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. 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., Xxxxxxxxx, X. Xxxxxxxx, F., Xxxxx, 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. xxxx://xxx.xxxxxxxxx.xxx/en/country/somal...
Health Facilities. State sector is the main source of health care for the people in these districts. Curative services are provided through two teaching hospitals situated in the Kandy city, 2 base hospitals, 13 district hospitals, 7 peripheral units and 26 rural hospitals. Well-organised preventive health services are provided through a network of institutions staffed by medical officers (MOH) and field staff. Infant mortality of 15 per 1000 live births recorded in the district is slightly higher than the national average. Maternal deaths of 8 per 100,000 live births, is less than half the national average. Immunisation coverage of children at the age of five years is around 86% is also comparable with the national average. Education Facilities: Total number of schools operating in the district is 719 of which 647 are government schools. Average number of teachers per school and pupils per school are around 19 and 400 respectively. Pupil/teacher ratio is around 21. These indicators are very close to the national averages. Table 4.12 - Socio-economic Conditions in the Kandy District Kandy Total population (2002) 1,272,463 Households (estimated) 254,493 Literacy rate (as % of population over 10 years age) 91% % of population that had: No schooling or attended only Grade 1 6.9% Passed Grade 1-5 21.4% Passed Grade 6-10 39.0% Passed GCE(O/L) 19.2% Passed GCE(A/L) 9.8% Unemployment rate (unemployed as % of economically active) 9.8% Employment sector: Government /semi-government service 23.2% Private sector 45.2% Self-employed /unpaid family worker 29.5% Source: Census of Population and Housing 2001 5 COMPLIANCE WITH POLICIES, LEGAL REQUIREMENTS AND PROCEDURES
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.
