To achieve this it is crucial to build the capacities of practitioners at primary level of services including general practitioners, patronage nurses, kindergarten and school teachers, social workers and community based service providers, and to involve civil society and parents.
The hospital provides a primary level of acute care services and provides secondary services such as community health, X-ray, pharmacy, dental, child health, sexual health, and antenatal and specialist clinics.
The functional referral system is important in backing-up antenatal, labour and delivery, and postnatal services in the primary level of care facilities.
Thus, the GP, the school nurse, the school counsellor and low threshold youth counselling services represent the primary level of care in Norway.
Note that, across the sectors, very few clients with no or primary levels of education sought out VCT services.
Although PMTCT services are provided through tertiary, secondary and primary levels of health care, full implementation of the standard PMTCT package is limited to the tertiary level [ 10].
City Health receives funding from MDHS for some of the services it renders and this is formalized within a service-level agreement (SLA) of primary level services (Provincial Government of the Western Cape 2010).
The primary levels of care facilities are the main access point for maternal and child health services in rural areas.
The co-operative governance of primary level health services requires structures and processes for co-ordination and collaboration between the two organizations.
Also, because nurses are allowed to perform first trimester abortions in South Africa, decreasing the numbers of second trimester abortions would make abortion services more accessible and increase the feasibility of abortion becoming a primary level service.
