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Mohakhali, Dhaka-1212

Preface

It is a great pleasure for me to publish this health bulletin of jhalokathi district from the CIVIL Surgeon office on health services of the district .This bulletin contains the health related information of 2015 of different upazillas and other hospitals under Jhalokathi district in a consolidated form. I hope this bulletin will disseminate the information of the health service of jhalokathi district to others and hopefully the development partners will be benefited to acquire information about us. I wish all the information of this bulletin will help for planning and bridging the gaps in health service of this district. This health bulletin will help us to find constraints and also to see the results and achievements ot 2015 The bulletin contains the status of MDG-4 & MDG-5 Which will help to localize the MDG Targete . This health bulletin has also the information on safe drinking water and sanitation status of the district .All the sanctioned and vaccent posts are published in this bulletin of 2015 .I Like to take attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us on step ahead towards digital Bangladesh. Dr.Md.Abdur Rahim Civil surgeon, Jhalakathi.

Dr.Md.Abdur Rahim
Civil Surgeon
Jhalokathi Civil Surgeon Office
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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EDITORIAL BOARD

Chief Editor

Dr.Md.Abdur Rahim, Civil Surgeon


Special Acknowledgement

1. Dr.Md. Abdur Rahim, Civil Surgeon

Editors

1. Dr. Md.Hafizur Rahman, MO

Contributors

1. Md.Nayan Howlader, Statistician

2. Md.Nurul Huda, Steno

3. G.K Matior Rahman, District EPI Superintendent

4. Md.Zahirul Islam, Accountant


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 Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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Basic Information
Name of District Jhalokati
Organization Code 10002024
Name of Civil SurgeonDr.Md.Abdur Rahim
Land Phone No. 1 049863362
Land Phone No. 2 N/A
FAX No. N/A
Mobile No. 01716244677
Email jhalokathi@cs.dghs.gov.bd
GPS location of CS Office Lati: N/A And Long: N/A
No. of Upazila in the District4
No. of Households in the District 158139
Population in the District 682669
Area of District in sq km 759
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 3 131
Union Sub Centers 5 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 20
Chest Disease (TB) Clinics/Hospitals 0 0
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 10 100
NGO Clinics/Facilities 2 0
10 Bed Hospitals 1 10
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 14,276



Neonatal Mortality Rate: 5.4 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 44,807
Fully Vaccinated Children (<= 12 months): 99 %
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 2099 3733 7315 440 2191 1295 1643 18716
At least 1 ANC 2099 3733 7315 440 2191 1295 1643 18716
ANCs (4+) 116 2340 4777 165 0 0 0 7398
Normal Delivery 353 564 5275 135 547 162 2338 9374
Cesarean Section 134 0 644 0 1490 61 0 2329
Other Assisted Delivery 0 0 0 0 0 0 0 0
PNC Within 2 days 450 1959 1109 135 2063 309 0 6025
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 7 6 0 0 0 15 28
Total Deliveries 487 564 5919 135 2037 223 2338 11703
Valid TT5 Coverage (%) 18
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 8114 8100 16,214 38561 34490 73,051 46675 42590 89265
Upazila Health Complex 12832 18766 31,598 45916 70276 116,192 58748 89042 147790
Union Sub-Centers 34640 9200 43,840 48020 28391 76,411 82660 37591 120251
Union Health & Family Welfare Centers (under DGHS) 35554 36597 72,151 7846 8427 16,273 43400 45024 88424
Union Health & Family Welfare Centers (belong to DGFP) 5183 7177 12,360 3812 4124 7,936 8995 11301 20296
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 59084 70676 129,760 159165 226234 385,399 218249 296910 515159
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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) 5287 6297 11,584 4225 5110 9,335 9512 11407 20919
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 0 0 0 0 0 0 0 0 0
10 Bed Hospitals 4215 5214 9,429 3025 4012 7,037 7240 9226 16466
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 Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 5182 3947 9,129 27084 24265 51,349 32266 28212 60478
Upazila Health Complex 1140 928 2,068 10903 8964 19,867 12043 9892 21935
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 Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 874 586 1,460 5687 7686 13,373 6561 8272 14833
Upazila Health Complex 983 886 1,869 3758 4717 8,475 4741 5603 10344
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 1490 1,490 0 1490 1490
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 03 03 6 25 33 58 28 36 64
Upazila Health Complex 0 01 1 18 13 31 18 14 32
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 Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 2282
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1301 57.0
2 J10 J10 Influenza due to identified influenza virus 350 15.3
3 J45 J45 Asthma 301 13.2
4 J16 J16 Pneumonia due to other infectious organisms, NEC 175 7.7
5 D56 D56 Thalassaemia 155 6.8

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 6515
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 4181 64.2
2 J45 J45 Asthma 907 13.9
3 K27 K27 Peptic ulcer, site unspecified 833 12.8
4 D50 D50 Iron deficiency anaemia 350 5.4
5 H28 H28 Cataract and other disorders of lens in diseases classified elsewhere 244 3.7
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 7
No. ICD-10 Code Disease name No. of Cases %
1 J45 J45 Asthma 3 42.9
2 J16 J16 Pneumonia due to other infectious organisms, NEC 1 14.3
3 I679 I679 Cerebrovascular disease, unspecified 1 14.3
4 N18 N18 Chronic renal failure 1 14.3
5 J189 J189 Pneumonia, unspecified 1 14.3

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths
No. ICD-10 Code Disease name No. of Cases %
1
2
3
4
5
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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) 39
No. ICD-10 Code Disease name No. of Cases %
1 J45 J45 Asthma 16 41.0
2 I21 I21 Acute myocardial infarction 8 20.5
3 I64 I64 Stroke, not specified as haemorrhage or infarction 6 15.4
4 J459 J459 Asthma, unspecified 5 12.8
5 J16 J16 Pneumonia due to other infectious organisms, NEC 4 10.3
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 92.0
Coverage of households having access to sanitary latrines (%) 90.0
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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Surgeries done under the CS Office
Type No.
Major Surgeries 463
Minor Surgeries 4882
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 3 3 0 3 0 0.0
Grade 5 5 2 1 3 2 40.0
Grade 6 16 4 1 5 11 68.8
Grade 7 11 7 0 7 4 36.4
Grade 8 18 6 12 18 0 0.0
Grade 9 24 8 5 13 11 45.8
Grade 10 58 3 51 54 4 6.9
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 13 8 8 16 -3 -23.1
Grade 12 3 0 2 2 1 33.3
Grade 13 62 24 39 63 -1 -1.6
Grade 14 12 11 0 11 1 8.3
Grade 15 23 9 14 23 0 0.0
Grade 16 116 71 42 113 3 2.6
Grade 17 11 8 3 11 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 11 7 0 7 4 36.4
Grade 20 53 30 11 41 12 22.6
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 0 0 0 0 0 0.0
Grade 8 4 0 0 0 4 100.0
Grade 9 2 1 0 1 1 50.0
Grade 10 4 3 1 4 0 0.0
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 3 3 0 3 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 5 5 0 5 0 0.0
Grade 15 1 1 0 1 0 0.0
Grade 16 2 2 0 2 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 5 5 0 5 0 0.0
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 3 0 3
Grade 5 3 1 4
Grade 6 4 1 5
Grade 7 7 0 7
Grade 8 6 12 18
Grade 9 9 5 14
Grade 10 6 52 58
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 11 8 19
Grade 12 0 2 2
Grade 13 25 39 64
Grade 14 16 0 16
Grade 15 10 14 24
Grade 16 73 42 115
Grade 17 8 3 11
Grade 18 0 0 0
Grade 19 8 0 8
Grade 20 35 11 46
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 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 Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 32 23 51 29 23 12 0 0 2 2 1
Nurse 0 0 6 1 42 40 35 31 0 0 17 17 10
Medical Assistant 0 0 32 32 6 5 0 0 0 0 8 8 8
Medical Technologist 0 0 0 0 19 10 3 3 0 0 0 0 0
CHCP 90 88 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 12 12 0 0 0 0 3 0 0
AHI 0 0 0 0 32 32 0 0 0 0 10 0 0
HA 0 0 0 0 172 155 0 0 0 0 43 0 0
Total 90 88 70 56 334 283 61 46 0 0 83 27 19
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 1 0 2
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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) 1 0 0 0 1
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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 0 0 0 1
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 Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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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) 10 2 1 3 16
Laptop 3 1 0 0 4
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 2 1 1 10
Scanner 1 0 0 0 1
UPS 1 2 2 0 5
Fax 0 1 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 1 0 0 0 1
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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

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Important information and necessary issues you want to raise
We would like to say that We are going to have few doctors,especially in sadar hospital. CHCP appointment has been finished & their training completed. They will help to provide health care at root levels . Need for doctors is a burning issue for our district . Besides sufficient logistic support and supporting staff also required very much. To provide better service to the people of the district we need to acknowledge those issues. Once again I want to thank the MIS for taking the legendary steps for publishing this health bulletin of different level of service providing hospitals and taking the country into a different era . Hopefully this bulletin from jhalokathi district will be very beneficial for the general people of the district and the country as well . It will be also beneficial for the administration and development partners to focus on the scopes for improvement .Wish you all the best and looking forward towards publishing the next health bulletin .
Local Health Bulletin 2016 for Jhalokathi Civil Surgeon Office, Jhalokati Sadar, Jhalokati

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