The lowest tier of service delivery in the urban areas was doorstep delivery provided by the government and NGO fieldworkers. Currently, the doorstep services have been withdrawn by the NGOs and shifted toward static service-delivery sites. The fixed sites at the lowest tier are the satellite clinics organized by NGOs on once a month basis. The next tier of service delivery comprises clinics/dispensaries managed by the NGOs, GoB, DCC and the private sector. Most of them are staffed with paramedics and/or qualified physicians, and very little coordination and referral systems exist among them
