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

Preface

``Service to mankind is service to God" & Health Service is the front liner. Long felt necessity to disseminate our annual performance is now become a reality by publishing this local Health Bulletin 2016. It is an act of great pleasure & excitement both for me and my efficient colleagues. I would like to thank and congratulate all the doctors , nurses , paramedics , supporting staffs and line departments both GO and NGO for there contribution in health.This health Bulletin in Nutrition , EPI,TB control programme and MNCH programmae.This health Bulletin as a document could help the central and local managers,line departments and field level staffs to analyze the situation of our district for planning , reviewing and undertaking necessary steps for qualitative and quantitative improvement of Health Services. The present democratic government has revitalized the community clinic initiatives in Bangladesh to reach the health care services to the door steps of the common people. At present 98 community clinics are functioning in this district. This Bulletin contains the success, achievement , constraints , status of MDG-4,5.6 and information of safe drinking water and sanitation status of the district. It also include human resource situation in Magura Health Department so that the higher authority could take initiatives to fulfil the vacant posts for better and smooth running of the health facilities under this district . I acknowledge with sincere gratitude to MIS DGHS regarding conceptual, financial and technical support in publishing this local Health Bulletin. Congratulations to the initiators of the Health Bulletin Software for setting us one step ahead towards digital Bangladesh .

Dr.F.B.M Abdul Latif
Civil Surgeon
Magura Civil Surgeon Office
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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EDITORIAL BOARD

Chief Editor

Dr.F.B.M Abdul Latif, Civil Surgeon,Magura.


Editors

1. Mossa.Asma Khatun, Statistician (Incharge)

Contributors

1. Dr. Subroto Kumar Biswas, MOCS


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 Magura Civil Surgeon Office, Magura Sadar, Magura

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Basic Information
Name of District Magura
Organization Code 10001875
Name of Civil SurgeonDr.F.B.M Abdul Latif
Land Phone No. 1 48862444
Land Phone No. 2 N/A
FAX No. 48862769
Mobile No. 01711267140
Email magura@cs.dghs.gov.bd
GPS location of CS Office Lati: 23.2900 And Long: 89.2530
No. of Upazila in the District4
No. of Households in the District 197239
Population in the District 980034
Area of District in sq km 1049
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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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 4 112
Union Sub Centers 9 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 0 0
Rural Dispensaries 0 0
Community Clinics 98 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 20
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 32 320
NGO Clinics/Facilities 05 0
10 Bed Hospitals 0 0
20 Bed Hospitals 02 40
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 17,248



Neonatal Mortality Rate: 21.8 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 105,737
Fully Vaccinated Children (<= 12 months): 99.5 %
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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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 Magura Civil Surgeon Office, Magura Sadar, Magura

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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 9032 20683 0 39940 600 3309 43299 116863
At least 1 ANC 9032 20683 0 39940 600 3309 43299 116863
ANCs (4+) 1648 5298 0 0 0 0 0 6946
Normal Delivery 1299 1194 0 0 1302 453 7976 12224
Cesarean Section 359 231 0 0 4535 0 0 5125
Other Assisted Delivery 398 88 0 0 26 0 0 512
PNC Within 2 days 1212 0 0 14969 0 0 0 16181
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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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 0 0 0 0 0 0 3
Total Deliveries 2056 1513 0 0 5863 453 7976 17861
Valid TT5 Coverage (%) 85.5
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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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 13230 14403 27,633 65661 72172 137,833 78891 86575 165466
Upazila Health Complex 10646 12663 23,309 51908 77475 129,383 62554 90138 152692
Union Sub-Centers 4222 4679 8,901 15270 156061 171,331 19492 160740 180232
Union Health & Family Welfare Centers (under DGHS) 2545 2655 5,200 7432 20444 27,876 9977 23099 33076
Union Health & Family Welfare Centers (belong to DGFP) 3872 4158 8,030 12043 59480 71,523 15915 63638 79553
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 29563 33280 62,843 153070 347501 500,571 182633 380781 563414
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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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 2383 1667 4,050 0 0 0 2383 1667 4050
Private Clinics/Facilities 3690 3571 7,261 0 0 0 3690 3571 7261
NGO Clinics/Facilities 434 542 976 0 656 656 434 1198 1632
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 Magura Civil Surgeon Office, Magura Sadar, Magura

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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 278 379 657 4308 4598 8,906 4586 4977 9563
Upazila Health Complex 1335 1397 2,732 4878 6873 11,751 6213 8270 14483
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 Magura Civil Surgeon Office, Magura Sadar, Magura

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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 3831 2243 6,074 10389 13085 23,474 14220 15328 29548
Upazila Health Complex 1042 643 1,685 3647 5813 9,460 4689 6456 11145
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 Magura Civil Surgeon Office, Magura Sadar, Magura

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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 51 36 87 243 160 403 294 196 490
Upazila Health Complex 1 3 4 25 19 44 26 22 48
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 Magura Civil Surgeon Office, Magura Sadar, Magura

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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 8849
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2814 31.8
2 P210 P210 Severe birth asphyxia 1098 12.4
3 A41 A41 Other septicaemia 599 6.8
4 R062 R062 Wheezing 569 6.4
5 J15 J15 Bacterial pneumonia, NEC 302 3.4

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 21116
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3287 15.6
2 G464 G464 Cerebellar stroke syndrome 2671 12.6
3 I21 I21 Acute myocardial infarction 2598 12.3
4 V87 V87 Traffic accident of specified type but victim's mode of transport unknown 2329 11.0
5 J44 J44 Other chronic obstructive pulmonary disease 1918 9.1
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 978
No. ICD-10 Code Disease name No. of Cases %
1 P21 P21 Birth asphyxia 78 8.0
2 P071 P071 Other low birth weight 40 4.1
3 P361 P361 Sepsis of newborn due to other and unspecified streptococci 28 2.9
4 P239 P239 Congenital pneumonia, unspecified 11 1.1
5 G00 G00 Bacterial meningitis, NEC 8 0.8

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 122
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 29 23.8
2 O63 O63 Long labour 25 20.5
3 O15 O15 Eclampsia 19 15.6
4 O64 O64 Obstructed labour due to malposition and malpresentation of fetus 18 14.8
5 O46 O46 Antepartum haemorrhage, NEC 8 6.6
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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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) 3758
No. ICD-10 Code Disease name No. of Cases %
1 I46 I46 Cardiac arrest 87 2.3
2 I21 I21 Acute myocardial infarction 82 2.2
3 V87 V87 Traffic accident of specified type but victim's mode of transport unknown 52 1.4
4 N189 N189 Chronic renal failure, unspecified 49 1.3
5 T37 T37 Poisoning by other systemic anti-infectives and antiparasitics 37 1.0
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 100.0
Coverage of households having access to sanitary latrines (%) 100.0
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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Surgeries done under the CS Office
Type No.
Major Surgeries 6202
Minor Surgeries 15774
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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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 5 3 0 3 2 40.0
Grade 6 31 12 1 13 18 58.1
Grade 7 1 1 0 1 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 69 55 14 69 0 0.0
Grade 10 132 3 128 131 1 0.8
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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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 30 19 5 24 6 20.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 142 67 75 142 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 184 38 71 109 75 40.8
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 3 2 0 2 1 33.3
Grade 20 144 47 19 66 78 54.2
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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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 1 1 0 1 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 4 2 0 2 2 50.0
Grade 10 3 1 1 2 1 33.3
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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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 0 0 0 0 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 5 4 0 4 1 20.0
Grade 15 0 0 0 0 0 0.0
Grade 16 3 2 1 3 0 0.0
Grade 17 2 2 0 2 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 4 4 0 4 0 0.0
Grade 20 1 1 0 1 0 0.0
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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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 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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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 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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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 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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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 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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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 36 22 32 21 28 23 0 0 0 0 0
Nurse 0 0 0 0 38 35 93 90 17 14 10 15 12
Medical Assistant 0 0 27 27 15 15 0 0 0 0 0 0 0
Medical Technologist 0 0 4 1 23 14 3 3 0 0 0 0 0
CHCP 98 98 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 10 10 0 0 0 0 0 0 0
AHI 0 0 0 0 29 29 0 0 0 0 0 0 0
HA 0 0 0 0 141 73 0 0 0 0 0 0 0
Total 98 98 67 50 288 197 124 116 17 14 10 15 12
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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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 Magura Civil Surgeon Office, Magura Sadar, Magura

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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 Magura Civil Surgeon Office, Magura Sadar, Magura

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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 1 0 0 2
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 Magura Civil Surgeon Office, Magura Sadar, Magura

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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) 8 1 0 0 9
Laptop 3 0 0 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 2 0 0 0 2
Scanner 1 0 0 0 1
UPS 8 0 0 0 8
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 Magura Civil Surgeon Office, Magura Sadar, Magura

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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 0 0 0 1
OHP 0 0 0 0 0
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 Magura Civil Surgeon Office, Magura Sadar, Magura

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Important information and necessary issues you want to raise
Magura 100 beded hospital recives on an average 250-300 patients daily . That is why the on going construction process of 250 beded hospital should be implemented as early as posible . It is a comprehensive EOC facility ,with at the same time MNCH activities are going on throughout the district. So the Flow of pregnant women and child patients are increasing remarkably. Magura district Vacant posts should be filled up moderisation of OT. Training of all staffs.Emergency fund . Now, Sreepur, Shalikha and mohammadpur UHC is functioning with 50 beds. 20 bedes hospital project at Binodpur of Mohammadpur and Beroil Polita of Sadar Upazila,10 beded Maternal & child health certer at Arpara of Shalika and Sreepur of Sreepur Upazila are under on going pricess .To provide smooth service to people, it is our almost demand to implement the mentioned projects immediately. Finally , One Ambulance is required to sadar Hospital and 1 for Shalikha UHC and 01 X-ray plant to be set up at chest diseases clinic.X-ray,USG machine and other equipments should be repaired immediately . All vacant posts should be filled up as soon as possible . At least one cleaner and one security guard post should be created for each union sub centers .
Local Health Bulletin 2016 for Magura Civil Surgeon Office, Magura Sadar, Magura

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