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GENERIC STEP-BY-STEP APPROACH STEP ONE

ACTIVITY 2: DEVELOP DRAFT GEOGRAPHIC ACCESS

STANDARDS

Develop draft access standards for your department using a template that combines different sets of
information. Table 1 provides an example of such a template. It is generic and you can adapt it to meet
the needs of your department.

1. Name of department (e.g. Department of Health):
2. Type of service point (e.g. small primary health care clinic):

3. Type of human settlement or geographical area (e.g. urban/ rural):

4. Services offered 5. Target population 6. Maximum travel 7. Mode of transport
distance
For example: For example: For example: For example:

Preventative and primary Generally cater for 8km Predominantly on foot or
health care lower-income areas local public transport
where people do not
have health insurance or
medical aid membership

8. Population 9. Service 10. Internal capacity 11. Facility standards
threshold standards standards
For example: For example: For example: For example:

Population threshold ─ Service provided at ─ Staff allocation ─ Size of facility
such as catchment least eight hours a day
area of 5 000 – 20 000 and four days a week ─ Number of beds ─ Physical accessibility
people standards for people
─ Maximum queuing living with disabilities
time of 60 minutes

For example:
─ Disease profile of the area

─ Suitability and availability of land
12. Location factors
considered ─ Soil type

─ Each clinic is linked to a Community Health Care Centre where the services are
provided on a referral basis

Table 1: An example of a template for defining geographic access standards for service points

Follow a consultative approach when filling in the template. Consult internally in your department
and then consult with external stakeholders. This could be done through focus group meetings or
workshops.

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