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Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

It is my great pleasure to publish the Local Health Bulletin-2016 of Bagerhat District for the 5th time. This bulletin contains health related information & data of bagerhat district for the period of January to December-2015. Local Health Bulletin is published to disseminate the information of bagerhat to other department partners of health.This health bulletin will help us to find constraints and also to see the results and achievements of 2015. All our achievements, failures and short falls, have been reflected in this bulletin for general information & kind consideration of all concerned. Suggestions & directions for the improvement of our activities are cordially expected & will enrich our future planning & implementation. I am very much gratefull to Prof. A. K. Azad, ADG (Admin) & Line Director, MIS, DGHS, Dhaka and Dr. Md. Masum Ali, Director (Health), Khulna for their cordial on line guidance to prepare & publish this "Local Health Bulletin-2016". I would like to thanks everybody who helped me to finish this task. Thanks. Dr. Arun Chandra Mondal, Civil Surgeon,Bagerhat.

Dr. Arun Chandra Mondal
Civil Surgeon
Bagerhat Civil Surgeon Office
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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EDITORIAL BOARD

Chief Editor

Dr. Arun Chandra Mondal, Civil Surgeon,Bagerhat.


Editors

1. Md. Abdul Basir, Statistician, CS Office,Bagerhat.

2. Dr. Prodip Kumar Bakshi, MO, CS Office,Bagerhat.

Contributors

1. Dr. Md. Nazrul Islam, DCS, Bagerhat.

2. Mr. Ranjit Kumar Miridha., Statistical Assistant,CS Office,Bagerhat.

3. Sk. Mizanur Rahman, Head Assistant,CS Office,Bagerhat.

4. A.B.M. Abdus Sobhan, District EPI Superentandent,CS Office,Bagerhat.


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 Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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Basic Information
Name of District Bagerhat
Organization Code 10001692
Name of Civil SurgeonDr. Arun Chandra Mondal
Land Phone No. 1 N/A
Land Phone No. 2 N/A
FAX No. 0468-62229
Mobile No. 01711455624
Email bagerhat@cs.dghs.gov.bd
GPS location of CS Office Lati: 22.6622 And Long: 89.7940
No. of Upazila in the District09
No. of Households in the District 339247
Population in the District 1591359
Area of District in sq km 3959
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 9 305
Union Sub Centers 8 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 64 0
Rural Dispensaries 0 0
Community Clinics 198 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 20
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 22 180
NGO Clinics/Facilities 3 10
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 24,089



Neonatal Mortality Rate: 11.7 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 160,440
Fully Vaccinated Children (<= 12 months): 100 %
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 2721 2500 10962 635 2306 1200 11142 31466
At least 1 ANC 2721 2500 10962 635 2306 1200 11142 31466
ANCs (4+) 1814 1554 6294 82 1679 604 6618 18645
Normal Delivery 722 1545 2372 130 1262 430 11766 18227
Cesarean Section 373 284 0 24 5294 19 0 5994
Other Assisted Delivery 12 33 0 0 37 0 0 82
PNC Within 2 days 1007 1703 2060 110 3327 304 6148 14659
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 1 1 4 0 6 0 31 43
Total Deliveries 1107 1862 2372 154 6593 449 11766 24303
Valid TT5 Coverage (%) 50
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 8447 14662 23,109 36186 70244 106,430 44633 84906 129539
Upazila Health Complex 39982 41115 81,097 78310 176546 254,856 118292 217661 335953
Union Sub-Centers 8744 9835 18,579 28087 61850 89,937 36831 71685 108516
Union Health & Family Welfare Centers (under DGHS) 0 0 0 0 0 0 0 0 0
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 94756 103877 198,633 334481 693548 1,028,029 429237 797425 1226662
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 0 0 0 1197 1069 2,266 1197 1069 2266
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 Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 357 430 787 3084 2087 5,171 3441 2517 5958
Upazila Health Complex 2514 2827 5,341 16866 20985 37,851 19380 23812 43192
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 Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 1611 1016 2,627 5122 7370 12,492 6733 8386 15119
Upazila Health Complex 2763 2598 5,361 12990 23060 36,050 15753 25658 41411
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 Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 40 38 78 101 84 185 141 122 263
Upazila Health Complex 8 6 14 105 76 181 113 82 195
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 Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 7988
No. ICD-10 Code Disease name No. of Cases %
1 K591 K591 Functional diarrhoea 929 11.6
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 726 9.1
3 J18 J18 Pneumonia, organism unspecified 558 7.0
4 J219 J219 Acute bronchiolitis, unspecified 238 3.0
5 R50 R50 Fever of unknown origin 114 1.4

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 38841
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2078 5.4
2 Y09 Y09 Assault by unspecified means 957 2.5
3 K27 K27 Peptic ulcer, site unspecified 896 2.3
4 R50 R50 Fever of unknown origin 224 0.6
5 D50 D50 Iron deficiency anaemia 144 0.4
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 92
No. ICD-10 Code Disease name No. of Cases %
1 P210 P210 Severe birth asphyxia 28 30.4
2 P071 P071 Other low birth weight 19 20.7
3 A419 A419 Septicaemia, unspecified 18 19.6
4 J22 J22 Unspecified acute lower respiratory infection 4 4.3
5 J189 J189 Pneumonia, unspecified 2 2.2

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 14
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 3 21.4
2 O669 O669 Obstructed labour, unspecified 3 21.4
3 O679 O679 Intrapartum haemorrhage, unspecified 2 14.3
4 I501 I501 Left ventricular failure 1 7.1
5 J18 J18 Pneumonia, organism unspecified 1 7.1
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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) 277
No. ICD-10 Code Disease name No. of Cases %
1 I611 I611 Intracerebral haemorrhage in hemisphere, cortical 35 12.6
2 I516 I516 Cardiovascular disease, unspecified 14 5.1
3 I679 I679 Cerebrovascular disease, unspecified 14 5.1
4 I219 I219 Acute myocardial infarction, unspecified 12 4.3
5 J459 J459 Asthma, unspecified 10 3.6
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 85.0
Coverage of households having access to sanitary latrines (%) 95.0
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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Surgeries done under the CS Office
Type No.
Major Surgeries 6176
Minor Surgeries 16451
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 6 1 1 2 4 66.7
Grade 6 46 17 2 19 27 58.7
Grade 7 16 1 3 4 12 75.0
Grade 8 94 30 10 40 54 57.4
Grade 9 52 15 4 19 33 63.5
Grade 10 158 1 142 143 15 9.5
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 11 149 86 35 121 28 18.8
Grade 12 1 1 0 1 0 0.0
Grade 13 16 4 3 7 9 56.3
Grade 14 248 115 109 224 24 9.7
Grade 15 56 41 14 55 1 1.8
Grade 16 405 126 106 232 173 42.7
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 9 6 2 8 1 11.1
Grade 20 188 114 49 163 25 13.3
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 3 1 0 1 2 66.7
Grade 10 6 3 1 4 2 33.3
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 2 0 2 3 60.0
Grade 12 0 0 0 0 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 8 5 1 6 2 25.0
Grade 15 1 1 0 1 0 0.0
Grade 16 5 2 2 4 1 20.0
Grade 17 1 1 0 1 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 3 1 0 1 2 66.7
Grade 20 7 5 2 7 0 0.0
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 7 1 8
Grade 6 10 1 11
Grade 7 30 14 44
Grade 8 48 57 105
Grade 9 13 23 36
Grade 10 60 10 70
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 24 45 69
Grade 12 13 4 17
Grade 13 75 65 140
Grade 14 76 121 197
Grade 15 23 16 39
Grade 16 74 63 137
Grade 17 45 14 59
Grade 18 15 8 23
Grade 19 15 10 25
Grade 20 30 28 58
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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

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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 6 1 7
Grade 12 0 0 0
Grade 13 1 0 1
Grade 14 1 0 1
Grade 15 2 0 2
Grade 16 1 2 3
Grade 17 4 2 6
Grade 18 0 0 0
Grade 19 2 0 2
Grade 20 0 0 0
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 73 31 114 43 24 9 6 4 12 8 0
Nurse 0 0 0 0 105 87 38 35 0 0 22 19 0
Medical Assistant 0 0 73 73 16 16 0 0 0 0 37 0 0
Medical Technologist 0 0 0 0 55 33 3 3 5 4 0 0 0
CHCP 207 200 0 0 0 0 0 0 0 0 0 0 28
HI 0 0 0 0 23 11 0 0 0 0 0 0 0
AHI 0 0 0 0 68 60 0 0 0 0 0 0 0
HA 0 0 0 0 331 183 0 0 0 0 0 0 9
Total 207 200 146 104 712 433 65 47 11 8 71 27 37
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 1 1 2 0 4
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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) 3 0 0 0 3
Air conditioner (window) 1 0 0 0 1
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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) 1 0 0 0 1
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 1 0 0 2
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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) 7 2 2 0 11
Laptop 3 0 0 0 3
Printer (dot matrix) 0 0 2 0 2
Printer (inkjet) 0 0 1 0 1
Printer (laser) 4 1 0 0 5
Scanner 2 0 0 0 2
UPS 7 2 0 0 9
Fax 1 1 0 0 2
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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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 1 0 0 2
OHP 1 1 0 0 2
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 Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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Important information and necessary issues you want to raise
1. The vaccant posts of doctors, field staffs,MT (lab) & (Radio) and supporting staffs should be filled up urgently. 2. Doctors should be transferred after posting minimum two years ago. 3.Repair of the UHCs old hospital building, quarters and the inner road of the campus should be done as soon as possible. 4.Repair of the community clinics are very much important to continue the rural health service delivery system. 5. All the repairable equipments should be repaired as soon as possible. 6. All female HA and CHCP need CSBA training to increase the facility based normal deliveries.
Local Health Bulletin 2016 for Bagerhat Civil Surgeon Office, Bagerhat Sadar, Bagerhat

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