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

Preface

MoH&FW Launched a program named HPNSDP 2011-2016, this program has 32 operational plans. Health information system & e- health will implement this operational plan. Health bulletin software development is a time demanding activities for digital Bangladesh concept. A set of 17 Sustainable Development Goals (SDGs) to end poverty, fight inequality and injustice, and tackle climate change by 2030. I want to salute the initiator of Health bulletin software that it will help to achieve the SDGs. Within this bulletin our service,achievement ,necessities ,lacking ,limitation, sanitation, safe drinking water, nutritional status,CC based achievement all aspect are introduced (January 2015 to December 2015) Bhola District.This Bulletin will help to plan and bridge the gaps in the health service Delivery of Bhola District. Bhola District need a Child Hospital,a trauma Hospital ,an eye Hospital in future . We want to see to build a Cardiac Disease Hospital here for the better health management of people of Bhola. Our long cherished dream of Medical college & Hospital in Bhola will be come true in future.

Dr. Farid Ahmed
Civil Surgeon
Bhola Civil Surgeon Office
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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EDITORIAL BOARD

Chief Editor

Dr. Farid Ahmed, Civil Surgeon


Editors

1. Dr. Md. Tanvir Ahammed Chowdhori, Asstt. Surgeon

2. Md. Manir Uddin, Statistician

Contributors

1. Md. Nazrul Islam, Statistician

2. Malay Chandra Das, District EPI Superintendent


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 Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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Basic Information
Name of District Bhola
Organization Code 10002001
Name of Civil SurgeonDr. Farid Ahmed
Land Phone No. 1 49161422
Land Phone No. 2 49162469
FAX No. 49161422
Mobile No. 01711585782
Email bhola@cs.dghs.gov.bd
GPS location of CS Office Lati: 22.6755 And Long: 90.6552
No. of Upazila in the District7
No. of Households in the District 364221
Population in the District 1,776,795
Area of District in sq km 3,737.21
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 6 262
Union Sub Centers 2 0
Union Health & Family Welfare Centers (under DGHS) 5 0
Union Health & Family Welfare Centers (under DGFP) 47 0
Rural Dispensaries 1 30
Community Clinics 215 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 2 30
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 12 140
NGO Clinics/Facilities 6 7
10 Bed Hospitals 0 0
20 Bed Hospitals 1 20
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 53,783



Neonatal Mortality Rate: 8.1 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 393,481
Fully Vaccinated Children (<= 12 months): 99 %
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 2914 5216 3020 1419 684 0 46124 59377
At least 1 ANC 2914 7712 3851 2649 1868 2909 37474 59377
ANCs (4+) 834 4312 2273 845 2073 563 13663 24563
Normal Delivery 1597 2595 1091 1408 3255 1596 40062 51604
Cesarean Section 34 136 130 87 1703 56 0 2146
Other Assisted Delivery 0 7 15 8 39 0 20 89
PNC Within 2 days 2128 3833 1821 1449 1664 1126 12101 24122
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 7 2 0 0 0 0 36 45
Total Deliveries 1631 2738 1236 1503 4997 1652 40082 53839
Valid TT5 Coverage (%) 74
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 8581 10216 18,797 32757 54342 87,099 41338 64558 105896
Upazila Health Complex 41177 40448 81,625 117786 147494 265,280 158963 187942 346905
Union Sub-Centers 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (under DGHS) 7568 7998 15,566 16485 17373 33,858 24053 25371 49424
Union Health & Family Welfare Centers (belong to DGFP) 60425 62520 122,945 75325 85281 160,606 135750 147801 283551
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 163348 184162 347,510 737269 1585437 2,322,706 900617 1769599 2670216
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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) 5739 8411 14,150 5031 25605 30,636 10770 34016 44786
Chest Disease (TB) Clinics/Hospitals 580 825 1,405 1643 2843 4,486 2223 3668 5891
Private Clinics/Facilities 8520 9521 18,041 5875 6780 12,655 14395 16301 30696
NGO Clinics/Facilities 510 998 1,508 824 684 1,508 1334 1682 3016
10 Bed Hospitals 1107 1010 2,117 1785 3246 5,031 2892 4256 7148
20 Bed Hospitals 1221 1143 2,364 1994 3250 5,244 3215 4393 7608
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 Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 750 866 1,616 6232 5751 11,983 6982 6617 13599
Upazila Health Complex 3939 3078 7,017 16119 18284 34,403 20058 21362 41420
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 Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 3143 3752 6,895 9525 10860 20,385 12668 14612 27280
Upazila Health Complex 5549 5296 10,845 11590 16388 27,978 17139 21684 38823
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 Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 98 120 218 195 120 315 293 240 533
Upazila Health Complex 17 47 64 75 62 137 92 109 201
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 Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 16815
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3147 18.7
2 J189 J189 Pneumonia, unspecified 2408 14.3
3 P219 P219 Birth asphyxia, unspecified 1480 8.8
4 P071 P071 Other low birth weight 875 5.2
5 J18 J18 Pneumonia, organism unspecified 708 4.2

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 45214
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 7624 16.9
2 Y09 Y09 Assault by unspecified means 5989 13.2
3 K29 K29 Gastritis and duodenitis 2063 4.6
4 Y04 Y04 Assault by bodily force 1831 4.0
5 K279 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 1436 3.2
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 287
No. ICD-10 Code Disease name No. of Cases %
1 P219 P219 Birth asphyxia, unspecified 152 53.0
2 J189 J189 Pneumonia, unspecified 51 17.8
3 P070 P070 Extremely low birth weight 10 3.5
4 A419 A419 Septicaemia, unspecified 10 3.5
5 G039 G039 Meningitis, unspecified 6 2.1

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 9
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 7 77.8
2 O909 O909 Complication of the puerperium, unspecified 2 22.2
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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) 408
No. ICD-10 Code Disease name No. of Cases %
1 I64 I64 Stroke, not specified as haemorrhage or infarction 70 17.2
2 I219 I219 Acute myocardial infarction, unspecified 69 16.9
3 J459 J459 Asthma, unspecified 23 5.6
4 V892 V892 Person injured in unspecified motor-vehicle accident, traffic 14 3.4
5 I516 I516 Cardiovascular disease, unspecified 11 2.7
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 98.0
Coverage of households having access to sanitary latrines (%) 84.0
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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Surgeries done under the CS Office
Type No.
Major Surgeries 49
Minor Surgeries 7590
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 5 3 1 4 1 20.0
Grade 6 57 15 0 15 42 73.7
Grade 7 6 0 0 0 6 100.0
Grade 8 0 0 0 0 0 0.0
Grade 9 140 59 13 72 68 48.6
Grade 10 150 11 68 79 71 47.3
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 11 149 43 8 51 98 65.8
Grade 12 1 1 0 1 0 0.0
Grade 13 7 3 0 3 4 57.1
Grade 14 60 54 4 58 2 3.3
Grade 15 90 52 27 79 11 12.2
Grade 16 633 362 206 568 65 10.3
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 15 15 0 15 0 0.0
Grade 20 209 142 31 173 36 17.2
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 1 0 1 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 3 2 0 2 1 33.3
Grade 10 4 3 1 4 0 0.0
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 7 6 0 6 1 14.3
Grade 15 2 1 0 1 1 50.0
Grade 16 3 2 1 3 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 6 5 0 5 1 16.7
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 03 1 4
Grade 6 15 0 15
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 59 13 72
Grade 10 11 68 79
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 43 8 51
Grade 12 1 0 1
Grade 13 3 0 3
Grade 14 54 4 58
Grade 15 52 27 79
Grade 16 362 206 568
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 15 0 15
Grade 20 142 31 173
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 1 0 1
Grade 8 0 0 0
Grade 9 2 0 2
Grade 10 3 1 4
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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

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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 67 35 110 43 22 7 9 2 30 9 0
Nurse 0 0 4 2 84 36 49 36 6 1 34 14 0
Medical Assistant 0 0 0 0 12 10 0 0 0 0 24 0 0
Medical Technologist 0 0 0 0 51 26 2 2 3 0 0 0 0
CHCP 248 220 0 0 0 0 0 0 0 0 0 0 18
HI 0 0 0 0 22 21 0 0 0 0 21 0 0
AHI 0 0 0 0 68 68 0 0 0 0 67 0 0
HA 0 0 0 0 339 306 0 0 0 0 306 0 0
Total 248 220 71 37 686 510 73 45 18 3 482 23 18
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 2 1 0 0 3
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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

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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) 2 0 0 0 2
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 Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 4 2 0 0 6
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 0 0 0 7
Scanner 1 0 0 0 1
UPS 4 0 0 0 4
Fax 2 1 0 0 3
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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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 1 0 0 0 1
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 Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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Important information and necessary issues you want to raise
In 1984 Bangladesh Government declared Bhola as district. After declaration of district Bhola Civil surgeon office performed its activities in Sadar upzila Health Complex which was 6 bed Hospital at British period . Then 1988 new civil surgeon office was Constructed in Bhola sadar Hospital campus which was of small space and congested and not enough room for staff of civil surgeon office & DRS store were allocated. It can be mentioned here that every civil surgeon office has a guest room but Bhola does not. So it is time to demand to make a guest room in CS office. Bhola has a district Hospital which in under construction 250 bedded but it is running with 50 bedded staff only. So eventually patients are not satisfied due to shortage of service providers. On the other hand, Average 146 patients get admitted in this hospital every day which becomes a huge burden for ruing staffs. EmOC activities is not good enough due to lack of Anaesthetist Doctor . Now it requires sanction of manpower for 100 bedded Hospital & immediate posting. Otherwise Bhola district hospital could not deliver her service to the door step of the people which is current government vision. If we want to implement the digital health service and effective referral system then we need ambulance, driver and fuel as well as water ambulance, as because bhola is a island district and it has no road communication with other districts. To achieve the Sustainable Development Goal (SDGs) we also need a specialized child hospital. Bhola demands a Trauma center due to huge road traffic accident related patients.
Local Health Bulletin 2016 for Bhola Civil Surgeon Office, Bhola Sadar, Bhola

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