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Preface

I am very glad to publish this health bulletin of Satkhira District.This bulletin contains all the health related information of 2015.This bulletin is published to disseminate the information of District to other line department and development partners of health,like WHO,UNICEF,JICA etc.I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this district. Government health office has many data stored in the file.This health bulletin will help us to find constrains and also to see the results and achivements of 2015. The bulletin contains the status of MDG 4&5 which will help to localize the MDG targets of this district have taken all possible care in the preparation of this bulletin in such a manner that it would meet the requirements of doctors and personal of other line department.All the sanctioned and vacant posts are published in this bulletin of 2016.In conclusion my grateful thanks and congratulations to the initiator of the health bulletin software for setting us one step a head toward Digital Bangladesh. Dr. Utpal kumar Debnath Civil surgeon,Satkhira.

Dr. Utpal kumer Debnath
Civil Surgeon
Satkhira Civil Surgeon Office
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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EDITORIAL BOARD

Chief Editor

Dr. Utpal kumer Debnath, Civil Surgeon,Satkhira


Editors

1. Sudeb kumer dey, Statistician

2. Dr. Md. Arifuzzaman, Medical officer

3. Dr.Iqbal mahmud, MO(DC)

Contributors

1. Mrs. Sahinur Khatun, Jr. Health education Officer

2. Safali Sarker, District Public Health Nurse

3. Sontosh kumer sana, District EPI superintendent

4. Md. Musibur Rahman, Cashiar


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 Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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Basic Information
Name of District Satkhira
Organization Code 10001925
Name of Civil SurgeonDr. Utpal kumer Debnath
Land Phone No. 1 47163502
Land Phone No. 2 N/A
FAX No. 47162819
Mobile No. 01711188896
Email satkhira@cs.dghs.gov.bd
GPS location of CS Office Lati: N/A And Long: N/A
No. of Upazila in the District07
No. of Households in the District 428596
Population in the District 2022032
Area of District in sq km 6674
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 01 250
District Hospital 01 100
General Hospital 0 0
Upazila Health Complexes 06 281
Union Sub Centers 09 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 67 0
Rural Dispensaries 0 0
Community Clinics 223 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 02 40
Chest Disease (TB) Clinics/Hospitals 01 0
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 71 760
NGO Clinics/Facilities 01 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 38,481



Neonatal Mortality Rate: 12.0 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 105,844
Fully Vaccinated Children (<= 12 months): 99 %
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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 Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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 2546 12389 537 18742 344 6217 1597 42372
At least 1 ANC 2546 12389 537 18742 344 6217 1597 42372
ANCs (4+) 1360 5469 145 10646 144 3217 567 21548
Normal Delivery 944 2585 0 210 36 574 31449 35798
Cesarean Section 649 1670 0 184 206 159 0 2868
Other Assisted Delivery 7 21 0 0 0 0 0 28
PNC Within 2 days 1969 4276 0 394 242 733 22712 30326
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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 04 2 0 0 01 0 22 29
Total Deliveries 1600 4276 0 394 242 733 31449 38694
Valid TT5 Coverage (%) 85
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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 19524 23864 43,388 82969 102946 185,915 102493 126810 229303
Upazila Health Complex 45038 52320 97,358 62250 71557 133,807 107288 123877 231165
Union Sub-Centers 11456 18657 30,113 27678 21965 49,643 39134 40622 79756
Union Health & Family Welfare Centers (under DGHS) 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (belong to DGFP) 52347 42543 94,890 71886 89876 161,762 124233 132419 256652
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 90706 132621 223,327 375425 1505267 1,880,692 466131 1637888 2104019
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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) 2204 1236 3,440 1415 21998 23,413 3619 23234 26853
Chest Disease (TB) Clinics/Hospitals 215 125 340 2225 1967 4,192 2440 2092 4532
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 489 957 1,446 2345 5896 8,241 2834 6853 9687
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 Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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 1333 1623 2,956 2720 1986 4,706 4053 3609 7662
Upazila Health Complex 8500 11907 20,407 16884 24002 40,886 25384 35909 61293
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 Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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 2854 3488 6,342 7386 9999 17,385 10240 13487 23727
Upazila Health Complex 8466 6468 14,934 14442 27486 41,928 22908 33954 56862
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 Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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 144 173 317 204 190 394 348 363 711
Upazila Health Complex 112 199 311 101 97 198 213 296 509
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 Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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 12564
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 5635 44.9
2 J189 J189 Pneumonia, unspecified 3817 30.4
3 P21 P21 Birth asphyxia 1899 15.1
4 D56 D56 Thalassaemia 655 5.2
5 D599 D599 Acquired haemolytic anaemia, unspecified 558 4.4

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 40436
No. ICD-10 Code Disease name No. of Cases %
1 I516 I516 Cardiovascular disease, unspecified 19468 48.1
2 Y09 Y09 Assault by unspecified means 15387 38.1
3 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3578 8.8
4 I10 I10 Essential (primary) hypertension 1215 3.0
5 I679 I679 Cerebrovascular disease, unspecified 788 1.9
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 343
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 189 55.1
2 P21 P21 Birth asphyxia 55 16.0
3 P599 P599 Neonatal jaundice, unspecified 47 13.7
4 D56 D56 Thalassaemia 34 9.9
5 P369 P369 Bacterial sepsis of newborn, unspecified 18 5.2

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 29
No. ICD-10 Code Disease name No. of Cases %
1 O15 O15 Eclampsia 21 72.4
2 O441 O441 Placenta praevia with haemorrhage 5 17.2
3 D509 D509 Iron deficiency anaemia, unspecified 3 10.3
4 0.0
5 0.0
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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) 848
No. ICD-10 Code Disease name No. of Cases %
1 I516 I516 Cardiovascular disease, unspecified 507 59.8
2 I21 I21 Acute myocardial infarction 167 19.7
3 J459 J459 Asthma, unspecified 99 11.7
4 E14 E14 Unspecified diabetes mellitus 56 6.6
5 I110 I110 Hypertensive heart disease with (congestive) heart failure 19 2.2
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 90.0
Coverage of households having access to sanitary latrines (%) 88.0
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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Surgeries done under the CS Office
Type No.
Major Surgeries 5916
Minor Surgeries 18905
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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 2 0 2 5 71.4
Grade 6 58 22 3 25 33 56.9
Grade 7 7 2 1 3 4 57.1
Grade 8 137 48 27 75 62 45.3
Grade 9 3 1 1 2 1 33.3
Grade 10 205 3 159 162 43 21.0
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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 5 5 0 5 0 0.0
Grade 12 177 105 29 134 43 24.3
Grade 13 58 20 7 27 31 53.4
Grade 14 714 410 192 602 112 15.7
Grade 15 0 0 0 0 0 0.0
Grade 16 0 0 0 0 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 185 104 45 149 36 19.5
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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

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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 4 4 0 4 0 0.0
Grade 12 2 1 0 1 1 50.0
Grade 13 0 0 0 0 0 0.0
Grade 14 5 4 0 4 1 20.0
Grade 15 0 0 0 0 0 0.0
Grade 16 3 1 0 1 2 66.7
Grade 17 4 3 1 4 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 1 1 0 1 0 0.0
Grade 20 4 2 0 2 2 50.0
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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 2 0 2
Grade 6 22 3 25
Grade 7 2 1 3
Grade 8 39 24 63
Grade 9 3 2 5
Grade 10 3 162 165
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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 Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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

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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 0 0 0
Grade 14 4 0 4
Grade 15 0 0 0
Grade 16 1 0 1
Grade 17 3 1 4
Grade 18 0 0 0
Grade 19 1 0 1
Grade 20 2 0 2
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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 77 35 104 51 27 15 0 0 5 4 0
Nurse 0 0 0 0 119 86 84 77 0 0 14 11 0
Medical Assistant 0 0 78 66 12 11 0 0 0 0 12 0 0
Medical Technologist 0 0 0 0 46 31 05 05 0 0 0 0 0
CHCP 223 223 0 0 0 0 0 0 0 0 0 0 20
HI 0 0 21 21 0 0 0 0 0 0 0 0 0
AHI 0 0 65 64 0 0 0 0 0 0 0 0 1
HA 0 0 325 237 0 0 0 0 0 0 0 0 94
Total 223 223 566 423 281 179 116 97 0 0 31 15 115
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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 Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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) 3 0 0 0 3
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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 Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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) 7 0 0 0 7
Laptop 2 1 0 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 0 1
Printer (laser) 2 0 0 0 2
Scanner 1 0 0 0 1
UPS 0 0 0 0 0
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 Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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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) 01 0 0 0 1
Multimedia 01 0 0 0 1
OHP 0 0 0 0 0
PA system 01 0 0 0 1
Land phone 03 0 0 0 3
Mobile phone 0 0 0 0 0
Photocopier machine 01 01 0 0 2
Digital camera 01 0 0 0 1
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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Important information and necessary issues you want to raise
Last year we could provide better health service in comparison to year 2015. The following important factors helped us for this achivement-1.Many doctors and sister were trained on IMCI and NCD and other emerging and re-emerging diseases(This should be contained).2.Repairing and new constructions of health facilities were satisfactory.3.Drugs and logistics supply were adequate and regular.4.Above all a positive attitude observed among the doctors,nurses and all other staffs of health service.I hope this commitment to serve man kind will be further intensified day by day.I am very happy to write this health bulletin of 2015 because this document will help us to compare our progress in upcoming years.This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.
Local Health Bulletin 2016 for Satkhira Civil Surgeon Office, Satkhira Sadar, Satkhira

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