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

Preface

It gives me much pleasure and pride to learn that a health bulletin is going to be published from Jhenaidah district. ''Health is Wealth'' goes the proverb. And obviously it is the primary concern of an individual as well as a nation. A citizen if health, is an asset to the nation, if not is the burden to it. This data base software is filled up and published by the Statistical Section of Civil Surgeon Office, Jhenaidah. The Health Bulletin is composed for providing information to the health planners, Program Managers and all Health Care Providers (HCP) working at various level of health system. It is true that reporting and recording is the mirror of actual situation. We have already achieved some awards such as our district hospital is one of the top 5 district hospital Hon'ble Health Minister National award -2015 taken from honorable Health Minister of Bangladesh, one (Shailkupa) Upazila Health Complex award and One (Fatepur CC, Harinakundu) top most award at divisional level also taken from honorable Health Minister of Bangladesh. I express my heartiest fillings to prof. Dr. Abul Kalam Azad, Additional Director General (Administration) and Line Director of MIS, Health, DGHS, Mohakhali, Dhaka 1212 and Divisional Director (Health) Khulna Division, Khulna as well as his officers and staff who encouraged and guided my subordinates to compos this great work. Dr. Md. Abdus Salam, Civil Surgeon , Jhenaidah

Dr. Md. Abdus Salam
Civil Surgeon
Jhenaidah Civil Surgeon Office
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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EDITORIAL BOARD

Chief Editor

Dr. Md. Abdus Salam, Civil Surgeon


Special Acknowledgement

1. Dr. Arif Ahmed, MO

Editors

1. Dr. Prosenjit Biswas, MO (Focal Person)

2. Md. Jahangir Habib, Statistician

Contributors

1. Md.Wahidul Islam, SHEO

2. Md. Abul Bashar, DHS


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 Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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Basic Information
Name of District Jhenaidah
Organization Code 10001775
Name of Civil SurgeonDr. Md. Abdus Salam
Land Phone No. 1 45162311
Land Phone No. 2 N/A
FAX No. 045162311
Mobile No. 01711195754
Email jhenaidah@cs.dghs.gov.bd
GPS location of CS Office Lati: 23.3100 And Long: 89.1000
No. of Upazila in the District06
No. of Households in the District 392947
Population in the District 1905099
Area of District in sq km 2024
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 5 250
Union Sub Centers 13 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 65 0
Rural Dispensaries 0 0
Community Clinics 172 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 20
Chest Disease (TB) Clinics/Hospitals 0 0
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 75 750
NGO Clinics/Facilities 2 20
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 32,440



Neonatal Mortality Rate: 4.6 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 85,068
Fully Vaccinated Children (<= 12 months): 100 %
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 6228 9150 0 1135 0 1975 18518 37006
At least 1 ANC 6228 9150 0 1135 0 1975 18518 37006
ANCs (4+) 1902 2904 0 204 0 350 7244 12604
Normal Delivery 1931 3909 0 18 789 443 16984 24074
Cesarean Section 1090 878 0 100 6254 31 0 8353
Other Assisted Delivery 13 0 0 0 0 0 0 13
PNC Within 2 days 3034 4787 0 118 7043 474 16984 32440
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 4 2 1 0 0 0 26 33
Total Deliveries 3034 4787 0 118 7043 474 16984 32440
Valid TT5 Coverage (%) 93
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 14980 12381 27,361 90489 147481 237,970 105469 159862 265331
Upazila Health Complex 31720 23787 55,507 70843 122883 193,726 102563 146670 249233
Union Sub-Centers 12860 14502 27,362 46429 70420 116,849 59289 84922 144211
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 57862 66449 124,311 359759 744823 1,104,582 417621 811272 1228893
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 0 0 0 0 0 0
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 Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 268 173 441 6246 5283 11,529 6514 5456 11970
Upazila Health Complex 11672 9427 21,099 19957 18451 38,408 31629 27878 59507
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 Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 2261 1665 3,926 6943 18693 25,636 9204 20358 29562
Upazila Health Complex 4769 5102 9,871 12614 19943 32,557 17383 25045 42428
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 Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 37 48 85 142 158 300 179 206 385
Upazila Health Complex 26 23 49 93 63 156 119 86 205
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 Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 7740
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2955 38.2
2 J12 J12 Viral pneumonia, NEC 1639 21.2
3 B34 B34 Viral infection of unspecified site 266 3.4
4 A01 A01 Typhoid and paratyphoid fevers 148 1.9
5 P36 P36 Bacterial sepsis of newborn 147 1.9

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 37911
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2858 7.5
2 I10 I10 Essential (primary) hypertension 2095 5.5
3 Y09 Y09 Assault by unspecified means 2087 5.5
4 K27 K27 Peptic ulcer, site unspecified 1267 3.3
5 F40 F40 Phobic anxiety disorders 1264 3.3
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 91
No. ICD-10 Code Disease name No. of Cases %
1 P21 P21 Birth asphyxia 33 36.3
2 P07 P07 Disorders related to short gestation and low birth weight, NEC 30 33.0
3 P36 P36 Bacterial sepsis of newborn 12 13.2
4 J15 J15 Bacterial pneumonia, NEC 8 8.8
5 R560 R560 Febrile convulsions 2 2.2

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 6
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 3 50.0
2 O15 O15 Eclampsia 2 33.3
3 A87 A87 Viral meningitis 1 16.7
4 0.0
5 0.0
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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) 368
No. ICD-10 Code Disease name No. of Cases %
1 I64 I64 Stroke, not specified as haemorrhage or infarction 82 22.3
2 I21 I21 Acute myocardial infarction 39 10.6
3 I25 I25 Chronic ischaemic heart disease 25 6.8
4 V89 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified 19 5.2
5 J45 J45 Asthma 15 4.1
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 100.0
Coverage of households having access to sanitary latrines (%) 90.0
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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Surgeries done under the CS Office
Type No.
Major Surgeries 2468
Minor Surgeries 13092
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 9 5 0 5 4 44.4
Grade 6 61 12 4 16 45 73.8
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 145 96 16 112 33 22.8
Grade 10 127 2 107 109 18 14.2
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 11 166 95 30 125 41 24.7
Grade 12 0 0 0 0 0 0.0
Grade 13 6 6 0 6 0 0.0
Grade 14 55 45 0 45 10 18.2
Grade 15 67 53 9 62 5 7.5
Grade 16 283 124 73 197 86 30.4
Grade 17 6 6 0 6 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 10 2 0 2 8 80.0
Grade 20 140 90 27 117 23 16.4
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 5 4 4 8 -3 -60.0
Grade 10 3 2 1 3 0 0.0
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 0 1 1 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 8 7 0 7 1 12.5
Grade 15 2 2 0 2 0 0.0
Grade 16 4 3 1 4 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 2 2 0 2 0 0.0
Grade 20 7 7 0 7 0 0.0
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 4 1 5
Grade 5 4 0 4
Grade 6 5 1 6
Grade 7 27 22 49
Grade 8 91 64 155
Grade 9 15 8 23
Grade 10 5 41 46
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 64 21 85
Grade 12 1 0 1
Grade 13 128 37 165
Grade 14 23 8 31
Grade 15 14 5 19
Grade 16 60 30 90
Grade 17 46 11 57
Grade 18 11 4 15
Grade 19 5 2 7
Grade 20 36 11 47
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 3 2 5
Grade 9 2 0 2
Grade 10 3 0 3
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 7 0 7
Grade 12 0 0 0
Grade 13 3 0 3
Grade 14 0 0 0
Grade 15 3 0 3
Grade 16 1 0 1
Grade 17 5 0 5
Grade 18 0 0 0
Grade 19 3 0 3
Grade 20 1 0 1
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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 13 7 101 93 40 21 3 2 0 0 0
Nurse 0 0 0 0 85 67 48 46 1 1 0 0 0
Medical Assistant 0 0 0 0 80 79 0 0 0 0 0 0 0
Medical Technologist 0 0 0 0 64 41 9 7 2 2 0 0 0
CHCP 0 0 0 0 172 171 0 0 0 0 0 0 0
HI 0 0 0 0 16 16 0 0 0 0 0 0 0
AHI 0 0 0 0 49 49 0 0 0 0 0 0 0
HA 0 0 0 0 239 165 0 0 0 0 0 0 0
Total 0 0 13 7 806 681 97 74 6 5 0 0 0
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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

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

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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 Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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) 10 2 0 0 12
Laptop 2 2 0 0 4
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 1 0 0 4
Scanner 1 0 0 0 1
UPS 3 3 0 0 6
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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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) 0 0 0 0 0
Multimedia 0 1 0 0 1
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 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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Important information and necessary issues you want to raise
1 On 8th October 2013 Honorable Prime Minister declared Jhenaidah District Hospital 100 bed to 250 bed but no activities yet seen regarding this declaration. 2 25 bed Shishu Hospital, Jhenaidah handed over on 30.08.2006 but no Physician and other staff is recruited in till now. Only outdoor is kept functioning by using local resources. 3 There is no EPI Store in Jhenaidah District. 4. ORS planned factory is handed over on 23.08.2012 but no manpower has been recruited. DRS is not spacious and thus hampers normal stores. 5 The suicidal cases are much more in Jhenaidah than any other district in Bangladesh. Such as death per lac 14 in Jhenaidah district but nationally death is 7 per lac. For this purpose a research center is needed to setup in this area to prevent it by identifying its actual causes. A proposal has been raised during and open discussion in July, 2014 among Honorable Prime Minister, Divisional Commissioner and Deputy Commissioner but it has not yet been implemented. For this regard here to be requested for implementing this.
Local Health Bulletin 2016 for Jhenaidah Civil Surgeon Office, Jhenaidah Sadar, Jhenaidah

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