[Tagging] Adding values healthcare=dispensary and healthcare=community_care?

[Claire Halleux]

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.eisenberg at 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
>
>
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