<div dir="ltr"><div>@Dolly, <br></div><div><br></div><div>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.</div><div><br></div><div>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 <a href="https://en.wikipedia.org/wiki/Public_health_system_in_India">https://en.wikipedia.org/wiki/Public_health_system_in_India</a> and <a href="https://en.wikipedia.org/wiki/Primary_Health_Centre_(India)">https://en.wikipedia.org/wiki/Primary_Health_Centre_(India)</a>.</div><div><br></div><div><div>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.<br></div></div><div><br>
</div><div>Thank you very much for joining the exchanges.
</div></div><br><div class="gmail_quote"><div dir="ltr" class="gmail_attr">On Fri, May 22, 2020 at 5:01 PM Manda Andriatsiferana <<a href="mailto:privatemajory@gmail.com" target="_blank">privatemajory@gmail.com</a>> wrote:<br></div><blockquote class="gmail_quote" style="margin:0px 0px 0px 0.8ex;border-left:1px solid rgb(204,204,204);padding-left:1ex"><div dir="ltr"><div dir="ltr">Hi Claire and all,<div><br><div> @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 <a href="https://wiki.openstreetmap.org/wiki/Congo-Kinshasa/Conventions/Sant%C3%A9" target="_blank">https://wiki.openstreetmap.org/wiki/Congo-Kinshasa/Conventions/Sant%C3%A9</a> suggested is health_facility:type=health_centre<span style="font-family:sans-serif;font-size:13.3px;background-color:rgb(249,249,249)"> and/or</span><span style="font-family:sans-serif;font-size:13.3px;background-color:rgb(249,249,249)"> </span>healthcare=centre<span style="font-family:sans-serif;font-size:13.3px;background-color:rgb(249,249,249)"> . Wiki page for healthcare=centre doesn't say anything except the tag has unclear meaning.</span></div><div><br></div><div>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.</div><div><br></div><div>Again thanks for this useful thread.</div><div><br></div><div><div><div><div dir="ltr"><div dir="ltr"><div><span style="color:grey">-- </span></div><div><span style="color:grey">Dolly Andriatsiferana</span></div></div></div></div><br></div></div></div></div><br><div class="gmail_quote"><div dir="ltr" class="gmail_attr">On Fri, May 22, 2020 at 2:55 PM Mateusz Konieczny via Tagging <<a href="mailto:tagging@openstreetmap.org" target="_blank">tagging@openstreetmap.org</a>> wrote:<br></div><blockquote class="gmail_quote" style="margin:0px 0px 0px 0.8ex;border-left:1px solid rgb(204,204,204);padding-left:1ex">
<div>
<div>Now next step is to either get back to other mappers and explain why =dispensary<br></div><div>would be likely confusing for others and just map using whatever tags seems best.<br></div><div><br></div><div>Or go through a proposal process <a href="https://wiki.openstreetmap.org/wiki/Proposal_process" target="_blank">https://wiki.openstreetmap.org/wiki/Proposal_process</a><br></div><div>if you want.<br></div><div><br></div><div>I have seen some edits already, but documenting what was gathered in this discussion by<br></div><div>documenting it on OSM Wiki may be also a good idea.<br></div><div><br></div><div>May 22, 2020, 01:35 by <a href="mailto:claire.halleux@hotosm.org" target="_blank">claire.halleux@hotosm.org</a>:<br></div><blockquote style="border-left:1px solid rgb(147,163,184);padding-left:10px;margin-left:5px"><div dir="ltr"><div dir="ltr"><div>Thank you for the detailed answer.<br></div><div><br></div><div>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 (<a href="https://wiki.openstreetmap.org/wiki/Congo-Kinshasa/Conventions/Sant%C3%A9" rel="noopener noreferrer" target="_blank">https://wiki.openstreetmap.org/wiki/Congo-Kinshasa/Conventions/Sant%C3%A9</a>). The tag description is likely to cover other types of facilities too, it will likely be discussed on the local list next.<br></div><div><div><br></div><div>Happy to read that community_health_worker value might get consensus.<br></div></div><div><br></div></div><div><br></div><div><div dir="ltr">On Thu, May 21, 2020 at 8:30 PM Joseph Eisenberg <<a href="mailto:joseph.eisenberg@gmail.com" rel="noopener noreferrer" target="_blank">joseph.eisenberg@gmail.com</a>> wrote:<br></div><blockquote style="margin:0px 0px 0px 0.8ex;border-left:1px solid rgb(204,204,204);padding-left:1ex"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div>The tag amenity=health_post has been mainly used in Nepal, with some use in Guinea (West Africa) and northern Ethiopia:<br></div><div><br></div><div><div><a href="https://overpass-turbo.eu/s/UeI" rel="noopener noreferrer" target="_blank">https://overpass-turbo.eu/s/UeI</a><br></div><div><br></div></div><div>Those in Guinea are usually named "P<span style="color:rgb(0,0,0)"><span style="font-family:"Helvetica Neue",Arial,Helvetica,sans-serif"><span style="font-size:12px">oste de santé</span></span></span><span style="color:rgb(0,0,0)"><span style="font-family:"Helvetica Neue",Arial,Helvetica,sans-serif"><span style="font-size:12px"> de <place>" - so perhaps they are similar to the Poste de Santé in your area?</span></span></span><br></div><div><span style="font-family:"Helvetica Neue",Arial,Helvetica,sans-serif"><span style="color:rgb(0,0,0)"><span><span style="font-size:12px">E.g. nodes </span></span></span></span><a href="https://www.openstreetmap.org/node/4218024825" rel="noopener noreferrer" target="_blank">4218024825</a>, <a href="https://www.openstreetmap.org/node/4218025230" rel="noopener noreferrer" target="_blank">4218025230</a>, and <a href="https://www.openstreetmap.org/node/4218028928" rel="noopener noreferrer" target="_blank">4218028928</a><br></div><div><br></div><div>There is an online article about the Health Post system in Ethiopia: <a href="http://www.hhpronline.org/articles/2016/12/17/the-health-extension-program-of-ethiopia" rel="noopener noreferrer" target="_blank">http://www.hhpronline.org/articles/2016/12/17/the-health-extension-program-of-ethiopia</a><br></div><div><br></div><div>"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."<br></div></div><div dir="ltr"><br></div><div>Example: node <a href="https://www.openstreetmap.org/node/977989612" rel="noopener noreferrer" target="_blank">977989612</a><br></div></div></div></div></div></div></div></div><div><br></div><div>In Nepal, the amenity=health_post is used for "Health Post" and "Sub-Health Post" facilities. This article says:<br></div><div><br></div><div>"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." <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2723647/pdf/12199_2008_Article_BF02897302.pdf" rel="noopener noreferrer" target="_blank">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2723647/pdf/12199_2008_Article_BF02897302.pdf</a> - older article<br></div></div><div dir="ltr"><br></div><div dir="ltr"><a href="https://www.advancingpartners.org/resources/technical-briefs/nepal-community-based-health-system-model" rel="noopener noreferrer" target="_blank">https://www.advancingpartners.org/resources/technical-briefs/nepal-community-based-health-system-model</a> - more recent:<br></div><div>"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. "<br></div></div><div dir="ltr"><div><br></div><div>So these health posts are not staffed by nurses or doctors, they might have an "auxiliary nurse midwife" or "auxiliary health worker"<br></div></div><div dir="ltr"><br></div><div>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.<br></div><div><br></div><div>– Joseph Eisenberg<br></div><div dir="ltr"><div dir="ltr"><br></div></div></div></div></div></div></div></div></blockquote></div></div></blockquote><div><br></div> </div>
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