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

Preface

Health Bulletin is a very good step of MIS,branch of DGHS. It is an important part of digitization of Health systems of Bangladesh. Health Bulletin is a reflection of the achievement of heath service activities of the country for a specific Year. Bangladesh is improving day by day for the successful leadership of present Government,As a result ministry of health is also improving and this kinds of initiatives is the evidence of success. We wish successful journey of MIS of DGHS to reach the Goal of "Digital Bangladesh".

Dr.Debapada Roy
Civil Surgeon
Habiganj Civil Surgeon Office
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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EDITORIAL BOARD

Chief Editor

Dr.Debapada Roy, Civil Surgeon,Habiganj


Special Acknowledgement

1. Dr.Md.Moklhlesur Rahman, M.O,Cs

Editors

1. Mrs.Dilara Khanam, Statistical Assistant.

Contributors

1. Md.Shahed Ali, 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 Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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Basic Information
Name of District Habiganj
Organization Code 10002070
Name of Civil SurgeonDr.Debapada Roy
Land Phone No. 1 83162002
Land Phone No. 2 083162003
FAX No. 0831-62002
Mobile No. 01711158937
Email habiganj@cs.dghs.gov.bd
GPS location of CS Office Lati: N/A And Long: N/A
No. of Upazila in the District8
No. of Households in the District 364218
Population in the District 2117510
Area of District in sq km 2439
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 8 236
Union Sub Centers 18 18
Union Health & Family Welfare Centers (under DGHS) 13 0
Union Health & Family Welfare Centers (under DGFP) 50 0
Rural Dispensaries 0 0
Community Clinics 189 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 10
Chest Disease (TB) Clinics/Hospitals 0 0
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 11 140
NGO Clinics/Facilities 0 0
10 Bed Hospitals 8 80
20 Bed Hospitals 3 60
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 56,718



Neonatal Mortality Rate: 21.1 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 342,086
Fully Vaccinated Children (<= 12 months): 95 %
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 5265 3813 10352 1249 2222 3362 36911 63174
At least 1 ANC 5265 3813 10348 1249 2222 3362 28999 55258
ANCs (4+) 585 2080 4759 573 1008 762 16145 25912
Normal Delivery 3230 2199 5290 1114 829 739 39735 53136
Cesarean Section 545 10 432 0 2421 137 0 3545
Other Assisted Delivery 0 22 0 0 0 382 0 404
PNC Within 2 days 4585 2309 5722 1114 3250 1258 17182 35420
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 11 0 10 0 3 0 67 91
Total Deliveries 3775 2231 5722 1114 3250 1258 39735 57085
Valid TT5 Coverage (%) 98.0
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 47350 58950 106,300 14150 15480 29,630 61500 74430 135930
Upazila Health Complex 37035 43214 80,249 114078 139103 253,181 151113 182317 333430
Union Sub-Centers 9139 10138 19,277 50687 75538 126,225 59826 85676 145502
Union Health & Family Welfare Centers (under DGHS) 10609 12388 22,997 46101 64038 110,139 56710 76426 133136
Union Health & Family Welfare Centers (belong to DGFP) 20600 25154 45,754 86237 158722 244,959 106837 183876 290713
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 92330 122357 214,687 464901 1037686 1,502,587 557231 1160043 1717274
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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) 1950 2185 4,135 1092 10134 11,226 3042 12319 15361
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 1855 1739 3,594 22314 25646 47,960 24169 27385 51554
NGO Clinics/Facilities 3019 3462 6,481 9991 19204 29,195 13010 22666 35676
10 Bed Hospitals 50 46 96 3035 7053 10,088 3085 7099 10184
20 Bed Hospitals 2105 1693 3,798 3279 18593 21,872 5384 20286 25670
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 Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 6580 6650 13,230 850 980 1,830 7430 7630 15060
Upazila Health Complex 08557 4252 12,809 24925 14571 39,496 33482 18823 52305
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 Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 13100 16350 29,450 5505 5820 11,325 18605 22170 40775
Upazila Health Complex 4215 3887 8,102 12804 17364 30,168 17019 21251 38270
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 8 0 8 228 2357 2,585 236 2357 2593
20 Bed Hospitals 363 381 744 893 1226 2,119 1256 1607 2863
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 Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 120 140 260 290 371 661 410 511 921
Upazila Health Complex 14 24 38 36 33 69 50 57 107
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 Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 19931
No. ICD-10 Code Disease name No. of Cases %
1 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 4590 23.0
2 J129 J129 Viral pneumonia, unspecified 2447 12.3
3 J18 J18 Pneumonia, organism unspecified 2433 12.2
4 J45 J45 Asthma 428 2.1
5 A010 A010 Typhoid fever 60 0.3

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 40406
No. ICD-10 Code Disease name No. of Cases %
1 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 8760 21.7
2 Y09 Y09 Assault by unspecified means 4960 12.3
3 K26 K26 Duodenal ulcer 3543 8.8
4 V892 V892 Person injured in unspecified motor-vehicle accident, traffic 1446 3.6
5 T60 T60 Toxic effect of pesticides 1140 2.8
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 502
No. ICD-10 Code Disease name No. of Cases %
1 P210 P210 Severe birth asphyxia 283 56.4
2 P369 P369 Bacterial sepsis of newborn, unspecified 47 9.4
3 P071 P071 Other low birth weight 46 9.2
4 J18 J18 Pneumonia, organism unspecified 34 6.8
5 J11 J11 Influenza, virus not identified 14 2.8

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 91
No. ICD-10 Code Disease name No. of Cases %
1 O720 O720 Third-stage haemorrhage 25 27.5
2 O72 O72 Postpartum haemorrhage 13 14.3
3 O152 O152 Eclampsia in the puerperium 12 13.2
4 O159 O159 Eclampsia, unspecified as to time period 11 12.1
5 K559 K559 Vascular disorder of intestine, unspecified 4 4.4
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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) 300
No. ICD-10 Code Disease name No. of Cases %
1 I63 I63 Cerebral infarction 55 18.3
2 J44 J44 Other chronic obstructive pulmonary disease 48 16.0
3 I21 I21 Acute myocardial infarction 47 15.7
4 J44 J44 Other chronic obstructive pulmonary disease 44 14.7
5 T60 T60 Toxic effect of pesticides 30 10.0
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 90.0
Coverage of households having access to sanitary latrines (%) 85.0
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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Surgeries done under the CS Office
Type No.
Major Surgeries 1104
Minor Surgeries 5678
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 0 0 0 0 0 0.0
Grade 6 41 17 4 21 20 48.8
Grade 7 3 1 1 2 1 33.3
Grade 8 50 25 9 34 16 32.0
Grade 9 51 23 14 37 14 27.5
Grade 10 101 2 37 39 62 61.4
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 11 154 56 11 67 87 56.5
Grade 12 0 0 0 0 0 0.0
Grade 13 13 13 0 13 0 0.0
Grade 14 269 147 115 262 7 2.6
Grade 15 73 67 0 67 6 8.2
Grade 16 387 211 96 307 80 20.7
Grade 17 1 1 0 1 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 1 1 0 1 0 0.0
Grade 20 159 88 39 127 32 20.1
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 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 4 2 0 2 2 50.0
Grade 10 8 4 3 7 1 12.5
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 1 0 1 0 0.0
Grade 12 1 0 0 0 1 100.0
Grade 13 1 1 0 1 0 0.0
Grade 14 5 3 1 4 1 20.0
Grade 15 2 2 0 2 0 0.0
Grade 16 6 6 0 6 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 4 03 0 3 1 25.0
Grade 20 7 5 2 7 0 0.0
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 5 0 5
Grade 6 4 2 6
Grade 7 14 4 18
Grade 8 40 14 54
Grade 9 13 11 24
Grade 10 3 35 38
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 44 9 53
Grade 12 7 0 7
Grade 13 110 13 123
Grade 14 136 116 252
Grade 15 55 10 65
Grade 16 125 76 201
Grade 17 25 13 38
Grade 18 4 1 5
Grade 19 11 6 17
Grade 20 53 16 69
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 1 0 1
Grade 6 0 0 0
Grade 7 2 0 2
Grade 8 0 1 1
Grade 9 1 0 1
Grade 10 5 1 6
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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

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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 69 51 78 47 0 0 0 0 31 20 30
Nurse 0 0 0 0 115 38 0 0 0 0 10 22 12
Medical Assistant 0 0 60 31 14 11 0 0 0 0 30 0 2
Medical Technologist 0 0 19 3 50 26 0 0 0 0 2 0 0
CHCP 220 218 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 18 17 0 0 0 0 0 0 0
AHI 0 0 0 0 66 65 0 0 0 0 0 0 0
HA 0 0 0 0 330 266 0 0 164 125 0 0 0
Total 220 218 148 85 671 470 0 0 164 125 73 42 44
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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) 2 0 0 0 2
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 1 0 0 6
Laptop 2 2 1 0 5
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 3 0 0 6
Scanner 1 0 0 0 1
UPS 3 3 0 0 6
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 Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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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 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 Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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Important information and necessary issues you want to raise
Extension of civil surgeon Office.Accommodation facilities of the 0fficers and staff.Renovation of Residence of civil surgeon. Boundary wall of EPI store. Conference room for civil surgeon office.
Local Health Bulletin 2016 for Habiganj Civil Surgeon Office, Habiganj Sadar, Habiganj

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