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Preface

It is my great pleasure to publish this HEALTH BULLETIN-2016 of Thakurgaon District. It contains all the health related information's of 2015 that can be disseminated to other departments & development partners of health. We used wide range of sources across the district to gather the datas. The information of this health bulletins are of great importance. These will be helpful for planning & bridging the laps and gaps in the health services of this district. It will help us to understand how much progress we have achieved in the last year, also those issues where more progress could be achieved. The health bulletin contains the status of MDG-4 & MDG-5 which will help to locate the MDG targets. The sanctioned & vacant posts are published in this bulletin which seeks necessary steps of higher authority. I always believe that there is enough scope for perfection in future. Finally, I acknowledge deeply the contributions of my associates who worked hard and closely with me to publish the HEALTH BULLETIN 2016 and I would like congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bangladesh. Dr. Md. Nazrul Islam Civil Surgeon, Thakurgaon.

DR.MD.NAZRUL ISLAM
Civil Surgeon
Thakurgaon Civil Surgeon Office
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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EDITORIAL BOARD

Chief Editor

Dr. Md. Nazrul Islam, Civil Surgeon


Special Acknowledgement

1. Dr. Md. Nazrul Islam, Superintendent

Editors

1. Dr.Abu Md. Razib-ul-Doza, Medical Officer

2. Dilip Kumar Roy, Statistical Assistant

Contributors

1. Pulokendro Nath Chanda, EPI Superintendent

2. Ashis Kumar Saha, District Sanitary Inspector

3. Al Amin Md. Jahangir Noor, Store Keeper

4. Md. Nazimul Haque, Accountant

5. Md. Nazrul Islam, Head 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 Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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Basic Information
Name of District Thakurgaon
Organization Code 10001686
Name of Civil SurgeonDR.MD.NAZRUL ISLAM
Land Phone No. 1 056152096
Land Phone No. 2 N/A
FAX No. 056153460
Mobile No. 01819820944
Email thakurgaon@cs.dghs.gov.bd
GPS location of CS Office Lati: 26.0290 And Long: 88.4750
No. of Upazila in the District5
No. of Households in the District 341439
Population in the District 1553863
Area of District in sq km 1810
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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 4 50
Union Sub Centers 13 0
Union Health & Family Welfare Centers (under DGHS) 38 0
Union Health & Family Welfare Centers (under DGFP) 0 0
Rural Dispensaries 0 0
Community Clinics 145 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 20
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 25 270
NGO Clinics/Facilities 2 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 31,257



Neonatal Mortality Rate: 26.0 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 74,488
Fully Vaccinated Children (<= 12 months): 97 %
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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 Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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 3575 2841 3151 1236 5877 1536 14801 33017
At least 1 ANC 3575 2841 3151 1236 5877 1536 14801 33017
ANCs (4+) 693 2128 1588 0 0 0 2274 6683
Normal Delivery 1388 2661 3093 1142 486 939 14609 24318
Cesarean Section 551 542 447 0 5388 597 0 7525
Other Assisted Delivery 26 0 0 0 3 16 0 45
PNC Within 2 days 1150 2360 447 0 5388 597 0 9942
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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 3 15 0 0 0 0 7 25
Total Deliveries 1965 3203 3540 1142 5877 1552 14609 31888
Valid TT5 Coverage (%) 10
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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 20225 20967 41,192 52222 59578 111,800 72447 80545 152992
Upazila Health Complex 13077 16161 29,238 45572 72333 117,905 58649 88494 147143
Union Sub-Centers 42642 67064 109,706 39242 51517 90,759 81884 118581 200465
Union Health & Family Welfare Centers (under DGHS) 5857 7032 12,889 18752 26629 45,381 24609 33661 58270
Union Health & Family Welfare Centers (belong to DGFP) 0 0 0 0 0 0 0 0 0
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 144231 211158 355,389 171116 299606 470,722 315347 510764 826111
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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) 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 120 108 228 3600 2580 6,180 3720 2688 6408
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0 0
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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 304 158 462 5080 1155 6,235 5384 1313 6697
Upazila Health Complex 1463 1637 3,100 6715 5900 12,615 8178 7537 15715
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 Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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 11681 6408 18,089 10899 9084 19,983 22580 15492 38072
Upazila Health Complex 3416 4706 8,122 10261 11061 21,322 13677 15767 29444
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 Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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 183 145 328 161 75 236 344 220 564
Upazila Health Complex 10 12 22 37 27 64 47 39 86
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 Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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 18495
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 5517 29.8
2 J18 J18 Pneumonia, organism unspecified 4804 26.0
3 A419 A419 Septicaemia, unspecified 1617 8.7
4 B34 B34 Viral infection of unspecified site 484 2.6
5 J459 J459 Asthma, unspecified 288 1.6

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 23900
No. ICD-10 Code Disease name No. of Cases %
1 Y009 Y009 Assault by blunt object, unspecified place 3470 14.5
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1326 5.5
3 I11 I11 Hypertensive heart disease 933 3.9
4 K279 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 782 3.3
5 V346 V346 Occupant of three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus, passenger, traffic accident 722 3.0
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 309
No. ICD-10 Code Disease name No. of Cases %
1 P21 P21 Birth asphyxia 124 40.1
2 P072 P072 Extreme immaturity 106 34.3
3 A41 A41 Other septicaemia 35 11.3
4 J18 J18 Pneumonia, organism unspecified 32 10.4
5 P22 P22 Respiratory distress of newborn 9 2.9

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 20
No. ICD-10 Code Disease name No. of Cases %
1 O150 O150 Eclampsia in pregnancy 3 15.0
2 O25 O25 Malnutrition in pregnancy 2 10.0
3 O06 O06 Unspecified abortion 2 10.0
4 O72 O72 Postpartum haemorrhage 1 5.0
5 O20 O20 Haemorrhage in early pregnancy 1 5.0
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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) 243
No. ICD-10 Code Disease name No. of Cases %
1 I21 I21 Acute myocardial infarction 54 22.2
2 I679 I679 Cerebrovascular disease, unspecified 32 13.2
3 J449 J449 Chronic obstructive pulmonary disease, unspecified 21 8.6
4 I249 I249 Acute ischaemic heart disease, unspecified 19 7.8
5 I64 I64 Stroke, not specified as haemorrhage or infarction 19 7.8
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 92.0
Coverage of households having access to sanitary latrines (%) 86.0
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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Surgeries done under the CS Office
Type No.
Major Surgeries 1149
Minor Surgeries 17643
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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 1 0 0 0 1 100.0
Grade 4 0 0 0 0 0 0.0
Grade 5 7 4 0 4 3 42.9
Grade 6 43 12 1 13 30 69.8
Grade 7 3 1 0 1 2 66.7
Grade 8 107 47 15 62 45 42.1
Grade 9 1 0 0 0 1 100.0
Grade 10 96 5 81 86 10 10.4
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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 11 112 54 21 75 37 33.0
Grade 12 0 0 0 0 0 0.0
Grade 13 33 23 6 29 4 12.1
Grade 14 186 101 74 175 11 5.9
Grade 15 59 38 5 43 16 27.1
Grade 16 219 115 82 197 22 10.0
Grade 17 1 0 0 0 1 100.0
Grade 18 0 0 0 0 0 0.0
Grade 19 8 4 4 8 0 0.0
Grade 20 116 63 24 87 29 25.0
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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 0 0 0 1 100.0
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 4 1 1 2 2 50.0
Grade 10 6 2 1 3 3 50.0
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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 0 0 0 1 100.0
Grade 14 6 4 1 5 1 16.7
Grade 15 4 2 0 2 2 50.0
Grade 16 3 1 2 3 0 0.0
Grade 17 2 0 1 1 1 50.0
Grade 18 1 1 0 1 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 6 5 0 5 1 16.7
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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 0 5
Grade 5 7 0 7
Grade 6 5 1 6
Grade 7 11 2 13
Grade 8 45 13 58
Grade 9 7 25 32
Grade 10 6 44 50
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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 39 30 69
Grade 12 2 0 2
Grade 13 93 3 96
Grade 14 72 70 142
Grade 15 19 7 26
Grade 16 50 32 82
Grade 17 27 10 37
Grade 18 5 2 7
Grade 19 11 4 15
Grade 20 34 11 45
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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 0 0 0
Grade 7 0 0 0
Grade 8 1 1 2
Grade 9 0 0 0
Grade 10 2 2 4
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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

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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 51 31 76 31 0 0 0 0 4 2 0
Nurse 0 0 0 0 57 46 0 0 0 0 10 2 0
Medical Assistant 0 0 51 38 8 7 0 0 0 0 15 0 0
Medical Technologist 0 0 0 0 29 25 0 0 0 0 0 0 0
CHCP 145 139 0 0 0 0 0 0 0 0 0 0 23
HI 0 0 0 0 11 11 0 0 0 0 0 0 0
AHI 0 0 0 0 38 37 0 0 0 0 0 0 0
HA 0 0 0 0 190 173 0 0 0 0 0 0 9
Total 145 139 102 69 409 330 0 0 0 0 29 4 32
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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

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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 1 0 0 1
Air conditioner (window) 6 0 0 0 6
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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 1 0 0 0 1
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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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) 5 0 2 4 11
Laptop 2 1 0 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 0 0 0 5
Scanner 1 0 0 0 1
UPS 5 0 2 0 7
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 Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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

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Important information and necessary issues you want to raise
Important information and necessary issues for Thakurgaon Civil Surgeon Office- The Health Bulletin 2016 will contribute to improving about health issues. Last year we have tried our best to improve the health status but could not ensure public demand due to some reasons. I like to mention some important factors which will help us for better performance in future. 1) All the vacant posts of Doctor, Nurse and Paramedics should be filled up, 2) IMCI service providers need regular training, 3) For better maternal & neo-natal health service both health and family planning departments need to work combindly. 4) Sit capacity of hospitals should be increased. We are very glad to write this Health Bulletin of 2016. This will help us for our better performance in future.
Local Health Bulletin 2016 for Thakurgaon Civil Surgeon Office, Thakurgaon Sadar, Thakurgaon

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