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

Preface

It is my pleasure to publish this health bulletin of Sadar Hospital Bandarban.This bulletin contains all the health information of 2015. It is published to disseminate the information of district hospital to other line department and development partners of health.I hope all the information in this bulletin will help for planning and bridging the gaps in health service delivery of district hospital. Government health office produces a number of data in day to day health service delivery, which are stored in files. This health bulletin will reveal the existing health care delivery situation, identity the limitations or constraints and ways to overcome. Finally, I would like to congratulate the initiator of this health bulletin software for setting one step ahead towards digital Bangladesh. Bandarban District Hospital.Superintendent, Bandarban Sadar Hospital.

Dr.Uday Sankar Chakma
Superitendent
Bandarban District Hospital
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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EDITORIAL BOARD

Chief Editor

Dr.Uday Sankar Chakma, Superintended


Special Acknowledgement

1. Comol Bikas Chakma, Heade Assestent

Editors

1. Dr.Probir Chandra Bonick, RMO

Contributors

1. Mong Chaneo Marma, statistician


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 Bandarban District Hospital, Bandarban Sadar, Bandarban

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Basic Information
Name of the District Bandarban
Organization Code 10000655
Name of Superitendent Dr.Uday Sankar Chakma
Land Phone No. 1 36162544
Land Phone No. 2 N/A
FAX No. N/A
Mobile No. 01746215350
Email bandarban@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 21.7444 And Long: 92.3814
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 Bandarban District Hospital, Bandarban Sadar, Bandarban

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 248



Neonatal Mortality Rate: 36.3 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 10,713
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 Bandarban District Hospital, Bandarban Sadar, Bandarban

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

Indicator Hospital Total
Reg. Pregnent Women 819
At least 1 ANC 819
ANCs (4+) 420
Normal Delivery 237
Cesarean Section 22
Other Assisted Delivery 83
PNC Within 2 days 342
Maternal Death 2
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 8139 6658 14,797 14818 18839 33,657 22957 25497 48454
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 3488 2853 6,341 6350 8073 14,423 9838 10926 20764
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 973 796 1,769 2390 2655 5,045 3363 3451 6814
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 19 13 32 1 24 25 20 37 57
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 1548
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 512 33.1
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 320 20.7
3 B34 B34 Viral infection of unspecified site 230 14.9
4 P07 P07 Disorders related to short gestation and low birth weight, NEC 184 11.9
5 P36 P36 Bacterial sepsis of newborn 68 4.4

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 3159
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 723 22.9
2 K74 K74 Fibrosis and cirrhosis of liver 513 16.2
3 J44 J44 Other chronic obstructive pulmonary disease 501 15.9
4 J22 J22 Unspecified acute lower respiratory infection 432 13.7
5 B34 B34 Viral infection of unspecified site 182 5.8
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 32
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 14 43.8
2 P07 P07 Disorders related to short gestation and low birth weight, NEC 3 9.4
3 P36 P36 Bacterial sepsis of newborn 3 9.4
4 P21 P21 Birth asphyxia 3 9.4
5 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2 6.3

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 02
No. ICD-10 Code Disease name No. of Cases %
1 O65 O65 Obstructed labour due to maternal pelvic abnormality 1 50.0
2 O085 O085 Metabolic disorders following abortion and ectopic and molar pregnancy 1 50.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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) 14
No. ICD-10 Code Disease name No. of Cases %
1 J44 J44 Other chronic obstructive pulmonary disease 3 21.4
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2 14.3
3 X48 X48 Accidental poisoning by and exposure to pesticides 2 14.3
4 K74 K74 Fibrosis and cirrhosis of liver 2 14.3
5 I50 I50 Heart failure 2 14.3
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 21843
Bed Occupancy Rates (%) 59.8
Average Length of Hospital Stay (No. of days per patient) 3.2
Hospital Death Rate (%) 0.8
Surgeries done in the Hospital
Type No.
Major Surgeries 84
Minor Surgeries 904
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 0 0 0 0 0 0.0
Grade 5 4 0 0 0 4 100.0
Grade 6 6 2 1 3 3 50.0
Grade 7 3 3 0 3 0 0.0
Grade 8 21 8 13 21 0 0.0
Grade 9 5 0 5 5 0 0.0
Grade 10 16 0 16 16 0 0.0
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 6 4 2 6 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 4 4 0 4 0 0.0
Grade 14 1 0 1 1 0 0.0
Grade 15 4 1 3 4 0 0.0
Grade 16 2 2 0 2 0 0.0
Grade 17 9 3 6 9 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 3 0 3 3 0 0.0
Grade 20 3 1 2 3 0 0.0
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 0 0 0
Grade 5 0 0 0
Grade 6 2 1 3
Grade 7 3 0 3
Grade 8 8 13 21
Grade 9 0 3 3
Grade 10 0 16 16
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 4 2 6
Grade 12 0 0 0
Grade 13 4 0 4
Grade 14 0 1 1
Grade 15 1 3 4
Grade 16 2 0 2
Grade 17 3 6 9
Grade 18 0 0 0
Grade 19 0 3 3
Grade 20 1 2 3
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 21 11 3 2
Nurse 37 34 8 10
Medical Assistant 0 0 0 0
Medical Technologist 3 3 0 0
Total 61 48 11 12
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 1 0 0 2
X-ray machine (500 mA) 1 1 0 0 2
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 0 0 0 0 0
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 Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 1 3 0 0 4
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 1 1 0 0 2
Anesthesia machine without ventilator 1 1 0 0 2
Autoclave 2 1 0 0 3
Electric cautery machine 1 0 0 0 1
Diathermy machine 1 0 0 0 1
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 0 0 0 1
Portable OT Light 4 1 0 0 5
Fracture table 2 1 0 0 3
Hydrolic OT Table 1 1 0 0 2
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 0 0 0 0 0
Sucker machine (electric) 3 0 0 0 3
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 3 0 0 0 3
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 0 0 0 0 0
Pulse oximeter 0 0 0 0 0
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 1 0 0 2
Colorimeter 1 2 0 0 3
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 1 0 4
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 2 0 0 0 2
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 1 0 1 0 2
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 0 0 2 0 2
Blood plasma separating machine 0 0 0 0 0
Platelet separating machine 0 0 0 0 0
Deep freeze (plasma) 1 1 0 0 2
Deep freeze (RBC) 0 0 0 0 0
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 1 2 0 0 3
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 Bandarban District Hospital, Bandarban Sadar, Bandarban

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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) 7 0 0 0 7
Air conditioner (window) 0 0 0 0 0
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 1 0 0 2
Generator (Gas) 0 0 0 0 0
Solar panel 1 0 0 0 1
IPS 0 0 0 0 0
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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) 14 12 0 0 26
Laptop 1 0 0 0 1
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 2 0 0 8
Scanner 1 0 0 0 1
UPS 12 10 2 0 24
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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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 1 0 0 2
Multimedia 0 0 0 0 0
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 1 0 1 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 Bandarban District Hospital, Bandarban Sadar, Bandarban

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Important information and necessary issues you want to raise
Important issues and recommendations for Bandarban district hospital: 1. Shortage of human resources: 100 bedded hospital is running with sanctioned post of 50 bedded hospital and with shortage of staffs.A rapidly growing tourist district hospital is running without the placement of the following key positions: Anesthesiologist, Medicine and Orthopedic consultants. Staff pattern should be sanctioned as 100 bedded hospital with immediate placement for smooth running of the hospital. 2. Capacity building: Doctors, nurse & paramedics need to provide and adequate training for smooth discharge of service delivery & up-gradation of new development in medical science. 3. Shortage of equipment & logistics: All essential life saving equipment & logistics related to service delivery should be provided. 4. Encouragement: health care delivery staffs working in this district hospital are most neglected and deprived in all aspects comparing national standard. Incentive system like foreign training, promotion, better posting, appreciation, recognition etc should be provided to encourage them. A systematic and organized health service encouragement scheme or policy can enhance better health care delivery in this district hospital. 5. Infrastructure: (a) Construction of infrastructure considering the requirement of the hospital for better and smooth functioning is crucial. (b) Immediate posting of one anesthesiologist is very crucial for full functioning of EOC.Finally, I am very happy to prepare this health bulletin 2015, because this document will help us to compare our progress in upcoming years and with other district hospital . This bulletin is a very useful document and will help public to understand the health service of the district and to provide useful information & suggestions for further improvement of ongoing health care delivery system of the district in the years coming. Thank you all Dr.Uday Sankar Chakma Superintendent Sadar Hospital Bandarban Hill Distri
Local Health Bulletin 2016 for Bandarban District Hospital, Bandarban Sadar, Bandarban

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