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Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

I am delighted to know that the health bulletin of Bagerhat district hospital for the year 2016 is going to be published. This bulletin is a mirror image of the hospital performance and status, where various services provided in the year 2015 from all the departments engaged in the hospital has been projected. Total performance of the district referral center can be shared, evaluated and compared. In spite of significant development, many things are yet to be done, especially filling the vacant posts. I am sure this bulletin will also help in future planning, allocation of budget and fulfill all the laps and gaps in respect of resources as well as service delivery. I will take the opportunity to express my heartiest thanks and gratitude to advocate Mir Shawkat Ali Badsha, the honorable Member of the Parliament and Chairman, Health management and development committee of Bagerhat Sadar Hospital for his continuing support. My sincere thank to Proff. A. K. Azad, ADG (planning & development), DGHS, Mohakhali, Dhaka for his online guidance. I also thank to everybody concerned with preparing the bulletin. Dr. Arun Chandra Mondal Superintendent Bagerhat District Hospital

Dr. Arun Chandra Mondal
Superitendent
Bagerhat District Hospital
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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EDITORIAL BOARD

Chief Editor

Dr. Arun Chandra Mondal, Superintendent


Special Acknowledgement

1. Dr. Sk. Md. Mosarraf Hosen, R.M.O (Incharge)

Editors

1. Rafija Nasrin, Office Asistant Cum Computer Oparater, Statastician(Incharge)

Contributors

1. Dr. Soyada Ruksana Pervin, Jr. Con. Child

2. Dr. Said Ahomed, Jr. Con. Medicin

3. Sahina Akoter, Narsing Superviser

4. Md. muhitur Rahman, Head Asistent

5. Rahila Khanom, Suport Personal Compawnder

6. Biswas Kamrul Hassan, Store Keeper


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 Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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Basic Information
Name of the District Bagerhat
Organization Code 10001693
Name of Superitendent Dr. Arun Chandra Mondal
Land Phone No. 1 046862214
Land Phone No. 2 046862222
FAX No. 0468-62214
Mobile No. 01711455624
Email bagerhat@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 22.3336 And Long: 89.7755
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 1,081



Neonatal Mortality Rate: 52.7 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 19,155
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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

Indicator Hospital Total
Reg. Pregnent Women 2721
At least 1 ANC 2721
ANCs (4+) 1814
Normal Delivery 722
Cesarean Section 373
Other Assisted Delivery 12
PNC Within 2 days 1067
Maternal Death 1
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 8447 14162 22,609 36649 70281 106,930 45096 84443 129539
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 357 430 787 3084 2087 5,171 3441 2517 5958
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 1611 1016 2,627 5510 7847 13,357 7121 8863 15984
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 40 38 78 100 85 185 140 123 263
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 2627
No. ICD-10 Code Disease name No. of Cases %
1 K591 K591 Functional diarrhoea 929 35.4
2 J12 J12 Viral pneumonia, NEC 338 12.9
3 J219 J219 Acute bronchiolitis, unspecified 238 9.1
4 A419 A419 Septicaemia, unspecified 106 4.0
5 D561 D561 Beta thalassaemia 66 2.5

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 8446
No. ICD-10 Code Disease name No. of Cases %
1 K591 K591 Functional diarrhoea 901 10.7
2 J459 J459 Asthma, unspecified 631 7.5
3 X859 X859 Assault by drugs, medicaments and biological substances, unspecified place 495 5.9
4 V031 V031 Pedestrian injured in collision with car, pick-up truck or van, traffic accident 352 4.2
5 D509 D509 Iron deficiency anaemia, unspecified 317 3.8
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 78
No. ICD-10 Code Disease name No. of Cases %
1 P210 P210 Severe birth asphyxia 28 35.9
2 P071 P071 Other low birth weight 19 24.4
3 A419 A419 Septicaemia, unspecified 17 21.8
4 G04 G04 Encephalitis, myelitis and encephalomyelitis 3 3.8
5 J12 J12 Viral pneumonia, NEC 2 2.6

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 1
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 1 100.0
2 0.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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) 115
No. ICD-10 Code Disease name No. of Cases %
1 I611 I611 Intracerebral haemorrhage in hemisphere, cortical 35 30.4
2 I210 I210 Acute transmural myocardial infarction of anterior wall 9 7.8
3 J459 J459 Asthma, unspecified 8 7.0
4 E108 E108 Insulin-dependent diabetes mellitus with unspecified complications 8 7.0
5 J449 J449 Chronic obstructive pulmonary disease, unspecified 6 5.2
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 50358
Bed Occupancy Rates (%) 138.0
Average Length of Hospital Stay (No. of days per patient) 3.2
Hospital Death Rate (%) 1.6
Surgeries done in the Hospital
Type No.
Major Surgeries 460
Minor Surgeries 8352
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 5 0 1 1 4 80.0
Grade 6 7 3 1 4 3 42.9
Grade 7 0 0 0 0 0 0.0
Grade 8 12 2 2 4 8 66.7
Grade 9 8 5 3 8 0 0.0
Grade 10 36 0 33 33 3 8.3
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 2 1 1 2 0 0.0
Grade 12 1 1 0 1 0 0.0
Grade 13 5 1 0 1 4 80.0
Grade 14 1 1 0 1 0 0.0
Grade 15 2 2 0 2 0 0.0
Grade 16 3 1 2 3 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 21 12 9 21 0 0.0
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 0 0
Grade 5 0 1 1
Grade 6 3 0 3
Grade 7 6 1 7
Grade 8 3 17 20
Grade 9 0 6 6
Grade 10 0 16 16
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 1 0 1
Grade 12 0 1 1
Grade 13 1 0 1
Grade 14 0 0 0
Grade 15 2 0 2
Grade 16 1 2 3
Grade 17 6 5 11
Grade 18 0 0 0
Grade 19 1 2 3
Grade 20 5 2 7
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 24 9 2 1
Nurse 38 35 1 5
Medical Assistant 0 0 0 0
Medical Technologist 3 3 0 0
Total 65 47 3 6
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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

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

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

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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 2 2 0 0 4
Sucker machine (electric) 7 1 0 0 8
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 1 2 0 0 3
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 2 0 0 0 2
Holter monitor 0 0 0 0 0
Nebulizer machine 15 0 1 0 16
Pulse oximeter 4 0 1 0 5
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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) 4 0 0 0 4
Colorimeter 2 0 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) 1 5 0 0 6
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 3 0 1 0 4
Phototherapy unit 4 0 0 0 4
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 2 0 0 0 2
Laminar flow hood 0 0 0 0 0
pH meter 1 0 0 0 1
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 1 0 0 0 1
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 Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 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 Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 2 0 0 5
Air conditioner (window) 6 1 0 0 7
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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) 1 1 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 Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 2 0 2 12
Laptop 3 1 0 0 4
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 1 0 0 5
Scanner 1 0 0 0 1
UPS 7 2 0 2 11
Fax 0 1 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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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 1 1
PA system 0 0 0 0 0
Land phone 3 0 0 0 3
Mobile phone 1 0 0 0 1
Photocopier machine 1 1 0 0 2
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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Important information and necessary issues you want to raise
I like to draw kind attention of my higher authorities and all concerned on the following issues of Bagerhat Sadar Hospital :- 1. The vacant post of Doctors and Supporting staffs should be filled immediately. 2. Doctors and Nurses and Statistician and Other staffs need training on Computer, EOC, IMCI and others. 3. We are seriously in need of a surgery, Eye, orthopedics, Gyn & obs, dental surgeon, consultant pathology, consultant Radiology, ENT. Medicine consultant to achieve desired health services. If all these problems are solved we should be able to put our maximum efforts for the improvement of health services of Bagerhat Sadar Hospital. This "Health Bulletin 2016" will help us to compare our progress in coming year. Thank you all. Dr. Arun Chandra Mondal Superintendent Bagerhat District Hospital
Local Health Bulletin 2016 for Bagerhat District Hospital, Bagerhat Sadar, Bagerhat

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