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

Preface

This is a new innovation and unique thought of present government to make Digital Bangladesh within the year 2021. I feel proud and honored to be a part of this excellent information system organized by DGHS . I also very glad to be published this bulletin about Brahmanbaria district hospital for the year 2015 (January- December) . This bulletin contains all the health related information of this district hospital for the year 2015. It is published to disseminate the information of Brahmanbaria district to other department and heath related development partners and also health department of other district which can initiate and inter district communication to provide data and suggestions for the development of the health care system of the all districts of while Bangladesh. During the last MIS Conference in 2015 we gather much knowledge about Health Bulletin.Thus we tried to make this health bulletin more correct and informative. I hope, all this data provided in this bulletin will help for planning and for the upcoming year and also identify the pitfalls and lacking of current year which can help us to rectify and make opportunity to share this with others.Thus it can help us to identify the strengths,weakness,opportunities and threats related to service delivery which would guide to take necessary action for further improvement. Finlay I would like to give my heart full thanks to all the people who worked for this bulletin to make it perfect informative and easy to realize.

Dr. Md. Showkat Hossain
Superitendent
Brahmanbaria 250 Bed District Sadar Hospital
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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EDITORIAL BOARD

Chief Editor

DR. MD.SHOWKAT HOSSAIN, Superintendent(In-charge)


Special Acknowledgement

1. Dr. Rana Nuros Shams, R.M.O

Editors

1. Dr. K.M Humayoun Kabir, R.M.O

Contributors

1. Md. Ikram Hossain, Statistical Officer (In-charge)


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 Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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Basic Information
Name of the District Brahmanbaria
Organization Code 10000672
Name of Superitendent Dr. Md. Showkat Hossain
Land Phone No. 1 85159282
Land Phone No. 2 N/A
FAX No. 85158503
Mobile No. 01730324766
Email brahmanbaria@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 24.0446 And Long: 91.1353
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
District Hospital 1 250
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 1,088



Neonatal Mortality Rate: 39.5 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 39,688
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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

Indicator Hospital Total
Reg. Pregnent Women 19048
At least 1 ANC 19048
ANCs (4+) 4762
Normal Delivery 566
Cesarean Section 607
Other Assisted Delivery 263
PNC Within 2 days 7377
Maternal Death 9
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 30423 31969 62,392 106525 114174 220,699 136948 146143 283091
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 3915 3217 7,132 27374 22363 49,737 31289 25580 56869
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 3289 2026 5,315 10021 10954 20,975 13310 12980 26290
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 44 44 88 199 169 368 243 213 456
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 6137
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1350 22.0
2 J18 J18 Pneumonia, organism unspecified 997 16.2
3 P36 P36 Bacterial sepsis of newborn 437 7.1
4 P21 P21 Birth asphyxia 229 3.7
5 P07 P07 Disorders related to short gestation and low birth weight, NEC 141 2.3

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 198163
No. ICD-10 Code Disease name No. of Cases %
1 J44 J44 Other chronic obstructive pulmonary disease 1371 0.7
2 K27 K27 Peptic ulcer, site unspecified 876 0.4
3 F60 F60 Specific personality disorders 620 0.3
4 Z82 Z82 Family history of certain disabilities and chronic diseases leading to disablement 420 0.2
5 I63 I63 Cerebral infarction 23 0.0
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 83
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 21 25.3
2 P36 P36 Bacterial sepsis of newborn 13 15.7
3 P21 P21 Birth asphyxia 11 13.3
4 P07 P07 Disorders related to short gestation and low birth weight, NEC 7 8.4
5 E43 E43 Unspecified severe protein-energy malnutrition 4 4.8

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 12
No. ICD-10 Code Disease name No. of Cases %
1 O15 O15 Eclampsia 4 33.3
2 T81 T81 Complications of procedures, NEC 2 16.7
3 O66 O66 Other obstructed labour 1 8.3
4 O75 O75 Other complications of labour and delivery, NEC 1 8.3
5 O07 O07 Failed attempted abortion 1 8.3
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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) 317
No. ICD-10 Code Disease name No. of Cases %
1 I61 I61 Intracerebral haemorrhage 53 16.7
2 I46 I46 Cardiac arrest 28 8.8
3 T44 T44 Poisoning by drugs primarily affecting the autonomic nervous system 17 5.4
4 J44 J44 Other chronic obstructive pulmonary disease 13 4.1
5 K71 K71 Toxic liver disease 7 2.2
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 82537
Bed Occupancy Rates (%) 90.5
Average Length of Hospital Stay (No. of days per patient) 3.1
Hospital Death Rate (%) 1.7
Surgeries done in the Hospital
Type No.
Major Surgeries 2774
Minor Surgeries 1508
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 1 0 0 0 1 100.0
Grade 5 11 8 1 9 2 18.2
Grade 6 12 8 2 10 2 16.7
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 37 24 6 30 7 18.9
Grade 10 160 4 70 74 86 53.8
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 15 10 0 10 5 33.3
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 5 4 0 4 1 20.0
Grade 15 7 3 1 4 3 42.9
Grade 16 13 6 3 9 4 30.8
Grade 17 2 1 0 1 1 50.0
Grade 18 1 1 0 1 0 0.0
Grade 19 1 1 0 1 0 0.0
Grade 20 66 42 19 61 5 7.6
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 6 1 7
Grade 5 8 2 10
Grade 6 3 0 3
Grade 7 10 2 12
Grade 8 11 14 25
Grade 9 4 8 12
Grade 10 52 4 56
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 10 0 10
Grade 12 1 1 2
Grade 13 3 0 3
Grade 14 2 1 3
Grade 15 1 0 1
Grade 16 5 3 8
Grade 17 18 9 27
Grade 18 1 0 1
Grade 19 9 3 12
Grade 20 18 7 25
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 57 47 4 1
Nurse 165 75 3 1
Medical Assistant 0 0 0 0
Medical Technologist 7 6 0 0
Total 229 128 7 2
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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) 0 0 0 0 0
X-ray machine (300 mA) 0 0 1 0 1
X-ray machine (500 mA) 1 0 0 0 1
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 1 0 0 0 1
Dental X-ray unit 1 0 0 0 1
Spiral CT Scan 0 0 0 0 0
C-arm 1 0 0 0 1
Mamogram machine 0 0 0 0 0
Dehumidifier 0 0 0 0 0
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 2 1 0 0 3
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 3 4 0 0 7
Anesthesia machine without ventilator 0 1 0 0 1
Autoclave 1 2 4 0 7
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 3 1 0 6
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 0 0 0 1
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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) 3 0 0 0 3
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 1 0 1 3
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 1 0 0 0 1
Holter monitor 0 0 0 0 0
Nebulizer machine 2 0 3 0 5
Pulse oximeter 0 0 0 0 0
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 0 1 0 0 1
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 1 0 0 0 1
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 4 0 0 5
Colorimeter 1 1 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) 1 1 0 0 2
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 1 4 0 0 5
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 0 0 2 0 2
Phototherapy unit 0 01 0 0 1
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 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) 0 0 0 0 0
Deep freeze (RBC) 0 0 0 0 0
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 0 4 0 5
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 Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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) 24 6 0 0 30
Air conditioner (window) 11 5 0 0 16
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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) 2 0 0 0 2
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 Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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 20 32
Laptop 4 0 0 0 4
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 1 0 0 4
Scanner 1 0 0 0 1
UPS 7 0 3 8 18
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 Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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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) 0 0 0 0 0
Multimedia 0 0 0 0 0
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 1 0 0 0 1
Mobile phone 1 0 0 0 1
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 Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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Important information and necessary issues you want to raise
Though our efforts was maximum to improve the health care delivery system in Brahmanbaria 250 bed District Sadar Hospital but due to some unsolved reasons it was not up to our satisfaction. So I would to like to mention some recommendation & suggestion to improve the health status of the Brahmanbaria District. The vacant post should be filled up immediately. All health care providers including Doctors, Nurse need more training. All the repairable equipments should be repaired as soon as possible. New medical equipment including CT Scan should provided. Infrastructure of health care facilities should be developed, separate IPS should be supplied to operation theater and different wards. There are shortage of Doctors and Senior Stuff Nurse. At least 15 senior stuff nurse were under deputation by Seba Poridaptor. Another Ambulance is necessary for better service of the peoples.There are inadequate budget allotments for gas, electricity and fuel. For this huge amount of unpaid bill is remained, which is a painful situation for the local authority. We hope our higher authority will take necessary action about the above mention issues.
Local Health Bulletin 2016 for Brahmanbaria 250 Bed District Sadar Hospital, Brahmanbaria Sadar, Brahmanbaria

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