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Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

Unique land of scenic beauty, District of tea and tourism, with a good religious and cultural heritage, Moulovibazar, situated in the northeast corner of Bangladesh with a boarder with Kacchar district of India. Majority of the tea garden (92), number of unique tourist spots with two water falls Ham Ham in Kamalganj and Madhabkundo in Barlekha, Shamoly echo park and natural resource of forests like Agar plant, in addition foreigners, and hard working patriotic manpower working abroad contributing reasonably in the national economy. Health care delivery system comprises with Community clinic to 250 beded modern hospital, along with reasonable expert and trained medical personnel builds it up. But instead of all available health facilities maternal mortality ratio is higher than national and nutritional status is low. Valid immunization coverage is not upto the mark. So Special Attention should be given to improvise all these sectors. We are publishing this health bulletin in the basis of Available data with reasonable analysis, but still we have some limitation and lacking which we commit to overcome next.

Dr. Satyakam Chakraborty
Civil Surgeon
Moulvibazar Civil Surgeon Office
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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EDITORIAL BOARD

Chief Editor

Dr. Satyakam Chakraborty, Civil Surgeon


Special Acknowledgement

1. Md. Kamrul Hasan, Deputy Commissioner,(DC) Moulvibazar

2. Dr. Md. Akbar Hossain Chowdhury, Superintendent, 250 Bed Hospital, Moulvibazar

Editors

1. Dr. Md. Zahidul Islam, MOCS & ICT Focal Point

Contributors

1. Ahijit Das, Statistical Asstt.


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 Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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Basic Information
Name of District Maulvibazar
Organization Code 10002115
Name of Civil SurgeonDr. Satyakam Chakraborty
Land Phone No. 1 086152296
Land Phone No. 2 N/A
FAX No. 086163730
Mobile No. 01715039504
Email moulvibazar@cs.dghs.gov.bd
GPS location of CS Office Lati: 24.4804 And Long: 91.7659
No. of Upazila in the District7
No. of Households in the District 330894
Population in the District 1851402
Area of District in sq km 2747.63
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 0 0
District Hospital 1 250
General Hospital 0 0
Upazila Health Complexes 7 193
Union Sub Centers 20 0
Union Health & Family Welfare Centers (under DGHS) 45 0
Union Health & Family Welfare Centers (under DGFP) 36 0
Rural Dispensaries 0 0
Community Clinics 179 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 10
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 21 239
NGO Clinics/Facilities 7 106
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 44,541



Neonatal Mortality Rate: 15.2 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 214,570
Fully Vaccinated Children (<= 12 months): 97 %
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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 Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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 48601 48601
At least 1 ANC 0 13872 5827 320 2766 0 25584 48369
ANCs (4+) 0 4148 1798 151 2092 0 10755 18944
Normal Delivery 0 5948 718 1265 1296 0 31565 40792
Cesarean Section 0 246 62 191 3950 0 0 4449
Other Assisted Delivery 0 110 0 0 15 0 315 440
PNC Within 2 days 0 7968 1930 514 5248 0 12367 28027
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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 0 0 8 0 93 103
Total Deliveries 0 6304 780 1456 5261 0 31880 45681
Valid TT5 Coverage (%) 97
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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 34350 39273 73,623 335182 556391 891,573 369532 595664 965196
Union Sub-Centers 29374 31077 60,451 104456 137871 242,327 133830 168948 302778
Union Health & Family Welfare Centers (under DGHS) 3829 5148 8,977 13810 9582 23,392 17639 14730 32369
Union Health & Family Welfare Centers (belong to DGFP) 2013 2035 4,048 18083 59412 77,495 20096 61447 81543
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 71054 81957 153,011 343620 574683 918,303 414674 656640 1071314
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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) 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 1 1 2 109 66 175 110 67 177
Private Clinics/Facilities 1836 1657 3,493 622 557 1,179 2458 2214 4672
NGO Clinics/Facilities 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 Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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 9112 8761 17,873 34956 27064 62,020 44068 35825 79893
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 Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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 4191 5410 9,601 11092 15342 26,434 15283 20752 36035
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 15 19 34 539 1176 1,715 554 1195 1749
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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 9 13 22 17 22 39 26 35 61
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 2 1 3 2 1 3
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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 8411
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2503 29.8
2 J18 J18 Pneumonia, organism unspecified 1733 20.6
3 J189 J189 Pneumonia, unspecified 1234 14.7
4 R50 R50 Fever of unknown origin 624 7.4
5 P219 P219 Birth asphyxia, unspecified 215 2.6

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 18631
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2608 14.0
2 K27 K27 Peptic ulcer, site unspecified 1492 8.0
3 F419 F419 Anxiety disorder, unspecified 553 3.0
4 J46 J46 Status asthmaticus 461 2.5
5 J18 J18 Pneumonia, organism unspecified 368 2.0
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 27
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 12 44.4
2 J189 J189 Pneumonia, unspecified 2 7.4
3 A419 A419 Septicaemia, unspecified 2 7.4
4 P21 P21 Birth asphyxia 2 7.4
5 J21 J21 Acute bronchiolitis 2 7.4

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 O15 O15 Eclampsia 1 50.0
2 A419 A419 Septicaemia, unspecified 1 50.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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) 32
No. ICD-10 Code Disease name No. of Cases %
1 I219 I219 Acute myocardial infarction, unspecified 9 28.1
2 J46 J46 Status asthmaticus 5 15.6
3 D64 D64 Other anaemias 2 6.3
4 I10 I10 Essential (primary) hypertension 2 6.3
5 A419 A419 Septicaemia, unspecified 1 3.1
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 95.0
Coverage of households having access to sanitary latrines (%) 92.0
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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Surgeries done under the CS Office
Type No.
Major Surgeries 246
Minor Surgeries 16252
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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 21 15 1 16 5 23.8
Grade 7 3 3 0 3 0 0.0
Grade 8 46 19 25 44 2 4.3
Grade 9 26 21 4 25 1 3.8
Grade 10 48 4 36 40 8 16.7
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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 58 45 4 49 9 15.5
Grade 12 0 0 0 0 0 0.0
Grade 13 148 80 53 133 15 10.1
Grade 14 97 62 30 92 5 5.2
Grade 15 64 55 7 62 2 3.1
Grade 16 258 133 119 252 6 2.3
Grade 17 37 28 9 37 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 17 11 4 15 2 11.8
Grade 20 96 64 26 90 6 6.3
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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 01 0 0 0 1 100.0
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 5 3 1 4 1 20.0
Grade 10 3 2 0 2 1 33.3
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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 1 2 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 5 4 1 5 0 0.0
Grade 15 1 1 0 1 0 0.0
Grade 16 4 3 1 4 0 0.0
Grade 17 2 1 1 2 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 5 5 0 5 0 0.0
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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 1 0 1
Grade 6 9 0 9
Grade 7 13 3 16
Grade 8 43 33 76
Grade 9 5 10 15
Grade 10 15 22 37
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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 41 11 52
Grade 12 30 9 39
Grade 13 165 105 270
Grade 14 76 48 124
Grade 15 30 6 36
Grade 16 61 57 118
Grade 17 43 22 65
Grade 18 4 1 5
Grade 19 4 3 7
Grade 20 29 6 35
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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

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

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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 77 53 72 54 0 0 0 0 46 11 0
Nurse 0 0 0 0 69 40 0 0 0 0 40 8 5
Medical Assistant 0 0 75 44 11 11 0 0 0 0 45 0 0
Medical Technologist 0 0 19 5 42 28 0 0 0 0 1 0 0
CHCP 199 182 0 0 0 0 0 0 0 0 0 0 17
HI 0 0 0 0 20 13 0 0 0 0 3 0 0
AHI 0 0 0 0 61 58 0 0 0 0 9 0 0
HA 0 0 0 0 305 286 0 0 0 0 30 0 8
Total 199 182 171 102 580 490 0 0 0 0 174 19 30
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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 Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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) 3 0 0 0 3
Air conditioner (window) 0 0 0 0 0
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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 1 0 0 1
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 2 0 0 0 2
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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) 9 0 7 0 16
Laptop 1 0 2 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 0 3 0 7
Scanner 1 0 0 0 1
UPS 4 0 6 0 10
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 Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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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 1 0 0 0 1
PA system 0 00 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 Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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Important information and necessary issues you want to raise
We are really glad to publish this health bulletin at last. Publihsing this health bulletin we have to face some difficulties namely all the upozila managers are new in their position, they are not trained or motivated. Few of the supporting stuffs are not committed enough. Disruption of the internet connection with power failure needs to be mentioned specially. Last of all, interpretation of data and some terms in the rout level need to be clarify. Recomendatons- Separate MIS unit should be set in Civil Surgeon office. More than One High speed internet Connection should be ensure in all health facilities. Definition of all terms and items should be slandered. Yearly Refreshers training should be arranged in district level by MIS unit. To combate To improvise Maternal mortality, Nutritonal deficiency, Low valid EPI coverage can be improvised by rapid recruitment of Manpower, training and refreshers training of existing man power, establishment of blood bank in all upozilas and district hospital, establishment of SCANU in all 50bed hospitals with skilled manpower, provision of award and remuneration among the field stuffs for their better performance. Good referral system with a well equipped ambulance should be ensured in each upozilla.
Local Health Bulletin 2016 for Moulvibazar Civil Surgeon Office, Maulvibazar Sadar, Maulvibazar

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