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The great majority of patients are from rural forested tribal areas often lacking in basic water or sanitation services or access to functioning healthcare facilities.
In addition, it was not served well by public transport and had fewer functioning healthcare facilities compared to urban and semi-urban blocks According to government norms, there is one Primary Health Centre (PHC) for every 20,000 inhabitants.
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The occurrence of a pandemic can place an immense burden upon healthcare services, and e-Health systems may facilitate the functioning of healthcare facilities.
By 2011, 22 of 25 healthcare facilities functioning before the earthquake were again functioning; however, total inpatient beds among these facilities had declined from 232 to 124. Figure 1 presents pre- and post-earthquake scenes of Leogane, which are representative of the kind of damage found throughout the city.
Second, between 2001 and 2005, the changes in health service use patterns and inequality patterns documented here substantially reflect the gatekeeper function allotted to primary healthcare facilities under UCS policy, and suggest considerable success in channeling inappropriate demand away from higher level public facilities.
Whilst some of the hospitals within the urban centres that escaped damage or looting have started functioning with minimum levels of equipment, a majority of the primary healthcare facilities are yet to renew their functioning.
This is because they have been established in a minority of registered healthcare facilities and, where present, their functioning has not been continuous and they have no real powers of changing the actual situation.
Although the institute is a specialty hospital, it sometimes functions as a primary healthcare facility because of the poor system for referral.
Functioning equipment such as X-ray machines and microscopes should be available at all township level healthcare facilities.
The price for patient consultations at private healthcare facilities has also increased since the earthquake, enabling facilities to continue to function despite fewer patient visits.
Moreover, difficulties related to the measurement of outputs in healthcare facilities are well known and refer mainly to the nature and variety of functions [ 33].
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