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Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

I am very glad to publish this health bulletin of Meherpur District. This bulletin contains all the health related informations of the year,2015. This bulletin is published to disseminate the health related informations of this Health department to other department and development partners of health. I hope all the informations of this bulletin will help for planning and bridging the gaps in health services of this Meherpur District. This health bulletin will help us to find constrains and also to see the results and achievements of 2015. This health bulletin has also the information on safe drinking water and sanitation status of this District. All the sanctioned and vacant posts are published in this bulletin of 2015 I like to take attention of the higher authority to look into this issue.I express my sincere thanks to the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.I specially thank Professor Dr.Abul Kalam Azad,Additional Director General(Planning & Development)and Director of MIS-Health,DGHS,for his excellent leadership.

Dr.Md.Abdul Halim
Civil Surgeon
Meherpur Civil Surgeon Office
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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EDITORIAL BOARD

Chief Editor

Dr.Md.Abdul Halim, Civil surgeon


Editors

1. S.M.Hasemuzzaman, Statistician

Contributors

1. Dr. Mst. Romena Khatun, Assistant Surgeon

2. Mst Laily Bilkis, District Public Health Nurse

3. Md.Abdul Hye, District Health Superintendent

4. Md.Abdus Salam, District EPI Superintendent

5. Md. Khalilur Rahman, Head Asstt.


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 Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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Basic Information
Name of District Meherpur
Organization Code 10001897
Name of Civil SurgeonDr.Md.Abdul Halim
Land Phone No. 1 79162354
Land Phone No. 2 079162498
FAX No. 79163162
Mobile No. 01712550057
Email meherpur@cs.dghs.gov.bd
GPS location of CS Office Lati: 23.4670 And Long: 88.3859
No. of Upazila in the District03
No. of Households in the District 148.425
Population in the District 682920
Area of District in sq km 791
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 0 0
District Hospital 0 0
General Hospital 1 100
Upazila Health Complexes 2 81
Union Sub Centers 8 0
Union Health & Family Welfare Centers (under DGHS) 4 0
Union Health & Family Welfare Centers (under DGFP) 7 0
Rural Dispensaries 0 0
Community Clinics 72 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 10
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 23 204
NGO Clinics/Facilities 4 70
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 13,884



Neonatal Mortality Rate: 8.0 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 56,359
Fully Vaccinated Children (<= 12 months): 99 %
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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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 Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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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 6240 0 0 0 0 0 12772 19012
At least 1 ANC 6240 5897 0 787 448 0 5640 19012
ANCs (4+) 273 2049 0 279 153 0 990 3744
Normal Delivery 1531 1355 0 852 233 0 6233 10204
Cesarean Section 492 0 1504 252 1493 0 0 3741
Other Assisted Delivery 19 0 0 5 0 0 0 24
PNC Within 2 days 1833 1932 0 2197 1810 0 2616 10388
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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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 0 0 1 0 0 3
Total Deliveries 2042 1355 1504 1109 1726 0 6233 13969
Valid TT5 Coverage (%) 85
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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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 17871 18009 35,880 53995 81416 135,411 71866 99425 171291
Upazila Health Complex 9649 10080 19,729 102166 148221 250,387 111815 158301 270116
Union Sub-Centers 1664 2016 3,680 26318 54046 80,364 27982 56062 84044
Union Health & Family Welfare Centers (under DGHS) 1945 2208 4,153 10750 19384 30,134 12695 21592 34287
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 25214 27756 52,970 175948 426246 602,194 201162 454002 655164
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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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) 1270 1291 2,561 0 0 0 1270 1291 2561
Chest Disease (TB) Clinics/Hospitals 0 0 0 1188 850 2,038 1188 850 2038
Private Clinics/Facilities 1723 1882 3,605 5435 10930 16,365 7158 12812 19970
NGO Clinics/Facilities 7751 9041 16,792 3548 12206 15,754 11299 21247 32546
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 Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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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 1182 1146 2,328 4375 3853 8,228 5557 4999 10556
Upazila Health Complex 269 247 516 3942 3101 7,043 4211 3348 7559
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 29 41 70 421 418 839 450 459 909
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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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 2602 3277 5,879 7899 14149 22,048 10501 17426 27927
Upazila Health Complex 615 501 1,116 4596 9054 13,650 5211 9555 14766
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 1188 850 2,038 1188 850 2038
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 298 311 609 607 2702 3,309 905 3013 3918
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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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 43 44 87 167 75 242 210 119 329
Upazila Health Complex 0 0 0 9 8 17 9 8 17
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 Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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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 6195
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2446 39.5
2 P219 P219 Birth asphyxia, unspecified 915 14.8
3 J189 J189 Pneumonia, unspecified 822 13.3
4 P36 P36 Bacterial sepsis of newborn 613 9.9
5 J219 J219 Acute bronchiolitis, unspecified 451 7.3

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 17035
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 5776 33.9
2 F44 F44 Dissociative [conversion] disorders 1448 8.5
3 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 684 4.0
4 T600 T600 Organophosphate and carbamate insecticides 496 2.9
5 V99 V99 Unspecified transport accident 480 2.8
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 87
No. ICD-10 Code Disease name No. of Cases %
1 P219 P219 Birth asphyxia, unspecified 54 62.1
2 P369 P369 Bacterial sepsis of newborn, unspecified 16 18.4
3 P07 P07 Disorders related to short gestation and low birth weight, NEC 10 11.5
4 J159 J159 Bacterial pneumonia, unspecified 3 3.4
5 I509 I509 Heart failure, unspecified 1 1.1

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 3
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 2 66.7
2 O15 O15 Eclampsia 1 33.3
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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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) 246
No. ICD-10 Code Disease name No. of Cases %
1 I219 I219 Acute myocardial infarction, unspecified 98 39.8
2 I64 I64 Stroke, not specified as haemorrhage or infarction 68 27.6
3 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 19 7.7
4 N18 N18 Chronic renal failure 18 7.3
5 V892 V892 Person injured in unspecified motor-vehicle accident, traffic 11 4.5
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 95.0
Coverage of households having access to sanitary latrines (%) 94.0
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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Surgeries done under the CS Office
Type No.
Major Surgeries 539
Minor Surgeries 10508
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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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 7 3 0 3 4 57.1
Grade 6 26 9 1 10 16 61.5
Grade 7 4 1 1 2 2 50.0
Grade 8 25 3 1 4 21 84.0
Grade 9 45 16 9 25 20 44.4
Grade 10 78 5 68 73 5 6.4
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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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 64 35 12 47 17 26.6
Grade 12 4 3 0 3 1 25.0
Grade 13 9 7 1 8 1 11.1
Grade 14 97 49 41 90 7 7.2
Grade 15 30 25 1 26 4 13.3
Grade 16 117 47 37 84 33 28.2
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 4 2 0 2 2 50.0
Grade 20 122 46 15 61 61 50.0
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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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 0 1 1 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 4 1 0 1 3 75.0
Grade 10 4 3 1 4 0 0.0
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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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 0 0 1 100.0
Grade 12 1 1 0 1 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 6 3 0 3 3 50.0
Grade 15 2 1 0 1 1 50.0
Grade 16 2 0 0 0 2 100.0
Grade 17 1 1 0 1 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 7 6 0 6 1 14.3
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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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 3 0 3
Grade 6 1 1 2
Grade 7 18 3 21
Grade 8 20 25 45
Grade 9 2 10 12
Grade 10 3 44 47
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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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 25 9 34
Grade 12 6 1 7
Grade 13 45 28 73
Grade 14 40 38 78
Grade 15 11 3 14
Grade 16 26 11 37
Grade 17 35 6 41
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 13 9 22
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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

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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 4 0 4
Grade 12 1 0 1
Grade 13 2 0 2
Grade 14 1 0 1
Grade 15 5 0 5
Grade 16 0 0 0
Grade 17 1 0 1
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 1 0 1
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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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 8 5 34 13 41 12 19 11 3 5 0
Nurse 0 0 0 0 27 26 53 46 2 1 1 6 0
Medical Assistant 0 0 8 8 3 3 0 0 14 14 0 0 0
Medical Technologist 0 0 0 0 14 9 3 3 6 4 0 0 0
CHCP 72 73 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 0 0 6 6 0 0 0
AHI 0 0 0 0 0 0 0 0 19 19 0 0 0
HA 0 0 0 0 0 0 0 0 94 74 0 0 13
Total 72 73 16 13 78 51 97 61 160 129 4 11 13
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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

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

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

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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 2 0 0 10
Laptop 3 0 0 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 0 3 0 0 3
Scanner 1 0 0 0 1
UPS 4 4 0 0 8
Fax 0 1 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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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) 2 1 0 0 3
Multimedia 2 0 0 0 2
OHP 0 0 0 0 0
PA system 1 0 0 0 1
Land phone 3 0 0 0 3
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 Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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Important information and necessary issues you want to raise
Here I like to mention some important factors which will help us to achieve good results in future The Physician's, SACMO's, Field Workers and others vacant post should be filled-up immediately. All Doctors ,SACMO`s,CHCP's & Field staffs need more training on CSBA & IMCI. Statistician's need Diploma in ICT. All the repairable equipment's need should be repaired as soon as possible. There is no good accommodation at Meherpur Sadar Upazila Health Office. It is a rented building. There is no Photocopier machine, Digital camera, Video camera, Microphone Sound Box for any presentation there. So I will request to higher authority for immediately solving this problem. Finally I am very happy to write the health bulletin 2016. Because this document will help us to compare our progress in up coming years.We also understand through this bulletin where we made little progress, where we need to pay more attention and where we could do better.Dr. Md. Abdul Halim,Civil Surgeon, Meherpur.
Local Health Bulletin 2016 for Meherpur Civil Surgeon Office, Meherpur Sadar, Meherpur

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