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Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

I am very glad to publish this health bulletin of 250 bedded General hospital Meherpur. This bulletin is published to disseminate the health related information of this hospital. I hope all this information of this bulletin will help for planing and further development of health service. This health bulletin will help us to solve the problem which is present at now. All the sanctioned and vacant post are published in this bulletin.I request to the higher authority to take necessary action to fill up the vacant post.Finally I would like to giving many many thanks to the initiator of the health bulletin software.I specially giving thanks to Prof.Dr.Abul Kalam.Azad ADG(admin)and Director of MIS-Health, DGHS for his excellent leadership.

Dr.Md.Mizanur Rahman
Superitendent
Meherpur 250 bed District Hospital
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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EDITORIAL BOARD

Editors

1. Dr.S.M.Ahasanul Kabir AL-Aziz, RMO

Contributors

1. Dr.Mrinal Kanti Mondol, Senior Consultant(Ped.)

2. Dr.Tapas Kumar Sarkar, Consultant(Anasthesiology)

3. Dr.Bipul Kumar Bisw., Consultant (Gynae&Obs)

4. Md.Salim Shake, Record Keeper(inchage)


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 Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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Basic Information
Name of the District Meherpur
Organization Code 10001898
Name of Superitendent Dr.Md.Mizanur Rahman
Land Phone No. 1 079162215
Land Phone No. 2 079162220
FAX No. 079162215
Mobile No. 01712586688
Email meherpur@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 23.8052 And Long: 88.6724
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 1,975



Neonatal Mortality Rate: 39.5 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 33,932
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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

Indicator Hospital Total
Reg. Pregnent Women 6240
At least 1 ANC 6240
ANCs (4+) 273
Normal Delivery 1531
Cesarean Section 492
Other Assisted Delivery 19
PNC Within 2 days 1833
Maternal Death 1
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 17871 18009 35,880 53995 81416 135,411 71866 99425 171291
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 1182 1146 2,328 4375 3853 8,228 5557 4999 10556
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 2602 3277 5,879 7899 14149 22,048 10501 17426 27927
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 43 44 87 167 75 242 210 119 329
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 5879
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2194 37.3
2 P219 P219 Birth asphyxia, unspecified 915 15.6
3 J189 J189 Pneumonia, unspecified 708 12.0
4 P36 P36 Bacterial sepsis of newborn 613 10.4
5 J219 J219 Acute bronchiolitis, unspecified 451 7.7

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 11347
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 4509 39.7
2 O80 O80 Single spontaneous delivery 1517 13.4
3 F44 F44 Dissociative [conversion] disorders 1448 12.8
4 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 684 6.0
5 T600 T600 Organophosphate and carbamate insecticides 494 4.4
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 87
No. ICD-10 Code Disease name No. of Cases %
1 P219 P219 Birth asphyxia, unspecified 54 62.1
2 P369 P369 Bacterial sepsis of newborn, unspecified 16 18.4
3 P07 P07 Disorders related to short gestation and low birth weight, NEC 10 11.5
4 J159 J159 Bacterial pneumonia, unspecified 3 3.4
5 I509 I509 Heart failure, unspecified 1 1.1

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 Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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) 232
No. ICD-10 Code Disease name No. of Cases %
1 I219 I219 Acute myocardial infarction, unspecified 98 42.2
2 I64 I64 Stroke, not specified as haemorrhage or infarction 68 29.3
3 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 19 8.2
4 N18 N18 Chronic renal failure 18 7.8
5 V892 V892 Person injured in unspecified motor-vehicle accident, traffic 11 4.7
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 67258
Bed Occupancy Rates (%) 184.3
Average Length of Hospital Stay (No. of days per patient) 2.4
Hospital Death Rate (%) 1.2
Surgeries done in the Hospital
Type No.
Major Surgeries 538
Minor Surgeries 8033
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 6 2 0 2 4 66.7
Grade 6 9 4 1 5 4 44.4
Grade 7 0 0 0 0 0 0.0
Grade 8 25 3 1 4 21 84.0
Grade 9 3 1 1 2 1 33.3
Grade 10 48 1 42 43 5 10.4
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 6 4 2 6 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 7 3 2 5 2 28.6
Grade 15 3 2 0 2 1 33.3
Grade 16 6 3 0 3 3 50.0
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 47 19 4 23 24 51.1
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 1 0 1
Grade 5 3 0 3
Grade 6 0 1 1
Grade 7 4 1 5
Grade 8 1 9 10
Grade 9 1 5 6
Grade 10 1 30 31
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 3 1 4
Grade 13 1 3 4
Grade 14 0 0 0
Grade 15 1 0 1
Grade 16 2 0 2
Grade 17 23 3 26
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 41 12 2 2
Nurse 48 43 0 6
Medical Assistant 0 0 0 0
Medical Technologist 6 6 0 0
Total 95 61 2 8
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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) 1 0 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) 3 0 0 0 3
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 Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 6 5 1 0 12
Autoclave 13 7 6 0 26
Electric cautery machine 0 0 0 0 0
Diathermy machine 4 4 0 0 8
Operating microscope 1 0 0 0 1
Ceiling mounting OT Light 5 5 0 0 10
Portable OT Light 2 2 0 0 4
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 3 0 2 8
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 11 11 0 0 22
Sucker machine (electric) 3 3 0 0 6
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 2 2 0 0 4
ECG machine 4 4 0 0 8
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 1 1 0 0 2
Holter monitor 0 0 0 0 0
Nebulizer machine 5 7 0 0 12
Pulse oximeter 5 5 0 0 10
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 1 0 0 1
Laparoscopic machine 0 1 0 0 1
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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) 5 1 3 0 9
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 0 0 0 2
Phototherapy unit 0 2 0 0 2
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 0 0 0 1
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 Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 0 2 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 Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 0 0 0 6
Air conditioner (window) 12 0 0 0 12
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 0 0 0 0
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 3 1 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 9 0 0 0 9
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 Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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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 3 0 0 0 3
Mobile phone 1 0 0 0 1
Photocopier machine 1 0 0 0 1
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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Important information and necessary issues you want to raise
Here I like to mention some important information and necessary issues to provide better health service to the people specially to the mother.We got award from the honorable Prime Minister for EOC services in 2013 and Uddipta shwastha seba runners up award in Khulna division in 2014.Last year our position as a district hospital in 2nd top ten list.We could not give our full efforts to improve the health service due to minimum staffs in all classes and logistic supplies.We like to mention some issues which will help us to deliver better health service eg 1)The vacant post should be filed up immediately .2)Our Doctors. and staffs need more training Really I am very glad to publish this health bulletin of 2016 because this document will help us to compare our progress in coming years.We also understand through this bulletin where we made progress,or where we need to pay more attention because of our lacking. This is very useful document and will help the people to understand the health services and health status of 250 bedded general hospital,Meherpur..
Local Health Bulletin 2016 for Meherpur 250 bed District Hospital, Meherpur Sadar, Meherpur

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