
10 Bed Hospitals 1 10
20 Bed Hospitals 1 20
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 69,087



Neonatal Mortality Rate: 15.4 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 368,236
Fully Vaccinated Children (<= 12 months): 96 %
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 4343 32307 20373 437 2152 5058 28386 93056
At least 1 ANC 4343 32307 20373 437 2152 5058 28386 93056
ANCs (4+) 1085 10045 7049 130 1244 0 4774 24327
Normal Delivery 1057 3101 2709 378 2181 554 53268 63248
Cesarean Section 888 314 936 51 4058 106 0 6353
Other Assisted Delivery 0 0 0 0 0 0 0 0
PNC Within 2 days 1561 6419 4396 429 6075 1113 16664 36657
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 10 0 0 0 58 77
Total Deliveries 1945 3415 3645 429 6239 660 53268 69601
Valid TT5 Coverage (%) 21
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 23256 19234 42,490 51820 62350 114,170 75076 81584 156660
Upazila Health Complex 4956 4637 9,593 5793 6325 12,118 10749 10962 21711
Union Sub-Centers 661 586 1,247 11,4440 10,692 125,132 672 596 1268
Union Health & Family Welfare Centers (under DGHS) 1,561 1,559 3,120 10,757 38,288 49,045 11 39 50
Union Health & Family Welfare Centers (belong to DGFP) 12,435 12,474 24,909 27,986 55,653 83,639 39 67 106
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 174519 203770 378,289 989468 2188948 3,178,416 1163987 2392718 3556705
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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) 2647 2837 5,484 0 9652 9,652 2647 12489 15136
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 2329 2618 4,947 7278 8379 15,657 9607 10997 20604
NGO Clinics/Facilities 11950 18583 30,533 6181 13120 19,301 18131 31703 49834
10 Bed Hospitals 3073 3562 6,635 6453 15093 21,546 9526 18655 28181
20 Bed Hospitals 3573 4062 7,635 6953 18092 25,045 10526 22154 32680
Medical College Hospital 0 0 0 0 0 0 0 0 0
Any other health facility 23532 19559 43,091 52541 63191 115,732 76073 82750 158823
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 2920 2543 5,463 8635 7337 15,972 11555 9880 21435
Upazila Health Complex 1809 1723 3,532 10891 10780 21,671 12700 12503 25203
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 553 735 1,288 1552 1453 3,005 2105 2188 4293
20 Bed Hospitals 857 937 1,794 2051 1837 3,888 2908 2774 5682
Medical College Hospital 0 0 0 0 0 0 0 0 0
Any other health facility 3007 2649 5,656 8869 7554 16,423 11876 10203 22079
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 3336 2737 6,073 32477 33577 66,054 35813 36314 72127
Upazila Health Complex 2978 2670 5,648 13859 16731 30,590 16837 19401 36238
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 122 202 324 483 458 941 605 660 1265
20 Bed Hospitals 168 236 404 785 600 1,385 953 836 1789
Medical College Hospital 0 0 0 0 0 0 0 0 0
Any other health facility 3336 2737 6,073 32477 66054 98,531 35813 68791 104604
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 244 119 363 134 103 237 378 222 600
Upazila Health Complex 9 4 13 36 14 50 45 18 63
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 1 0 1 2 2 4 3 2 5
Medical College Hospital 0 0 0 0 0 0 0 0 0
Any other health facility 244 119 363 134 103 237 378 222 600
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 4105
No. ICD-10 Code Disease name No. of Cases %
1 J189 J189 Pneumonia, unspecified 1976 48.1
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1536 37.4
3 P071 P071 Other low birth weight 219 5.3
4 P369 P369 Bacterial sepsis of newborn, unspecified 198 4.8
5 Q249 Q249 Congenital malformation of heart, unspecified 176 4.3

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 12709
No. ICD-10 Code Disease name No. of Cases %
1 I219 I219 Acute myocardial infarction, unspecified 2961 23.3
2 I64 I64 Stroke, not specified as haemorrhage or infarction 2584 20.3
3 J459 J459 Asthma, unspecified 2466 19.4
4 V011 V011 Pedestrian injured in collision with pedal cycle, traffic accident 2445 19.2
5 J449 J449 Chronic obstructive pulmonary disease, unspecified 2253 17.7
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 363
No. ICD-10 Code Disease name No. of Cases %
1 P071 P071 Other low birth weight 55 15.2
2 P21 P21 Birth asphyxia 45 12.4
3 P369 P369 Bacterial sepsis of newborn, unspecified 43 11.8
4 J189 J189 Pneumonia, unspecified 28 7.7
5 Q249 Q249 Congenital malformation of heart, unspecified 26 7.2

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 9
No. ICD-10 Code Disease name No. of Cases %
1 O159 O159 Eclampsia, unspecified as to time period 3 33.3
2 O994 O994 Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium 3 33.3
3 O72 O72 Postpartum haemorrhage 2 22.2
4 O149 O149 Pre-eclampsia, unspecified 1 11.1
5 0.0
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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) 237
No. ICD-10 Code Disease name No. of Cases %
1 I219 I219 Acute myocardial infarction, unspecified 31 13.1
2 I64 I64 Stroke, not specified as haemorrhage or infarction 25 10.5
3 J459 J459 Asthma, unspecified 23 9.7
4 J449 J449 Chronic obstructive pulmonary disease, unspecified 23 9.7
5 K27 K27 Peptic ulcer, site unspecified 19 8.0
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 99.0
Coverage of households having access to sanitary latrines (%) 97.0
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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Surgeries done under the CS Office
Type No.
Major Surgeries 1952
Minor Surgeries 13183
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 1 0 1 0 0.0
Grade 5 6 2 1 3 3 50.0
Grade 6 26 10 7 17 9 34.6
Grade 7 26 18 2 20 6 23.1
Grade 8 79 28 12 40 39 49.4
Grade 9 38 23 13 36 2 5.3
Grade 10 122 11 96 107 15 12.3
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 11 105 84 19 103 2 1.9
Grade 12 3 3 0 3 0 0.0
Grade 13 123 82 41 123 0 0.0
Grade 14 35 32 0 32 3 8.6
Grade 15 187 138 36 174 13 7.0
Grade 16 395 287 99 386 9 2.3
Grade 17 14 12 2 14 0 0.0
Grade 18 6 4 2 6 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 164 117 24 141 23 14.0
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 0 0 0 0 0 0.0
Grade 6 0 0 0 0 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 0 0 0 0 0 0.0
Grade 10 0 0 0 0 0 0.0
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 0 0 0 0 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 0 0 0 0 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 0 0 0 0 0 0.0
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 2 3 5
Grade 6 5 3 8
Grade 7 38 7 45
Grade 8 35 23 58
Grade 9 14 9 23
Grade 10 11 41 52
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 58 13 71
Grade 12 10 0 10
Grade 13 144 43 187
Grade 14 10 0 10
Grade 15 85 29 114
Grade 16 159 60 219
Grade 17 42 8 50
Grade 18 4 2 6
Grade 19 0 0 0
Grade 20 64 10 74
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 39 33 70 43 0 0 34 23 8 4 3
Nurse 0 0 0 0 94 77 0 0 90 86 30 12 0
Medical Assistant 0 0 64 60 14 14 0 0 0 0 30 12 0
Medical Technologist 0 0 9 8 45 45 0 0 7 7 0 0 2
CHCP 279 261 0 0 0 0 0 0 0 0 0 0 9
HI 0 0 0 0 23 17 0 0 0 0 0 0 0
AHI 0 0 0 0 67 64 0 0 0 0 0 0 0
HA 0 0 0 0 340 292 0 0 0 0 0 0 0
Total 279 261 112 101 653 552 0 0 131 116 68 28 14
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 10 3 7 0 20
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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) 20 2 0 0 22
Air conditioner (window) 0 0 0 0 0
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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) 10 3 0 0 13
Generator (Gas) 0 0 0 0 0
Solar panel 1 0 0 0 1
IPS 4 0 0 0 4
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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 12 6 2 85
Laptop 134 8 2 0 144
Printer (dot matrix) 1 0 0 0 1
Printer (inkjet) 3 0 0 0 3
Printer (laser) 27 8 3 0 38
Scanner 9 2 0 0 11
UPS 35 1 0 0 36
Fax 2 1 0 0 3
Intercom 0 0 0 0 0
Internet fixed line 4 0 0 0 4
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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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) 10 0 0 0 10
Multimedia 9 3 0 0 12
OHP 0 0 0 0 0
PA system 23 0 0 0 23
Land phone 11 0 0 0 11
Mobile phone 9 0 0 0 9
Photocopier machine 2 1 1 0 4
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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Important information and necessary issues you want to raise
Sirajganj is one of the important Districts of the country and it comprises of 09 Upazilas. Here it is needed to create 02 ( two) posts of Additional Civil Surgeon class one statistician post . • Routine EPI and EPI diseases surveillance are going with good shape and District is free from wild poliomyelitis for more than last 14 years in comparison of the Country for the last 7 years. Right now . • One Vehicle for Deputy Civil Surgeon is needed that will be helpful for monitoring of the District Program activities. • EPI equipments cannot be stored in present store room and Office Staff/ WHO/ Project Staff cannot be accommodated properly due to shortage of rooms . To solve this problem half part of 2nd floor should be extended immediately vertically. • For maintaining routine and daily work all Upazila MT EPI and District EPI Superintendent need one computer each and all Upazila also need at least one computer and one printer each. • Civil Surgeon Office needs more 3 (three) Des Top Computer and 1 (one) Photo Copy Machine to maintain compose job smoothly. • If those facilities will be delivered to this office, the administration & general work will run properly.
Local Health Bulletin 2016 for Sirajganj Civil Surgeon Office, Kazipur, Sirajganj

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