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

Preface

I am very delighted to know that health bulletin on the Rangamati General Hospital is going to be published for the 5th consecutive year. As usual the health bulletin 2015 contains all the health related information of Rangamati General Hospital for the year 2015. We are working hard in line with the government’s plan to improve maternal and neonatal health. Total number of pregnant women taken at least 1 ANC has increased 4 fold in 2015 compared to 2014. Similarly number of children treated under IMCI has increased dramatically—more than ten thousand compared to 2014. Major and minor surgeries also increased. Practically our overall progress is good. However we have a huge shortage of stuff, especially physicians. Again infrastructure of our 100 bed hospital is still is of 50 bed(No information of infrastructure in this bulletin as there is no provision in the given format of the bulletin to give information regarding infrastructure). I like to draw kind attention of the higher authority in this regard. I hope the information given in this bulletin will help the stakeholders to identify the gaps and scopes of improvement to overcome the constraints and drawbacks of the institution.

Dr. Sneha Kanti Chakma
Superitendent
Rangamati General Hospital
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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EDITORIAL BOARD

Chief Editor

Dr.Hena Rani Barua , Sr. Consultant (Gynae)


Special Acknowledgement

1. Dr. Sneha Kanti Chakma, Superintendent

Editors

1. Dr. M A Hay , Junior Consultant (Paediatrics)

2. Dr. Jibesh Chakma, Jr. Consultant (Anes )

3. Dr. Maung Kyaw Thein, RMO

4. Dr.Utpal Barna Chakma, Asst. Reg. (Gynae)

5. All Doctors, General Hospital,Rangamati

Contributors

1. Manjusree Barua, Deputy Nursing Superintendent

2. All Incharge, S.Staf Nurse

3. Rimi Rani Tripura, Off . Ass


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 Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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Basic Information
Name of the District Rangamati
Organization Code 10001088
Name of Superitendent Dr. Sneha Kanti Chakma
Land Phone No. 1 35162119
Land Phone No. 2 035163030
FAX No. N/A
Mobile No. 1712092795
Email rangamati@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 22.6573 And Long: 92.1733
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 819



Neonatal Mortality Rate: 34.2 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 5,867
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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

Indicator Hospital Total
Reg. Pregnent Women 1018
At least 1 ANC 1018
ANCs (4+) 442
Normal Delivery 645
Cesarean Section 190
Other Assisted Delivery 17
PNC Within 2 days 245
Maternal Death 2
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 4089 3448 7,537 21160 22534 43,694 25249 25982 51231
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 794 521 1,315 3122 3608 6,730 3916 4129 8045
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 707 548 1,255 4136 5215 9,351 4843 5763 10606
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 33 28 61 86 62 148 119 90 209
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 1255
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 350 27.9
2 J189 J189 Pneumonia, unspecified 295 23.5
3 A419 A419 Septicaemia, unspecified 70 5.6
4 G039 G039 Meningitis, unspecified 20 1.6
5 A01 A01 Typhoid and paratyphoid fevers 19 1.5

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 5596
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 558 10.0
2 I159 I159 Secondary hypertension, unspecified 284 5.1
3 Y09 Y09 Assault by unspecified means 271 4.8
4 J449 J449 Chronic obstructive pulmonary disease, unspecified 216 3.9
5 N390 N390 Urinary tract infection, site not specified 181 3.2
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 61
No. ICD-10 Code Disease name No. of Cases %
1 P36 P36 Bacterial sepsis of newborn 13 21.3
2 P071 P071 Other low birth weight 12 19.7
3 A419 A419 Septicaemia, unspecified 11 18.0
4 J189 J189 Pneumonia, unspecified 10 16.4
5 G039 G039 Meningitis, unspecified 6 9.8

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 O469 O469 Antepartum haemorrhage, unspecified 2 100.0
2 0.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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) 109
No. ICD-10 Code Disease name No. of Cases %
1 J449 J449 Chronic obstructive pulmonary disease, unspecified 32 29.4
2 I64 I64 Stroke, not specified as haemorrhage or infarction 30 27.5
3 I21 I21 Acute myocardial infarction 23 21.1
4 T609 T609 Pesticide, unspecified 09 8.3
5 I509 I509 Heart failure, unspecified 5 4.6
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 29948
Bed Occupancy Rates (%) 82.0
Average Length of Hospital Stay (No. of days per patient) 2.8
Hospital Death Rate (%) 2.0
Surgeries done in the Hospital
Type No.
Major Surgeries 238
Minor Surgeries 342
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 1 1 0 0.0
Grade 5 4 0 1 1 3 75.0
Grade 6 9 4 0 4 5 55.6
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 17 3 5 8 9 52.9
Grade 10 77 2 56 58 19 24.7
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 7 1 4 5 2 28.6
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 6 1 1 2 4 66.7
Grade 16 6 6 0 6 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 44 28 10 38 6 13.6
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 1 1
Grade 5 2 0 2
Grade 6 1 0 1
Grade 7 1 0 1
Grade 8 3 13 16
Grade 9 6 9 15
Grade 10 2 37 39
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 6 1 7
Grade 12 1 0 1
Grade 13 3 0 3
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 4 2 6
Grade 17 17 5 22
Grade 18 0 0 0
Grade 19 3 0 3
Grade 20 6 2 8
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 31 15 1 0
Nurse 77 64 4 8
Medical Assistant 0 0 0 0
Medical Technologist 7 6 0 0
Total 115 85 5 8
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 1 0 0 1
X-ray machine (300 mA) 0 2 0 0 2
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 0 0 0 0 0
Dental X-ray unit 0 1 0 0 1
Spiral CT Scan 0 0 0 0 0
C-arm 0 0 0 0 0
Mamogram machine 0 0 0 0 0
Dehumidifier 0 1 1 0 2
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 1 0 0 2
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 4 0 0 0 4
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 4 0 0 0 4
Electric cautery machine 0 0 0 0 0
Diathermy machine 4 0 0 0 4
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 4 2 0 0 6
Portable OT Light 6 6 0 0 12
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 4
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 3 1 4 0 8
Sucker machine (electric) 7 4 0 0 11
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 2 3 0 0 5
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 2 0 0 0 2
Nebulizer machine 10 6 0 0 16
Pulse oximeter 2 1 0 0 3
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 1 0 4
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 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) 2 1 1 0 4
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 2 0 0 4
Phototherapy unit 1 3 0 0 4
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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) 1 0 0 0 1
Deep freeze (RBC) 0 0 0 0 0
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 1 0 0 2
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 Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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) 2 1 0 0 3
Air conditioner (window) 4 3 0 0 7
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 2 0 0 4
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 3 0 0 4
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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 1 0 0 15
Laptop 1 1 0 0 2
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 1 0 0 4
Scanner 0 0 0 0 0
UPS 4 4 0 0 8
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 Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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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) 2 1 0 0 3
Multimedia 0 0 0 0 0
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 3 0 0 0 3
Mobile phone 0 1 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 Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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Important information and necessary issues you want to raise
We are trying hard to deliver maximum services within our limited logistics and resources. Last year data shows a dramatic improvement in many aspects compared to previous year. However we failed to deliver services in areas like opthalmology cardiology and orthopedics due to lack of post and consultant. We are afraid we cannot keep the pace of improvement through this year as there is an acute shortage of medical officers. What we need at presents are 1. To fulfill the vacant post of medical officers 2. An orthopedic surgeon 3. To create a post of a cardiologist and fulfill the post 4. More training for doctors and nurses on IMCI, cardiology, EmOC and DM 5. A statistical assistant posted after the post duly created. We cannot but to mention that our hospital will be used for RgMC (Rangamati Medical College) students’ clinical classes from this year until the new medical college hospital is built. So, maintenance and immediate infrastructure development of this hospital deserves an extra attention. We are very happy that our health bulletin 2015 is going to be published uninterrupted. The higher authority as well as the general public can use the information within the bulletin as baseline data to compare our services in future and thereby give us much good advice to help us modify ourselves in a better way.
Local Health Bulletin 2016 for Rangamati General Hospital, Rangamati Sadar Up, Rangamati

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