Table 1 BPHS/EPHS guidelines for BEmONC and CEmONC provision and staffing, by facility type [10]
Facility type | Catchment population | Services | Cadre | Notes | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
BEmONC | CEmONC | Anesthetist | Lab technician | Medical doctor | Midwife | Nurse | Obstetrician/gynecologist | Pediatrician | Pharmacist | General Surgeon | |||
Health Post | 1,000–1,500 | No | No | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Operated by volunteer male and female community health workers |
Basic Health Center | 15,000–30,000 | Yes | No | 0 | 0–1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | Preference is for a female doctor and nurse, but this is not a requirement. |
Comprehensive Health Center | 30,000–60,000 | Yes | No | 0 | 1 | 2 | 2 | 2 | 0 | 0 | 1 | 0 | One doctor and one nurse should be female. For upgraded facilities (“CHC plus”), one obstetrician/gynecologist, one surgeon, and one anesthetist are also required. |
District Hospital | 100,000–300,000 (25–75 beds) | Yes | Yes | 1 | 2 | 4 | 4 | 12 | 1 | 1 | 1 | 2 | At least 50% of doctors and nurses should be female. Two of the nurses are to be dedicated for anesthesia services. More advanced technicians are required for blood bank, x-rays, etc. |
Provincial Hospital | (75–250 beds) | Yes | Yes | 2 | 2 | 10 | 8 | 40 | 3 | 2 | 2 | 4 | At least 50% of doctors and nurses should be female. Four of the nurses are to be dedicated for anesthesia services. More advanced technicians are required for blood bank, x-rays, etc. |
Regional Hospital | (300–450 beds) | Yes | Yes | 3–4 | 4 | 20 | 12 | 40 | 5 | 4 | 3 | 6 | At least 50% of doctors and nurses should be female. Four of the nurses are to be dedicated for anesthesia services. More advanced technicians are required for blood bank, x-rays, etc. |
Specialized Hospital | Not specified | Yes | Yes | NA | Staff numbers vary according to need. | ||||||||