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

Preface

I am very glad to publish this health bulletin of sylhet district. This bulletin contains almost all the health related events and information of year 2015. This bulletin is published with the aim to disseminate the information to organize the department and development partners of health under the same shade. I hope all the information provided here will help for planning and bridging the gap in health services of different upazilla in this district as well as national level. The edition of health bulletin shows at a glance view of our achievements and find out the constrains of year 2016. It also contains the status of MDG4 & MDG5 which will help to achieve the MDG target with an aim to reach Sustained Development Goal ( SDG) in future.

Dr.Md.Habibur Rahman
Civil Surgeon
Sylhet Civil Surgeon Office
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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EDITORIAL BOARD

Chief Editor

Dr .Habibur Rahman, Civil Surgeon


Editors

1. Dr. Ahmad Sirajum Munir, Medical Officer & ICT Focal point

2. Md. Farid Uddin, Statistical Assistant


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 Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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Basic Information
Name of District Sylhet
Organization Code 10002197
Name of Civil SurgeonDr.Md.Habibur Rahman
Land Phone No. 1 0821716308
Land Phone No. 2 0821716313
FAX No. N/A
Mobile No. 01711300871
Email sylhet@cs.dghs.gov.bd
GPS location of CS Office Lati: 24.9008 And Long: 91.8684
No. of Upazila in the District12
No. of Households in the District 554149
Population in the District 3578269
Area of District in sq km 3490
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 5 3375
District Hospital 1 100
General Hospital 0 0
Upazila Health Complexes 12 398
Union Sub Centers 14 0
Union Health & Family Welfare Centers (under DGHS) 11 0
Union Health & Family Welfare Centers (under DGFP) 64 0
Rural Dispensaries 0 0
Community Clinics 253 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 20
Chest Disease (TB) Clinics/Hospitals 1 56
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 56 1081
NGO Clinics/Facilities 19 70
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 99,309



Neonatal Mortality Rate: 19.1 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 488,126
Fully Vaccinated Children (<= 12 months): 97 %
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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 Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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 6632 7088 13463 8855 0 65024 101062
At least 1 ANC 0 8282 7088 18303 8855 0 58534 101062
ANCs (4+) 0 3433 4278 10193 7801 0 22198 47903
Normal Delivery 0 6489 4791 3608 6612 0 64009 85509
Cesarean Section 0 188 2286 2680 9140 0 0 14294
Other Assisted Delivery 0 8 11 0 7 0 28 54
PNC Within 2 days 0 6724 6548 12767 12822 0 20590 59451
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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 0 22 2 33 0 77 134
Total Deliveries 0 6685 7088 6288 15759 0 64037 99857
Valid TT5 Coverage (%) 93
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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 056972 66933 123,905 180469 272668 453,137 237441 339601 577042
Union Sub-Centers 19123 21273 40,396 90494 131282 221,776 109617 152555 262172
Union Health & Family Welfare Centers (under DGHS) 156400 17488 173,888 87863 129367 217,230 244263 146855 391118
Union Health & Family Welfare Centers (belong to DGFP) 598940 72454 671,394 102000 210099 312,099 700940 282553 983493
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 1489930 167079 1,657,009 651213 1232447 1,883,660 2141143 1399526 3540669
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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) 568 1500 2,068 156 3087 3,243 724 4587 5311
Chest Disease (TB) Clinics/Hospitals 350 404 754 4264 2462 6,726 4614 2866 7480
Private Clinics/Facilities 32070 156435 188,505 87472 115380 202,852 119542 271815 391357
NGO Clinics/Facilities 35127 40683 75,810 84267 180834 265,101 119394 221517 340911
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 103425 115752 219,177 84812 114484 199,296 188237 230236 418473
Any other health facility 359 294 653 1470 1145 2,615 1829 1439 3268
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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 11149 11391 22,540 53898 45536 99,434 65047 56927 121974
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 11259 12308 23,567 30450 35321 65,771 41709 47629 89338
Any other health facility 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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 7243 6772 14,015 12061 22857 34,918 19304 29629 48933
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 312 142 454 312 142 454
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 17373 30640 48,013 11424 18218 29,642 28797 48858 77655
Any other health facility 0 0 0 206 41 247 206 41 247
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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 36 42 78 21 24 45 57 66 123
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 16 5 21 16 5 21
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 352 267 619 357 263 620 709 530 1239
Any other health facility 0 0 0 1 0 1 1 0 1
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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 13374
No. ICD-10 Code Disease name No. of Cases %
1 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 4606 34.4
2 J189 Pneumonia, unspecified 4043 30.2
3 B349 B349 Viral infection, unspecified 309 2.3
4 A010 Typhoid fever 180 1.3
5 J459 J459 Asthma, unspecified 136 1.0

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 25866
No. ICD-10 Code Disease name No. of Cases %
1 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 5200 20.1
2 J449 J449 Chronic obstructive pulmonary disease, unspecified 1414 5.5
3 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 1275 4.9
4 J459 J459 Asthma, unspecified 438 1.7
5 Y009 Assault by blunt object, unspecified place 400 1.5
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 76
No. ICD-10 Code Disease name No. of Cases %
1 J189 J189 Pneumonia, unspecified 50 65.8
2 P219 P219 Birth asphyxia, unspecified 12 15.8
3 P369 P369 Bacterial sepsis of newborn, unspecified 6 7.9
4 A419 A419 Septicaemia, unspecified 5 6.6
5 A010 A010 Typhoid fever 2 2.6

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 134
No. ICD-10 Code Disease name No. of Cases %
1 0.0
2 0.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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) 71
No. ICD-10 Code Disease name No. of Cases %
1 J449 J449 Chronic obstructive pulmonary disease, unspecified 22 31.0
2 A150 A150 Tuberculosis of lung, confirmed by sputum microscopy with or without culture 22 31.0
3 I219 I219 Acute myocardial infarction, unspecified 5 7.0
4 I679 I679 Cerebrovascular disease, unspecified 3 4.2
5 I469 I469 Cardiac arrest, unspecified 3 4.2
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 53.0
Coverage of households having access to sanitary latrines (%) 89.0
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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Surgeries done under the CS Office
Type No.
Major Surgeries 279
Minor Surgeries 13478
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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 2 1 0 1 1 50.0
Grade 6 80 51 25 76 4 5.0
Grade 7 8 3 0 3 5 62.5
Grade 8 72 33 30 63 9 12.5
Grade 9 97 63 34 97 0 0.0
Grade 10 170 15 75 90 80 47.1
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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 11 200 82 22 104 96 48.0
Grade 12 3 2 0 2 1 33.3
Grade 13 4 3 0 3 1 25.0
Grade 14 404 200 139 339 65 16.1
Grade 15 118 111 4 115 3 2.5
Grade 16 540 272 136 408 132 24.4
Grade 17 2 2 0 2 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 8 5 0 5 3 37.5
Grade 20 307 151 64 215 92 30.0
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 5 4 0 4 1 20.0
Grade 10 6 4 1 5 1 16.7
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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 3 2 0 2 1 33.3
Grade 13 1 1 0 1 0 0.0
Grade 14 14 9 3 12 2 14.3
Grade 15 6 5 0 5 1 16.7
Grade 16 4 2 2 4 0 0.0
Grade 17 1 1 0 1 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 3 2 0 2 1 33.3
Grade 20 13 10 1 11 2 15.4
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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 1 0 1
Grade 5 19 14 33
Grade 6 13 13 26
Grade 7 40 11 51
Grade 8 69 71 140
Grade 9 31 12 43
Grade 10 33 25 58
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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 62 25 87
Grade 12 14 8 22
Grade 13 320 139 459
Grade 14 119 105 224
Grade 15 52 13 65
Grade 16 65 29 94
Grade 17 51 26 77
Grade 18 0 0 0
Grade 19 11 4 15
Grade 20 94 34 128
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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

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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 6 1 7
Grade 12 2 0 2
Grade 13 8 2 10
Grade 14 2 2 4
Grade 15 3 0 3
Grade 16 1 0 1
Grade 17 6 1 7
Grade 18 1 0 1
Grade 19 1 0 1
Grade 20 6 1 7
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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 96 93 139 120 0 0 16 13 12 9 0
Nurse 0 0 0 0 121 57 0 0 35 28 6 11 0
Medical Assistant 0 0 96 53 21 14 0 0 0 0 0 29 0
Medical Technologist 0 0 0 0 61 36 0 0 5 5 0 0 0
CHCP 286 263 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 31 31 0 0 0 0 0 0 0
AHI 0 0 0 0 94 94 0 0 0 0 0 0 0
HA 0 0 0 0 470 364 0 0 0 0 0 0 14
Total 286 263 192 146 937 716 0 0 56 46 18 49 14
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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

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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) 3 0 0 0 3
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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 Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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 3 0 0 12
Laptop 3 0 0 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 1 0 0 7
Scanner 1 0 0 0 1
UPS 9 0 0 0 9
Fax 0 0 1 0 1
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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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 1 0 0 0 1
Land phone 4 0 0 0 4
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 Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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Important information and necessary issues you want to raise
Last year we could not give our maximum efforts to improve the Health status due to many reasons. Keeping those error in mind we tried our best to overcome those barrier which I would like to mention below.1) Our vacant posts are now occupied although there are still some vacancy for Nurse and Technologists.2) Some of our Doctors recently received some training of IMCI , health nutrition and population program but service providers like Medical Assistant, Nurse and CHCP need more training to refresh their skills.3) Number of bed Capacity of Health Complexes should increase. 4. Upa -zilla like Jaintapur, and Zakiganj increased to 50 bedded Hospital structurally but necessary measures should be taken to start the Indoor service and adequate staffs like Nurse, Doctors should be provided. 5. All the reparable equipment's should be repaired at once when possible. 6. Female Health Assistant need CSBA training in all Upozilla. In this Bulletin page 19 contain only Upozila level Information.and page 07&09 contain the information including NGO,private clinics& other health facilities in Sylhet City Corporation without information of Govt medical College & Sada Hospital .I am very happy to write this bulletin 2015 because this will act as a document that will help us to boost our progresses in upcoming years. Besides this, this will help us to chalk out pit falls that needs to be improved in future.
Local Health Bulletin 2016 for Sylhet Civil Surgeon Office, Sylhet Sadar, Sylhet

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