Table 4.1 Summary of range of facility-based health services by referral level Level of care Geographic facility Beds Number of facilities (current and Population Services offered level proposed) served In-patient/out-patient Tertiary Division and Urban Teaching hospital/ 250–1050 17 govt. medical college hospitals 10 Consultant level curative incl. surgery referral districts institute 1 armed forces medical college million hospital (Ministry of Defence) 41 private medical college hospitals Speciality Consultant level curative incl. surgery hospital/ institute Second District Not in District hospital 100–250 60a 2.3 million Consultant level curative incl. surgery referral Dhaka District, Mother & Child 10–20 98 proposed (70 built: 63 at district, 5 2.3 million Comprehensive obstetric care upazila, Welfare Centre at upazila, 2 at union level) Clinical contraception union (MCWC) First referral Upazila Rural Upazila health 31- 50 413a 270,000 Essential service delivery only complex (UHC) Treatment of general diseases Basic lab services and x-ray Normal deliveries only Union Rural Health Out-patient 1,134 (estimated)a Treatment of minor illness Rural 30,000 Basic child health care Dispensary (HC) Rural Union Health & Out-patient 2,430 (estimated)b Family planning Family Welfare Basic child and maternal care Centre Menstrual regulation (UHFWC) Treatment of minor illness Community Ward Community clinics Out-patient 10,775 proposed 6,000 Essential service delivery level (13,494 (8,000 built) Preventive, promotion, and limited approx) curative Family Welfare Domiciliary 23,000 7,000 Family planning Centre (FWC) care Basic child and maternal care Menstrual regulation Source: MOHFW; a from Tulane University Associates 2010; b DGFP website estimate is 3,500.
Table 4.1 Summary of range of facility-based health services by referral level Level of care Geographic level facility Beds Number of facilities (current and proposed) Population served Services offered In-patient/out-patient Tertiary referral Division and districts Urban Teaching hospital/ institute 250–1050 17 govt. medical college hospitals 1 armed forces medical college hospital (Ministry of Defence) 41 private medical college hospitals 10 million Consultant level curative incl. surgery Speciality hospital/ institute Consultant level curative incl. surgery Second referral District Not in Dhaka District hospital 100–250 60a 2.3 million Consultant level curative incl. surgery District, upazila, union Mother & Child Welfare Centre (MCWC) 10–20 98 proposed (70 built: 63 at district, 5 at upazila, 2 at union level) 2.3 million Comprehensive obstetric care Clinical contraception First referral Upazila Rural only Upazila health complex (UHC) 31- 50 413a 270,000 Essential service delivery Treatment of general diseases Basic lab services and x-ray Normal deliveries only Union Rural Health Rural Dispensary (HC) Out-patient 1,134 (estimated)a 30,000 Treatment of minor illness Basic child health care Rural Union Health & Family Welfare Centre (UHFWC) Out-patient 2,430 (estimated)b Family planning Basic child and maternal care Menstrual regulation Treatment of minor illness Community level Ward (13,494 approx) Community clinics Out-patient 10,775 proposed (8,000 built) 6,000 Essential service delivery Preventive, promotion, and limited curative Family Welfare Centre (FWC) Domiciliary care 23,000 7,000 Family planning Basic child and maternal care Menstrual regulation Source: MOHFW; a from Tulane University Associates 2010; b DGFP website estimate is 3,500.
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