Health Service Provision in Zambia: Assessing Facility Capacity, Costs of Care, and Patient Perspect

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TERMS AND DEFINITIONS

Outpatient visit

A patient who receives care at a facility without being admitted (excluding patients presenting for ART services). Outputs

Volumes of services provided, patients seen, and procedures conducted, including outpatient and inpatient care, ART visits, laboratory and diagnostic tests, and medications. Platform

A channel or mechanism by which health services are delivered. User fee

A monetary payment made at a facility in exchange for medical services.

Facility types in Zambia Level 3 hospitals

These hospitals are intended to serve catchment populations of at least 800,000; act as referral centers for level 2 hospitals; and offer specialty subservices in internal medicine, surgery, pediatrics, obstetrics and gynecology, intensive care, psychiatry, training, and research. Level 2 hospitals

These hospitals are intended to serve catchment populations between 200,000 and 800,000; act as referral centers

for level 1 hospitals; and offer services in internal medicine, general surgery, pediatrics, obstetrics and gynecology, intensive care, psychiatry, and dental care. Level 1 hospitals

Also known as district hospitals, these hospitals are intended to serve catchment populations between 80,000 and

200,000; support all referrals from health centers; and offer general medical, surgical, obstetric, and diagnostic services. Nearly all districts are served by level 1 hospitals. Health centers

These facilities are intended to serve as primary care centers, with urban health centers serving catchment popula-

tions between 30,000 and 50,000 and rural health centers serving catchment areas of approximately 10,000 people or a radius of 29 kilometers. Health posts

These facilities are intended to operate as basic health centers for sparsely populated areas, with rural health posts

serving populations of approximately 3,500 people (500 households) and urban health posts serving populations of approximately 7,000 people (1,000 households). The types of health services offered at health posts are basic first aid rather than curative.

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Health Service Provision in Zambia: Assessing Facility Capacity, Costs of Care, and Patient Perspect by Institute for Health Metrics and Evaluation - Issuu