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Table 1 Organization of National Health Care System in Pakistan

From: Evaluation of health workforce competence in maternal and neonatal issues in public health sector of Pakistan: an Assessment of their training needs

Facility

Population Served

Functions

Care Providers

Dispensary

5000

Outpatient curative services only

1 MO, 2 dispensers,3 TBA, 4 others

Maternal and Child Health Centre (MCH)

20,000

MCH services; midwifery services, such as deliveries; not included: obstetric emergencies

1 LHV, 1TBA, 1 community health work

Basic Health Unit (BHU)

10,000

Basic services including MCH and FP, but no labor rooms

1 MO, 1 LHV, 1 dispenser, 1TBA, 1 dresser

Rural Health Centre (RHU)

50,000 - 100,000

Referral center for BHU; inpatient services including 10-12 beds; ambulance services available; obstetric emergency services and lab services

3 MOs (2 M,1 F),1 nurse(position unoccupied); 2LHVs, nursing assistant, dental technician, vaccinator, technical staff for labs.

Tehsil Hospital (sub-District Hospital)

380,000

In-patient services including 30-80 beds; obstetric emergencies services

6 MOs, 1 surgeon, 1 pediatrician, 1 gynecologist, 1 dental supervisor, 10 nurses, 1 LHV, 5 dispensers, 4 technicians, 35 others

District Headquarters Hospitals

1.16 million

In-patient services including 100-300 beds

21 MOs, specialist, including surgeon, peiatrician, gynecologist, anesthesist, dermatologist,17 nurses,23 paramedics,67 others

Teaching Hospitals and Ministry

City -based

Tertiary care services

Include all types of medical, nursing and other categories of health care providers

  1. F = Female; FP = Family Planning; LHV = Lady Health Visitor; M = Male; MO = Medical Officer; TBA = Trained Birth Attendant.
  2. Source: Memon RJR. Implementation problems of maternal health policies and program. Provincial seminar for maternal health. Karachi, Pakistan, 1997