| Level | Type of Institution | Responsibilities |
|---|---|---|
| Primary level | Rural clinic | Manned by nurses and nurse aides. |
| Initial assessment of diabetic patients | ||
| No tdeatment | ||
| Cases are referred to secondary level | ||
| No facilities for inpatients. | ||
| Secondary level | District hospital | Treatment, monitoring, education of referred uncomplicated diabetic cases. |
| One or two doctors (mostly general practitioners) | ||
| Admission of patients. | ||
| Complicated cases are referred to level 3 | ||
| Tertiary level | Provincial hospital | Continued management (treatment, monitoring, and education) of diabetics in diabetes clinics |
| Limited specialized doctors, general practitioners and nurses | ||
| More complicated cases are referred to level 4 | ||
| Quaternary level | Central hospitals and private-for- profit hospitals | More specialist physicians in internal medicine, general practitioners and general nurses. |
| Diabetes clinics for management of patients with diabetes- related complications. | ||
| Patients are referred back either to level 2 or 3 when stable. | ||