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

Preface

As~salamu~alaikum,it is a great Pleasure for us to publish local heath bulletin. We have tried our heart and soul to present the data up to date. Our Government is trying to reach the health service at the door of the people. Health status of our country is improving day by day. Our country have greatly reduce maternal death,under 5 child death and malnutrition. Our organization plays an important role for improving heath status of people of Pirojpur. I like to thank honourable Prime Minister of Bangladesh & honourable Health & F.W. Minister. I also like to thank ADG & honourable line director MIS and all doctors,Nurses & staff of sadar hospital, Pirojpur for sharing their knowledge to establish this Health Bulletin.

Dr.Muhammad Fakhrul Alam
Superitendent
Pirojpur District Hospital
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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EDITORIAL BOARD

Chief Editor

Dr. Muhammad Fakhrul Alam , Superintendent


Special Acknowledgement

1. MIS, DGHS, Mohakhali,Dhaka.,

2. All Contributors, Pirojpur District Hospital, Pirojpur.,

Editors

1. Dr. Farhana Rahman, Jr. Consultant (Gyn & Obs)

2. Dr. Nani Gopal Roy, RMO (Incharge) & ICT Focal Point

3. Runu Parvin, Statistical Officer

Contributors

1. Dr. Nani Gopal Roy , RMO (Incharge) & ICT Focal Point

2. Md. Abul Kalam Azad, Head Assistant Cum Accountent, AO(Aditional Incharge)

3. Manju Rani Mridha , Nursing Supervisor

4. Md. Taslim Mahmud, Record 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 Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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Basic Information
Name of the District Pirojpur
Organization Code 10002067
Name of Superitendent Dr.Muhammad Fakhrul Alam
Land Phone No. 1 46162233
Land Phone No. 2 N/A
FAX No. 046163067
Mobile No. 01711358980
Email pirojpur@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 22.6438 And Long: 89.9814
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 481



Neonatal Mortality Rate: 76.9 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 19,067
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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

Indicator Hospital Total
Reg. Pregnent Women 1295
At least 1 ANC 1295
ANCs (4+) 534
Normal Delivery 358
Cesarean Section 154
Other Assisted Delivery 6
PNC Within 2 days 665
Maternal Death 3
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 11697 7812 19,509 39873 58553 98,426 51570 66365 117935
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 3677 3532 7,209 15762 16809 32,571 19439 20341 39780
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 1801 1564 3,365 4660 7337 11,997 6461 8901 15362
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 23 20 43 77 38 115 100 58 158
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 3365
No. ICD-10 Code Disease name No. of Cases %
1 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 1260 37.4
2 J189 J189 Pneumonia, unspecified 585 17.4
3 B349 B349 Viral infection, unspecified 407 12.1
4 A419 A419 Septicaemia, unspecified 41 1.2
5 T609 T609 Pesticide, unspecified 34 1.0

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 8024
No. ICD-10 Code Disease name No. of Cases %
1 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 867 10.8
2 Y009 Y009 Assault by blunt object, unspecified place 564 7.0
3 J459 J459 Asthma, unspecified 465 5.8
4 I10 I10 Essential (primary) hypertension 459 5.7
5 I64 I64 Stroke, not specified as haemorrhage or infarction 372 4.6
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 43
No. ICD-10 Code Disease name No. of Cases %
1 P219 P219 Birth asphyxia, unspecified 33 76.7
2 A419 A419 Septicaemia, unspecified 5 11.6
3 J189 J189 Pneumonia, unspecified 3 7.0
4 S099 S099 Unspecified injury of head 1 2.3
5 G009 G009 Bacterial meningitis, unspecified 1 2.3

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 O72 O72 Postpartum haemorrhage 3 100.0
2 0.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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) 84
No. ICD-10 Code Disease name No. of Cases %
1 I64 I64 Stroke, not specified as haemorrhage or infarction 23 27.4
2 I219 I219 Acute myocardial infarction, unspecified 21 25.0
3 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 10 11.9
4 I139 I139 Hypertensive heart and renal disease, unspecified 08 9.5
5 V99 V99 Unspecified transport accident 04 4.8
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 37135
Bed Occupancy Rates (%) 101.7
Average Length of Hospital Stay (No. of days per patient) 2.4
Hospital Death Rate (%) 1.0
Surgeries done in the Hospital
Type No.
Major Surgeries 162
Minor Surgeries 1298
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 3 0 3 3 50.0
Grade 6 11 1 1 2 9 81.8
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 17 5 2 7 10 58.8
Grade 10 38 1 37 38 0 0.0
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 11 7 2 9 2 18.2
Grade 12 0 0 0 0 0 0.0
Grade 13 1 0 0 0 1 100.0
Grade 14 5 3 2 5 0 0.0
Grade 15 7 2 1 3 4 57.1
Grade 16 8 5 2 7 1 12.5
Grade 17 3 2 1 3 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 1 1 0 1 0 0.0
Grade 20 42 12 9 21 21 50.0
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 1 1 2
Grade 6 1 0 1
Grade 7 5 1 6
Grade 8 2 11 13
Grade 9 2 11 13
Grade 10 0 14 14
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 4 2 6
Grade 12 0 1 1
Grade 13 1 0 1
Grade 14 2 1 3
Grade 15 1 0 1
Grade 16 8 3 11
Grade 17 5 10 15
Grade 18 0 0 0
Grade 19 1 1 2
Grade 20 8 0 8
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 33 12 2 1
Nurse 42 38 4 4
Medical Assistant 0 0 0 0
Medical Technologist 8 6 0 0
Total 83 56 6 5
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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) 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) 1 0 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 Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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

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

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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 4 1 0 0 5
Sucker machine (electric) 11 5 0 1 17
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 1 0 4
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 1 0 0 1 2
Holter monitor 0 0 0 0 0
Nebulizer machine 8 12 0 1 21
Pulse oximeter 10 1 0 0 11
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 2 1 0 0 3
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 1 0 0 3
Colorimeter 2 1 0 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) 1 0 0 0 1
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 1 2 0 0 3
Phototherapy unit 3 2 0 0 5
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 2 2 0 0 4
Blood bank refrigerator 1 1 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 Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 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 Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 1 0 0 11
Air conditioner (window) 4 1 0 0 5
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 6 1 0 0 7
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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) 32 2 0 0 34
Laptop 4 1 0 0 5
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 8 2 0 0 10
Scanner 2 0 0 0 2
UPS 13 1 0 0 14
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 Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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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 1 0 0 0 1
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 Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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Important information and necessary issues you want to raise
Out of 33 doctors we have only 12 doctors. We need specialist doctors of Medicine, Surgery & Anesthesia as well as outdoor & indoor Medical officer immediately . There is no "Identified" medicine store space in this hospital. The postmortem house is above three km away from the hospital. Doctors face a lot of problem during PM due to lack of official vehicle. So a vehicle with fuel is necessary for this purpose. During meeting, workshop and seminar we face a lot of problem due to lack of Multimedia Projector. We also face problem copying different official papers . So we need a multimedia projector and photocopier. Two Ambulances are quite old and faces lot of problem during moving. So we need two Ambulance as early as possible. About 50% of hospital quarters are unusable. Hospital Building also leaking water during rainy season and breaks here and there automatically. So it needs repair immediately. A lot of thanks MIS(health) .
Local Health Bulletin 2016 for Pirojpur District Hospital, Pirojpur Sadar, Pirojpur

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