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

Preface

I am very pleased to inform you all that our annual health bulletin is well prepared now and it is satisfactory enough to deliver the whole scenario of our hospital. Among 64 District of Bangladesh, Gaibandha is a densely populated district of 2.5 million resident. Most of the people of this locality is below standard socio-economic conditions and are deprived of quality life. As Gaibandha town and major portion of this district is far away from the national highway, it is called pocket district also. So, Private health service is also not rich here. That’s why District hospital has to play the vital role in providing medical service to the great number of people in any situation. But Quality health service delivery is yet a challange in my hospital due to many reasons. We need to overcome some important constraints specially the acute human resource crisis as an immediate measure . The vacant post should be filled and manpower for 100 bedded hospital should be provided immediately . Our Doctors & Nurses need more training on IMCI & EmOC . All the repairable equipment should be repaired as soon as possible . MSR amount and storage facility is still inadequate. Despite having various limitations, Our hospital is always trying to provide quality health service to the people of Gaibandha . Comparative service data study of various sectors showing the development of medical service and it is obviously satisfactory. Finally I am very happy to publish this health bulletin of 2017 because this document will help us to compare our progress in upcoming years.

Dr. Amal chandra Saha
Superitendent
Gaibandha District Hospital
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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EDITORIAL BOARD

Editors

1. Dr. Md. Saidur Rahman, Dental Surgeon

2. Dr. Shahinul Islam , RMO

3. Dr. Abdul Kader , Jr. Consultant (Orthopaedics)

Contributors

1. Md. Haider Ali Akondo, Head assistant

2. Swapna Rani Pramanik, Senior Staff Nurse

3. Rabeya Begum , Senior Staff Nurse

4. Md. Asaduzzaman, Senior Staff Nurse


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 Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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Basic Information
Name of the District Gaibandha
Organization Code 10001254
Name of Superitendent Dr. Amal chandra Saha
Land Phone No. 1 054161516
Land Phone No. 2 N/A
FAX No. N/A
Mobile No. 01730324806
Email gaibandha@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 25.3291 And Long: 89.5370
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
District Hospital 01 100
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 873



Neonatal Mortality Rate: 92.8 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 10,570
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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

Indicator Hospital Total
Reg. Pregnent Women 2990
At least 1 ANC 2990
ANCs (4+) 93
Normal Delivery 798
Cesarean Section 117
Other Assisted Delivery 02
PNC Within 2 days 963
Maternal Death 09
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 13480 16651 30,131 45391 57237 102,628 58871 73888 132759
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 1455 1588 3,043 9035 9428 18,463 10490 11016 21506
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 3025 1839 4,864 07720 010039 17,759 10745 11878 22623
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 72 41 113 102 107 209 174 148 322
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 4864
No. ICD-10 Code Disease name No. of Cases %
1 P90 P90 Convulsions of newborn 1250 25.7
2 J40 J40 Bronchitis, not specified as acute or chronic 980 20.1
3 D561 D561 Beta thalassaemia 896 18.4
4 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 889 18.3
5 A419 A419 Septicaemia, unspecified 849 17.5

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 7163
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 4211 58.8
2 Y09 Y09 Assault by unspecified means 1482 20.7
3 K52 K52 Other noninfective gastroenteritis and colitis 1201 16.8
4 J459 J459 Asthma, unspecified 201 2.8
5 T47 T47 Poisoning by agents primarily affecting the gastrointestinal system 68 0.9
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 91
No. ICD-10 Code Disease name No. of Cases %
1 P21 P21 Birth asphyxia 47 51.6
2 J13 J13 Pneumonia due to Streptococcus pneumoniae 12 13.2
3 A419 A419 Septicaemia, unspecified 12 13.2
4 R57 R57 Shock, NEC 11 12.1
5 J15 J15 Bacterial pneumonia, NEC 09 9.9

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 09
No. ICD-10 Code Disease name No. of Cases %
1 O15 O15 Eclampsia 3 33.3
2 O20 O20 Haemorrhage in early pregnancy 2 22.2
3 O45 O45 Premature separation of placenta [abruptio placentae] 2 22.2
4 O72 O72 Postpartum haemorrhage 1 11.1
5 O85 O85 Puerperal sepsis 1 11.1
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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) 38
No. ICD-10 Code Disease name No. of Cases %
1 I21 I21 Acute myocardial infarction 13 34.2
2 I64 I64 Stroke, not specified as haemorrhage or infarction 10 26.3
3 X68 X68 Intentional self-poisoning by and exposure to pesticides 7 18.4
4 V99 V99 Unspecified transport accident 5 13.2
5 X97 X97 Assault by smoke, fire and flames 3 7.9
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 51679
Bed Occupancy Rates (%) 141.6
Average Length of Hospital Stay (No. of days per patient) 2.3
Hospital Death Rate (%) 1.4
Surgeries done in the Hospital
Type No.
Major Surgeries 245
Minor Surgeries 621
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 01 01 0 1 0 0.0
Grade 5 10 0 0 0 10 100.0
Grade 6 11 06 01 7 4 36.4
Grade 7 0 0 0 0 0 0.0
Grade 8 19 03 02 5 14 73.7
Grade 9 01 0 01 1 0 0.0
Grade 10 39 05 30 35 4 10.3
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 09 07 02 9 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 02 01 0 1 1 50.0
Grade 14 05 03 01 4 1 20.0
Grade 15 07 05 0 5 2 28.6
Grade 16 11 05 0 5 6 54.5
Grade 17 0 0 0 0 0 0.0
Grade 18 01 0 0 0 1 100.0
Grade 19 02 0 0 0 2 100.0
Grade 20 21 12 04 16 5 23.8
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 01 0 1
Grade 5 02 0 2
Grade 6 04 0 4
Grade 7 06 0 6
Grade 8 01 07 8
Grade 9 01 02 3
Grade 10 06 25 31
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 04 01 5
Grade 12 04 0 4
Grade 13 03 01 4
Grade 14 02 0 2
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 10 02 12
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 02 0 2
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 42 13 0 02
Nurse 37 35 0 04
Medical Assistant 0 0 0 0
Medical Technologist 6 6 0 0
Total 85 54 0 6
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 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 Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 2 0 0 3
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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

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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 6 0 6
Sucker machine (electric) 6 0 0 0 6
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 1 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 3 0 0 5 8
Pulse oximeter 2 1 0 0 3
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 0 1 0 1
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 5 0 0 7
Colorimeter 1 0 2 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 0 0 0 2
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 0 0 0 1
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 1 0 4
Phototherapy unit 1 1 0 0 2
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 1 1 0 0 2
Blood bank refrigerator 0 2 0 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 Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 0 0 0 0 0
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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) 5 5 0 0 10
Air conditioner (window) 11 9 2 0 22
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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) 12 0 0 20 32
Laptop 0 2 0 0 2
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 8 0 0 4 12
Scanner 1 0 0 0 1
UPS 12 0 0 20 32
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 1 0 0 0 1
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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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 0 0 0 0 0
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 2 0 0 0 2
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 Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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Important information and necessary issues you want to raise
Quality health service delivery is yet a challange in my hospital due to many reasons. We need to overcome some important constraints specially the acute human resource crisis as an immediate measure . The vacant post should be filled and manpower for 100 bedded hospital should be provided immediately . Our Doctors & Nurses need more training on IMCI & EmOC . Our office staff also need more training to increase their their capability to run our office smoothly. All the repairable equipment should be repaired as soon as possible . MSR amount and storage facility is still inadequate.
Local Health Bulletin 2016 for Gaibandha District Hospital, Gaibandha Sadar, Gaibandha

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