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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 Cox's Bazar.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 data in day to day health service delivery, which are stored in file. 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 us one step ahead towards digital Bangladesh.

Dr. Pu Chaw Nu
Superitendent
Cox's Bazar 250 Bed District Sadar Hospital
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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EDITORIAL BOARD

Chief Editor

Dr Pu Chaw Nu, Superintendent


Special Acknowledgement

1. Dr. Pu Chaw Nu, Superintendent (Incharge)

Editors

1. Salim Ullah, Statistical Officer (incharge)

Contributors

1. Tuser Khanti Pual, Head Asstt.

2. Abul Kalam Mostasin, Store Keeper

3. Anjali Ray Chy, Supervisor


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 Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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Basic Information
Name of the District Cox's Bazar
Organization Code 10000922
Name of Superitendent Dr. Pu Chaw Nu
Land Phone No. 1 034163884
Land Phone No. 2 N/A
FAX No. 03413906
Mobile No.
Email coxsbazar@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 21.4381 And Long: 92.0087
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 2,981



Neonatal Mortality Rate: 78.5 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 21,993
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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

Indicator Hospital Total
Reg. Pregnent Women 0
At least 1 ANC 4347
ANCs (4+) 342
Normal Delivery 1134
Cesarean Section 1904
Other Assisted Delivery 109
PNC Within 2 days 3147
Maternal Death 11
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 77670 108739 186,409 59651 64622 124,273 137321 173361 310682
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 29664 41530 71,194 22782 24681 47,463 52446 66211 118657
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 18913 26478 45,391 14526 15737 30,263 33439 42215 75654
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 3137
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1664 53.0
2 J21 J21 Acute bronchiolitis 631 20.1
3 J189 J189 Pneumonia, unspecified 369 11.8
4 J180 J180 Bronchopneumonia, unspecified 334 10.6
5 D56 D56 Thalassaemia 139 4.4

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 10963
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 4408 40.2
2 Y09 Y09 Assault by unspecified means 2411 22.0
3 J449 J449 Chronic obstructive pulmonary disease, unspecified 2130 19.4
4 I10 I10 Essential (primary) hypertension 1136 10.4
5 V899 V899 Person injured in unspecified vehicle accident 878 8.0
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 236
No. ICD-10 Code Disease name No. of Cases %
1 J189 J189 Pneumonia, unspecified 68 28.8
2 J180 J180 Bronchopneumonia, unspecified 50 21.2
3 A419 A419 Septicaemia, unspecified 46 19.5
4 P21 P21 Birth asphyxia 37 15.7
5 P369 P369 Bacterial sepsis of newborn, unspecified 35 14.8

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 11
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 3 27.3
2 O85 O85 Puerperal sepsis 3 27.3
3 O15 O15 Eclampsia 2 18.2
4 O469 O469 Antepartum haemorrhage, unspecified 2 18.2
5 O71 O71 Other obstetric trauma 1 9.1
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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) 326
No. ICD-10 Code Disease name No. of Cases %
1 J45 J45 Asthma 107 32.8
2 J180 J180 Bronchopneumonia, unspecified 76 23.3
3 A419 A419 Septicaemia, unspecified 70 21.5
4 R570 R570 Cardiogenic shock 45 13.8
5 G049 G049 Encephalitis, myelitis and encephalomyelitis, unspecified 28 8.6
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 229920
Bed Occupancy Rates (%) 252.0
Average Length of Hospital Stay (No. of days per patient) 3.0
Hospital Death Rate (%) 0.0
Surgeries done in the Hospital
Type No.
Major Surgeries 918
Minor Surgeries 1338
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 12 7 0 7 5 41.7
Grade 6 14 6 2 8 6 42.9
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 36 18 4 22 14 38.9
Grade 10 92 1 61 62 30 32.6
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 16 9 0 9 7 43.8
Grade 12 0 0 0 0 0 0.0
Grade 13 1 0 0 0 1 100.0
Grade 14 4 4 0 4 0 0.0
Grade 15 5 1 0 1 4 80.0
Grade 16 14 4 1 5 9 64.3
Grade 17 0 0 0 0 0 0.0
Grade 18 1 0 0 0 1 100.0
Grade 19 1 0 0 0 1 100.0
Grade 20 40 15 7 22 18 45.0
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 4 0 4
Grade 5 7 0 7
Grade 6 4 2 6
Grade 7 9 0 9
Grade 8 8 15 23
Grade 9 2 9 11
Grade 10 3 40 43
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 0 0 0
Grade 13 3 0 3
Grade 14 2 0 2
Grade 15 0 0 0
Grade 16 4 0 4
Grade 17 11 4 15
Grade 18 0 0 0
Grade 19 2 1 3
Grade 20 0 1 1
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 62 55 01 4
Nurse 113 82 01 7
Medical Assistant 0 0 0 0
Medical Technologist 11 7 0 0
Total 186 144 2 11
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 0 0 0
X-ray machine (500 mA) 1 1 0 0 2
X-ray machine (digital) 1 0 0 0 1
X-ray machine (portable) 2 1 0 0 3
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 3 0 0 0 3
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 5 3 0 1 9
Autoclave 4 1 0 0 5
Electric cautery machine 2 0 0 0 2
Diathermy machine 6 3 0 0 9
Operating microscope 1 0 0 0 1
Ceiling mounting OT Light 5 2 0 0 7
Portable OT Light 5 2 0 0 7
Fracture table 1 0 0 0 1
Hydrolic OT Table 5 1 0 0 6
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 5 0 0 0 5
Sucker machine (electric) 10 2 0 0 12
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 2 2 0 0 4
ECG machine 02 2 2 0 6
Echocardiogram machine 1 0 0 0 1
Cardiac monitor 4 1 1 0 6
Holter monitor 0 0 0 0 0
Nebulizer machine 10 0 0 0 10
Pulse oximeter 6 5 0 0 11
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 2 1 0 0 3
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 2 0 0 0 2
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 1 0 0 0 1
Centrifuge machine (electric) 2 0 0 0 2
Colorimeter 1 0 0 0 1
Electrolyte analyzer 0 2 0 0 2
ELISA machine 0 0 0 0 0
Gas analyzer 0 2 0 0 2
Hormone analyzer 0 0 0 0 0
Blood cell counter 0 0 0 0 0
Microscope (binocular) 3 1 0 0 4
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 2 0 0 0 2
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 4 0 0 4
Phototherapy unit 6 0 0 0 6
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 1 0 0 1
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 2 1 0 0 3
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 Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 1 0 3
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 1 0 0 0 1
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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) 30 3 0 0 33
Air conditioner (window) 18 2 0 0 20
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 1 0 0 3
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 6 0 0 0 6
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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) 40 3 0 0 43
Laptop 1 0 0 0 1
Printer (dot matrix) 1 0 0 0 1
Printer (inkjet) 1 0 0 0 1
Printer (laser) 10 3 0 0 13
Scanner 2 0 0 0 2
UPS 1 3 0 0 4
Fax 1 1 0 0 2
Intercom 24 0 0 0 24
Internet fixed line 0 1 0 0 1
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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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 2 0 0 0 2
PA system 0 0 0 0 0
Land phone 6 0 0 0 6
Mobile phone 1 0 0 0 1
Photocopier machine 1 1 0 0 2
Digital camera 1 0 0 0 1
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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Important information and necessary issues you want to raise
Important issues and recommendations for Cox's Bazar district hospital: 1. Shortage of human resources: 250 bedded hospital is running with sanctioned post of 100 bedded hospital and with shortage of staffs. Staff pattern should be sanctioned as 250 bedded hospital with immediate placement for smooth running of the hospital. 2. Capacity building: Doctors, nurse & paramedics need to provide adequate training for smooth 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 of 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.
Local Health Bulletin 2016 for Cox's Bazar 250 Bed District Sadar Hospital, Cox's Bazar Sadar, Cox's Bazar

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