Two entrances one for ismaily community and other for out patients Reception right at entrance Many clinics gynaecologist general medicine peads dentist etc. Focused on child and maternal health Teaching programs done for mothers Vaccination department Privacy maintained with drapes Maternal education postpartum as well about vaccinations They are responsible for guidance of mothers. Focused on maternal education. Also counsel father 5 to 6 vaccines available Schools clinics, jamat khana However they are understaffed but they try to manage and cater as many patients as possible Cold chain for vaccines is kept in carrier that maintain temperature for 4 hours and are replaced Difference between private vaccines and governmental funded vaccines they are pain free but underviprevilege people cannot afford. Saturdays are most busy days 70 to 75 patients per doctor So they are working on quality Thursday 2 to 8 timings to cater working classAwareness program Screening 2000 charges for diagnostic for other clinics in community and here its 1000. Data for vaccines and everything is reported on daily basis System is not integrated hence if a patients gets his test done from here he cannot access it from another branch. Its a primary heathcare service When it seems like its not within their qpproach they refer it to karimabad block 7. And then aku main campus They generate their own revenue One is Ihv nurse and general nurse one comes in morning Nd other at evening So basically they are more focused on counselling as in if a patient is unnecessarily taking medication he or she is counselled to avoid them. Gynaecology No proper training of staff Time management is a problem Understaffed no proper teams So bascially mostly patients are referred because of lack of facilities and equipments improper montoring improper ventilation.5 to 6 gynae patients 10 to 12 patients Rti uti gastric patients usually visit the facility Daily 40 to 50 patients Weekends packed up Patients come and gets his or her form generated with an mr number which is not acessible in other aku health care facilities. 30 vaccination per day usually 6 regins based karachi health programs Health centers are located where bhus are not located so they partner with govt in providing health care servicrs Primary heacth care is basic hub and sub hub and then super hub karachi that is tertiary health care crnters Hub and spokes model Spokes are connected with hub like as in connectiin with outreach areas So we have different out reach areas connected with main hub Bhu are basic health care units Secodnary health centers kharadar Allied workers are technicians that tend to work with patientsAuxillary staff is admisitrative staff that do not work directly with patients Hims for health information system C shop is community shop provides essential medicines It is anon profit organization in a way that all the revenue generated is spent on the health care facilities.