Table 1 District healthcare system of Bangladesh [13]
Type of health facility | Location (catchment population size) | Major ESP delivered | Staffing norms and key staff numbers with reference to the 2008 staffing standard |
|---|---|---|---|
District-based General Hospital (250-bed) | District town (2,500,000) | In-patient and out-patient services Maternal and child health care Orthopedic services Minor to moderate level surgical services Common consultant/specialized services Medical imaging and laboratory services | Staffing norms is based on the total bed size of the hospital Consultant (22) Medical Officers/General Physicians (23) Nursing Staff (80) |
Maternal and Child Welfare Center (10-bed hospital) | District town (2,500,000) | Maternal and child health services including normal delivery and caesarian section Family planning services In-patient and out-patient services | Staffing norms is based on the total bed size Medical Officers (MO) (2) Family Welfare Visitor (2) |
Upazila or Sub-District Health Complex (50-bed hospital) | Upazila/Sub-District town (250,000–400,000) | In-patient and out-patient services Maternal and child health care Orthopedic cares Minor surgical services Major consultant/ specialized services | Staffing norms based on the total bed numbers Consultant (10) Medical officer (7) Nursing Staff (15) Sub-Assistant Community Medical Officer (1) |
Union Health and Family Welfare Center (only outdoor) | Union-level- rural periphery (40,000) | Out-patient services Maternal and child health care Family planning services | Ad hoc norms Family Welfare Visitor (1) Sub-Assistant Community Medical Officer (1) |
Union Sub-Center (only outdoor) | Union-level- rural periphery (40,000) | Out-patient services Maternal and child health care | Ad hoc norms Medical officer (1) Sub-Assistant Community Medical Officer (1) |
Community Clinic (only outdoor) | Ward level (6000) | Out-patient services Maternal and child health care Family planning services | Population-based staff norms (i.e., one staff per 6000 population) Community Health Care Provider (1) Health Assistant (1) Family Welfare Assistant (1) |