The current license is displayed in the health facility.
2
Adequate in size
0
Well equipped
0
Adequate in size & number
0
Well equipped
0
Adequate in size
2
Well equipped
2
Wards
4
Adequate in size
0
Well equipped
0
Number of Wards
1
Number of Admission Bed
1
Labour room 2 admin
0
There is a Fire Safety Certificate
0
Firefighting equipment is available and adequate
0
Each firefighting equipment has a service sticker
0
There are at least two readily accessible and labelled exits
0
In general, ventilation is adequate
0
In general, illumination is adequate
2
There is a primary source of power
2
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
2
Number of Registered nurses
3
Number of Registered Midwives
0
Number of Pharmacists
0
Number of Pharmacy technicians
0
Number of Medical Lab scientists
0
Number of Lab technicians
0
Number of Lab Assistants
0
Number of CHEW
0
Number of Junior CHEW
0
Number of Lab Assistants
0
Number of Doctors
3
Number of Registered nurses
0
Number of Registered Midwives
0
Number of Pharmacists
0
Number of Pharmacy technicians
0
Number of Lab scientists
0
Number of Lab tech
0
Number of CHEW
0
Number of Junior CHEW
0
Number of Admin/Account
2
Qualification certificates are available onsite
2
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
7
Total number of medical staff met on duty.
2
Total number of medical staff met on duty.
0
IEC materials on FP, immunization & nutrition seen
0
IEC materials on TB, HIV & handwashing seen
0
There is a designated sterilization area/CSSD
0
There is an instrument washing area
0
Autoclave(s) is(are) available, functional and adequate
0
Sterilization drums are available, functional and adequate
2
Indicator tape is used when sterilizing
0
Theatre
0
Outpatient department
2
Inpatient department
2
Inpatient department available
2
Cleaning / laundry
0
Treatment room
2
Wards
2
Wards available
2
Labour room hand washing
0
Laboratory
0.00
Pharmacy
0
Toilets
2
Immunization
0
Family planning
0
Kitchen
0
This health facility is registered with the state's waste management agency
2
Waste bins and safety boxes are not filled to the brim
2
Labour room waste
0
Emergency room
0
Laboratory
0
Theatre
2
There is a counselling area
0
There is a compounding area
0
The size of the dispensing room (area) is adequate
2
Ventilation and illumination are adequate
0
Room temperature charts are available
0
There is a functional fridge where only medication is stored
0
Fridge temperature charts are available
0
There is a lockable DDA cupboard and register
0
Essential drugs are available and properly labelled in the health facility
0
Expired drugs and consumables are securely stored and disposed
0
Patient health records are filed individually
2
Shelves are adequate for storage of patient health records
2
Patient health records are securely stored
2
NHMIS registers are available and appropriately filled
0
NHMIS data is submitted monthly to state authorities
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
0
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
0
The theatre is adequate in size
0
The temperature/ humidity in the theatre is adequate
0
Daily temperature monitoring is done
0
There are adequate scrub facilities separate from the theatre room
0
There is a changing area with secure storage for belongings
0
There is a clearly marked red line
0
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
0
The theatre light is adjustable
0
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
0
The lighting is adequate
0
There are no cracked tiles on the floor
0
Walls and tiles are clean
0
The recovery room is adequately equipped
0
A referral system is in place
0
There is a functional ambulance
0
Arrangements are in place for referral transportation (where there is no ambulance)
0
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)
2
Functional oxygen cylinder/concentrator
2
Ambu bag paediatrics
0
Ambu bag adult
0
Functional suction machine
2
Functional nebulizer
2
Categories of Facilities
Hospital
Type of Facility
Private
Types of building
MAGNA CARTA HEALTH