Provider Purchasing and Contracting for Health Services_The Case
Provider Purchasing and Contracting for Health Services_The Case
Provider Purchasing and Contracting for Health Services_The Case
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Appendix 1: Competency Requirements <strong>for</strong> Provision of the Basic <strong>Health</strong> Care Package<br />
<strong>Health</strong> Post (HP) – <strong>The</strong> feature first level of contact with the <strong>for</strong>mal health care system<br />
Planning Criteria:<br />
<strong>Services</strong>:<br />
Rural catchment area: 500 households<br />
(3,500 people)<br />
Physical access: 5-km. radius<br />
Staffing: Community <strong>Health</strong> Practitioner<br />
Urban catchment area: 1,000 households<br />
(10,000 people)<br />
Physical access: 5-km or 1 hour<br />
Staffing: Community <strong>Health</strong> Practitioner<br />
HP package of care <strong>and</strong> outreach<br />
activities<br />
Initiating <strong>and</strong> supervising communitybased<br />
health activities through CHW <strong>and</strong><br />
TBA<br />
Referral to health center <strong>and</strong> district<br />
hospital<br />
Rural <strong>Health</strong> Center (RHC)/Urban <strong>Health</strong> Center (UHC) - <strong>The</strong> present first level of<br />
contact with the <strong>for</strong>mal health care system<br />
Planning Criteria:<br />
<strong>Services</strong>:<br />
Rural catchment area: 5,000–10,000 UHC/RHC package<br />
inhabitants<br />
Normal deliveries<br />
Physical access: 30-km. radius<br />
Basic inpatient services (UHC, 30 beds;<br />
Staffing: <strong>Health</strong> Practitioner (e.g., RHC, 10–12 beds) <strong>and</strong> emergency<br />
Clinical Officer, Nurse, Environmental observation<br />
Technologist)<br />
Referral to district hospital<br />
24-hour service<br />
Urban catchment area: 30,000–50,000<br />
inhabitants<br />
Physical access: 30-km. radius<br />
Staffing: <strong>Health</strong> Practitioner (e.g.,<br />
Clinical Officer, Nurse, Environmental<br />
Technologist)<br />
District Hospital - First-level referral of care with inpatient <strong>and</strong> outpatient services<br />
within the main specialties (medicine, surgery, GYN/OBS, pediatrics)<br />
Planning Criteria:<br />
<strong>Services</strong>:<br />
On average: 1 district hospital with 100 OPD<br />
to 200 beds per 80,000 to 200,000 General surgery/obstetrics<br />
inhabitants (1 bed/1,000)<br />
General medicine/pediatrics<br />
Staffing: Doctors, nurses, midwives, Basic laboratory <strong>and</strong> X-ray<br />
diagnostic health workers, etc.<br />
Emergency care<br />
Support functions<br />
Training <strong>and</strong> support <strong>for</strong> health centers<br />
Referral to general hospitals<br />
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