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Post Conflict Health Facility Assessment/Libya 2012 Table Of Post Conflict Health Facility Assessment/Libya 2012 j Table of Content 1 Post Conflict Health Facility Assessment/Libya 2012 Table of Content Tables and Figures ....................................................................................... v Acknowledgements ..................................................................................... xiii Abbreviations and Acronyms .................................................................... xv List of Main Indicators .............................................................................. xvii Executive Summary .................................................................................... xix 1. Introduction........................................................................................ 1 1.1 Background of Libya Health System .................................................................1 1.2 Methodology and Survey Implementation .........................................................2 1.2.1 Survey tool .............................................................................................3 1.2.2 Selection of health facilities ...................................................................3 1.3 Data Collection and Processing ..........................................................................3 1.4 Survey Coverage ................................................................................................4 2. Service Availability ............................................................................ 7 2.1 Health Infrastructure ...........................................................................................7 2.2 Health Workforce ..............................................................................................10 2.3 Service Utilization .............................................................................................12 2.4 Health Services Infrastructure Index .................................................................14 3. General Service Readiness ............................................................... 21 3.1 Basic Amenities .................................................................................................21 3.2 Basic Equipment ................................................................................................25 3.3 Standard Precautions for Prevention of Infections ............................................29 3.4 Diagnostic Capacity...........................................................................................32 3.5 Laboratory Equipment Capacity........................................................................37 3.6 Essential Medicines ...........................................................................................40 4. Specific Services Availability and Readiness ................................. 45 4.1 Antenatal Care ...................................................................................................45 4.1.1 Antenatal care service availability ........................................................46 4.1.2 Antenatal care service readiness ...........................................................46 4.2 Basic Obstetric Care ..........................................................................................48 Table of Content i Post Conflict Health Facility Assessment/Libya 2012 4.2.1 Basic obstetric care service availability ................................................48 4.2.2 Basic obstetric care service readiness ...................................................49 4.3 Child Health Services: Routine Child Immunization ........................................49 4.3.1 Child immunization services availability ..............................................49 4.3.2 Child immunization services readiness .................................................50 4.4 Preventive and Curative Care for Children Under Five Services ......................51 4.4.1 Preventive and curative care for children under five service availability .............................................................................................51 4.4.2 Preventive and curative care for children under five service readiness ................................................................................................53 4.5 Adolescents Health Services .............................................................................58 4.5.1 Adolescents health services availability ................................................58 4.5.2 Adolescents health services readiness ...................................................58 4.6 Tuberculosis Health Services ............................................................................58 4.6.1 Tuberculosis health services availability ..............................................58 4.6.2 Parasitic infestation ...............................................................................60 4.7 Preventing Mother-to-Child Transmission of HIV ...........................................60 4.7.1 Preventing mother-to-child transmission of HIV (PMTCT) services availability ...............................................................................60 4.7.2 Preventing mother-to-child transmission of HIV (PMTCT) services readiness ..................................................................................62 4.8 Diabetes .............................................................................................................62 4.8.1 Diabetes services availability ................................................................62 4.8.2 Diabetes services readiness ...................................................................62 4.9 Cardiovascular Diseases ....................................................................................65 4.9.1 Cardiovascular diseases services availability ........................................65 4.9.2 Cardiovascular diseases services readiness ...........................................66 4.10 Basic Surgery Services ......................................................................................68 4.10.1 Basic surgery services availability ........................................................68 4.10.2 Basic surgery services readiness ...........................................................70 4.11 Comprehensive Obstetric Care ..........................................................................71 4.11.1 Comprehensive obstetric care availability ............................................71 4.12 Blood Transfusion Services ...............................................................................72 4.12.1 Blood transfusion services readiness ....................................................72 4.13 Service Specific Availability .............................................................................74 4.13.1 Basic services provided by health facilities ..........................................74 Table of content ii Post Conflict Health Facility Assessment/Libya 2012 4.13.2 Availability of imaging equipment .......................................................76 4.14 Sexual Violence Services ..................................................................................78 4.15 School Health Services ......................................................................................78 4.16 Oral Health Services ..........................................................................................83 4.17 Nutrition Services ..............................................................................................87 4.18 Mental Health Care............................................................................................89 4.19 Cancer Diagnosis and Management Services....................................................90 5. Conclusion ......................................................................................... 93 5.1 General Service Availability .............................................................................93 5.2 General Service Readiness ................................................................................93 5.3 Specific Services Availability and Readiness ...................................................94 5.3.1 Service specific availability ..................................................................94 5.3.2 Service specific readiness .....................................................................95 Annex Tables ............................................................................................... 99 Annex Questionnair ................................................................................... 159 Table of Content iii Post Conflict Health Facility Assessment/Libya 2012 Tables and Figures 1. Introduction Table 1.1 Distribution of health facilities according to the result of the interview ..................................................................................................4 Table 1.2 Distribution of health facilities according to the status ...........................5 Table 1.3 Distribution of health facilities according to the result of the interview and the status ...........................................................................5 2. Service Availability Figure 2.1 Total PHC facilities per1,0000 population by district .............................8 Figure 2.2 Inpatient beds per10,000 population - Pre and post conflict ...................9 Figure 2.3 Maternity beds per 1,000 pregnant women - Pre and post conflict .........9 Figure 2.4 Maternity beds per 1,000 pregnant women - Pre
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