Community Health Centres in Districts
Details of distribution of health facilities in
districts of Timor-Leste are given in the attached map (Annex-II).
The following four levels of Community Health Centres are available
in every district:
Level 1: In order to provide basic health
serVices to the whole population, a network of level 1 health posts
and mobile clinics has been deployed. These centres are within 4-8
kms from the house of the patient. The services provided include
curative consultation, antenatal and postnatal care, immunization,
growth monitoring, health education and health promotion activities.
Level 2: In every sub-district there
is a community health centre providing promotive, preventive and
curative services. These include external consultations supported
with a simple laboratory, maternity (including antenatal and postnatal
care) to preventive (including immunization) and promotive services.
Level 3: From the sub-district facility
and always within a distance of less than two hours by medical transport
(ambulance that can be activated through a radio communication network),
there is a level 3 district facility. In this facility, the services
provided include, apart from those provided at lower levels, basic
emergency obstetric
care like manual removal of placenta, forceps or vacuum-assisted
delivery or treatment of other obstetric complications. These facilities
are located in districts bordering Dili, like Aileu and Liquica.
Atauro island in Dili will also have an observation unit.
Level 4: This facility is available
in Lautem, Viqueque, Manufahi, Ermera and Manatuto Districts. Facilities
include an inpatient department. 10, with 10 to 20 beds where medical
cases can be diagnosed, treated and referred to higher levels if
needed. Complete aboratory services and other diagnostic means are
available. Minor surgical procedures like stitching, drainage of
abscesses or any other surgical procedure not requiring general
anaesthesia are available. Other surgical cases requiring general
anaesthesia are referred Inl to referral hospitals, which are located
within two hours' driving an time.
A copy of the organizational chart of the District Health Services
is attached ha (Annex 3)
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