Referral Center
The Referral Center manages more complex cases that cannot be fully addressed at the Village Tract Health Center (VTHC) level. These include clients requiring admission to inpatient departments (IPD), complicated obstetric cases, trauma patients, and critical cases needing confirmatory diagnostic investigations such as ultrasound and electrocardiograms (ECG). The Referral Center provides both outpatient (OPD) and inpatient (IPD) consultations and is typically led by a Medical Doctor or Physician Assistant. The core healthcare workforce at this level comprises Medical Doctors and/or Physician Assistants, Nurses, Medics, Midwives or Emergency Obstetric Care (EmOC) providers, Maternal and Child Health (MCH) staff, and Community Health Workers (CHWs). Together, they ensure comprehensive care coordination and effective management of complex health conditions.
Secondary Health Care (SHC) Services
After the Nationwide Ceasefire Agreement (NCA) was signed in October 2015, KDHW has introduced the first secondary health care service in 2017 in accordance with political development and area stability. It is intending to handle the complex case of medical problem and obtain referral from Primary Health Care centers. Each secondary care center is providing health care services to estimated population of 20000 to 50000. The current services include Outpatient care, Inpatient care, Emergency services with effective referral, safe motherhood package including Antenatal and Postnatal care, safe and clean delivery, Post Abortion care, Emergency Obstetric and instrumental delivery, laboratory and investigation services (X-ray, Ultrasound and ECG) and Operation Theater. Most common major operation cases were, Lower Segment Caesarean Section (LSCS), Major Surgery Cases, Mine Injury, Road Traffic Accident and other Minor Cases.
However, there was no standard package for secondary care has not yet been yet developed. Under secondary care, at least 2 medical doctors were assigned and also other staffs likes Physician Associates (PA), Nurses, medics, Maternal and Child Health Worker and Community Health Worke rare also recruited. However, due to military coup in 1st of February 2021, KDHW has expended and upgraded more secondary health care facilities since the Myanmar government health facilities were not function anymore.
In consequence, many health care providers from Ministry of Health and Sport (MoHS) influx in to the KNU areas including medical doctors, nurse and other medical specialists. Since the coup, the referral cases from KDHW facilities to the government hospital became a major challenge which KDHW used collaborate with the MoHS. Currently, there are six secondary health facilities across KNU administrative areas. Currently, KDHW is directly managing 3 secondary health care facilities and others were jointly management with other partners.
