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Analytical summary - Service delivery

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The country is pursuing the goal of universal coverage in line with the primary healthcare principles. The formal health sector is based on the concepts of primary health care and decentralization. Its infrastructure is made up of 7 government hospitals, 2 mission hospitals and 1 industry supported hospital. There are also, 8 public health units, 12 health centres, 76 clinics and 187 outreach sites. In addition, there are 73 mission health facilities (health centres, clinics and outreach sites), 62 private clinics and 22 industry-supported health centres and clinics.

Based on the projected total population size for 2010 of about 1, 046,197 people in the four regions of the country, this translates into 25 facilities per 100 000 people overall.

A functional referral system for rationalization of service delivery at the various levels in line with the Essential Healthcare Package has been developed. Guidelines and implementation procedures will assist in reducing the congestion at the referral facilities.

Currently, up to 85% of the population lives within a radius of 8 kilometres from a health facility. Table 3.8.1 below shows the number and distribution of health facilities in the country in 2010;

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Table3.8.1: Distribution of Health Facilities Across Regions by Type, Swaziland 2010