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Table 1 Characteristics of facilities in the Tajik health system§

From: Patient's site of first access to health system influences length of delay for tuberculosis treatment in Tajikistan

Facility type Specialisation of health worker† Hospital beds Description
Medical House Nurse No Facility serving villages without a Rural Health Centre. Together with the latter forms the peripheral primary care. Basic services from a nurse or a trained health worker.
Rural Health Centre Generalist/family doctor No° Facility serving mid-sized and larger villages. Stands at the centre of Family Medicine and thus primary care. One or more family doctors and a number of nurses.
Polyclinic Specialist doctor No Facility found in district centres and larger towns. Specialist doctors provide ambulatory services.
Central District Hospital Specialist doctor Yes Found in district centres. Specialist doctors provide in- and out-patient services. Usually contains an ambulatory functioning like a Rural Health Centre.
District TB facility (including TB hospitals) TB specialist Partially Usually in the district centre. Often more than one in large districts. Part of the historical vertical structure providing care for TB exclusively.
Republican Hospital Specialist doctor Yes Tertiary referral centres providing the most specialised services available.
Private clinic Varying Varying Exist only in large towns, mainly in the capital.
  1. §This list is by no means complete, but contains the facilities of relevance to this study.
  2. †This column shows the highest professional specialisation that is usually found at facilities of the respective type.
  3. °Some Rural Health Centres are historically derived from rural hospitals with beds and in a transitional period may have hospital beds.