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However, the number of higher-level health facilities available was less than the number of low-level facilities, which means that there were six hospitals (level 4 or higher), 27 health centers (level 3) and 79 dispensaries (level 2) [ 27].
Figure 2 compares the costs of outpatient visits at level 2 (Dispensaries), level 3 (Health Centres) and level 4 (District Hospital), Figure 3 exhibits the cost per inpatient stay in hospitals.
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For HIV tests, laboratory diagnoses are carried out from zonal down to the dispensary level.
Above the dispensary level, there are health centres and district hospitals.
However, facility managers from the dispensary level demonstrated poor knowledge of postnatal care (PNC) services provided through the vouchers.
From Table 1, 44 (46%) of the health care workers were working in health centers while 515454%) were from dispensary level.
As shown in Table 3, the dispensary level figures range from 5.0 to 1.1 for qualified BEmOC staff per facility.
Kenya is facing a severe HCW shortage, and attrition among clinical officers is particularly high at the dispensary level [ 27, 28].
Our findings show that the national health laboratory policies/guidelines recommend HIV laboratory testing to be carried out from zonal down to the dispensary level.
The dispensary (Level I) is the first formal health unit that serves between 6,000 and 10,000 people in one or more villages and provides basic outpatient services.
In addition, solutions for reducing the overcrowding of antenatal care services include increasing the number of clinic days, creating clinic shifts (i.e. morning and afternoon clinics), expanding service to the dispensary level, and encouraging women to start antenatal care at the dispensary level.
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