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Chapter Three الفصل الثالث Chapter Three توزيع الخدمات الصحية Distribution of Health Services صفحة رقم 3 -1 الفصل الثالث : توزيع الخدمات الصحية Page No. 3 - 1 Chapter Three: Distribution of Health Services الفصل الثالث Chapter Three توزيع الخدمات الصحية Distribution of Health Services شهدت الخدمات الصحية في سلطنة عمان تطوورا ملحواوا لو اﻷعووا الماضوية ففوي ددايوة The Health services in the Sultanate of Oman have developed tremendously عا 1791 كان هناك فقط مستشفيين صويييين ﻻ تشومل أكثوي مون أثنوي عشوي سويييا عشوي over the past years. During early 1970, there were only 2 hospitals with 12 عيوواتات فووي حووين ارتفووع عوودت المستشووفيات التادةووة لوووزار الصووحة فووي عووا 8112 إلوو beds and 10 clinics and by 2018; Ministry of Health (MOH) is running 50 01 مستشف . لمواكبة التييي الذي تشهده سلطنة عمان فوي ووعيوة المشواكل مون المشواكل الصوحية hospitals. Oman is witnessing a shift in its main health problems from الناتجووة موون اﻷمووياد المةديووة إلووي المشوواكل الصووحية الناتجووة عوون تييووي أسوولو الحيووا إلوو communicable diseases to health problems related to changes in life style and اﻷسوولو الةصوويي التييووي فووي التيكيووا السوو اوي التووي تتمثوول فووي اﻷمووياد يووي المةديووة .changes in population structure manifested in non-communicable diseases اهتمت الوزار ددعم اليعاية الصحية للمستوى الثواووي المسوتوى الثالوث لتيطيوة اﻻحتيا وات The Ministry has therefore paid attention in its Five-Year Health Development المستقبلية لم افحة ع ج مثل هذه اﻷمياد. فوي هوذا النطواق فقود قاموت الووزار مون لو Plans to developments in secondary and tertiary care to meet future needs for management of such health problems. There are, now, a total of 5,027 لططها الخمسية للتنمية الصحية دتحديث مستشفياتها حيث يو د حاليا 0189 سيييا. hospital beds. ف وطاق تعم اليعاية الصحية اﻷ لية فقد افتتحت زار الصحة ميكزين صحيين احود فوي In its support for primary health care, MOH opened one new Health Center in محافظة مسقط اﻵلي في محافظة الوسط ، كما تم تيقية ميكز شليم الصحي دمحافظوة افوار Muscat & Al Wusta Governorate and upgraded one health center to Hospital لي ون مستشف محلي 11 سييي. دهوذا يصوبا الةودت ال لو للمياكوز الصوحية المجمةوات with 14 beds in Dhofar Governorate. This makes the total number of health centers 207 of which 55 are equipped with beds (a total of 95 beds), and الصحية التي تدييها الوزار 819 ميكزا منها 00 ميكزا دأسي دإ مالي 70 سيييا، منهوا twenty-two (22) extended health centers in the Ministry of Health. Table 3-1 إثنان عشي ن )88( مجمةا صحيا. يشيي الجد 3-1 تطورا للمؤسسوات الصوحية دووزار shows MOH health institutions developed over the past years as well as the الصحة عبي السنوات السادقة داﻹضافة للتطورات في دةض مؤشيات الخدمات الصحية. .development of some health service indicators تقد زار الصحة لدمات صحية ل افوة الموواننين مون لو مؤسسواتها الصوحية لقود سوةت MOH provides health services to all the people of Oman through its health الووزار إلوو تةزيوز هووذه الخوودمات الصوحية لووارج محافظووة مسوقط موون لوو إقاموة مظلووة موون institutions. It attempted to strengthen health services outside Muscat Governorate. Therefore an umbrella of health services was established to الخدمات تيط كافة أوحاء الب ت. يوضا الجد رقوم 3 -8 توزيوع المؤسسوات الصوحية فوي cover the entire Sultanate. Table 3-2 shows the distribution of health المحافظات الصحية دالسولطنة. فنجود أن هنواك مستشوف مي ةوي فوي كول محافظوة صوحية يقود institutions among the health governorates in the Sultanate. There is a لدمات صحية عل المستوى الثاووي ) المستوى الثالث في دةضوها( لمووانني المحافظوة التوي Governorate Hospital” in each health governorate that provides secondary“ يخدمها المستشف ، هذا دجاوا مستشفيات الوﻻية المستشفيات المحليوة كوذا المياكوز الصوحية care (tertiary in some) for the people in its catchment area. This is in addition في كل محافظة صحية. الجدا رقم 3-3 إل 3-13 اﻻش ا التوضيحية 3- 8 إلو to “Wilayat Hospitals” “Local Hospitals” and Health Centres in each health 18-3 توضا توزيع المؤسسات الصحية داوواعها ف المحافظات الصحية اﻷحد عشي. governorate. Tables 3- 3 to 3-13 and the illustrative figures 3-2 to 3-12 show the distribution of health institutions in each of the health governorates. كمووا عنيووت الوووزار دخوودمات اليعايووة الصووحية اﻻ ليووة فقوود اهتمووت ايضووا دمؤسسووات اليعايووة Besides primary health care services, MOH realized the importance of الصووحية تات المسووتوى الثوواووى المسووتوى الثالووث كمووا تكووي سووادقا لموا هوو التييووي فوو ومووط secondary and tertiary care services to face the changes in disease trends and اﻻمياد اﻻحتيا ات المستقبلية لم افحة عو ج المشو ت الصوحية يوي المةديوة. لوذا فقود the future needs to control and treat non-communicable diseases. MOH has equipped its hospitals with sufficient number of beds in various specialties. اهتموووت الووووزار دتز يدالمستشوووفيات داعووودات مناسوووبة مووون اﻻسوووي فووو التخصصوووات المختلفوووة Tables: 3-14 to 3-17 describes the numbers of hospital beds according to الجدا 3 -11 إل 3-19 تصف أعدات أسي المستشوفيات حسوا التخصصوات المختلفوة فو specialty in the health governorates, in Governorate hospitals, in wilayat المحافظوووات الصوووحية مستشوووفيات المحافظوووة مستشوووفيات الوﻻيوووة المستشوووفيات المحليوووة، .hospitals and in local hospitals, respectively دالتيتيا. توم إضوافة ود 3-12 الوذي يوضوا الخوودمات الصوحية المختلفوة المقدموة مثول سويل ال لوو ,A new table 3-18, shows the various other facilities such as Renal Dialysis Blood Bank & CDC available in each governorate. التبيع دالد مياكز مياقبة اﻹمياد المةدية في كل محافظة. ل عا 8110 ، تم إلحاق ث ث مياكز متخصصة دالمستشفي السلطاوي في محافظة مسقط & During 2015, three speacilized centres –Cardiac, Diabetic and Genetic Hereditary Diseases in Muscat Govenorate, attached to Royal Hopsital, هي : ميكز القلوا - ميكوز السو يي الميكوز الوونني لضموياد الوراثيوة . ميكوز للقلوا Cardiac centre in Dhofar Governorate attached to Sultan Qaboos Hospital and دمستشفي السلطان قادوس دمحافظة افار. ميكز للسو يي فوي مجموع صوور دمحافظوة نوو .Diabetic Centre at Sur, attached to Sur Extended Health centre الشيقية. فيما يلي تةييف للمؤسسات الصحية الت تدييها زار الصحة: The types of health institutions run by the MOH may be broadly described as under: أ ﻻ: المستشفيات: :The Hospitals 1. مستشف محافظة: :Governorate Hospital .1 هوووو مستشوووف اقليمووو يقووود لووودمات رعايوووة صوووحية ثاوويوووة المسوووتوى الثالوووث لسووو ان A hospital that provides secondary and tertiary cares to inhabitants of the المحافظة المقامة دها المستشف أ لا المستشفيات اﻻقليمية مقام ف ميكوز المحافظوة health governorate in which it is located. It is usually built in the center of تقييبا تةتبي مستشفيات مي ةية يحا الي الحواﻻت الحي وة مون المستشوفيات اﻻلويى a health governorate and is considered as a referral hospital for critical المياكز الصحية دالمحافظة. .cases from other hospitals and health centers of the health governorate تةمل مستشفيات محافظة مسقط ه المستشف السلطاو ، مستشوف النهضوة، مستشوف Governorate hospitals of the Muscat Governorate act as national referral لولة مستشف المسي ) ادن سينا سادقا( كمستشوفيات محافظوة لهوا نبيةوة شواملة هو hospitals for critical cases from other Governorate hospitals. These are the مستشووفيات مي ةيووة يحووا اليهووا الحوواﻻت الحي ووة موون مستشووفيات المحافظووات الصووحية Royal Hospital, Al-Nahdha Hospital, Khoula Hospital and Al Masarra اﻻليى. .(Ibn-Sina Hospital) صفحة رقم 3 - 8 الفصل الثالث: توزيع الخدمات الصحية Page No. 3 - 2 Chapter Three: Distribution of Health Services صفحة رقم 3 -3 الفصل الثالث : توزيع الخدمات الصحية Page No. 3 - 3 Chapter Three: Distribution of Health Services 8. مستشف ﻻية: هو مستشف يقد لدمات رعاية صحية ثاووية دجاوا لودمات اليعايوة الصوحية اﻻ ليوة :Wilayat Hospital .2 لس ان الوﻻية المقا دها المستشف دةض الوﻻيات المحيطة. A hospital that provides both primary and secondary health care to inhabitants of the wilayat in which it is located and those of nearby wilayats. 3. مستشف محلي: :Local Hospital .3 هو مستشف صييي يقد لدمات اليعاية الصحية اﻻ لية لس ان القيى المحيطة A small hospital that provides primary health care services to inhabitants دالمستشف كذلك لدمات تنويمية لبةض الميض الذين يحتا ون ليعاية م حظة in nearby villages. In addition, it provides inpatient services to those نبية مستمي . .patients who are in need for continuous medical care and /or observation ثاويا: المياكز الصحية: :Health Centers 1. ميكز صحي: :Health Center .1 يقد الميكز الصح لدمات اليعاية الصحية اﻻ لية لس ان المحافظة المحيطة د . A health center provides primary health care to the people in the surrounding catchment area. 8. ميكز صحي دأسي : :Health Center with Beds .2 هو ميكز صح يقد لدمات اليعاية الصحية اﻻ لية قد تم تجهيوزه دةودت مون اﻷسوي A health center that provides primary health care services and is equipped تستخد ف رعاية اﻻمهات الحوامل الوﻻت ) كأسي م حظوة / أ كأسوي م حظوة ( with a number of beds. These beds are used as maternity beds (and/or داﻻضافة إل حجي ﻻت مجهوز دسوييي لوال للووﻻتات هوذه المياكوز تخود سو ان observation beds). These health centers are also equipped with a delivery المحافظة المحيطة دها. suite with a delivery table. Such health centers serve people in the catchment area. 3.مجمع صحي: :Extended Health Center .3 هو ميكز صح يقد لدمات اليعاية الصحية اﻻ لية داﻻضافة إل لدمات تخصصوية A health center that provides primary health care services and in addition فوو مجوواﻻت متخصصووة مختلفووة فوو صووور عيوواتات لار يووة تخوود سوو ان المحافظووة there are some specialized outpatient clinics in different specialties. They serve the people in the catchment area. They do not have inpatient المحيطة دها ه ليست مجهز لتقديم لدمات تنويمية. services. جدول 3-1: تطور الخدمات والمؤسسات الصحية التابعة لوزارة الصحة منذ عام 1791م Table 3-1: Developments in MOH Health Services and Institutions since 1970 9th Five-Year Plan المشعرات )المؤشرات( @Indicators
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