Hello everybody.
thank you Claire for alerting the Telegram group 'OSM Africa Tagging'
about your message on this list!
I forwarded your invitation to the groups América Central, LatAm,
Panamá, and Colombia.
yesterday we had a look at the typologies that exist from an official
point of view here in Panamá, and at the lower end of the range there's
indeed facilities that don't match the amenity=[clinic|doctors] nor any
healthcare values.
the three low-range facilities are called: "Puesto de Salud", "Subcentro
de Salud", and "Centro de Promoción de Salud". I've never seen one of
them, personally speaking, I'm just interpreting the information at
http://www.minsa.gob.pa/cartera-salud/cartera-de-servicio-por-nivel-de-atencion
and asking local people for help understanding what I'm reading.
The "centro de promoción" does not offer any other support but by
education and communication. allegedly: "Organización comunitaria,
Participación Social, Educación y comunicación para la Salud."
supposing they do exist and they do provide the service, I would not
know how to tag these.
Subcentros and Puestos are for remote areas reachable only with
difficulty in the dry season. there's quite a few communities here
which can only be reached by boat via rivers, possibly on foot after
leaving the boat. these Puestos and Subcentros have respectively a
'ayudante o asistente' de salud, and a 'Auxiliar de Enfermería (Técnico)
o Enfermera permanente'. I'm not sure, but to me an 'ayudante' sounds
like someone from the community having received some minimal training,
while the 'Técnico/Auxiliar' is a graduate professional. these
locations are periodically visited from the Centro from which they
depend. "many" of these places (la gran mayoría de los casos) only
exist on paper, and are abandoned, or only used as storage for goods
unrelated to healthcare. (when I asked at the local Centro de Salud,
the doctor made a call to the administration to check his knowledge, and
confirm which of the dependencies were in function. I got the idea it's
quite volatile information.)
summarizing, to represent the lower end of the Panamanian healthcare
facilities, apart from the mentioned proposed new categories:
healthcare=nurses (technicians/engineers), and healthcare=community_*
(stagists/capacitated/?), we als need to tag the periodicity of the
extra presence, and the prevention/education/information function.
I hope we will have an extended definition: we can use it here,
thanks again.
Mario
On 19/05/2020 10:14, claire.halleux at hotosm.org (Claire Halleux) wrote:
Hello,
This message follows previous discussions that took place in Africa Tagging
Telegram group and on talk-cd list related to (missing) tags for mapping
rural healthcare facilities.
A dispensary ("dispensaire" or "poste de santé" per DRC local names)
matches the following definition extracted from Wikipedia: "a dispensary is
a small outpatient health facility, usually managed by a registered nurse.
It provides the most basic primary healthcare services to rural
communities, e.g. childhood immunization, family planning, wound dressing
and management of common ailments like colds, diarrhea and simple malaria.
The nurses report to the nursing officer at the health center, where they
refer patients with complicated diseases".
In the DRC, the mapping of dispensaries has been mainly using
health_facility:type=dispensary tag from abandoned proposal healthcare 2.0
for the last 2 years. Most of the involved mappers would now like to switch
towards a more consistent tagging scheme (that would hopefully also be
rendered on carto at some point).
What are your thoughts about adding the value "dispensary" in the wiki to
the healthcare key to map these places?
Additionally, despite dispensaries, a number of rural areas are still out
of reach of any regular healthcare provider. Therefore the Ministry of
Public Health in the DRC also recognized and organized community healthcare
provided by trained volunteers from the communities (these places are
called "sites de soins communautaires"). These places have a particular
focus on deadly diseases affecting children, they include prevention,
health promotion and curative activities. Since these don't even have a
single nurse as staff, I would like to propose a separate value such as
healthcare=community_care or community_care_site.
Regards,
Claire
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