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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