@Dolly, Since the referral health centers (centres de santé de référence) are supposed to have at least one doctor in the DRC, they have mainly been mapped with amenity=doctors. Actually the same tag has also often been used to map even the more "basic" health centers without doctors. This could evolve soon, likely using the amenity=health_post value, whose description has been adapted accordingly to the current discussion.
As there's a good number of contributors willing to make more use of healthcare key, I was thinking to add a section on the "healthcare=centre" wikipage to describe how that value is currently used in different countries. I don't know the Indian health system but their definition of Primary Health Centre seems relatively close of the local health centres that I know. See https://en.wikipedia.org/wiki/Public_health_system_in_India and https://en.wikipedia.org/wiki/Primary_Health_Centre_(India). So until a better solution is agreed on, we'll probably continue to map using both amenity and healthcare tags, but leaving the health_facility:type one. Thank you very much for joining the exchanges. On Fri, May 22, 2020 at 5:01 PM Manda Andriatsiferana < privatemaj...@gmail.com> wrote: > Hi Claire and all, > > @Claire I know this thread is about health posts and community care sites > but I'm curious: which tag(s) are you willing to keep for your Centres de > Santé? From your > https://wiki.openstreetmap.org/wiki/Congo-Kinshasa/Conventions/Sant%C3%A9 > suggested > is health_facility:type=health_centre and/or healthcare=centre . Wiki > page for healthcare=centre doesn't say anything except the tag has unclear > meaning. > > In Madagascar we don't have those health posts but above community care > sites in the hierarchy we have facilities called Centres de Santé de Base. > Sometimes those have doctor(s) + nurses, and sometimes only nurses. I think > those facilities should correspond to your Centres de Santé. We've been > tagging them as health_facility:type=dispensary and I think it is time to > find better tags for them too. > > Again thanks for this useful thread. > > -- > Dolly Andriatsiferana > > > On Fri, May 22, 2020 at 2:55 PM Mateusz Konieczny via Tagging < > tagging@openstreetmap.org> wrote: > >> Now next step is to either get back to other mappers and explain why >> =dispensary >> would be likely confusing for others and just map using whatever tags >> seems best. >> >> Or go through a proposal process >> https://wiki.openstreetmap.org/wiki/Proposal_process >> if you want. >> >> I have seen some edits already, but documenting what was gathered in this >> discussion by >> documenting it on OSM Wiki may be also a good idea. >> >> May 22, 2020, 01:35 by claire.hall...@hotosm.org: >> >> Thank you for the detailed answer. >> >> Indeed, this amenity=health_post tag is similar to the "poste de santé" >> in the DRC. It is the exact match of one of the 5 low-range health facility >> types among the 14 types of health facilities currently documented in the >> country ( >> https://wiki.openstreetmap.org/wiki/Congo-Kinshasa/Conventions/Sant%C3%A9). >> The tag description is likely to cover other types of facilities too, it >> will likely be discussed on the local list next. >> >> Happy to read that community_health_worker value might get consensus. >> >> >> On Thu, May 21, 2020 at 8:30 PM Joseph Eisenberg < >> joseph.eisenb...@gmail.com> wrote: >> >> The tag amenity=health_post has been mainly used in Nepal, with some use >> in Guinea (West Africa) and northern Ethiopia: >> >> https://overpass-turbo.eu/s/UeI >> >> Those in Guinea are usually named "Poste de santé de <place>" - so >> perhaps they are similar to the Poste de Santé in your area? >> E.g. nodes 4218024825 <https://www.openstreetmap.org/node/4218024825>, >> 4218025230 <https://www.openstreetmap.org/node/4218025230>, and >> 4218028928 <https://www.openstreetmap.org/node/4218028928> >> >> There is an online article about the Health Post system in Ethiopia: >> http://www.hhpronline.org/articles/2016/12/17/the-health-extension-program-of-ethiopia >> >> "More than 38,000 government-salaried female Health Extension Workers >> (HEWs) are deployed in the country. 3 Two HEWs are assigned to one health >> post to serve a population ranging from 3,000 to 5,000 in a village >> “kebele”. HEWs provide key health services through fixed and outreach >> bases. They spend half of their working time conducting home visits and >> outreach activities and the remaining half at their health post providing >> basic curative, promotive and preventive services." >> >> Example: node 977989612 <https://www.openstreetmap.org/node/977989612> >> >> In Nepal, the amenity=health_post is used for "Health Post" and >> "Sub-Health Post" facilities. This article says: >> >> "health assitant, axulliary health worker, assistant nurse midwife and >> maternal-child health worker are designated to work in PHC-C, HP [Health >> Post] or SHP [Sub-Health Post] in rural areas but to date there are >> insufficinet trained health workers available." >> https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2723647/pdf/12199_2008_Article_BF02897302.pdf >> - >> older article >> >> >> https://www.advancingpartners.org/resources/technical-briefs/nepal-community-based-health-system-model >> - more recent: >> "community-based health services provided by the three cadres of >> community-level service providers (CLSPs): female community health >> volunteers (FCHVs), auxiliary nurse midwives (ANWs) and auxiliary health >> workers (AHWs).2 Until recently, two other cadres—village health workers >> (VHWs) and maternal and child health workers (MCHWs)—operated in Nepal, but >> were upgraded to AHWs and ANMs. " >> >> So these health posts are not staffed by nurses or doctors, they might >> have an "auxiliary nurse midwife" or "auxiliary health worker" >> >> Comparing the 3 countries, all are health facilities at the village or >> neighborhood level which provide health care via workers who do not have as >> much formal training. I would agree that most of these workers might be >> called "community health workers" as a general term, though each country >> uses somewhat different terminology. >> >> – Joseph Eisenberg >> >> >> _______________________________________________ >> Tagging mailing list >> Tagging@openstreetmap.org >> https://lists.openstreetmap.org/listinfo/tagging >> > _______________________________________________ > Tagging mailing list > Tagging@openstreetmap.org > https://lists.openstreetmap.org/listinfo/tagging >
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