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Preface

Like 2015. I am getting the opportunity again to publish all information of achievements and limitations of health care deliveries at our hospital. This Bulletin is containing all health related informations of 2015 achieved in this district of chandpur and at 250 Bed General hospital, Chandpur. Dissemination of informations of our hospital and district to other line departments and development partners will help for planning and bridging the gaps in the health service deliveries of the district . This bulletin will help us to find out constrains as well as the status of MDG-4 and MDG-5 which will help to localize the MDG targets. Status of Safe drinking water ,Sanitation, Vaccination, and man-power etc. are published in the bulletin . I am taking the opportunity to draw the attention of the higher authority to look into the man-power problem of the 250 Bed District General Hospital. Finally I would like to pay my greetings to the initiator of the health bulletin Software & for setting us one step ahead towards Digital Bangladesh.

Dr. Md. Anwarul Azim
Superitendent
Chandpur 250 Bed General Hospital
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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EDITORIAL BOARD

Chief Editor

Dr. Md. Anwarul Azim, Superintendent


Editors

1. Dr. Md. Anwarul Azim, Superintendent

2. Dr. Mahbub Alam, Asst. Director

Contributors

1. Shefali Rani Bhowmik, Incharge- Male ward

2. Nargis Akter, Incharge- Female ward

3. Mahmuda Akter, Incharge- Gynae ward

4. Ayesha Akter, Incharge- Paediatrics ward

5. Isneara Akter, Incharge- Cabin ward

6. Shamima Afrose, Incharge- O.T .

7. Md. Salamot Ullah, Emmergency

8. Md. Ahsan Habib, Incharge- Out Door

9. Md. Abul Basar Hayder, Store Keeper

10. Asma Akter, Incharge- IMCI


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 Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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Basic Information
Name of the District Chandpur
Organization Code 10000700
Name of Superitendent Dr. Md. Anwarul Azim
Land Phone No. 1 84163293
Land Phone No. 2 N/A
FAX No. N/A
Mobile No. 01711724760
Email chandpur@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 23.2223 And Long: 90.6505
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 2,100



Neonatal Mortality Rate: 35.7 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 4,498
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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

Indicator Hospital Total
Reg. Pregnent Women 3655
At least 1 ANC 3655
ANCs (4+) 1318
Normal Delivery 1774
Cesarean Section 440
Other Assisted Delivery 7
PNC Within 2 days 2221
Maternal Death 2
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 26240 39360 65,600 59904 59780 119,684 86144 99140 185284
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 5811 8717 14,528 17847 15305 33,152 23658 24022 47680
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 5098 3424 8,522 9601 14132 23,733 14699 17556 32255
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 55 44 99 104 84 188 159 128 287
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 8522
No. ICD-10 Code Disease name No. of Cases %
1 J189 J189 Pneumonia, unspecified 2208 25.9
2 J40 J40 Bronchitis, not specified as acute or chronic 1320 15.5
3 A409 A409 Streptococcal septicaemia, unspecified 1056 12.4
4 A930 A930 Oropouche virus disease 492 5.8
5 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 276 3.2

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 14380
No. ICD-10 Code Disease name No. of Cases %
1 I11 I11 Hypertensive heart disease 1500 10.4
2 Y04 Y04 Assault by bodily force 1188 8.3
3 V892 V892 Person injured in unspecified motor-vehicle accident, traffic 432 3.0
4 I64 I64 Stroke, not specified as haemorrhage or infarction 396 2.8
5 J45 J45 Asthma 384 2.7
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 99
No. ICD-10 Code Disease name No. of Cases %
1 P210 P210 Severe birth asphyxia 20 20.2
2 O85 O85 Puerperal sepsis 15 15.2
3 P071 P071 Other low birth weight 15 15.2
4 J189 J189 Pneumonia, unspecified 14 14.1
5 P361 P361 Sepsis of newborn due to other and unspecified streptococci 8 8.1

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 O669 O669 Obstructed labour, unspecified 1 50.0
2 O15 O15 Eclampsia 1 50.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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) 158
No. ICD-10 Code Disease name No. of Cases %
1 I21 I21 Acute myocardial infarction 28 17.7
2 I11 I11 Hypertensive heart disease 21 13.3
3 J449 J449 Chronic obstructive pulmonary disease, unspecified 15 9.5
4 D649 D649 Anaemia, unspecified 10 6.3
5 A41 A41 Other septicaemia 8 5.1
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 94429
Bed Occupancy Rates (%) 103.5
Average Length of Hospital Stay (No. of days per patient) 2.9
Hospital Death Rate (%) 0.9
Surgeries done in the Hospital
Type No.
Major Surgeries 1100
Minor Surgeries 1714
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 1 0 1 0 0.0
Grade 5 11 9 1 10 1 9.1
Grade 6 17 12 2 14 3 17.6
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 36 18 2 20 16 44.4
Grade 10 104 5 50 55 49 47.1
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 14 11 1 12 2 14.3
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 4 3 0 3 1 25.0
Grade 15 5 4 0 4 1 20.0
Grade 16 11 7 1 8 3 27.3
Grade 17 2 2 0 2 0 0.0
Grade 18 1 1 0 1 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 26 20 6 26 0 0.0
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 11 1 12
Grade 6 5 1 6
Grade 7 12 1 13
Grade 8 5 11 16
Grade 9 12 3 15
Grade 10 5 37 42
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 7 0 7
Grade 12 4 0 4
Grade 13 2 0 2
Grade 14 1 0 1
Grade 15 0 0 0
Grade 16 6 2 8
Grade 17 8 4 12
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 14 2 16
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 64 45 0 2
Nurse 104 54 2 7
Medical Assistant 0 0 0 0
Medical Technologist 11 10 0 0
Total 179 109 2 9
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 1 0 2
X-ray machine (300 mA) 0 0 0 0 0
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 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 Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 2 0 0 0 2
Anesthesia machine without ventilator 2 1 0 0 3
Autoclave 3 0 0 0 3
Electric cautery machine 0 0 0 0 0
Diathermy machine 4 8 0 0 12
Operating microscope 1 2 0 0 3
Ceiling mounting OT Light 3 2 0 0 5
Portable OT Light 2 3 0 0 5
Fracture table 0 0 0 0 0
Hydrolic OT Table 5 0 0 0 5
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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) 10 5 0 0 15
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 1 0 0 0 1
ECG machine 3 2 0 0 5
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 16 0 0 0 16
Holter monitor 0 0 0 0 0
Nebulizer machine 20 5 0 0 25
Pulse oximeter 3 0 0 0 3
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 1 0 0 1
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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) 2 3 0 0 5
Colorimeter 0 1 0 0 1
Electrolyte analyzer 0 1 0 0 1
ELISA machine 0 1 0 0 1
Gas analyzer 1 0 0 0 1
Hormone analyzer 0 0 0 0 0
Blood cell counter 0 2 0 0 2
Microscope (binocular) 2 1 0 0 3
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 2 1 0 0 3
Phototherapy unit 2 0 0 0 2
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 0 0 0
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 Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 0 2 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 Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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) 12 5 0 0 17
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 2 0 0 0 2
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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) 0 0 0 0 0
Laptop 0 0 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 0 0 0 0 0
Scanner 0 0 0 0 0
UPS 0 0 0 0 0
Fax 1 1 0 0 2
Intercom 24 24 0 0 48
Internet fixed line 1 0 0 0 1
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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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 0 0 0 0 0
Land phone 0 0 0 0 0
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 Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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Important information and necessary issues you want to raise
I would like to mention here some problems of chandpur 250 bed general hospital which restrict our services . 1. Inadequate infrastructure: Money is allotted for extension of 200 beded structure to 250 bed but for inability to acquire adjacent land infrastructure can not be extended. 2. Shortage of manpower : Consultants, MOs , EMOs , Asstt. Registrar, Nursing Staff, 3rd & 4th class Staff all are deficient. It is very insufficient for proper housekeeping of this large hospital. This bulletin will be a helpful guide for evaluating & monitoring our services and thus improving the health situation of the district in future . Dr. Pradip Kumar Datta Superintendent
Local Health Bulletin 2016 for Chandpur 250 Bed General Hospital, Chandpur Sadar, Chandpur

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