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The Student Health Center wants to maintain access to timely service for all Georgetown University students. Each time a patient misses an appointment without providing proper notice, another student is prevented from receiving care

The framework emphasises that the success of the HEP depends on activities and performance of: PHCU; woreda health office; sectors of social determinants of health; the political context; and the community. It is vital that all these do their jobs very well and they are coordinated toward an enhanced service delivery, utilization, and improved health Fig. The PHCU, including primary hospitals and health centers should be capacitated, linked and coordinated with clear roles and responsibilities to facilitate service delivery, patient referral, supervision and mentorship. This has an implication that investments in one segment of the health system has positive ramifications on the other; and, a weakness of one segment of the health system do also have negative effects on the other. It is thus imperative that the country, regions and woredas capacitate the PHCUs and the health system at large. The woreda health office should also be capacitated and committed enough to provide finance, supplies, training and supervision to HEWs, coordinate the PHCU and improve the working and living conditions of HEWs

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