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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

It is my great pleasures to publish this health bulletin of Jessore district. This bulletin contains health related information of the year 2015. Bulletin is published to disseminate all Information regarding health related activities of Jessore District. I think all the information of the bulletin will help us to reduce the gap between health sector, general people, public representative and other sectors. This bulletin contains the status of MDG4 & MDG5 which will help to achieve/sustain the SDG targets. This bulletin also has the information on safe water & sanitation status of Jessore district. All the sanction and vacant posts are published here to inform our human resources for others. This will help us many steps forward to develop Digital Bangladesh. Finally I would like to congratulate Director General of Health Services, ADG (Admin) and line director,MIS- the initiator of the health bulletin and all other bulletin publishing related work forces. Dr.Md.Abul Fazal, Civil Surgeon, Jessore.

Dr.Md.Abul Fazal
Civil Surgeon
Jessore Civil Surgeon Office
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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EDITORIAL BOARD

Chief Editor

Dr.Md. Abul Fazal, Civil Surgeon


Special Acknowledgement

1. Dr. Habiba Siddiqua Foara, MO (DRS)

2. Md.Gias Uddin, Senior Health Education Officer

Editors

1. Dr.A.B.M Ali Ahsan, Deputy Civil Surgeon

2. Dr. Md. Selim Reza, MO (CS) -ICT Focal Point

3. Md.Abdul Hayum, Statistician

Contributors

1. Mirza Sorowar Hossain, District EPI Superintendent

2. Mr.Shishir Kanti Paul, DSI


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 Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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Basic Information
Name of District Jessore
Organization Code 10001751
Name of Civil SurgeonDr.Md.Abul Fazal
Land Phone No. 1 042168989
Land Phone No. 2 042168990
FAX No. 042165685
Mobile No. 01712240740
Email jessore@cs.dghs.gov.bd
GPS location of CS Office Lati: 23.1660 And Long: 89.2056
No. of Upazila in the District8
No. of Households in the District 675564
Population in the District 2984363
Area of District in sq km 2578
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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 1 278
Upazila Health Complexes 8 331
Union Sub Centers 22 0
Union Health & Family Welfare Centers (under DGHS) 69 0
Union Health & Family Welfare Centers (under DGFP) 61 0
Rural Dispensaries 0 0
Community Clinics 275 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 20
Chest Disease (TB) Clinics/Hospitals 2 20
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 139 1521
NGO Clinics/Facilities 3 550
10 Bed Hospitals 2 20
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 49,976



Neonatal Mortality Rate: 11.4 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 227,193
Fully Vaccinated Children (<= 12 months): 97.57 %
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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 Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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 12730 16448 4605 351 5932 461 20106 60633
At least 1 ANC 12730 16448 4605 351 5899 461 19750 60244
ANCs (4+) 4123 7173 1938 114 1214 461 3771 18794
Normal Delivery 1751 3241 825 168 1057 275 27412 34729
Cesarean Section 1152 1827 251 1380 10544 186 0 15340
Other Assisted Delivery 36 88 0 0 0 0 0 124
PNC Within 2 days 2393 5307 1076 238 8640 782 15862 34298
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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 14 2 0 0 5 0 39 60
Total Deliveries 2939 5156 1076 1548 11601 461 27412 50193
Valid TT5 Coverage (%) 86.15
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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 20492 30492 50,984 155225 190910 346,135 175717 221402 397119
Upazila Health Complex 54807 71631 126,438 110717 198826 309,543 165524 270457 435981
Union Sub-Centers 11180 13426 24,606 62190 85335 147,525 73370 98761 172131
Union Health & Family Welfare Centers (under DGHS) 30891 65413 96,304 54292 182389 236,681 85183 247802 332985
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 140224 273997 414,221 554753 1216020 1,770,773 694977 1490017 2184994
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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 28 39 67 1552 1424 2,976 1580 1463 3043
Private Clinics/Facilities 42364 46836 89,200 42912 135225 178,137 85276 182061 267337
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 389 459 848 557 522 1,079 946 981 1927
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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 1070 1472 2,542 14680 8739 23,419 15750 10211 25961
Upazila Health Complex 13187 12588 25,775 22150 16964 39,114 35337 29552 64889
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 Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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 3003 3883 6,886 24771 27444 52,215 27774 31327 59101
Upazila Health Complex 5700 7487 13,187 13417 25095 38,512 19117 32582 51699
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 42 18 60 42 18 60
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 Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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 130 150 280 1101 662 1,763 1231 812 2043
Upazila Health Complex 6 5 11 95 66 161 101 71 172
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 1 2 3 1 2 3
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 Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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 16117
No. ICD-10 Code Disease name No. of Cases %
1 J22 J22 Unspecified acute lower respiratory infection 5813 36.1
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1704 10.6
3 E46 E46 Unspecified protein-energy malnutrition 1670 10.4
4 P070 P070 Extremely low birth weight 1424 8.8
5 R509 R509 Fever, unspecified 1323 8.2

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 94743
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3813 4.0
2 V87 V87 Traffic accident of specified type but victim's mode of transport unknown 2450 2.6
3 Y09 Y09 Assault by unspecified means 1670 1.8
4 I64 I64 Stroke, not specified as haemorrhage or infarction 1501 1.6
5 R509 R509 Fever, unspecified 1323 1.4
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 247
No. ICD-10 Code Disease name No. of Cases %
1 P070 P070 Extremely low birth weight 54 21.9
2 D56 D56 Thalassaemia 46 18.6
3 J110 J110 Influenza with pneumonia, virus not identified 24 9.7
4 P21 P21 Birth asphyxia 19 7.7
5 R509 R509 Fever, unspecified 1 0.4

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 60
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 11 18.3
2 O15 O15 Eclampsia 5 8.3
3 O73 O73 Retained placenta and membranes, without haemorrhage 4 6.7
4 O64 O64 Obstructed labour due to malposition and malpresentation of fetus 4 6.7
5 O85 O85 Puerperal sepsis 1 1.7
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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) 1911
No. ICD-10 Code Disease name No. of Cases %
1 I64 I64 Stroke, not specified as haemorrhage or infarction 305 16.0
2 V87 V87 Traffic accident of specified type but victim's mode of transport unknown 216 11.3
3 N18 N18 Chronic renal failure 197 10.3
4 I21 I21 Acute myocardial infarction 180 9.4
5 E117 E117 Non-insulin-dependent diabetes mellitus with multiple complications 60 3.1
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 93.9
Coverage of households having access to sanitary latrines (%) 97.6
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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Surgeries done under the CS Office
Type No.
Major Surgeries 16721
Minor Surgeries 30795
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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 11 11 0 11 0 0.0
Grade 6 41 13 6 19 22 53.7
Grade 7 37 35 2 37 0 0.0
Grade 8 125 57 59 116 9 7.2
Grade 9 113 56 36 92 21 18.6
Grade 10 214 19 186 205 9 4.2
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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 11 176 112 32 144 32 18.2
Grade 12 6 2 1 3 3 50.0
Grade 13 62 25 35 60 2 3.2
Grade 14 355 203 133 336 19 5.4
Grade 15 74 43 7 50 24 32.4
Grade 16 351 156 84 240 111 31.6
Grade 17 30 19 11 30 0 0.0
Grade 18 4 4 0 4 0 0.0
Grade 19 12 6 3 9 3 25.0
Grade 20 227 140 44 184 43 18.9
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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 6 1 1 2 4 66.7
Grade 10 10 6 2 8 2 20.0
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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 1 0 1 0 0.0
Grade 14 10 7 1 8 2 20.0
Grade 15 5 4 0 4 1 20.0
Grade 16 8 4 1 5 3 37.5
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 2 1 1 2 0 0.0
Grade 20 15 10 0 10 5 33.3
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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 2 1 3
Grade 5 13 1 14
Grade 6 12 6 18
Grade 7 60 11 71
Grade 8 78 80 158
Grade 9 36 42 78
Grade 10 13 165 178
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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 95 24 119
Grade 12 2 2 4
Grade 13 80 77 157
Grade 14 183 129 312
Grade 15 31 5 36
Grade 16 129 45 174
Grade 17 49 19 68
Grade 18 14 4 18
Grade 19 9 1 10
Grade 20 96 30 126
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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

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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 9 0 9
Grade 12 0 1 1
Grade 13 7 1 8
Grade 14 0 0 0
Grade 15 1 0 1
Grade 16 0 0 0
Grade 17 1 1 2
Grade 18 7 0 7
Grade 19 2 0 2
Grade 20 1 0 1
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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 92 79 104 78 55 49 6 3 10 1 10
Nurse 0 0 0 0 106 103 161 160 0 0 12 11 5
Medical Assistant 0 0 92 85 14 13 0 0 0 0 34 0 0
Medical Technologist 0 0 7 2 52 45 8 6 0 0 0 0 0
CHCP 275 275 0 0 0 0 0 0 0 0 80 0 11
HI 0 0 0 0 24 15 0 0 0 0 4 0 0
AHI 0 0 0 0 70 38 0 0 0 0 11 0 0
HA 0 0 0 0 357 216 0 0 0 0 52 0 20
Total 275 275 191 166 727 508 224 215 6 3 203 12 46
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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 9 1 1 0 11
Bus 0 0 0 0 0
Jeep 3 1 0 0 4
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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) 43 7 0 0 50
Air conditioner (window) 11 7 0 0 18
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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) 13 7 1 0 21
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 5 1 0 0 6
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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) 60 10 5 0 75
Laptop 279 36 12 0 327
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 34 9 8 0 51
Scanner 9 0 0 0 9
UPS 40 7 1 0 48
Fax 3 2 1 0 6
Intercom 20 11 0 0 31
Internet fixed line 10 1 1 0 12
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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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) 286 11 6 0 303
Multimedia 8 2 1 0 11
OHP 2 0 0 0 2
PA system 2 0 0 0 2
Land phone 16 0 0 0 16
Mobile phone 8 0 0 0 8
Photocopier machine 4 1 3 0 8
Digital camera 1 0 0 0 1
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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Important information and necessary issues you want to raise
To deliver quality health services, all the vacant posts should be filled-up immediately,mainly the pair post of health complexes. On the other hand, main district office (CS Office) which was built about hundred years ago that cannot accommodate all staffs. All officials are also in great threat who are working in this old building. New building should be constructed immediately. Thanking all concern regarding publishing this Health Bulletin through their positive heartfelt co-operation. Dr.Md.Abul Fazal, Civil Surgeon, Jessore.
Local Health Bulletin 2016 for Jessore Civil Surgeon Office, Jessore Sadar, Jessore

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