Feedback
HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

It gives me an immense pleasure that The Health Bulletin of management information System (MIS) under the Director General of Health Services are going to published each and every upazila and district throughout the Bangladesh. Of its continuation I am glad to publish this health bulletin of Khulna District. This bulletin contains all the health related information of 2015. It is published to disseminate the information of this bulletin will be helpful for planing and bridging the gaps in the health services of this district.We use this health bulletin to understand how much progress we could do better. The bulletin contains the status of MDG 4 & 5. Which will help to locate the MDG targets. The sanctioned & vacant post is published in this bulletin. I like to take attention to the higher authority to look after this burning issue. This health bulletin has also the information on safe drinking water & sanitation status of the district extend my sincere thanks and appreciation to Professor Dr. Abul Kalam Azad, Additional Director General ( Admin) & Line Director of MIS, DGHS, Mohakhali, Dhaka who has brought the bulletin at this stage. I would like to thank concerned officers & staffs of MIS who made their valuable contribution to this bulletin. I am looking forward to better version in the coming year............... Dr. Md. Rafiqul Islam, Civil Surgeon, Khulna.

Dr. Md. Rafiqul Islam
Civil Surgeon
Khulna Civil Surgeon Office
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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EDITORIAL BOARD

Chief Editor

Dr. Md. Rafiqul Islam, Civil Surgeon,Khulna.


Special Acknowledgement

1. Dr. Md. Riyad Hassan, MO ( Focal Point)

Editors

1. Md. Bashir Uddin Ahmed, Statitician

Contributors

1. Mohd. Arifuzzaman, Statistical Asstt. ( In-charge)

2. Md. Mahfuzur Rahman , Cashier


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 Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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Basic Information
Name of District Khulna
Organization Code 10001804
Name of Civil SurgeonDr. Md. Rafiqul Islam
Land Phone No. 1 N/A
Land Phone No. 2 N/A
FAX No. 041-729392
Mobile No. 01827523576
Email khulna@cs.dghs.gov.bd
GPS location of CS Office Lati: 22.8180 And Long: 89.5676
No. of Upazila in the District09
No. of Households in the District 530498
Population in the District 1787447
Area of District in sq km 4394
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 01 500
District Hospital 0 0
General Hospital 1 150
Upazila Health Complexes 09 336
Union Sub Centers 14 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 48 0
Rural Dispensaries 0 0
Community Clinics 202 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 02 20
Chest Disease (TB) Clinics/Hospitals 02 100
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 181 2140
NGO Clinics/Facilities 03 120
10 Bed Hospitals 01 10
20 Bed Hospitals 01 20
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 30,293



Neonatal Mortality Rate: 5.8 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 122,974
Fully Vaccinated Children (<= 12 months): 98 %
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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 Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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 2643 8207 0 776 4912 1516 19609 37663
At least 1 ANC 2643 8207 0 776 4912 1516 19425 37479
ANCs (4+) 1124 5705 0 559 4025 998 16431 28842
Normal Delivery 209 2002 0 360 1023 301 15889 19784
Cesarean Section 266 1254 0 67 4258 220 0 6065
Other Assisted Delivery 0 15 0 0 5 2 210 232
PNC Within 2 days 1023 3560 0 475 4075 784 15248 25165
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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 0 1 0 0 3 0 27 31
Total Deliveries 475 3271 0 427 5286 523 16099 26081
Valid TT5 Coverage (%) 92
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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 6148 8475 14,623 59962 106402 166,364 66110 114877 180987
Upazila Health Complex 37750 60558 98,308 112669 167388 280,057 150419 227946 378365
Union Sub-Centers 9260 10926 20,186 62818 90381 153,199 72078 101307 173385
Union Health & Family Welfare Centers (under DGHS) 764 1043 1,807 132 341 473 896 1384 2280
Union Health & Family Welfare Centers (belong to DGFP) 40867 116027 156,894 37290 77844 115,134 78157 193871 272028
Rural/Urban/Thana Health Centers 3972 4855 8,827 10697 27657 38,354 14669 32512 47181
Community Clinics 171346 317573 488,919 248155 474276 722,431 419501 791849 1211350
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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) 200 152 352 217 1187 1,404 417 1339 1756
Chest Disease (TB) Clinics/Hospitals 5 2 7 2146 1356 3,502 2151 1358 3509
Private Clinics/Facilities 2563 4185 6,748 3051 4912 7,963 5614 9097 14711
NGO Clinics/Facilities 4438 16558 20,996 27248 36608 63,856 31686 53166 84852
10 Bed Hospitals 3100 4056 7,156 13419 24678 38,097 16519 28734 45253
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 0 542 436 978 542 436 978
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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 4048 5245 9,293 12930 8011 20,941 16978 13256 30234
Upazila Health Complex 2213 1925 4,138 5703 6041 11,744 7916 7966 15882
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 Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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 268 312 580 3169 4946 8,115 3437 5258 8695
Upazila Health Complex 6106 9391 15,497 10676 16301 26,977 16782 25692 42474
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 225 131 356 225 131 356
10 Bed Hospitals 60 90 150 308 302 610 368 392 760
20 Bed Hospitals 228 381 609 1822 1819 3,641 2050 2200 4250
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 Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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 0 0 0 60 34 94 60 34 94
Upazila Health Complex 48 29 77 131 76 207 179 105 284
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 5 1 6 5 1 6
10 Bed Hospitals 0 0 0 5 0 5 5 0 5
20 Bed Hospitals 5 2 7 18 9 27 23 11 34
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 Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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 16836
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1759 10.4
2 J18 J18 Pneumonia, organism unspecified 958 5.7
3 J22 J22 Unspecified acute lower respiratory infection 759 4.5
4 R509 R509 Fever, unspecified 624 3.7
5 D599 D599 Acquired haemolytic anaemia, unspecified 366 2.2

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 39699
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 4538 11.4
2 J45 J45 Asthma 2034 5.1
3 N70 N70 Salpingitis and oophoritis 1884 4.7
4 I516 I516 Cardiovascular disease, unspecified 1554 3.9
5 V87 V87 Traffic accident of specified type but victim's mode of transport unknown 1045 2.6
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 84
No. ICD-10 Code Disease name No. of Cases %
1 J180 J180 Bronchopneumonia, unspecified 12 14.3
2 A419 A419 Septicaemia, unspecified 8 9.5
3 C910 C910 Acute lymphoblastic leukaemia 5 6.0
4 G049 G049 Encephalitis, myelitis and encephalomyelitis, unspecified 3 3.6
5 G409 G409 Epilepsy, unspecified 2 2.4

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 31
No. ICD-10 Code Disease name No. of Cases %
1 O159 O159 Eclampsia, unspecified as to time period 7 22.6
2 O009 O009 Ectopic pregnancy, unspecified 5 16.1
3 O669 O669 Obstructed labour, unspecified 4 12.9
4 O720 O720 Third-stage haemorrhage 2 6.5
5 I210 I210 Acute transmural myocardial infarction of anterior wall 2 6.5
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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) 333
No. ICD-10 Code Disease name No. of Cases %
1 I64 I64 Stroke, not specified as haemorrhage or infarction 76 22.8
2 J47 J47 Bronchiectasis 56 16.8
3 T363 T363 Macrolides 31 9.3
4 I500 I500 Congestive heart failure 28 8.4
5 T60 T60 Toxic effect of pesticides 19 5.7
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 Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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Surgeries done under the CS Office
Type No.
Major Surgeries 3768
Minor Surgeries 20419
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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 4 0 4 2 33.3
Grade 6 57 26 16 42 15 26.3
Grade 7 10 5 1 6 4 40.0
Grade 8 0 0 0 0 0 0.0
Grade 9 166 69 35 104 62 37.3
Grade 10 292 5 225 230 62 21.2
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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 11 196 104 41 145 51 26.0
Grade 12 1 1 0 1 0 0.0
Grade 13 3 2 0 2 1 33.3
Grade 14 284 162 97 259 25 8.8
Grade 15 92 66 7 73 19 20.7
Grade 16 480 219 105 324 156 32.5
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 9 2 0 2 7 77.8
Grade 20 284 122 68 190 94 33.1
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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 01 0 0 0 1 100.0
Grade 7 01 01 0 1 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 05 01 0 1 4 80.0
Grade 10 5 3 1 4 1 20.0
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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 2 2 0 2 0 0.0
Grade 12 01 01 0 1 0 0.0
Grade 13 01 01 0 1 0 0.0
Grade 14 07 06 0 6 1 14.3
Grade 15 04 01 0 1 3 75.0
Grade 16 05 03 01 4 1 20.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 03 02 0 2 1 33.3
Grade 20 07 05 01 6 1 14.3
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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 0 2
Grade 5 9 3 12
Grade 6 19 8 27
Grade 7 43 15 58
Grade 8 99 85 184
Grade 9 123 65 188
Grade 10 10 98 108
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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 67 49 116
Grade 12 2 1 3
Grade 13 59 67 126
Grade 14 125 61 186
Grade 15 73 32 105
Grade 16 61 54 115
Grade 17 64 30 94
Grade 18 3 1 4
Grade 19 22 15 37
Grade 20 16 11 27
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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 01 0 1
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 04 0 4
Grade 8 02 01 3
Grade 9 01 0 1
Grade 10 02 0 2
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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 04 0 4
Grade 12 01 0 1
Grade 13 02 01 3
Grade 14 01 0 1
Grade 15 0 0 0
Grade 16 02 0 2
Grade 17 03 01 4
Grade 18 0 0 0
Grade 19 02 0 2
Grade 20 02 0 2
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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 68 37 114 93 34 25 20 10 26 12 0
Nurse 0 0 0 0 137 87 155 136 0 0 46 19 0
Medical Assistant 0 0 68 59 18 18 0 0 0 0 27 0 0
Medical Technologist 0 0 0 0 58 34 0 0 0 0 0 0 0
CHCP 209 200 0 0 0 0 0 0 0 0 0 0 36
HI 0 0 0 0 25 16 0 0 0 0 0 0 0
AHI 0 0 0 0 78 61 0 0 0 0 0 0 0
HA 0 0 0 0 390 272 0 0 0 0 0 0 55
Total 209 200 136 96 820 581 189 161 20 10 99 31 91
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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

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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) 2 0 0 0 2
Air conditioner (window) 3 0 0 0 3
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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

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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) 16 3 3 0 22
Laptop 3 1 0 0 4
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 2
Printer (laser) 11 2 2 0 15
Scanner 1 0 0 0 1
UPS 8 3 0 0 11
Fax 3 1 2 0 6
Intercom 0 0 0 0 0
Internet fixed line 1 0 0 0 1
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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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 2 1 1 0 4
OHP 0 0 0 0 0
PA system 1 1 0 0 2
Land phone 6 0 1 0 7
Mobile phone 0 0 0 0 0
Photocopier machine 3 2 0 0 5
Digital camera 1 0 0 0 1
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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Important information and necessary issues you want to raise
There is no separated office building for Khulna Civil Surgeon Office. An ancient small vulnerable building of Khulna General Hospital used as office. Accommodation is very poor. Office work is running from separate 4 buildings. The building are so old. It may harm life, occurs accident & damaged any time. For the sake of life, well & disciplined office management urgently need a office building. In the year 2015 we try our level best to improve the status but we do not achieve the target due to so many reasons. I like to mention some important factors which will help us to good result in future (1) The vacant post of Doctors- 71 , Nurses- 61, Class III employee ( including 5 statistician )- 252, Class IV employee- 101 should be filled up immediately. We are very glad to write this Health Bulletin of 2016. Because this documents will help us the compare our progress in coming year. It also be help for public for their needs.
Local Health Bulletin 2016 for Khulna Civil Surgeon Office, Khulna Sadar, Khulna

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