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Mohakhali, Dhaka-1212

Preface

I am very proud on my part to publish the health bulletin of 250 bedded general hospital Jessore.This bulletin contains all the health related information and data of the year 2015. This bulletin is published to disseminate the information regarding health service delivery system to the locality & different Gov''t office & NGO's. Let's go back to the history of this hospital. 250 bedded general hospital jessore is situated in the central part of jessore beside the khulna - Dhaka highway. It was first started in1867. In the early part of 19th century the zaminder of Bhagutia Mr. kalipodo ghose built the building in the name of his late father & since then this building is used as sadar hospital.In 1941 X-ray plant installed in it. In 1950 it started functioning as a 10 bedded hospital. In 1962 it was promoted to 50 bedded hospital. In1983 blood bank started functioning in this hospital and in 1984 the number bed increased to 100. In Dec 2003 this hospital started functioning as a 250 bedded general hospital. In 2009 28 bedded CCU unit incorporated to this hospital. At last in 2011 Jessore Medical College started functioning in this hospital. Now this institution has become the center for excellence to the community. DR. MD. ABUL KALAM AZAD Superintendent Jessore 250 bed General Hospital

Dr. Shyamal Krishna saha
Superitendent
Jessore 250 bed General Hospital
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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EDITORIAL BOARD

Chief Editor

DR. MD. ABUL KALMA AZAD, SUPERINTENDENT


Special Acknowledgement

1. Mst. Shahanaj Parvin, Steno typest

2. Mahfuza Khanam, Cardiographer

3. Md.Asgar Ali, Office Assistant

Editors

1. MAHFUZA KHANAM, STATISTICIN

Contributors

1. DR.MD. ABDUR ROUF, ASSISTANT DIRECTOR

2. DR.MD. WAHIDUZZAMAN, RMO


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 Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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Basic Information
Name of the District Jessore
Organization Code 10013096
Name of Superitendent Dr. Shyamal Krishna saha
Land Phone No. 1 042161090
Land Phone No. 2 N/A
FAX No. 042161070
Mobile No. 01730324795
Email jessore@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 23.1688 And Long: 89.2093
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
District Hospital 01 278
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 2,857



Neonatal Mortality Rate: 53.9 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 6,887
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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

Indicator Hospital Total
Reg. Pregnent Women 12730
At least 1 ANC 12730
ANCs (4+) 4123
Normal Delivery 1751
Cesarean Section 1152
Other Assisted Delivery 36
PNC Within 2 days 3939
Maternal Death 14
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 20492 30492 50,984 155225 190910 346,135 175717 221402 397119
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 1070 1472 2,542 14680 8793 23,473 15750 10265 26015
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 3003 3883 6,886 24771 27444 52,215 27774 31327 59101
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 130 150 280 1101 662 1,763 1231 812 2043
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 6886
No. ICD-10 Code Disease name No. of Cases %
1 J22 J22 Unspecified acute lower respiratory infection 1503 21.8
2 P070 P070 Extremely low birth weight 1442 20.9
3 D56 D56 Thalassaemia 1301 18.9
4 U04 U04 Severe acute respiratory syndrome [SARS] 1204 17.5
5 B95 B95 Streptococcus and staphylococcus as the cause of diseases classified to other chapters 1001 14.5

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 59101
No. ICD-10 Code Disease name No. of Cases %
1 V87 V87 Traffic accident of specified type but victim's mode of transport unknown 2303 3.9
2 I64 I64 Stroke, not specified as haemorrhage or infarction 1500 2.5
3 I41 I41 Myocarditis in diseases classified elsewhere 1103 1.9
4 J22 J22 Unspecified acute lower respiratory infection 804 1.4
5 E10 E10 Insulin-dependent diabetes mellitus 600 1.0
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 240
No. ICD-10 Code Disease name No. of Cases %
1 J22 J22 Unspecified acute lower respiratory infection 64 26.7
2 P070 P070 Extremely low birth weight 54 22.5
3 D56 D56 Thalassaemia 46 19.2
4 J06 J06 Acute upper respiratory infections of multiple and unspecified sites 24 10.0
5 B95 B95 Streptococcus and staphylococcus as the cause of diseases classified to other chapters 19 7.9

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 14
No. ICD-10 Code Disease name No. of Cases %
1 O15 O15 Eclampsia 5 35.7
2 O73 O73 Retained placenta and membranes, without haemorrhage 4 28.6
3 O72 O72 Postpartum haemorrhage 4 28.6
4 O85 O85 Puerperal sepsis 1 7.1
5 0.0
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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) 1763
No. ICD-10 Code Disease name No. of Cases %
1 I64 I64 Stroke, not specified as haemorrhage or infarction 309 17.5
2 V87 V87 Traffic accident of specified type but victim's mode of transport unknown 213 12.1
3 N18 N18 Chronic renal failure 197 11.2
4 I41 I41 Myocarditis in diseases classified elsewhere 164 9.3
5 E10 E10 Insulin-dependent diabetes mellitus 57 3.2
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 157879
Bed Occupancy Rates (%) 155.6
Average Length of Hospital Stay (No. of days per patient) 2.7
Hospital Death Rate (%) 3.5
Surgeries done in the Hospital
Type No.
Major Surgeries 3844
Minor Surgeries 16633
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 1 1 0 1 0 0.0
Grade 5 7 7 0 7 0 0.0
Grade 6 2 2 0 2 0 0.0
Grade 7 10 10 0 10 0 0.0
Grade 8 34 5 29 34 0 0.0
Grade 9 30 10 20 30 0 0.0
Grade 10 107 1 106 107 0 0.0
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 3 3 6 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 2 1 1 2 0 0.0
Grade 14 3 3 0 3 0 0.0
Grade 15 4 4 0 4 0 0.0
Grade 16 10 10 0 10 0 0.0
Grade 17 13 10 3 13 0 0.0
Grade 18 4 4 0 4 0 0.0
Grade 19 1 1 0 1 0 0.0
Grade 20 61 48 13 61 0 0.0
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 7 0 7
Grade 6 2 0 2
Grade 7 10 0 10
Grade 8 5 29 34
Grade 9 10 20 30
Grade 10 1 106 107
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 0 3
Grade 12 0 0 0
Grade 13 1 1 2
Grade 14 3 0 3
Grade 15 4 0 4
Grade 16 10 0 10
Grade 17 10 3 13
Grade 18 4 0 4
Grade 19 1 0 1
Grade 20 48 13 61
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 55 49 0 0
Nurse 161 160 4 2
Medical Assistant 0 0 0 0
Medical Technologist 8 6 0 0
Total 224 215 4 2
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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) 1 1 0 0 2
X-ray machine (300 mA) 1 0 1 0 2
X-ray machine (500 mA) 1 1 0 0 2
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 1 0 0 1
Mamogram machine 0 0 0 0 0
Dehumidifier 2 0 0 0 2
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 1 4 0 0 5
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 3 3 0 0 6
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 5 1 0 0 6
Electric cautery machine 0 0 0 0 0
Diathermy machine 7 0 0 0 7
Operating microscope 0 0 2 0 2
Ceiling mounting OT Light 4 0 0 0 4
Portable OT Light 5 0 0 0 5
Fracture table 0 0 0 0 0
Hydrolic OT Table 5 0 0 0 5
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 3 1 0 0 4
Sucker machine (electric) 4 2 0 0 6
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 4 6 0 0 10
ECG machine 4 1 0 0 5
Echocardiogram machine 1 0 0 0 1
Cardiac monitor 1 0 2 0 3
Holter monitor 2 02 0 0 4
Nebulizer machine 13 7 0 0 20
Pulse oximeter 6 0 0 0 6
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 0 1 0 3
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 2 0 0 2
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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) 0 0 0 0 0
Colorimeter 1 4 1 0 6
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 2 8 0 11
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 4 2 0 8
Phototherapy unit 2 3 0 0 5
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 0 0 0 2
Blood bank refrigerator 5 2 0 0 7
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 Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 1 0 0 3
Bus 0 0 0 0 0
Jeep 1 0 1 0 2
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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) 30 6 0 0 36
Air conditioner (window) 20 3 0 0 23
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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) 3 1 0 0 4
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 2 0 2
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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) 9 5 2 0 16
Laptop 3 2 0 0 5
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 2 4 0 12
Scanner 1 0 0 0 1
UPS 7 5 0 0 12
Fax 1 0 0 0 1
Intercom 20 10 0 0 30
Internet fixed line 1 0 0 0 1
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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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 2 0 0 0 2
OHP 0 0 0 0 0
PA system 1 0 0 0 1
Land phone 6 0 0 0 6
Mobile phone 1 0 0 0 1
Photocopier machine 1 0 3 0 4
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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Important information and necessary issues you want to raise
This is one of the oldest patient friendly hospital in Bangladesh. Satisfaction of the service provider & the recipient are up to the mark.This hospital does not have the post of Statistician. It is also baby friendly hospital. So it is very much important to create a post of statistician & provide the manpower simultaneously.This hospital posses 28 bedded CCU Unit but yet to create any manpower for this unit. It is essential to create requisite manpower & provide the manpower simultaneously. VIP cabin & prison cell to be build for better service delivery system. For better service delivery system & to increase the revenue income this institution requires CT-SCAN & DIGITAL X-RAY machine. Post creation of nurses & other supporting staff should be done according to number bed occupancy rate. We want to make this hospital as an urban hospital. DR.SHYAMAL KRISHNA SAHA Superintendent, Jessore 250 bed General Hospital
Local Health Bulletin 2016 for Jessore 250 bed General Hospital, Jessore Sadar, Jessore

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