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Mohakhali, Dhaka-1212

Preface

It is a great pleasure to know that Health Bulletin-2016 is going to be published on time. I am very glad to publish this Health Bulletin of Pirojpur District. This Bulletin contains most of the health related information of year 2015 of Pirojpur District. It is realy a matter of proud to me to see the achivement of Pirojpur District in the health sector. Although we have limitation of resource the experience & progress of Bangladesh in some health relation issues are already being considered globally as examples of sucess in resoure Poor Setting. I hope all the information of this Bulletin will help for planning & bring the gaps in health service of this district. With the Leadership of honourable Priminister Shekh Hasina the goverment has been continuing to prioritise the health sector till date Accurate field level data are essential for correct dicision . This bulletin contains 1. The organization at a glance of this district . 2. Existing health facilities in this district. 3. No. of patients visited in OPD ,Emergency & Indoor of these facilities 4. Child health & MDG-4 2015. 5. Maternal health & MDG-5 2015. 6.Top 10 diseases according to the number of patients admitted in the district hospital and upazila hospitals in year 2015. 7. Top 10 diseases according to the number of deaths amnong the admitted patients in the district hospital and upazila hospitals in year 2015. 8. Water & sanitation status of the district,BOR in the district hospital and upazila hospitals .9. Classwise man power data with percentage of vacant post,Category wise manpower in different health facilities.10.Existing important equipments in Civil Surgeon Office . I want to give special thanks to the hard working person of Pirojpur district Health department .Finaly I would like to congratulation the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh .

Dr. Muhammad Fakhrul Alam
Civil Surgeon
Pirojpur Civil Surgeon Office
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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EDITORIAL BOARD

Chief Editor

Dr. Muhammad Fakhrul Alam, Civil Surgeon


Special Acknowledgement

1. MIS,DGHS,, Mohakhali , Dhaka

2. All Contributors, Civil Surgeon Office,Pirojpur

Editors

1. Dr. Abdullah - Al- Faisal, Medical Officer & ICT Focal Point(Incharge)

2. Monjuara Khanam, Statistical Assistant

3. Sushil Kumer Das, District Health Superiantendent

Contributors

1. All UH&FPO, Pirojpur District

2. Md. Abul Kalam, Head Assistant

3. Md. Tayob Ali Howlader, District EPI Superiantendent

4. Swapan Kumer Sikder, District Sanitary Inspector


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 Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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Basic Information
Name of District Pirojpur
Organization Code 10002066
Name of Civil SurgeonDr. Muhammad Fakhrul Alam
Land Phone No. 1 046162330
Land Phone No. 2 N/A
FAX No. 046163249
Mobile No. 01711358980
Email perojpur@cs.dghs.gov.bd
GPS location of CS Office Lati: 22.5779 And Long: 89.9765
No. of Upazila in the District7
No. of Households in the District 256002
Population in the District 1113257
Area of District in sq km 1278
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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 7 224
Union Sub Centers 6 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 42 0
Rural Dispensaries 0 0
Community Clinics 153 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 2 30
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 30 390
NGO Clinics/Facilities 2 30
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 25,265



Neonatal Mortality Rate: 14.0 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 68,156
Fully Vaccinated Children (<= 12 months): 100 %
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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 Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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 0 0 0 0 0 26585 26585
At least 1 ANC 1295 3871 6036 0 1800 638 12945 26585
ANCs (4+) 534 1873 2737 173 2213 0 7426 14956
Normal Delivery 358 1961 1135 22 956 433 15012 19877
Cesarean Section 154 491 455 259 4188 127 0 5674
Other Assisted Delivery 6 3 0 0 0 0 0 9
PNC Within 2 days 665 2559 1597 281 5147 644 15012 25905
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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 0 0 0 0 45 48
Total Deliveries 518 2455 1590 281 5144 560 15012 25560
Valid TT5 Coverage (%) 29
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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 11697 7812 19,509 39873 58553 98,426 51570 66365 117935
Upazila Health Complex 16067 20396 36,463 57116 92489 149,605 73183 112885 186068
Union Sub-Centers 7141 9355 16,496 42257 43997 86,254 49398 53352 102750
Union Health & Family Welfare Centers (under DGHS) 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (belong to DGFP) 32056 38010 70,066 37529 143453 180,982 69585 181463 251048
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 30773 44403 75,176 264899 524340 789,239 295672 568743 864415
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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) 1324 1938 3,262 618 9581 10,199 1942 11519 13461
Chest Disease (TB) Clinics/Hospitals 1 3 4 368 324 692 369 327 696
Private Clinics/Facilities 1011 1356 2,367 6958 9109 16,067 7969 10465 18434
NGO Clinics/Facilities 129 107 236 561 4546 5,107 690 4653 5343
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 Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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 3677 3532 7,209 15762 16809 32,571 19439 20341 39780
Upazila Health Complex 3730 3732 7,462 10416 10989 21,405 14146 14721 28867
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 Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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 1801 1564 3,365 4660 7337 11,997 6461 8901 15362
Upazila Health Complex 3353 3669 7,022 7257 10819 18,076 10610 14488 25098
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 Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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 23 20 43 77 38 115 100 58 158
Upazila Health Complex 21 14 35 66 56 122 87 70 157
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 Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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 10387
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3224 31.0
2 J189 J189 Pneumonia, unspecified 585 5.6
3 B349 B349 Viral infection, unspecified 460 4.4
4 J118 J118 Influenza with other manifestations, virus not identified 444 4.3
5 J15 J15 Bacterial pneumonia, NEC 442 4.3

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 24445
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3523 14.4
2 B349 B349 Viral infection, unspecified 2276 9.3
3 Y00 Y00 Assault by blunt object 1143 4.7
4 K09 K09 Cysts of oral region, NEC 942 3.9
5 Y090 Y090 Assault by unspecified means, home 846 3.5
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 78
No. ICD-10 Code Disease name No. of Cases %
1 P219 P219 Birth asphyxia, unspecified 33 42.3
2 A419 A419 Septicaemia, unspecified 22 28.2
3 J118 J118 Influenza with other manifestations, virus not identified 8 10.3
4 J15 J15 Bacterial pneumonia, NEC 5 6.4
5 J189 J189 Pneumonia, unspecified 3 3.8

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 O72 O72 Postpartum haemorrhage 3 100.0
2 0.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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) 169
No. ICD-10 Code Disease name No. of Cases %
1 I64 I64 Stroke, not specified as haemorrhage or infarction 31 18.3
2 I219 I219 Acute myocardial infarction, unspecified 27 16.0
3 I469 I469 Cardiac arrest, unspecified 24 14.2
4 I694 I694 Sequelae of stroke, not specified as haemorrhage or infarction 20 11.8
5 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 12 7.1
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 92.0
Coverage of households having access to sanitary latrines (%) 93.0
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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Surgeries done under the CS Office
Type No.
Major Surgeries 692
Minor Surgeries 3597
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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 8 4 0 4 4 50.0
Grade 6 35 9 1 10 25 71.4
Grade 7 11 3 0 3 8 72.7
Grade 8 0 0 0 0 0 0.0
Grade 9 120 43 20 63 57 47.5
Grade 10 142 17 108 125 17 12.0
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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 11 114 52 41 93 21 18.4
Grade 12 0 0 0 0 0 0.0
Grade 13 18 9 7 16 2 11.1
Grade 14 227 116 87 203 24 10.6
Grade 15 45 24 14 38 7 15.6
Grade 16 371 175 158 333 38 10.2
Grade 17 10 10 1 11 -1 -10.0
Grade 18 0 0 0 0 0 0.0
Grade 19 9 21 0 21 -12 -133.3
Grade 20 165 101 39 140 25 15.2
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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 0 0 0 1 100.0
Grade 8 0 0 0 0 0 0.0
Grade 9 4 1 0 1 3 75.0
Grade 10 4 2 2 4 0 0.0
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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 0 0 0 0 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 6 4 1 5 1 16.7
Grade 15 2 1 0 1 1 50.0
Grade 16 4 3 1 4 0 0.0
Grade 17 1 1 0 1 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 2 2 0 2 0 0.0
Grade 20 6 5 1 6 0 0.0
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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 2 0 2
Grade 5 8 1 9
Grade 6 3 2 5
Grade 7 38 9 47
Grade 8 45 52 97
Grade 9 18 30 48
Grade 10 3 33 36
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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 49 58 107
Grade 12 1 6 7
Grade 13 89 84 173
Grade 14 76 72 148
Grade 15 23 17 40
Grade 16 124 74 198
Grade 17 49 9 58
Grade 18 0 0 0
Grade 19 14 5 19
Grade 20 42 25 67
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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

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

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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 50 30 82 34 33 13 5 2 12 3 0
Nurse 0 0 0 0 82 71 37 37 0 0 21 11 0
Medical Assistant 0 0 50 49 11 11 0 0 0 0 32 0 0
Medical Technologist 0 0 6 4 52 38 8 6 4 3 0 0 0
CHCP 155 151 0 0 155 155 0 0 0 0 0 0 0
HI 20 20 0 0 20 19 0 0 0 0 0 0 0
AHI 0 0 0 0 59 58 0 0 0 0 0 0 0
HA 0 0 0 0 294 273 0 0 0 0 6 0 0
Total 175 171 106 83 755 659 78 56 9 5 71 14 0
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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 Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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

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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 1 0 0 0 1
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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 0 0 12
Laptop 3 1 0 0 4
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 8 0 0 0 8
Scanner 1 0 0 0 1
UPS 5 2 0 0 7
Fax 0 1 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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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 0 0 0 2
OHP 0 0 0 0 0
PA system 1 0 0 0 1
Land phone 2 0 0 0 2
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 Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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Important information and necessary issues you want to raise
I would like to mantion some important information regarding our health status which will help us to achieve good results in near future. 1. Sadar Hospital Doctors vaccant post should be filled up immediately. 2. New post at least three should be created for postmortem and other Medicolegal examination in the district Hospital. 3. All the repairable equipments should be repaired as soon as possible. 4. The existing space of DRS is not adequate for its reservation, so space should be increased immediately. 5. There is no conference & training room in Civil Surgeon Office . A well facilitated conference room & Guest room is necessary for this purpose as soon as possible.
Local Health Bulletin 2016 for Pirojpur Civil Surgeon Office, Pirojpur Sadar, Pirojpur

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