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Mohakhali, Dhaka-1212

Preface

It is my great pleasure to publish this health bulletin of Barisal district. This bulletin contain all the health related information of barisal district for the year 2015. This bulletin published to disseminate the information of Barisal district & development partner of health. I hope all information of the bulletin will help us for future planing & bridging the gaps & minimize the challenge in health service of the district. The bulletin contains the status of MDG 4 and MDG 5 which will help to achieve the MDG & SDG targets. This health bulletin have also contain the information on safe water and sanitation status of the district. All the sanctioned and vacant posts are published in this bulletin of 2015. so I would like to draw attention of higher authority to look into this affairs. Finally I would like to congratulate the initiators of the health bulletin to proceed us one step ahead towards Digital Bangladesh & also achive to middle income country by the year 2021, which is declared by our Prime Minster Sheikh Hasina. Dr. A.F.M Shafiuddin Civil Surgeon Barisal.

Dr. AFM Shafiuddin
Civil Surgeon
Barisal Civil Surgeon Office
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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EDITORIAL BOARD

Chief Editor

Dr. A.F.M Shafiuddin, Civil Surgeon


Special Acknowledgement

1. Dr. Binoy Krishna Biswas, Director(Health), Barisal Division

Editors

1. Dr. Shymal Krishna Mondal , DCS

2. Dr, Refat Uz Johra, MOCS

3. Md. Asif Iqbal, Statistician

Contributors

1. Md. Delower Hossain Talukder, AO

2. Md. Farid Uddin, 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 Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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Basic Information
Name of District Barisal
Organization Code 10001971
Name of Civil SurgeonDr. AFM Shafiuddin
Land Phone No. 1 43164909
Land Phone No. 2 43162650
FAX No. 4312176146
Mobile No. 01740886535
Email barisal@cs.dghs.gov.bd
GPS location of CS Office Lati: 90.3736 And Long: 22.6995
No. of Upazila in the District10
No. of Households in the District 429067
Population in the District 2537832
Area of District in sq km 2784
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 1 500
District Hospital 1 100
General Hospital 1 100
Upazila Health Complexes 9 366
Union Sub Centers 13 0
Union Health & Family Welfare Centers (under DGHS) 19 0
Union Health & Family Welfare Centers (under DGFP) 53 0
Rural Dispensaries 0 0
Community Clinics 279 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 2 30
Chest Disease (TB) Clinics/Hospitals 2 20
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 32 354
NGO Clinics/Facilities 5 61
10 Bed Hospitals 1 10
20 Bed Hospitals 1 20
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 52,795



Neonatal Mortality Rate: 4.2 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 254,297
Fully Vaccinated Children (<= 12 months): 99 %
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 0 2963 1426 42 154 0 49009 53594
At least 1 ANC 0 6286 7767 942 523 0 38076 53594
ANCs (4+) 0 4343 3590 232 236 0 13838 22239
Normal Delivery 0 1620 8113 329 2056 0 33386 45504
Cesarean Section 0 177 3480 346 3423 0 0 7426
Other Assisted Delivery 0 0 0 0 0 0 0 0
PNC Within 2 days 0 2009 9034 635 3397 0 14320 29395
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 0 2 17 0 2 0 23 44
Total Deliveries 0 1797 11593 675 5479 0 33386 52930
Valid TT5 Coverage (%) 49
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 36339 37395 73,734 91858 129730 221,588 128197 167125 295322
Union Sub-Centers 31234 36779 68,013 76529 127199 203,728 107763 163978 271741
Union Health & Family Welfare Centers (under DGHS) 14432 15042 29,474 34590 60407 94,997 49022 75449 124471
Union Health & Family Welfare Centers (belong to DGFP) 24582 26659 51,241 40823 94356 135,179 65405 121015 186420
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 99322 111012 210,334 537070 1155390 1,692,460 636392 1266402 1902794
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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) 1213 930 2,143 1709 1148 2,857 2922 2078 5000
Chest Disease (TB) Clinics/Hospitals 156 170 326 2079 1953 4,032 2235 2123 4358
Private Clinics/Facilities 1384 2772 4,156 3593 8934 12,527 4977 11706 16683
NGO Clinics/Facilities 1027 1509 2,536 1802 6819 8,621 2829 8328 11157
10 Bed Hospitals 2732 2822 5,554 5002 6055 11,057 7734 8877 16611
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 Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 4216 3652 7,868 15593 18870 34,463 19809 22522 42331
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 10 11 21 158 110 268 168 121 289
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 150 80 230 372 482 854 522 562 1084
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 3639 3504 7,143 11844 15907 27,751 15483 19411 34894
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 71 42 113 71 42 113
10 Bed Hospitals 4 5 9 94 212 306 98 217 315
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 22 403 425 22 403 425
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 12 10 22 55 52 107 67 62 129
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 Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 7143
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2196 30.7
2 J189 J189 Pneumonia, unspecified 1604 22.5
3 B34 B34 Viral infection of unspecified site 452 6.3
4 A01 A01 Typhoid and paratyphoid fevers 414 5.8
5 Y09 Y09 Assault by unspecified means 258 3.6

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 17751
No. ICD-10 Code Disease name No. of Cases %
1 Y09 Y09 Assault by unspecified means 4463 25.1
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3055 17.2
3 A01 A01 Typhoid and paratyphoid fevers 885 5.0
4 B34 B34 Viral infection of unspecified site 801 4.5
5 T48 T48 Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory system 754 4.2
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 22
No. ICD-10 Code Disease name No. of Cases %
1 P21 P21 Birth asphyxia 6 27.3
2 J189 J189 Pneumonia, unspecified 4 18.2
3 P36 P36 Bacterial sepsis of newborn 3 13.6
4 P159 P159 Birth injury, unspecified 2 9.1
5 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1 4.5

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 2
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 1 50.0
2 O85 O85 Puerperal sepsis 1 50.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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) 97
No. ICD-10 Code Disease name No. of Cases %
1 I679 I679 Cerebrovascular disease, unspecified 28 28.9
2 I21 I21 Acute myocardial infarction 20 20.6
3 V89 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified 18 18.6
4 J18 J18 Pneumonia, organism unspecified 7 7.2
5 X859 X859 Assault by drugs, medicaments and biological substances, unspecified place 3 3.1
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 99.5
Coverage of households having access to sanitary latrines (%) 98.0
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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Surgeries done under the CS Office
Type No.
Major Surgeries 177
Minor Surgeries 2838
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 1 1 0 1 0 0.0
Grade 6 66 17 4 21 45 68.2
Grade 7 1 0 0 0 1 100.0
Grade 8 0 0 0 0 0 0.0
Grade 9 160 61 45 106 54 33.8
Grade 10 152 9 116 125 27 17.8
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 11 195 86 41 127 68 34.9
Grade 12 1 1 0 1 0 0.0
Grade 13 103 56 44 100 3 2.9
Grade 14 375 173 163 336 39 10.4
Grade 15 147 66 75 141 6 4.1
Grade 16 457 215 142 357 100 21.9
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 41 23 14 37 4 9.8
Grade 20 260 143 40 183 77 29.6
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 0 0 0 1 100.0
Grade 6 1 1 0 1 0 0.0
Grade 7 1 0 0 0 1 100.0
Grade 8 0 0 0 0 0 0.0
Grade 9 6 1 0 1 5 83.3
Grade 10 6 3 2 5 1 16.7
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 0 1 1 50.0
Grade 12 4 4 0 4 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 10 10 0 10 0 0.0
Grade 15 5 3 2 5 0 0.0
Grade 16 8 8 0 8 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 3 3 0 3 0 0.0
Grade 20 13 11 0 11 2 15.4
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 6 1 7
Grade 6 6 2 8
Grade 7 55 14 69
Grade 8 63 73 136
Grade 9 16 26 42
Grade 10 7 41 48
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 57 23 80
Grade 12 6 1 7
Grade 13 153 111 264
Grade 14 125 147 272
Grade 15 67 86 153
Grade 16 139 111 250
Grade 17 60 15 75
Grade 18 0 0 0
Grade 19 54 26 80
Grade 20 41 16 57
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 0 1
Grade 7 5 2 7
Grade 8 2 0 2
Grade 9 0 0 0
Grade 10 3 0 3
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 6 0 6
Grade 12 0 0 0
Grade 13 9 0 9
Grade 14 0 2 2
Grade 15 0 0 0
Grade 16 2 1 3
Grade 17 8 0 8
Grade 18 0 0 0
Grade 19 2 0 2
Grade 20 5 0 5
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 88 57 123 63 0 0 14 7 36 3 0
Nurse 0 0 0 0 119 96 0 0 4 2 49 35 0
Medical Assistant 0 0 86 55 18 16 0 0 0 0 64 0 0
Medical Technologist 0 0 32 19 90 67 0 0 4 2 3 0 0
CHCP 303 277 0 0 0 0 0 0 0 0 0 0 51
HI 0 0 0 0 30 21 0 0 0 0 0 0 0
AHI 0 0 0 0 90 88 0 0 0 0 0 0 19
HA 0 0 0 0 442 355 0 0 0 0 0 0 79
Total 303 277 206 131 912 706 0 0 22 11 152 38 149
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 1 0 1
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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) 1 0 0 0 1
Air conditioner (window) 5 0 0 0 5
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 1 0 0 0 1
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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) 11 0 2 0 13
Laptop 4 0 1 0 5
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 1 0 1
Printer (laser) 6 1 0 0 7
Scanner 1 0 0 0 1
UPS 9 2 0 0 11
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 Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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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 2 1 0 0 3
OHP 0 1 0 0 1
PA system 1 0 0 0 1
Land phone 6 0 0 0 6
Mobile phone 0 0 0 0 0
Photocopier machine 0 1 1 0 2
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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Important information and necessary issues you want to raise
Last Year we could not give our maximum efforts to improve the health status due to some issues. By overcoming a lot of challenges in the last year Barisal district became 2nd in EPI performance & awarded by DGHS. Besides for HSS Barisal Civil Surgeon office awarded by Honorable Health Minister for best performing Civil Surgeon office. Wazirpur & Hizla UHC also awarded for HSS. Here I like to mention some important factors which will help us to achieve expected result in future. 1. vacant posts of Consultants, Doctors, Medical Technologist, Health Assistant & other 3rd & 4th Class staffs should be filled up immediately. 2. extension works from 31 to 50 beds of Bakergong, Babugang & Muladi UHC should be completed as early as possible. 3. Existing condemned hospital building of Muladi UHC should be replaced by construction of new building. 4. Repair & renovation works of 130 community Clinics, 29 USC & all UHC should be done on emergency basis. 5. Construction of new building for Sekarpur USC of Wazirpur, Lata USc of Mehandigonj & Dehargoti USC of Babugang should be done. 6. Comprehensive EmOC should be established at Mehendigang, Hizla, Bakergonj & Gournadi UHC. 7. Manpoiwer, MSR & diet should be sanctioned for upgraded Upazila Health complex. 8. supply of speed boat for Civil Surgeon office & water ambulance for mehandigong UHC with driver. 9. Supply of equipments & funniture for UHC & USC. 10. Electricity connection for all community clinic & USC, 11. Sadar Hospital under the disposal of Civil Surgeon.
Local Health Bulletin 2016 for Barisal Civil Surgeon Office, Barisal Sadar (kotwali), Barisal

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