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Military Hospital

The Military Hospital is a 400-bed general hospital situated about 4 Kilomiters from
the Accra International Airport on the main Airport-Accra-Central Road(Independence Avenue Road).

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UN Level 4 Hospital

Level 4 Medical support facility . A Level 4 facility is the highest level medical care facility that provides definitive medical care and specialist treatment in all fields of surgery and medicine

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37 Military Hospital

Description of United Nations levels 1 to 4 medical facilities

Military Hospital, Accra

Description of United Nations levels 1 to 4 medical facilities

• Level 1 Medical support facility

A Level 1 medical support facility is the first level of medical care which provides primary health care, and immediate lifesaving and resuscitation services. It is the first level of medical care at which a doctor or physician is available. It has the capacity to provide treatment to 20 ambulatory patients per day, a holding capacity of 5 patients for up to 2 days, and medical supplies and consumables for 60 days. The actual composition and number of Level I medical personnel may vary depending on operational requirements and as agreed in the MOU. However, the basic manpower proposal (including the capability of splitting into two forward medical teams (FMT), each comprising 1 doctor and 2 to 3 paramedics) is 2 medical officers, 6 paramedics/nurses, and 3 support staff.

• Level 1+ Medical facility

In accordance with specific mission requirements, a Level 1 medical facility can be upgraded to Level 1+ by the addition of supplementary capabilities that enhance the medical support facilities. Services are reimbursed separately, in accordance with the Contingent Owned Equipment (COE) Manual and the MOU. Examples of additional capabilities include:

▪ Primary dental care

▪ Preventive medicine

▪ Basic laboratory testing

▪ Aero-medical evacuation team

▪ Surgical capability (forward surgical module) — only in exceptional situations, as required by exigencies of medical service support; additional patient holding capacity and deployment should be based only on the requirements of DPKO/DFS.

• Level 2 Medical support facility

A Level 2 medical support facility corresponds to the next level of medical care, and is the first level at which basic surgical expertise is available, and life support services and basic hospital and ancillary services are provided within the mission area. A Level 2 medical support facility provides all Level 1 capabilities in addition to emergency surgery, life and limb saving surgery, post-operative services, high-dependency care, intensive care resuscitation, in-patient services, as well as basic imaging services, laboratory, pharmaceutical, preventive medicine and dental services. Patient record maintenance and tracking of evacuated patients are also minimum capabilities at a Level 2 medical support facility. It has the capacity to perform 3 to 4 surgical operations per day, hospitalization for 10 to 20 sick or wounded for up to 7 days, examine up to 40 outpatients per day, 5 to 10 dental consultations per day, enough medical supplies, fluids and consumables for 60 days. The actual composition and number of Level 2 medical personnel may vary depending on the operational requirements, and agreed in the MOU. However, the basic manpower proposal is 2 surgeons (one general; one orthopaedic); 1 anaesthetist; 1 internist; 1 general physician; 1 dentist; 1 hygiene officer; 1 pharmacist; 2 head nurses; 2 intensive-care nurses; 1 operation theatre assistant; 19 nurses/paramedics; 1 radiographer; 1 laboratory technician; 1 dental assistant; 2 drivers; 8 support staff.

• Level 2+ Medical facility

A Level 2 facility can be enhanced to Level 2+ by augmentation with additional capabilities that enhance the medical support facilities. Services are reimbursed separately, in accordance with the COE Manual and MOU. Examples of additional capabilities include:

▪ Orthopaedic capability

▪ Gynaecology capability 38

▪ Additional internal medicine capability

▪ Additional diagnostic imaging capability (CT scan)

Level 2 or Level 2+ medical facilities may be provided by a troop/police contributor, a United Nations-owned medical facility, or commercially contracted.

• Level 3 Medical support facility

A Level 3 medical support facility corresponds to the third and highest level of medical care deployed within a mission area. A Level 3 facility has all the capabilities of a Level 1 and a Level 2 medical support facility, in addition to capabilities for multi-disciplinary surgical services, specialist services and specialist diagnostic services, increased high-dependency care capacity and extended intensive-care services, specialist outpatient services, maxillofacial surgery.

 • Level 4 Medical support facility

A Level 4 facility is the highest level medical care facility that provides definitive medical care and specialist treatment in all fields of surgery and medicine. 37 military hospital is a Level 4 medical support facility within the sub-region.

Source: MSD

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