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HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

The latest edition of Health Bulletin of General Hospital, Munshiganj is come into light highlighting the activities performed and the goals achieved by this organization in 2015 through some statistical characters and it's a matter of great pleasure for me to inform you that. I believe that it surely help assess the progress made by this organization in this year. I would take it as a benchmark for the credibility of all the employee of this organization. General Hospital, Munshiganj is functioning as 100 bedded hospital with having staff structure of 50 bedded hospital. In this year we've tried to scale up the coverage of services and to enhance performances by successfully implementing the health strategies and interventions. We were very careful and aware of incorporating the correct, classified and accurate data in this edition. Lastly I would like to gratefully thanks and convey my gratitude to MIS for their supportive help and to the initiator and the people working behind this monstrous task.

Dr. Md. Shahidul Islam
Superitendent
Munshiganj District Hospital
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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EDITORIAL BOARD

Chief Editor

Dr. Md Shahidul Islam, Superintendent


Special Acknowledgement

1. Md. Firoz Al-Mamun, Senior Health Education Officer

Editors

1. Dr. S.M Shakhawat Hossain, Residential Medical Officer

Contributors

1. Abu Naser Bapary, Office 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 Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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Basic Information
Name of the District Munshiganj
Organization Code 10000328
Name of Superitendent Dr. Md. Shahidul Islam
Land Phone No. 1 027610477
Land Phone No. 2 027611189
FAX No. 027610424
Mobile No. 01730324783
Email munshiganj@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 23.5249 And Long: 90.3372
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
District Hospital 1 100
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 1,074



Neonatal Mortality Rate: 1.9 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 38,432
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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No. of Maternal Health Services Provided (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 Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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No. of Maternal Health Services Provided (Jan-Dec, 2015)

Indicator Hospital Total
Reg. Pregnent Women 3417
At least 1 ANC 3417
ANCs (4+) 2492
Normal Delivery 503
Cesarean Section 594
Other Assisted Delivery 2
PNC Within 2 days 2515
Maternal Death 0
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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 12914 14690 27,604 50308 65776 116,084 63222 80466 143688
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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 4908 5686 10,594 21095 22744 43,839 26003 28430 54433
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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 970 1376 2,346 5538 7845 13,383 6508 9221 15729
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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 8 6 14 48 25 73 56 31 87
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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 2346
No. ICD-10 Code Disease name No. of Cases %
1 R509 R509 Fever, unspecified 184 7.8
2 J18 J18 Pneumonia, organism unspecified 133 5.7
3 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 107 4.6
4 J219 J219 Acute bronchiolitis, unspecified 72 3.1
5 A41 A41 Other septicaemia 68 2.9

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 19608
No. ICD-10 Code Disease name No. of Cases %
1 K29 K29 Gastritis and duodenitis 2106 10.7
2 J44 J44 Other chronic obstructive pulmonary disease 1517 7.7
3 I110 I110 Hypertensive heart disease with (congestive) heart failure 1274 6.5
4 T00 T00 Superficial injuries involving multiple body regions 557 2.8
5 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 402 2.1
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 14
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 6 42.9
2 A41 A41 Other septicaemia 3 21.4
3 E46 E46 Unspecified protein-energy malnutrition 1 7.1
4 P07 P07 Disorders related to short gestation and low birth weight, NEC 1 7.1
5 W70 W70 Drowning and submersion following fall into natural water 1 7.1

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 Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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) 67
No. ICD-10 Code Disease name No. of Cases %
1 I219 I219 Acute myocardial infarction, unspecified 8 11.9
2 I64 I64 Stroke, not specified as haemorrhage or infarction 7 10.4
3 J44 J44 Other chronic obstructive pulmonary disease 6 9.0
4 T60 T60 Toxic effect of pesticides 3 4.5
5 V892 V892 Person injured in unspecified motor-vehicle accident, traffic 2 3.0
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 40512
Bed Occupancy Rates (%) 111.0
Average Length of Hospital Stay (No. of days per patient) 2.6
Hospital Death Rate (%) 0.6
Surgeries done in the Hospital
Type No.
Major Surgeries 769
Minor Surgeries 6436
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
DH/GH
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 4 2 0 2 2 50.0
Grade 5 0 0 0 0 0 0.0
Grade 6 6 5 1 6 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 12 9 1 10 2 16.7
Grade 9 0 0 0 0 0 0.0
Grade 10 33 5 26 31 2 6.1
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
DH/GH
Grade 11 8 6 1 7 1 12.5
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 2 2 0 2 0 0.0
Grade 15 8 4 1 5 3 37.5
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 0 0 0 0 0 0.0
Grade 20 21 10 11 21 0 0.0
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
DH/GH
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 2 0 2
Grade 5 3 1 4
Grade 6 1 0 1
Grade 7 2 1 3
Grade 8 12 8 20
Grade 9 0 5 5
Grade 10 7 18 25
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
DH/GH
Grade 11 3 0 3
Grade 12 0 0 0
Grade 13 1 0 1
Grade 14 1 0 1
Grade 15 1 0 1
Grade 16 1 0 1
Grade 17 6 8 14
Grade 18 0 0 0
Grade 19 2 0 2
Grade 20 3 0 3
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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Status of Human Resources under DGHS updated during this report preparation
Man
power		 Hospital
Total		 IM-
CI
Trai-
ned		 Basic
EOC
Trai-
ned
San-
cti-
on-
ed		 Fill-
ed-
up
Physician 22 18 1 1
Nurse 33 28 1 6
Medical Assistant 0 0 0 0
Medical Technologist 3 3 0 0
Total 58 49 2 7
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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.)
Radiology equipment
X-ray machine (100 mA) 1 0 0 0 1
X-ray machine (300 mA) 1 0 0 0 1
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 1 0 0 0 1
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 0 0 0 0 0
C-arm 0 0 0 0 0
Mamogram machine 0 0 0 0 0
Dehumidifier 0 0 0 0 0
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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.)
Radiology equipment
MRI machine 0 0 0 0 0
Ultrasonogram machine 3 1 1 0 5
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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.)
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 4 1 0 0 5
Autoclave 2 3 0 0 5
Electric cautery machine 0 0 0 0 0
Diathermy machine 3 2 0 0 5
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 1 0 0 2
Portable OT Light 1 1 0 0 2
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 0 0 0 2
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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.)
Anesthesiology/surgical equipment
Sterilizer 1 0 0 0 1
Sucker machine (electric) 4 2 0 0 6
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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.)
Cardiology equipment
Coronary angiogram machine 0 0 0 0 0
Debrililator 0 0 0 0 0
ECG machine 1 3 3 0 7
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 2 6 0 0 8
Pulse oximeter 6 0 1 0 7
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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.)
Dental equipment
Dental unit 1 1 0 0 2
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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.)
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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.)
Lab equipment
Biochemical auto-analyzer 0 0 0 0 0
Centrifuge machine (electric) 1 0 1 0 2
Colorimeter 2 0 0 0 2
Electrolyte analyzer 0 0 0 0 0
ELISA machine 0 0 0 0 0
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 0 0 0 0 0
Microscope (binocular) 2 1 0 0 3
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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.)
Obstetric equipment
Fetal monitor 0 0 0 0 0
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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.)
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 0 0 0 0 0
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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.)
Pediatric equipment
Baby incubator 1 1 0 0 2
Phototherapy unit 0 1 1 0 2
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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.)
Blood bank equipment
Blood bag centrifuge 0 0 0 0 0
Laminar flow hood 0 0 0 0 0
pH meter 0 0 0 0 0
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 1 1 0 0 2
Blood plasma separating machine 0 0 0 0 0
Platelet separating machine 0 0 0 0 0
Deep freeze (plasma) 0 0 0 0 0
Deep freeze (RBC) 1 0 0 0 1
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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.)
Urology equipment
Cystoscopic machine 0 0 0 0 0
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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 2 2 0 0 4
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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 1 0 0 4
Air conditioner (window) 10 1 0 0 11
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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 Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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 0 0 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 1 2 0 0 3
Scanner 2 0 0 0 2
UPS 10 0 2 0 12
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 Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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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 0 0 0 0 0
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 2 1 0 0 3
Mobile phone 0 0 0 0 0
Photocopier machine 1 0 0 0 1
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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Important information and necessary issues you want to raise
1) No store house for unserviceable goods. 2) 20 (twenty) post of Cleaner is Necessary. 3) 06 (six) post of consultant remaining vacant. 4) 01(One) post of Emergency Medical Officer remaining vacant. 5) Quick response of H E D not available for repair work. Suggestions to improve service 1) Fund for small repair works should be allotted. 2) Regular transfer of all categories staffs should be done. 3) Post of Indoor Medical Officer should be created. 4) Post of Statistical Officer should be created. 5) Extension of hospital building is necessary. 6) Police force is to be deployed for control of visitor & violenc
Local Health Bulletin 2016 for Munshiganj District Hospital, Munshiganj Sadar, Munshiganj

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