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

Preface

Bismillahir Rahmanir Rahim.It is our pleasure to thank MIS, DGHS for making this time-needed effort of Local Health Bulletin.It contains all necessary infomations of Health services of Barguna district. Barguna is a densely populated remote coastal district with 991130 people in1939.39sq .km area. It is well known to the world as SIDR and AYLA affected area.People of this area are mostly poor.. They depend on cultivation, fishing and small business for their livelihood.Road communication is not good here . Because two large rivers (Payra and Bishkhali ) have divided the district into three parts. Diarrhoea is endemic in this area which is more in Spring and Summer.Acute shortage of Doctors(43 out of 162sanctioned posts) makes better health service delivery difficult.Natural disasters make the scenery more troublesome. DR.Md.Rustum Ali Civil Surgeon Barguna Civil Surgeon Office

DR.Md .Rustum Ali
Civil Surgeon
Barguna Civil Surgeon Office
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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EDITORIAL BOARD

Chief Editor

Dr.Md Rustum Ali, Civil Surgeon, Barguna


Special Acknowledgement

1. Jelia Yeasmin, Statistical Assistant

2. Md. Kamal Hossain, Steno Typist

Editors

1. Dr.Md Younus Ali, MOCS

Contributors

1. Md.Abdul Khaluqe, Head Assistant


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 Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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Basic Information
Name of District Barguna
Organization Code 10001942
Name of Civil SurgeonDR.Md .Rustum Ali
Land Phone No. 1 44862386
Land Phone No. 2 N/A
FAX No. 0448-62495
Mobile No. 01712857844
Email barguna@cs.dghs.gov.bd
GPS location of CS Office Lati: 22.1577 And Long: 90.1270
No. of Upazila in the District5
No. of Households in the District 212466
Population in the District 968097
Area of District in sq km 01939
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 5 200
Union Sub Centers 8 0
Union Health & Family Welfare Centers (under DGHS) 7 0
Union Health & Family Welfare Centers (under DGFP) 25 0
Rural Dispensaries 0 0
Community Clinics 121 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 01 10
Chest Disease (TB) Clinics/Hospitals 0 0
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 23 30
NGO Clinics/Facilities 3 0
10 Bed Hospitals 1 10
20 Bed Hospitals 1 20
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 23,320



Neonatal Mortality Rate: 4.9 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 76,192
Fully Vaccinated Children (<= 12 months): 86 %
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 1998 1407 2438 0 2179 543 16476 25041
At least 1 ANC 1847 1407 3445 0 342 543 16167 23751
ANCs (4+) 641 881 2373 0 315 340 6097 10647
Normal Delivery 467 281 621 0 202 173 16831 18575
Cesarean Section 214 120 86 0 2322 0 2166 4908
Other Assisted Delivery 0 2 0 0 0 0 0 2
PNC Within 2 days 1118 572 2185 0 2392 173 8569 15009
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 1 0 0 0 38 42
Total Deliveries 681 403 707 0 2524 173 18997 23485
Valid TT5 Coverage (%) 9
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 6608 9170 15,778 031405 44451 75,856 38013 53621 91634
Upazila Health Complex 14739 19063 33,802 53104 34412 87,516 67843 53475 121318
Union Sub-Centers 036376 40746 77,122 12014 12680 24,694 48390 53426 101816
Union Health & Family Welfare Centers (under DGHS) 9755 10006 19,761 17587 51512 69,099 27342 61518 88860
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 164248 335397 499,645 106112 164126 270,238 270360 499523 769883
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 198 1126 1,324 50 40 90 248 1166 1414
NGO Clinics/Facilities 2001 19978 21,979 2978 2732 5,710 4979 22710 27689
10 Bed Hospitals 5520 7311 12,831 491 659 1,150 6011 7970 13981
20 Bed Hospitals 2817 3617 6,434 799 669 1,468 3616 4286 7902
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 Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 2123 1619 3,742 11519 10738 22,257 13642 12357 25999
Upazila Health Complex 3543 3357 6,900 8666 2289 10,955 12209 5646 17855
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 Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 1145 896 2,041 5456 7258 12,714 6601 8154 14755
Upazila Health Complex 2419 3027 5,446 4045 4972 9,017 6464 7999 14463
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 172 2050 2,222 0 0 0 172 2050 2222
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 28 24 52 26 25 51 54 49 103
Upazila Health Complex 14 32 46 21 25 46 35 57 92
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 582 368 950 40 41 81 622 409 1031
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 4397
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 1151 26.2
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 917 20.9
3 B34 B34 Viral infection of unspecified site 360 8.2
4 A01 A01 Typhoid and paratyphoid fevers 122 2.8
5 D649 D649 Anaemia, unspecified 67 1.5

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 15209
No. ICD-10 Code Disease name No. of Cases %
1 Y09 Y09 Assault by unspecified means 4056 26.7
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1080 7.1
3 V892 V892 Person injured in unspecified motor-vehicle accident, traffic 758 5.0
4 I11 I11 Hypertensive heart disease 428 2.8
5 J45 J45 Asthma 418 2.7
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 72
No. ICD-10 Code Disease name No. of Cases %
1 P21 P21 Birth asphyxia 21 29.2
2 A419 A419 Septicaemia, unspecified 15 20.8
3 J189 J189 Pneumonia, unspecified 14 19.4
4 P071 P071 Other low birth weight 13 18.1
5 R509 R509 Fever, unspecified 3 4.2

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 O75 O75 Other complications of labour and delivery, NEC 3 100.0
2 0.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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) 92
No. ICD-10 Code Disease name No. of Cases %
1 I679 I679 Cerebrovascular disease, unspecified 33 35.9
2 J45 J45 Asthma 13 14.1
3 J961 J961 Chronic respiratory failure 5 5.4
4 I694 I694 Sequelae of stroke, not specified as haemorrhage or infarction 4 4.3
5 I21 I21 Acute myocardial infarction 2 2.2
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 91.4
Coverage of households having access to sanitary latrines (%) 90.4
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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Surgeries done under the CS Office
Type No.
Major Surgeries 400
Minor Surgeries 893
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 1 1 0 1 0 0.0
Grade 5 12 2 0 2 10 83.3
Grade 6 52 8 3 11 41 78.8
Grade 7 6 6 6 12 -6 -100.0
Grade 8 25 8 2 10 15 60.0
Grade 9 74 18 3 21 53 71.6
Grade 10 114 8 73 81 33 28.9
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 11 107 39 20 59 48 44.9
Grade 12 0 0 0 0 0 0.0
Grade 13 6 5 0 5 1 16.7
Grade 14 163 76 83 159 4 2.5
Grade 15 51 23 16 39 12 23.5
Grade 16 272 126 118 244 28 10.3
Grade 17 1 1 1 2 -1 -100.0
Grade 18 4 2 0 2 2 50.0
Grade 19 13 10 3 13 0 0.0
Grade 20 115 86 22 108 7 6.1
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 1 1 0 1 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 5 1 1 2 3 60.0
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 0 0 0 0 0 0.0
Grade 10 3 3 3 6 -3 -100.0
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 1 1 2 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 6 3 2 5 1 16.7
Grade 15 2 1 0 1 1 50.0
Grade 16 3 1 1 2 1 33.3
Grade 17 1 0 0 0 1 100.0
Grade 18 3 2 0 2 1 33.3
Grade 19 0 0 0 0 0 0.0
Grade 20 6 6 0 6 0 0.0
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 1 0 1
Grade 5 7 0 7
Grade 6 4 3 7
Grade 7 13 7 20
Grade 8 16 17 33
Grade 9 11 11 22
Grade 10 12 48 60
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 24 11 35
Grade 12 4 0 4
Grade 13 45 77 122
Grade 14 52 78 130
Grade 15 23 19 42
Grade 16 42 27 69
Grade 17 34 8 42
Grade 18 2 0 2
Grade 19 15 2 17
Grade 20 53 12 65
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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

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

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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 24 6 85 26 42 5 11 4 5 2 0
Nurse 0 0 0 0 59 45 39 25 14 6 25 13 0
Medical Assistant 0 0 38 19 8 7 0 0 0 0 27 0 0
Medical Technologist 0 0 9 0 42 24 9 3 3 2 2 0 0
CHCP 124 123 0 0 0 0 0 0 0 0 20 0 42
HI 0 0 0 0 15 15 0 0 0 0 7 0 0
AHI 0 0 0 0 43 43 0 0 0 0 27 2 3
HA 0 0 0 0 213 200 0 0 0 0 90 0 51
Total 124 123 71 25 465 360 90 33 28 12 203 17 96
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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 Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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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) 5 2 4 0 11
Laptop 2 1 0 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 4 5 0 14
Scanner 1 0 1 0 2
UPS 3 0 5 0 8
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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

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Important information and necessary issues you want to raise
Barguna is a remote coastal district with about 1 million people living here.An acute scarcity of doctors are present here. Among the 141 sanctioned posts of doctors only 52 are existing now which makes the Health service delivery very difficult.So immediate posting of 80 to 90 doctors are essential for smooth health service delivery.This district is cyclone (SIDR,AYELA) prone area. Load shedding is a common event due to this situation. We frequently pass 3 to 5 days without Electricity due to extreme rain and thunder shower leading to load shedding.Hence we can not perform our digital office activities. So a Generator is very essential for Civil Surgeon Office.On the other hand we carry huge number of MSR& stationary materials from Dhaka ,Barisal & Khulna to Barguna DRS ,and subsequently Barguna DRS to all Upazila health complexes & Sub-centers. It spends about 10 lacs or more taka annually for this purpose. So a Mini track (3 Tone) is required for this office . which will help to reduce the Govt. expenditure.The Construction Works of 250 bedded hospital promised by Honorable Prime Minister Sheikh Hasina is expected to be completed by june 2016 But the construction works are not satisfactory at present.In spite of repeated letter and verbal conversation with the concerned authorities the contractor could not do the works up to the expectation to complete the construction works by June 2016.So ,we expect the cordial co-operation of all concerned authorities to finish the works in time. On the other hand, man power and residential facilities for doctors and staffs are not yet allotted by the govt. So these works should be started immediately to make the 250 bed hospital functioning in time after completion of construction work.
Local Health Bulletin 2016 for Barguna Civil Surgeon Office, Barguna Sadar, Barguna

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