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

[Manda Andriatsiferana]

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 at 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.halleux at 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.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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