Table 2 Key features of MC service delivery modes
Service delivery mode | Key Features |
|---|---|
Base | ○ A district or subdistrict hospital in an urban or semi-urban setting provides ongoing MC services. |
○ The facility meets standard MC surgery requirements (e.g., has trained staff, supplies, surgical instruments, an appropriate space). | |
○ In the case of base sites supported by NRHS, MC procedures are supplemented by NRHS dedicated MC teams; APHIA II base sites rely on existing MoH staff to provide MC services. | |
Outreach | ○ A health center or dispensary in a rural setting that is not staffed/equipped to provide routine MC; receives supplemental inputs (e.g., trained MC surgeons/surgical assistants, equipment, surgical instruments, supplies, transport) from a “base” facility to provide MCs that meet standard MC surgery requirements during prescheduled MC days. |
○ The receiving facility contributes minimal or no inputs (e.g., local technical support, supplies) other than providing a space for surgeries. | |
Mobile | ○ A fully contained MC surgical unit (consisting of a trained MC surgeon/surgical assistants, equipment, surgical instruments, supplies, and transport) is able to stage MC procedures that meet standard MC surgery requirements at any location (e.g., a school, community center, tent, etc.), including remote settings. |
○ The receiving facility provides the space for surgeries only. |