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Preface

''Magura District Hospital'' is the most potential health facility in the district. Though it is hundred beded hospital, on an average 250-300 patients stay here daily. On an average more than 70 patients get admitted in in-patient-department. I feel delighted & enthusiastic for the publication of the Health bulletin. The document will reveal the Nature & Status of Health of the children & the mother of Magura district. This hospital is adjascent to Dhaka-Khulna highway & a large number of Road traffic accident patients come here daily for emergency service The 3-fold load of patients & the casualty load signifiy the necessity of the establishment of "250-Beded Hospital, Magura" project which is fast running under-construction. It is an EmOC facility & the pregnant women and child patients are increasing remarkably. This document could show the qualitative & quantitative achievements by all the doctors, Nurses & other supporting staffs as well as the trend of Top 10 disease of the district. The quality health care could further be develeped if Vaccant posts of Senior consultant(eye), Jr Consultant(Paed) and Senior Consultant (medicine), Jr consultant(anaes) & the shortfall of other logistics could be met. Dog/animal bite is another problem in magura district. On average 6 people are victimized which is keeping a load on ARV & RIG. Drainage system arround the hospital is very poor demanding urgent management. I finally express my gratitude to those who took pain for the set-up of special soft-ware in this purpose & put us one step forward in the foundation of 'Digital Bangladesh'

Dr.FBM.Abdul Latif
Superitendent
Magura District Hospital
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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EDITORIAL BOARD

Chief Editor

Dr.FBM.Abdul Latif, Civil-Surgeon-Cum Superintendent


Editors

1. Dr.Md.Muktadur Rahaman, R M O

Contributors

1. Shudanno Biswas, Statistician (Incharge)


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 Magura District Hospital, Magura Sadar, Magura

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Basic Information
Name of the District Magura
Organization Code 10001876
Name of Superitendent Dr.FBM.Abdul Latif
Land Phone No. 1 48862443
Land Phone No. 2 048863439
FAX No. 048862769
Mobile No. 01717289373
Email magura@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 23.4290 And Long: 89.4364
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 Magura District Hospital, Magura Sadar, Magura

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 1,627



Neonatal Mortality Rate: 41.2 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 14,104
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 Magura District Hospital, Magura Sadar, Magura

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

Indicator Hospital Total
Reg. Pregnent Women 9032
At least 1 ANC 9032
ANCs (4+) 1648
Normal Delivery 1299
Cesarean Section 359
Other Assisted Delivery 398
PNC Within 2 days 1212
Maternal Death 03
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 13230 14403 27,633 65661 72172 137,833 78891 86575 165466
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 278 379 657 4308 4598 8,906 4586 4977 9563
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 3831 2243 6,074 10389 13085 23,474 14220 15328 29548
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 51 36 87 243 160 403 294 196 490
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 7164
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2384 33.3
2 P210 P210 Severe birth asphyxia 1098 15.3
3 A41 A41 Other septicaemia 599 8.4
4 R062 R062 Wheezing 569 7.9
5 J15 J15 Bacterial pneumonia, NEC 260 3.6

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 14995
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2973 19.8
2 G464 G464 Cerebellar stroke syndrome 2671 17.8
3 I21 I21 Acute myocardial infarction 2598 17.3
4 V87 V87 Traffic accident of specified type but victim's mode of transport unknown 2329 15.5
5 J44 J44 Other chronic obstructive pulmonary disease 1918 12.8
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 86
No. ICD-10 Code Disease name No. of Cases %
1 P210 P210 Severe birth asphyxia 41 47.7
2 P071 P071 Other low birth weight 14 16.3
3 A41 A41 Other septicaemia 09 10.5
4 G00 G00 Bacterial meningitis, NEC 08 9.3
5 G04 G04 Encephalitis, myelitis and encephalomyelitis 04 4.7

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 03
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 01 33.3
2 O63 O63 Long labour 01 33.3
3 O15 O15 Eclampsia 01 33.3
4 O64 O64 Obstructed labour due to malposition and malpresentation of fetus 00 0.0
5 O46 O46 Antepartum haemorrhage, NEC 00 0.0
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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) 490
No. ICD-10 Code Disease name No. of Cases %
1 I46 I46 Cardiac arrest 87 17.8
2 I21 I21 Acute myocardial infarction 82 16.7
3 V87 V87 Traffic accident of specified type but victim's mode of transport unknown 52 10.6
4 N189 N189 Chronic renal failure, unspecified 49 10.0
5 T37 T37 Poisoning by other systemic anti-infectives and antiparasitics 37 7.6
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 96681
Bed Occupancy Rates (%) 264.9
Average Length of Hospital Stay (No. of days per patient) 3.3
Hospital Death Rate (%) 1.7
Surgeries done in the Hospital
Type No.
Major Surgeries 1230
Minor Surgeries 18467
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 0 0 0 0 0 0.0
Grade 6 0 0 0 0 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 0 0 0 0 0 0.0
Grade 10 0 0 0 0 0 0.0
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 0 0 0 0 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 0 0 0 0 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 0 0 0 0 0 0.0
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 28 23 4 4
Nurse 93 90 2 6
Medical Assistant 0 0 0 0
Medical Technologist 3 3 0 0
Total 124 116 6 10
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 1 0 2
X-ray machine (300 mA) 0 0 0 0 0
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 1 1 0 0 2
Dental X-ray unit 1 1 0 0 2
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 Magura District Hospital, Magura Sadar, Magura

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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 0 2 0 2
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 0 0 0 2
Anesthesia machine without ventilator 0 1 0 0 1
Autoclave 2 0 1 0 3
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 0 4 0 5
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 0 1 0 3
Portable OT Light 0 1 0 0 1
Fracture table 0 0 0 0 0
Hydrolic OT Table 4 0 0 0 4
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 1 0 0 1
Sucker machine (electric) 2 3 0 0 5
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 3 0 0 4
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 2 0 6 0 8
Pulse oximeter 1 1 0 0 2
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 Magura District Hospital, Magura Sadar, Magura

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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 Magura District Hospital, Magura Sadar, Magura

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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 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) 2 2 0 0 4
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 Magura District Hospital, Magura Sadar, Magura

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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 Magura District Hospital, Magura Sadar, Magura

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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 2 0 0 2
Phototherapy unit 2 0 0 0 2
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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 2 0 0 4
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 3 0 1 0 4
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 Magura District Hospital, Magura Sadar, Magura

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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 Magura District Hospital, Magura Sadar, Magura

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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 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 Magura District Hospital, Magura Sadar, Magura

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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) 6 5 2 0 13
Air conditioner (window) 1 1 0 0 2
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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) 0 1 0 0 1
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 4 0 0 4
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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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) 35 5 0 0 40
Laptop 4 0 0 0 4
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 0 0 0 5
Scanner 1 0 0 0 1
UPS 8 0 0 0 8
Fax 1 1 0 0 2
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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

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Important information and necessary issues you want to raise
A District Hospital is to run with the intension to provide Quality Health Care. Time will say where to start & where to give emphasis for the improvement. So the following requisites are to ensured for that purpose-- 1. Filling-up of the necessary man power. 2. Minimum one Junior Consultant(Anaesthesia) 3. Ambulance 4. Digital USG Machine. 5. 500 MA Digital X-ray machine. 6. Close-circuit camera(CC Camera) for security purpose. 7. Completion of '250-beded hospital' building. 8. Awareness building campaign against Dog/Animal bite 9. Improved drainage system. 10.Training of the staffs. 11.Fund for Emergency. I express my gratitude again to those collegues who relentlessly worked hard for the preparation of this document. Similarly MIS DGHS is not beyond this Respect. Thanks to all. Dr F B M Abdul Latif Civil Surgeon-Cum-Sperintendant Sadar Hospital, Magura.
Local Health Bulletin 2016 for Magura District Hospital, Magura Sadar, Magura

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