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Table 8 Service delivery model in Ghana

From: Multi-country case studies on planning RMNCH services using WISN methodology: Bangladesh, Ghana, Kenya, Sultanate of Oman and Papua New Guinea

Level of care

Services offered

Occupations

Level 1: community-based health planning and services (CHPS) Compound/zones

Serves 5000 people or 750 households

Preventive care and curative care, maternal and reproductive health, supervised delivery, neonatal and child health services, health education, sanitation and counselling on healthy lifestyles and good nutrition, patient follow-up

Community health nurse, Enrolled Nurse and Midwife

Level 2: Health centres (HCs)

Serve 20 000 or fewer people

(Urban areas with higher populations have polyclinics)

Preventive care and curative care, outpatient services for communicable and non-communicable diseases e.g. TB. HIV, malaria, hypertension, diabetes etc., maternal services, basic emergency care, referral services

Physician Assistant (Medical), General Nurses, Enrolled Nurses, Midwives

Community health nurse, Mental Health Nurse, Laboratory Laboratory Technician, Dispensing Technician and Assistant

Level 3: district/primary hospitals

Serves between 100 000 and 200 000 people

Preventive care and curative care, quality clinical care, selected surgeries, laboratory and other diagnostic services, basic inpatient care, training and technical supervision to health centres, non-clinical support services, referral services

Doctors, nurses, midwives, pharmacists, laboratory scientists, and other paramedics