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

Preface

All the excellent and devoted staffs of MIS- Health, under the dynamic leadership of prof. Dr. Abul Kalam Azad, ADG (Administration), and Line Director(HIS and e-health) by planning, Supervision, Monitoring and Management tools LOCAL HEALTH BULLETIN helped us to achieve the Millennium Development Goals by the target time frame. This is really hopeful and praiseworthy. We are sure that we shall be able to sustain this development goals if the problems of our Medical College Hospitals are taken into kind consideration and to be done the necessary action by the Ministry of Health and Family Welfare and Director General of Health.

DR. MD. JAHANGIR ALAM SARKER.
Director
Dinajpur Medical College Hospital
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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EDITORIAL BOARD

Chief Editor

Dr. Md. Jahangir Alam Sarker, Director


Special Acknowledgement

1. Dr. Md. Foysal Alam, Associate Professor & Head of The Dept.(Obs. & Gynae)

2. Dr. S. M. Wares Ali Sarker, Assistant Professor & Head of The Dept.(Paediatrics

3. Dr. Md. Shafiqul Islam, Asst. Registrar(Orthopadics)

4. Dr. Md. Abuzar Rahman, Asst. Registrar(Paediatrics)

Editors

1. Dr. Md. Amir Ali, Assistant Director(Administration)

2. Dr. Mohammad Ali ,

Contributors

1. Dr. Mohammad Monjur Morshed Hossain, Jr. Consultant(Surgery)

2. Dr. Md. Atiqur Rahman, Medical Officer(Outdoor)

3. Dr. Md. Rabiul Islam, MO/Surgeon(Orthopadics)


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 Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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Basic Information
Name of the Facility Dinajpur Medical College Hospital
Organization Code 10002288
Name of DirectorDR. MD. JAHANGIR ALAM SARKER.
Land Phone No. 1 053151509
Land Phone No. 2 053152320
FAX No. 053165653
Mobile No.
Email dinajmch@hospi.dghs.gov.bd
GPS location of Facility Lati: 25.3643 And Long: 88.3916
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Tertiary Hospital 1 500
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 1,347



Neonatal Mortality Rate: 260.6 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 14,788
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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 Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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

Indicator Hospital Total
Reg. Pregnent Women 3809
At least 1 ANC 3809
ANCs (4+) 409
Normal Delivery 755
Cesarean Section 670
Other Assisted Delivery 16
PNC Within 2 days 1511
Maternal Death 12
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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
Tertiary Hospital 7739 5815 13,554 77970 92558 170,528 85709 98373 184082
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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
Tertiary Hospital 2711 2938 5,649 19414 19231 38,645 22125 22169 44294
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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
Tertiary Hospital 2609 2756 5,365 17578 18103 35,681 20187 20859 41046
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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
Tertiary Hospital 242 181 423 763 497 1,260 1005 678 1683
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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 5365
No. ICD-10 Code Disease name No. of Cases %
1 P210 P210 Severe birth asphyxia 1225 22.8
2 J459 J459 Asthma, unspecified 284 5.3
3 J159 J159 Bacterial pneumonia, unspecified 231 4.3
4 D569 D569 Thalassaemia, unspecified 187 3.5
5 A419 A419 Septicaemia, unspecified 170 3.2

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 35681
No. ICD-10 Code Disease name No. of Cases %
1 V021 V021 Pedestrian injured in collision with two- or three-wheeled motor vehicle, traffic accident 3762 10.5
2 Y00 Y00 Assault by blunt object 3145 8.8
3 I159 I159 Secondary hypertension, unspecified 1042 2.9
4 E14 E14 Unspecified diabetes mellitus 983 2.8
5 I64 I64 Stroke, not specified as haemorrhage or infarction 974 2.7
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 423
No. ICD-10 Code Disease name No. of Cases %
1 P219 P219 Birth asphyxia, unspecified 204 48.2
2 P070 P070 Extremely low birth weight 65 15.4
3 A419 A419 Septicaemia, unspecified 57 13.5
4 J129 J129 Viral pneumonia, unspecified 47 11.1
5 A85 A85 Other viral encephalitis, NEC 25 5.9

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 12
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 8 66.7
2 O151 O151 Eclampsia in labour 3 25.0
3 O429 O429 Premature rupture of membranes, unspecified 1 8.3
4 O066 O066 Unspecified abortion, complete or unspecified, complicated by delayed or excessive haemorrhage 0.0
5 O861 O861 Other infection of genital tract following delivery 0.0
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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) 990
No. ICD-10 Code Disease name No. of Cases %
1 I219 I219 Acute myocardial infarction, unspecified 302 30.5
2 I64 I64 Stroke, not specified as haemorrhage or infarction 285 28.8
3 V99 V99 Unspecified transport accident 177 17.9
4 J449 J449 Chronic obstructive pulmonary disease, unspecified 115 11.6
5 X48 X48 Accidental poisoning by and exposure to pesticides 37 3.7
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 187347
Bed Occupancy Rates (%) 102.7
Average Length of Hospital Stay (No. of days per patient) 4.6
Hospital Death Rate (%) 4.1
Surgeries done in the Hospital
Type No.
Major Surgeries 2763
Minor Surgeries 9215
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Tertiary Hospital
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 1 1 0 1 0 0.0
Grade 4 2 0 0 0 2 100.0
Grade 5 14 9 1 10 4 28.6
Grade 6 17 7 1 8 9 52.9
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 132 22 16 38 94 71.2
Grade 10 388 14 179 193 195 50.3
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Tertiary Hospital
Grade 11 16 14 2 16 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 2 0 2 2 0 0.0
Grade 14 7 6 0 6 1 14.3
Grade 15 0 0 0 0 0 0.0
Grade 16 0 0 0 0 0 0.0
Grade 17 32 23 5 28 4 12.5
Grade 18 0 0 0 0 0 0.0
Grade 19 1 1 0 1 0 0.0
Grade 20 21 14 4 18 3 14.3
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Tertiary Hospital
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 1 0 1
Grade 5 9 0 9
Grade 6 5 1 6
Grade 7 11 4 15
Grade 8 13 13 26
Grade 9 2 10 12
Grade 10 11 168 179
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Tertiary Hospital
Grade 11 15 2 17
Grade 12 3 0 3
Grade 13 0 2 2
Grade 14 3 0 3
Grade 15 0 0 0
Grade 16 22 5 27
Grade 17 3 0 3
Grade 18 0 0 0
Grade 19 1 0 1
Grade 20 14 4 18
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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Status of Human Resources under DGHS updated during this report preparation
Man
power		 Tertiary Hospital IM-
CI
Trai-
ned		 Basic
EOC
Trai-
ned
San-
cti-
on-
ed		 Fill-
ed-
up
Physician 166 59 4 0
Nurse 389 193 4 0
Medical Assistant 0 0 0 0
Medical Technologist 15 15 0 0
Total 570 267 8 0
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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 0 0 0
X-ray machine (300 mA) 0 2 0 0 2
X-ray machine (500 mA) 1 1 0 0 2
X-ray machine (digital) 2 0 0 0 2
X-ray machine (portable) 1 1 0 0 2
Dental X-ray unit 0 0 0 1 1
Spiral CT Scan 1 1 0 0 2
C-arm 2 1 0 0 3
Mamogram machine 0 1 0 0 1
Dehumidifier 10 10 0 0 20
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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 1 0 0 0 1
Ultrasonogram machine 3 5 0 0 8
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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 9 4 0 0 13
Anesthesia machine without ventilator 9 3 0 0 12
Autoclave 11 5 0 0 16
Electric cautery machine 6 4 0 0 10
Diathermy machine 12 10 0 0 22
Operating microscope 3 5 0 0 8
Ceiling mounting OT Light 12 5 0 9 26
Portable OT Light 4 6 0 0 10
Fracture table 1 0 0 0 1
Hydrolic OT Table 18 15 0 1 34
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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 10 12 0 0 22
Sucker machine (electric) 22 29 2 4 57
Ventilator 4 0 0 0 4
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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 1 1 0 0 2
Debrililator 3 3 0 0 6
ECG machine 4 3 0 0 7
Echocardiogram machine 1 1 0 0 2
Cardiac monitor 6 15 0 0 21
Holter monitor 2 0 0 0 2
Nebulizer machine 13 25 0 0 38
Pulse oximeter 12 22 0 0 34
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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 5 4 0 0 9
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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 1 1 0 1 3
Laparoscopic machine 1 1 0 0 2
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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 1 0 0 2
Centrifuge machine (electric) 8 4 0 0 12
Colorimeter 4 2 0 0 6
Electrolyte analyzer 1 3 0 0 4
ELISA machine 2 1 0 0 3
Gas analyzer 0 1 0 0 1
Hormone analyzer 1 1 0 0 2
Blood cell counter 2 1 0 0 3
Microscope (binocular) 6 4 0 0 10
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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 Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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 1 1 0 0 2
Retinoscope 0 0 0 0 0
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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 6 5 0 0 11
Phototherapy unit 9 3 0 0 12
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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 1 0 0 3
Laminar flow hood 0 1 0 0 1
pH meter 1 0 0 0 1
Hemoglobin photometer 1 1 0 0 2
Blood bank refrigerator 21 2 0 0 23
Blood plasma separating machine 1 0 0 0 1
Platelet separating machine 1 0 0 0 1
Deep freeze (plasma) 2 0 0 0 2
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 1 0 0 0 1
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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.)
Psychiatry equipment
ECT machine 1 0 0 0 1
EEG machine 0 0 0 0 0
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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 1 1
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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 0 2 0 0 2
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 1 0 0 1
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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) 90 38 2 0 130
Air conditioner (window) 20 4 0 0 24
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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) 8 2 0 0 10
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 4 4 0 8
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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) 85 2 0 0 87
Laptop 5 0 0 0 5
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 16 4 0 0 20
Scanner 5 0 0 0 5
UPS 70 7 0 0 77
Fax 1 0 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 1 0 0 0 1
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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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 1 0 0 0 1
Land phone 26 0 0 6 32
Mobile phone 1 0 0 0 1
Photocopier machine 3 0 0 0 3
Digital camera 2 0 0 0 2
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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Important information and necessary issues you want to raise
Important Information and necessary issues you want to raise:- 1. Manpower: In this hospital vacant posts of doctors are 65% and nursing are 49%. There are no 4th class gov. employee, But the works are done by the outsourcing staffs which are not sufficient. All vacant posts should be fulfilled and 4th class employees should be recruited. Otherwise proper health service deliveries could not be improved. 2. ICU: Due to lack of some important machinaries or items and lack of manpower ICU could not be started. Necessary action should be taken as early as possible. 3. Social welfare office: No social welfare activities in the hospital which might be imposed for better service delivery for poor patients management. 4. User fee: About 50 Lacks people live in the greater Dinajpur district. Most of them are poor. They cannot afford the user fee for the necessary investigations. There are some clear-cut instructions about Freedom Fighters with their family, Govt. service holders with their family and the handicapped persons and poor people. But no definition, orders or instructions for the poor peoples. To deliver health services to the neglected and poor peoples there should be a clear-cut instruction or orders from the authorities for collection of user fees. There are some sensational groups like, intern doctors, medical students, nursing students and outsourcing staffs, victims, prisoners those who always expects the user fees for free but there is no instructions to do so, which should be made in kind considerations and to take necessary action. 5. There are some high tech instruments for investigation and treatment like MRI, CT Scan, Dialysis machines, C-Arm machines for angiography and some biochemistry analyser. The necessary items ( Like Films, Reagents etc.) at present are supplied and maintained by the previously scheduled and selected contractors. After ending the warranty periods these investigation and facilities will be stopped. Thus new contract is very much essential to run the facilities further. 6. To mee
Local Health Bulletin 2016 for Dinajpur Medical College Hospital, Dinajpur Sadar, Dinajpur

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