The current license is displayed in the health facility.
2
Adequate in size
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
2
Indicator tape is used when sterilizing
0
Theatre
0
Outpatient department
2
Inpatient department
2
Inpatient department available
2
Cleaning / laundry
2
Cleaning / laundry available
2
Treatment room
2
Wards
2
Wards available
2
Labour room hand washing
0
Laboratory
0.00
Pharmacy
0
Toilets
2
Immunization
0
Family planning
2
Family planning available
2
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
2
Laboratory
0
Theatre
0
There is a counselling area
2
There is a compounding area
2
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
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
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)
2
There is an emergency tray or crash cart
2
There is an adequate dedicated space for emergency services
2
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
2
Functional nebulizer
2
There is a qualified staff trained in family planning
2
The family planning room has a lockable door and non- transparent window blinds
2
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
Categories of Facilities
Hospital
Type of Facility
Private
Types of building
First Cross Convalescent Home
Types of Accommodation
Shared Accommodation