Zambia Health System

Health system

Government-run health facilities, which provide the majority of the health care in Zambia, offer a basic health care package free-of-charge or on a cost-sharing basis.

Levels of care:

Public:

  • Community
  • Health posts (district level)
    • District Health Offices (DHOs) are responsible for provision of services
    • Staffed by community health assistants (CHA)
      • Trained for one year and on GRZ payroll to improved management of malaria, child and maternal health, and common preventable health conditions
      • Spend 80% of their time on disease prevention and health promotion; 20% at the health post
    • Intended to cover 500– 1,000 households
    • Supervise the community health workers (CHWs) and other community health volunteers
  • Health centers (district level)
    • DHOs are responsible for provision of services
    • Oversee health posts within their catchment areas
    • Staffed by a clinical officer, nurse, or environmental health technician
    • Serve approximately 10,000 residents
  • Level 1 hospitals (district level)
    • DHOs are responsible for provision of services
  • Level 2 hospitals (provincial level)
    • Referral or specialized hospitals
  • Level 3 hospitals (central level)
    • Referral or specialized hospitals

Faith based or private:

Churches Health Association of Zambia (CHAZ), parastatal organizations, private clinics, and traditional healers also provide health care in Zambia.

  • Has 116 health facilities including hospitals, health centers, health posts, and community-based organizations, and 11 health training schools
  • Responsible for over 50% of formal health services in the rural areas of Zambia and about 30% of health care in the country

Over 250 for-profit private health facilities

  • Mostly clinics attending to outpatients mainly in the urban districts

Procurement

  • Procurement of injectable artesunate (Inj AS) has been taken up by the Government of Zambia (GRZ), and demonstrates an ongoing commitment to procure Inj AS. The country currently has sufficient amounts of inj AS.
  • Rectal artesunate is included in the current guidelines but has yet to be procured.

Training

Training of health workers in the use of Inj AS has continued with all level 1 and 2 hospitals in all districts now trained.