The current license is displayed in the health facility.
0
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
3
Number of Admission Bed
8
Labour room 2 admin
0
There is a Fire Safety Certificate
2
Firefighting equipment is available and adequate
2
Each firefighting equipment has a service sticker
2
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
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
1
Number of Registered nurses
0
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
0
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
0
Qualification certificates are available onsite
2
Current practicing licenses are available onsite
0
There is a duty roster for health personnel available
0
Number of qualified health personnel is adequate
2
Total medical staff strength
1
Total number of medical staff met on duty.
1
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
2
There is an instrument washing area
2
Autoclave(s) is(are) available, functional and adequate
2
Sterilization drums are available, functional and adequate
0
Indicator tape is used when sterilizing
0
Theatre
2
Theatre is available
2
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
2
Room temperature charts are available
0
There is a functional fridge where only medication is stored
2
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
2
Expired drugs and consumables are securely stored and disposed
2
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
2
NHMIS data is submitted monthly to state authorities
2
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 referral system is in place
2
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)
0
Functional oxygen cylinder/concentrator
2
Ambu bag paediatrics
0
Ambu bag adult
0
Functional suction machine
2
Functional nebulizer
0
Ultrasound scan is interpreted and reported by qualified personnel
2
There is a functional ultrasound scan machine
2
Categories of Facilities
Hospital
Type of Facility
Private
Types of building
Nobility Hospital
Types of Accommodation
Shared Accommodation