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Table 1 Basic components and services at the various levels of the Oyam District Health System

From: Effects of demand-side incentives in improving the utilisation of delivery services in Oyam District in northern Uganda: a quasi-experimental study

Level

Location

Population

Services provided

aHealth Centre I (community and Village Health Teams)

Village

1000

Community-based prevention and health-promotion services

bHealth Centre II

Parish

5000

Prevention, health promotion, and outpatient curative services, outreach

Health Centre III

Sub-County

20,000

Prevention and health-promotion, outpatient curative services, outreach,

Maternity, in-patient curative services, and laboratory services

Health Centre IV

County

100,000

Emergency surgery, blood transfusion, and all services provided at HC III level

General or District Hospital (Aber Hospital = PNFP, 178 beds)

District

500,000

Consultations, in-service training, other general services, and research support to community-based healthcare programmes.

In addition to services offered at the HC IV level

  1. Sources: Health Sector Strategic Plan 2000/01–2004/05, Ministry of Health, Uganda; Health Sector Strategic Plan II 2005/06–2009/10, Ministry of Health, Uganda; Institute for Health Metrics and Evaluation (IHME). Health Service Provision in Uganda: Assessing Facility Capacity, Costs of Care, and Patient Perspectives. Seattle, WA: IHME, 2014
  2. HC, Health Centre. aA HC I is the interface between the formal health system and the community. There are no physical structures, except for a network of Village Health Teams (VHT). The VHTs are non-professional health workers trained to perform several functions. They include health education, disease prevention and health promotion through community sensitisation and mobilisation for various public-health interventions. They are usually residents of the communities and serve as ‘bridges’ between the health facilities and their communities. bSome HC IIs were upgraded and mandated to provide basic maternity services