Health Facilities. 7.1. In case any User needs medical assistance, the SMA shall immediately call CATS ambulance and admit the User to nearby government hospital as per the procedure prescribed by DUSIB.
Health Facilities. In November 1999 the Government estimated that 75 hospitals and health centres had been destroyed. Some 62 of them have been rebuilt, according to the Ministry of Public Health. In addition to the destruction of facilities, medicines were looted, and some health care personnel have died or gone into exile. Thus reconstruction will also involve equipment, medicine and health-care personnel.
Health Facilities. The Facilities screen captures attributes of a health facility’s cold chain function, including populations served by this health facility, vaccine supply, and fuel availability. This information allows the CCEM tool to match the preferred equipment models—determined by the national cold chain manager—to facilities (for example, according to fuel or vaccine availability). Entering data on the Facilities tab:
Health Facilities. Somalia as a whole is facing a severe lack of functioning health care facilities, but more so in the Central and Southern regions which are home to over 50% (>5 million) of the country’s population. According to a 2012 survey by The United Nations Office for the Coordination of Humanitarian Affairs [OCHA], there are currently less than 650 health facilities in Central and South Somalia including: hospitals (37), health centers (282), health posts (226), mobile clinics, primary healthcare and TB center. For a population of over 5 million this translates to over 135,000 people per hospital and over 17,000 people per health center. These facility population ratios meet the international Inter-Agency Standing Committee (IASC) standards for health facilities and population ratio in crisis indicated on Table 2. However, these facilities are not equally distributed in the different regions and sub-districts and are mainly concentrated in large cities. For instance, 26 Prata, N., Sreenivas, A. Vahidnia, F., Potts, M. (2009). Saving maternal lives in resource-poor settings: Facing reality. Health Policy, 89 (2009) 131–148. 27 WHO. Monitoring emergency obstetric care: a handbook. (2009). Banadir, the largest and most populated region in Somalia, has 4-13 times more hospitals than other regions of the same zones (Central and South). Adding to the complexity of the problem is the lack of standards for health service and delivery of care amongst healthcare facilities in Somalia, thus the quality of service provided also varies. There are specific global standards by WHO and its partners for EmOC facilities and population ratio, which cover more people than the IASC standards. The acceptable level of EmOC facility and population ratio is at least four basic emergency obstetric care [BEmOC] and one comprehensive emergency obstetric care [CEmOC] facilities per 500,000 population. Somalia meets these minimum standards. Again, even if the facilities are available the required functioning, access and quality are barely there. The lack of adequately functioning health facilities overwhelms the system and health provisions (access and service quality) are negatively impacted. 28,29 Table 2: Global health cluster suggested set of core indicators and benchmarks by category Source: Inter-Agency Standing Committee (IASC), 2010. 28 WB. (2007). Somali joint needs assessment: social services and protection of vulnerable groups Cluster report. http://www.worldbank.org/en/country/somal...