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Preface

I am happy to see that a Health Bulletin of health services of Thakurgaon District 2016 is going to be published. This Bulletin will deliver the statistical information of different health programs. A section of the Health Bulletin will also cover morbidity and mortality data. The bulletin also contains the MDG 4 and MDG 5 which will help to localize the MDG targets. A large number of people seek health care from private providers and their data has been inadequately covered. However, despite some limitations the contents of this Health Bulletin are rich and useful to provide an overview of the health situation of the district.I am sure that the health policy makers, planners and program managers will definitely see this Health Bulletin as one of the good resources of the health sector of Thakurgaon district. I am deeply indebted and grateful to all those who contributed to this Bulletin. Finally I would like to congratulate the initiator of the Health Bulletin software for setting us one step ahead toward Digital Bangladesh. Dr.Md.Nazrul Islam Superintendent Thakurgaon District Hospital

DR.MD.NAZRUL ISLAM
Superitendent
Thakurgaon District Hospital
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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EDITORIAL BOARD

Chief Editor

Dr. Md. Nazrul Islam, Superintendent


Special Acknowledgement

1. Dr. Md. Nazrul Islam, Superintendent

Editors

1. Dr.Md.Tozamemel Haque, Sr. Consultant(Medicine)

2. Dr.Md.Rustom Ali, RMO

3. Md. Anower Sadat, Statistician

Contributors

1. Joyanta Kumar Sen, Head Asstt. Cum Accountant

2. Md. Ali Hosain, Cashier

3. Mahabubur Rashid, HA(Incharge SK)


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 Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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Basic Information
Name of the District Thakurgaon
Organization Code 10001687
Name of Superitendent DR.MD.NAZRUL ISLAM
Land Phone No. 1 56152021
Land Phone No. 2 N/A
FAX No. 056153460
Mobile No. 01762614383
Email thakurgaon@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 26.0241 And Long: 88.4597
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 1,928



Neonatal Mortality Rate: 140.0 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 5,806
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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

Indicator Hospital Total
Reg. Pregnent Women 3575
At least 1 ANC 3575
ANCs (4+) 693
Normal Delivery 1388
Cesarean Section 551
Other Assisted Delivery 26
PNC Within 2 days 6150
Maternal Death 3
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 20225 20967 41,192 52222 59578 111,800 72447 80545 152992
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 304 158 462 5080 3155 8,235 5384 3313 8697
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 11681 6408 18,089 10899 9084 19,983 22580 15492 38072
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 168 135 303 161 75 236 329 210 539
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 11586
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 4523 39.0
2 J18 J18 Pneumonia, organism unspecified 4448 38.4
3 A419 A419 Septicaemia, unspecified 1628 14.1
4 B34 B34 Viral infection of unspecified site 526 4.5
5 J219 J219 Acute bronchiolitis, unspecified 461 4.0

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 5667
No. ICD-10 Code Disease name No. of Cases %
1 Y009 Y009 Assault by blunt object, unspecified place 2314 40.8
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1018 18.0
3 B34 B34 Viral infection of unspecified site 870 15.4
4 I21 I21 Acute myocardial infarction 812 14.3
5 S098 S098 Other specified injuries of head 653 11.5
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 272
No. ICD-10 Code Disease name No. of Cases %
1 P21 P21 Birth asphyxia 114 41.9
2 P071 P071 Other low birth weight 86 31.6
3 A419 A419 Septicaemia, unspecified 45 16.5
4 J18 J18 Pneumonia, organism unspecified 22 8.1
5 P22 P22 Respiratory distress of newborn 5 1.8

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 3
No. ICD-10 Code Disease name No. of Cases %
1 O150 O150 Eclampsia in pregnancy 2 66.7
2 D64 D64 Other anaemias 1 33.3
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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) 126
No. ICD-10 Code Disease name No. of Cases %
1 I21 I21 Acute myocardial infarction 50 39.7
2 I679 I679 Cerebrovascular disease, unspecified 30 23.8
3 J449 J449 Chronic obstructive pulmonary disease, unspecified 18 14.3
4 I23 I23 Certain current complications following acute myocardial infarction 16 12.7
5 S099 S099 Unspecified injury of head 12 9.5
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 101581
Bed Occupancy Rates (%) 278.3
Average Length of Hospital Stay (No. of days per patient) 2.7
Hospital Death Rate (%) 1.4
Surgeries done in the Hospital
Type No.
Major Surgeries 803
Minor Surgeries 16277
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 4 1 0 1 3 75.0
Grade 6 6 4 0 4 2 33.3
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 13 4 1 5 8 61.5
Grade 10 39 0 37 37 2 5.1
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 10 4 2 6 4 40.0
Grade 12 0 0 0 0 0 0.0
Grade 13 2 1 0 1 1 50.0
Grade 14 4 2 0 2 2 50.0
Grade 15 2 2 0 2 0 0.0
Grade 16 7 0 1 1 6 85.7
Grade 17 1 0 0 0 1 100.0
Grade 18 0 0 0 0 0 0.0
Grade 19 1 0 1 1 0 0.0
Grade 20 17 12 4 16 1 5.9
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 5 0 5
Grade 6 1 0 1
Grade 7 3 1 4
Grade 8 3 0 3
Grade 9 1 20 21
Grade 10 0 8 8
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 3 10 13
Grade 12 0 0 0
Grade 13 1 0 1
Grade 14 2 0 2
Grade 15 0 1 1
Grade 16 0 0 0
Grade 17 7 3 10
Grade 18 0 0 0
Grade 19 2 1 3
Grade 20 2 1 3
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 22 11 1 1
Nurse 39 39 4 5
Medical Assistant 0 0 0 0
Medical Technologist 9 5 4 0
Total 70 55 9 6
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 1 0 1
X-ray machine (300 mA) 0 1 0 0 1
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 0 1 0 0 1
Dental X-ray unit 1 0 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 0 0 0 0
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 0 0 4
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 1 0 0 3
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 13 0 2 0 15
Electric cautery machine 0 0 0 0 0
Diathermy machine 15 2 0 0 17
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 4 0 0 0 4
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 2 1 0 6
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 20 3 0 0 23
Sucker machine (electric) 20 2 0 0 22
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 8 6 0 2 16
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 1 0 0 0 1
Holter monitor 0 0 0 0 0
Nebulizer machine 13 11 0 0 24
Pulse oximeter 6 6 0 0 12
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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

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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 1 0 0 2
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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) 3 0 0 0 3
Colorimeter 1 0 0 0 1
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) 3 0 0 0 3
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 1 0 0 2
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 7 4 3 0 14
Phototherapy unit 4 2 0 0 6
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 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 Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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) 10 0 0 0 10
Air conditioner (window) 0 0 0 0 0
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 1 4
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 Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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) 8 3 2 21 34
Laptop 3 0 0 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 2
Printer (laser) 7 4 3 0 14
Scanner 0 0 0 0 0
UPS 9 0 0 0 9
Fax 1 0 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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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 1 0 0 1
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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Important information and necessary issues you want to raise
Important information and necessary issues for Thakurgaon District Hospital. There is lack of budget allocation and sanction of manpower. Last year we could not meet the peoples need despite our maximum efforts due to many reasons. Here I like mention some important factors which will help us to achieve good results in future.1) This hospital declare as 100 bed hospital in 1997 but till now available sanction post for physicians are only for 50 bed and most them are vacant so the vacant post should be filled immediately. 2) 250 bed hospital are under construction hopefully to be completed in this year but we are afraid about manpower sanction as well as other logistic support. 3)Our doctor and nurse need more training. 4) The bed capacity of this hospitals should be increased to 500 bed hospital. 5) All the repairable equipment's should be repaired as soon as possible.Finally I am very happy to write this health bulletin of 2016 because this document will help us to compare our progress in upcoming years. This is very useful document and will help public to understand health services and to provide us the useful advice for improvement in future.
Local Health Bulletin 2016 for Thakurgaon District Hospital, Thakurgaon Sadar, Thakurgaon

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