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

Preface

This is my great pleasure to publish this HEALTH BULLETIN 2016 of District Narail. . Narail is an emerging district for health providing situated in the south west part of Bangladesh under Khulna Division. Narail District town is situated on the bank of River Chittra . There are three Upazila , four thana, three Municipility and thirty nine Union . Some famous people were borned in the soil of Narail . Those people who contributed to the Country and abroad are mentioned here. Birshresta Nur Mohammad Shekh , S, M, Sultan , Amol sen, Pondit Robi Sankar . Also Masrafi Bin Mortoza Kawsik Captain of Bangladesh team in Cricket World Cup 2015,born in this District. . The health bulletin 2016 will contribute for improving transparency about health issues of the country .The bulletin contains the status of MDG-4 & MDG-5 which will help to locate the MDG targets.Out of seven Health Institutions in Bangladesh two institutions of Narail District i.e. Sadar Hospital and Lohagara Upazila Health Complex,Narail have recently been selected for getting award for observing ''Safe Motherhood Day''. Also Borogati Community Clinic of Narail Sadar Upazila has been selected for best CC award in all over Bangladesh. In Narail District Many Post of Doctors are lying vacant.So we have to face a lot of problems in delivering health services to the people. The sanctioned and vacant posts are published in this bulletin.I like to draw attention of the higher authority to look after this burning issue.I express my sincere thanks to Professor Dr. Abul Kalam Azad, Additional director general (Admin)and Line director of MIS Health for providing his moral support.Positive attitude towards development of this health bulletin.This is my responsibility to thank all the team member of MIS Health for their continuous effort and creation . Dr. Tarek Md. Safi, Civil Surgeon,Narail.

Dr. Tarek Md. Safi
Civil Surgeon
Narail Civil Surgeon Office
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

2

EDITORIAL BOARD

Chief Editor

Dr. Tarek Md. Safi, Civil Surgeon


Special Acknowledgement

1. Dr.Fakir Mohammad Moniruzzaman, Superintendent, District Hospital, Narail

2. Dr. Md. Abdul Kader, Secretary,BMA,Narail District

3. Dr. Sanjit Kumar Saha, UH&FPO,Sadar,Narail

4. Dr. Lutfunnar, UH&FPO,Lohagara,Narail

5. Dr. Provat Kumar Nath, UH&FPO,Kalia,Narail

Editors

1. Dr.Md Asad-uz-zaman Munshi, MO(CS)(In)

2. Dr.Sreejon Saha Anik, MO(DC) (In)

3. Farjana Easmin, Statistician(In.)

Contributors

1. Molla Forkan Ali, Senior Health Education Officer

2. Bina Rani Biswas, Sr.Medical Technologist (Lab)

3. Niva Rani Biswas, District Public Health Nurse

4. Md. Abdul Ohab, District EPI Superintendent

5. B M Shah Alam, Store Keeper


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 Narail Civil Surgeon Office, Narail Sadar, Narail

3

Basic Information
Name of District Narail
Organization Code 10001912
Name of Civil SurgeonDr. Tarek Md. Safi
Land Phone No. 1 48162422
Land Phone No. 2 N/A
FAX No. 048162105
Mobile No. 01711959619
Email narail@cs.dghs.gov.bd
GPS location of CS Office Lati: 231,035.2000 And Long: 893,000.9000
No. of Upazila in the District3
No. of Households in the District 140344
Population in the District 712259
Area of District in sq km 990
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

4

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 3 100
Union Sub Centers 7 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 30 0
Rural Dispensaries 0 0
Community Clinics 90 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 10
Chest Disease (TB) Clinics/Hospitals 0 0
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

5

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 24 240
NGO Clinics/Facilities 5 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

6

No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 18,379



Neonatal Mortality Rate: 7.9 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 93,426
Fully Vaccinated Children (<= 12 months): 99.15 %
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

7

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 Narail Civil Surgeon Office, Narail Sadar, Narail

8

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 2787 481 1309 0 0 501 15281 20359
At least 1 ANC 2787 481 1309 0 0 501 15281 20359
ANCs (4+) 1432 1235 9791 332 3331 435 0 16556
Normal Delivery 779 581 1648 0 52 347 10732 14139
Cesarean Section 647 362 0 0 3279 85 0 4373
Other Assisted Delivery 0 22 0 0 0 3 0 25
PNC Within 2 days 1433 1581 6648 48 3331 435 0 13476
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

9

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 15 18
Total Deliveries 1426 965 1648 0 3331 435 10732 18537
Valid TT5 Coverage (%) 75.66
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

10

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 6872 7992 14,864 35480 60049 95,529 42352 68041 110393
Upazila Health Complex 9006 9716 18,722 50160 82203 132,363 59166 91919 151085
Union Sub-Centers 2248 2645 4,893 32787 56128 88,915 35035 58773 93808
Union Health & Family Welfare Centers (under DGHS) 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (belong to DGFP) 8323 9590 17,913 8505 71631 80,136 16828 81221 98049
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 18615 18563 37,178 145721 283002 428,723 164336 301565 465901
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

11

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) 792 894 1,686 91 9092 9,183 883 9986 10869
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 7 63 70 220 2030 2,250 227 2093 2320
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 Narail Civil Surgeon Office, Narail Sadar, Narail

12

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 1563 1219 2,782 7257 4898 12,155 8820 6117 14937
Upazila Health Complex 691 458 1,149 5339 5058 10,397 6030 5516 11546
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 Narail Civil Surgeon Office, Narail Sadar, Narail

13

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 2472 1570 4,042 6438 8954 15,392 8910 10524 19434
Upazila Health Complex 794 531 1,325 3361 6200 9,561 4155 6731 10886
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 Narail Civil Surgeon Office, Narail Sadar, Narail

14

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 23 30 53 101 59 160 124 89 213
Upazila Health Complex 1 2 3 18 10 28 19 12 31
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 Narail Civil Surgeon Office, Narail Sadar, Narail

15

Morbidity Profile

Top (5) causes of child morbidity (age <= 5 years)

Total No. of admitted patients reviewed for under five morbidity profile 5337
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1552 29.1
2 J18 J18 Pneumonia, organism unspecified 1112 20.8
3 P21 P21 Birth asphyxia 501 9.4
4 P07 P07 Disorders related to short gestation and low birth weight, NEC 295 5.5
5 A01 A01 Typhoid and paratyphoid fevers 96 1.8

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 20214
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1830 9.1
2 Y00 Y00 Assault by blunt object 1691 8.4
3 A01 A01 Typhoid and paratyphoid fevers 1370 6.8
4 I10 I10 Essential (primary) hypertension 1291 6.4
5 K27 K27 Peptic ulcer, site unspecified 919 4.5
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

16

Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 51
No. ICD-10 Code Disease name No. of Cases %
1 P21 P21 Birth asphyxia 17 33.3
2 P23 P23 Congenital pneumonia 12 23.5
3 P07 P07 Disorders related to short gestation and low birth weight, NEC 12 23.5
4 P36 P36 Bacterial sepsis of newborn 6 11.8
5 G00 G00 Bacterial meningitis, NEC 2 3.9

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 3 100.0
2 0.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

17

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) 128
No. ICD-10 Code Disease name No. of Cases %
1 I67 I67 Other cerebrovascular diseases 39 30.5
2 I21 I21 Acute myocardial infarction 21 16.4
3 N18 N18 Chronic renal failure 10 7.8
4 J44 J44 Other chronic obstructive pulmonary disease 10 7.8
5 T60 T60 Toxic effect of pesticides 5 3.9
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 72.6
Coverage of households having access to sanitary latrines (%) 85.5
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

18

Surgeries done under the CS Office
Type No.
Major Surgeries 5932
Minor Surgeries 14344
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

19

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 9 4 0 4 5 55.6
Grade 6 28 7 4 11 17 60.7
Grade 7 4 1 0 1 3 75.0
Grade 8 0 0 0 0 0 0.0
Grade 9 79 22 10 32 47 59.5
Grade 10 79 2 74 76 3 3.8
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

20

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
District Total
Grade 11 82 42 19 61 21 25.6
Grade 12 2 1 1 2 0 0.0
Grade 13 19 9 9 18 1 5.3
Grade 14 122 61 48 109 13 10.7
Grade 15 16 10 6 16 0 0.0
Grade 16 103 44 29 73 30 29.1
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 10 7 0 7 3 30.0
Grade 20 80 47 21 68 12 15.0
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

21

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 1 0 1 3 75.0
Grade 10 3 0 2 2 1 33.3
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

22

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 4 3 0 3 1 25.0
Grade 12 0 0 0 0 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 5 4 1 5 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 4 2 2 4 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 3 1 0 1 2 66.7
Grade 20 6 5 1 6 0 0.0
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

23

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 7 2 9
Grade 6 1 2 3
Grade 7 10 6 16
Grade 8 4 31 35
Grade 9 12 35 47
Grade 10 8 35 43
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

24

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
District Total
Grade 11 34 16 50
Grade 12 7 1 8
Grade 13 24 16 40
Grade 14 46 46 92
Grade 15 25 14 39
Grade 16 17 13 30
Grade 17 32 15 47
Grade 18 1 0 1
Grade 19 9 1 10
Grade 20 9 2 11
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

25

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 1 0 1
Grade 6 0 0 0
Grade 7 2 0 2
Grade 8 0 2 2
Grade 9 1 0 1
Grade 10 3 0 3
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

26

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Civil Surgeon Office
Grade 11 3 0 3
Grade 12 0 0 0
Grade 13 1 1 2
Grade 14 1 0 1
Grade 15 0 2 2
Grade 16 1 0 1
Grade 17 1 1 2
Grade 18 0 0 0
Grade 19 3 0 3
Grade 20 2 0 2
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

27

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 39 16 50 15 39 14 3 1 10 6 0
Nurse 0 0 2 2 33 29 44 44 1 1 16 23 0
Medical Assistant 0 0 39 34 4 4 0 0 0 0 24 0 0
Medical Technologist 0 0 0 0 15 11 9 4 2 2 0 0 0
CHCP 99 90 0 0 0 0 0 0 0 0 0 0 28
HI 0 0 0 0 10 10 0 0 0 0 0 0 0
AHI 0 0 0 0 30 30 0 0 0 0 0 0 5
HA 0 0 0 0 139 85 0 0 0 0 0 0 16
Total 99 90 80 52 281 184 92 62 6 4 50 29 49
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

28

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 1 0 3
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

29

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 1 0 0 1
Air conditioner (window) 0 0 0 0 0
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

30

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 2 0 0 0 2
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

31

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) 6 1 1 4 12
Laptop 2 1 0 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 0 1 0 6
Scanner 1 0 0 0 1
UPS 6 0 3 0 9
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 Narail Civil Surgeon Office, Narail Sadar, Narail

32

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

33

Important information and necessary issues you want to raise
Important Information:- • Caesarean Section in all upazila & District Hospital is going on smoothly . • Normal delivery in Lohagora UHC sharply increased • Normal delivery is going on CC • Confidence of the doctors and nurses has increased after Life Saving Skill training • Referral due to obstetrical complication decreased as doctors and nurses can manage more obstetrical complication after Life Saving Skill training • Local recruitment of doctors, nurses and supporting staffs under MNHI fund supports Hospital Management but it will continue up to june/16 • Private CSBA working in the community . • Referral from community area is increased the linkage between Hospital and community. • MNH services increased in all facilities. • MIS system markedly improved due to supply of laptop, modem, webcam and other necessary supplies . • Community Groups are more aware about management of CC and the health facility of the pregnant women. • Rate of delivery has been Increased by trained manpower. • Institutional delivery has been increased significantly. • Mothers are more educated regarding their pregnancy, lactation and Child health. Necessary issues you want to raise • 100 beded hospital is running with 50 beded manpower. Manpower need to be sanctioned for 100 bed hospital • Vacant Position need to be filled up • Gynecologist, Surgeon and Anesthetist need to be ensured for 24/7 service in DH and UHC. • Waste disposal system should be improved • Early Marriage ,Lack of Education , Lack of reproductive health education creates some problem . • Daily Hospital maintenance needs financial supports .
Local Health Bulletin 2016 for Narail Civil Surgeon Office, Narail Sadar, Narail

34