Primary care facilities include first-aid stations, nursing posts, dispensaries, family planning clinics, and health clinics. Primary care providers the first level of the formal health care system usually offer health education and basic medical treatments and perform basic laboratory tests. In an effective referral system, primary-level providers can recognize postabortion complications quickly and distinguish between the cases they can treat and those they must refer. Often, no new medical facilities or staff are needed to provide emergency postabortion care at this level. Many clinics adding postabortion care, however, will need to acquire MVA equipment, and in most cases additional staff training will be required.
District hospitals the first referral level.
Women who need medical treatment that the primary health care center cannot provide are transferred to a first-referral hospital. These are district hospitals that provide inpatient services and have 20 or more beds. District hospitals should provide general emergency services and have staff, including at least one physician, available 24 hours a day. Managing severe complications. While these procedures for treating severe complications should be available at national and university hospitals, as well as some regional and district hospitals, they often are unavailable.