The current license is displayed in the health facility.
0
Adequate in size
0
Well equipped
2
Adequate in size
0
Well equipped
2
Wards
4
Adequate in size
2
Well equipped
2
Number of Wards
12
Number of Admission Bed
13
Labour room 2 admin
12
Adequate in size
0
Well equipped
2
Ventilation
2
Lighting
2
Painting
2
Roofing and ceiling
2
There is a Fire Safety Certificate
2
Firefighting equipment is available and adequate
0
Each firefighting equipment has a service sticker
2
There are at least two readily accessible and labelled exits
0
In general, ventilation is adequate
2
In general, illumination is adequate
0
There is a primary source of power
2
There is an alternate source of power
0
Potable water is available
2
Toilets are functional and adequate
2
Toilets are equipped with essentials for handwashing
0
Availability of cleaning agents and disinfectant
2
There are bathrooms with running water
0
There is(are) external drainage(s) e.g. gutter
2
External drainage(s) is(are) covered
0
Number of Doctors
12
Number of Registered nurses
22
Number of Registered Midwives
23
Number of Pharmacists
2
Number of Pharmacy technicians
12
Number of Medical Lab scientists
23
Number of Lab technicians
23
Number of Lab Assistants
25
Number of CHEW
23
Number of Junior CHEW
23
Number of Lab Assistants
12
Number of Doctors
23
Number of Registered nurses
23
Number of Registered Midwives
23
Number of Pharmacists
23
Number of Pharmacy technicians
12
Number of Lab scientists
25
Number of Lab tech
14
Number of CHEW
24
Number of Junior CHEW
23
Number of Admin/Account
12
Qualification certificates are available onsite
0
Current practicing licenses are available onsite
2
There is a duty roster for health personnel available
0
Number of qualified health personnel is adequate
2
Total medical staff strength
23
Total number of medical staff met on duty.
12
Total number of medical staff met on duty.
2
IEC materials on FP, immunization & nutrition seen
0
IEC materials on TB, HIV & handwashing seen
2
Trained staff are available for the identification, testing and, where applicable, treatment of HIV
2
There is a counselling room which ensures adequate privacy
2
Registers for capturing data on HIV screening, diagnosis and, where applicable, treatment are available
0
Examinations, tests and, where applicable, medications and follow- up information are recorded in individual patient files
2
All HIV patients are screened for TB
0
Health facility has a referral process for HIV positive patients
2
Antiretroviral drugs are available & not expired
2
Trained staff are available for TB service provision
2
Registers for capturing data on TB screening, referral, testing, diagnosis and treatment (as applicable) are available
2
Examinations, referrals, tests, medication and follow-up information (as applicable) are recorded in individual patient files
0
All TB patients are screened for HIV
2
Anti-TB drugs are available & not expired
2
There are standard protocols for conducting ANC in the hospital
2
Qualified staff carry out ANC services
0
Evidence of refresher training for ANC staff in the last 2 years
2
ANC examination findings are well documented for each patient
2
ANC register for the facility is available and well filled
2
ANC register shows administration of Fesolate / Folic Acid, IPT, Tetanus Toxoid according to guidelines
0
There is evidence that all laboratory and ultrasound investigations are done according to WHO guideline
2
There is a health education register/schedule
2
There is a qualified staff trained in family planning
2
The family planning room has a lockable door and non- transparent window blinds
0
Family planning methods available with demonstration box/tray for potential users
0
There is a stock management process in place
2
There is proper documentation of chosen method and findings of examination during follow-up.
2