Table 1

 Functions of a district or community hospital that may compliment primary care and improve length or quality of life for children

TraumaBasic medical and surgical management
Acute surgeryAppendicectomy
Reduction of intussusception
Skin grafting for burns
Perinatal carePregnancy monitoring and interventional delivery
Advanced newborn resuscitation,
Supportive care of infants with:
 Very low birth weight
Acute medical careOngoing monitoring and clinical review
Management of severe disease, in particular:
 Complex or prolonged convulsions
 Blood transfusion
 Parenteral fluid therapy for shock or severe dehydration
 Continuous oxygen therapy for very severe respiratory distress
 Supportive care for a child in coma
Chronic medical careSickle cell disease