The current license is displayed in the health facility.
2
Adequate in size
0
Well equipped
2
Adequate in size & number
2
Well equipped
2
Adequate in size
2
Well equipped
2
Wards
4
Adequate in size
2
Well equipped
2
Number of Wards
43
Number of Admission Bed
12
Labour room 2 admin
12
Adequate in size
2
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
2
Each firefighting equipment has a service sticker
0
There are at least two readily accessible and labelled exits
2
In general, ventilation is adequate
2
In general, illumination is adequate
2
There is a primary source of power
0
There is an alternate source of power
2
Potable water is available
2
Toilets are functional and adequate
2
Toilets are equipped with essentials for handwashing
2
Availability of cleaning agents and disinfectant
2
There are bathrooms with running water
2
There is(are) external drainage(s) e.g. gutter
2
External drainage(s) is(are) covered
2
Number of Doctors
23
Number of Registered nurses
12
Number of Registered Midwives
12
Number of Pharmacists
23
Number of Pharmacy technicians
23
Number of Medical Lab scientists
23
Number of Lab technicians
23
Number of Lab Assistants
34
Number of CHEW
22
Number of Junior CHEW
23
Number of Lab Assistants
23
Number of Doctors
12
Number of Registered nurses
23
Number of Registered Midwives
23
Number of Pharmacists
23
Number of Pharmacy technicians
7
Number of Lab scientists
34
Number of Lab tech
13
Number of CHEW
22
Number of Junior CHEW
23
Number of Admin/Account
23
Qualification certificates are available onsite
2
Current practicing licenses are available onsite
0
There is a duty roster for health personnel available
2
Number of qualified health personnel is adequate
2
Total medical staff strength
23
Total number of medical staff met on duty.
34
Total number of medical staff met on duty.
2
IEC materials on FP, immunization & nutrition seen
2
IEC materials on TB, HIV & handwashing seen
0
Labour room waste
0
OBSERVATION/INPATIENT CARE
10
REFERRAL SERVICES
6
80% of beds are functional
0
At least, one metre space between beds
2
Mattresses completely sealed with mackintosh
2
Pillows
2
Number of Toilets
2
A trained personnel responsible for surgical services is readily available at the health facility
2
A trained personnel responsible for anaesthesia is readily available at the health facility
2
The theatre is adequate in size
2
The temperature/ humidity in the theatre is adequate
2
Daily temperature monitoring is done
2
There are adequate scrub facilities separate from the theatre room
2
There is a changing area with secure storage for belongings
2
There is a clearly marked red line
2
There is a functional anaesthetic machine
0
Anaesthetic gas(es) is/are available
0
There is a functional suction machine
2
The theatre bed is appropriate for surgeries performed
2
The theatre light is adjustable
2
There is a dedicated functional UPS for theatre light
0
Medical oxygen is available?
2
Medical oxygen cylinders are stored in secure upright brackets
2
The resuscitation tray is adequate
2
The lighting is adequate
2
There are no cracked tiles on the floor
2
Walls and tiles are clean
2
The recovery room is adequately equipped
2
A referral system is in place
2
There is a functional ambulance
0
Arrangements are in place for referral transportation (where there is no ambulance)
2
There is an emergency tray or crash cart
0
There is an adequate dedicated space for emergency services
0
Clinical and nursing personnel are trained on Basic Life Support (BLS) or Advanced Cardiac Life Support (ACLS)
0
Functional oxygen cylinder/concentrator
2
Ambu bag paediatrics
2
Ambu bag adult
2
Functional suction machine
0
Functional nebulizer
0