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
0
Well equipped
0
Wards
4
Adequate in size
2
Well equipped
2
Number of Wards
2
Number of Admission Bed
3
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
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
0
Availability of cleaning agents and disinfectant
0
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
1
Number of Registered Midwives
1
Number of Pharmacists
0
Number of Pharmacy technicians
0
Number of Medical Lab scientists
0
Number of Lab technicians
1
Number of Lab Assistants
0
Number of CHEW
1
Number of Junior CHEW
2
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
2
There is a duty roster for health personnel available
2
Number of qualified health personnel is adequate
0
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
2
Sterilization drums are available, functional and adequate
2
Indicator tape is used when sterilizing
0
Laboratory is available
2
Theatre
0
Outpatient department
2
Inpatient department
2
Inpatient department available
2
Cleaning / laundry
0
Treatment room
0
Wards
2
Wards available
2
Labour room hand washing
0
Laboratory
2.00
Laboratory
2
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
0
Labour room waste
2
Labour room
2
Emergency room
0
Laboratory
2
Laboratory
2
Theatre
0
There is a counselling area
0
There is a compounding area
0
The size of the dispensing room (area) is adequate
0
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
0
Shelves are adequate for storage of patient health records
0
Patient health records are securely stored
0
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
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
0
Ambu bag paediatrics
0
Ambu bag adult
0
Functional suction machine
2
Functional nebulizer
0
There are standard protocols for conducting ANC in the hospital
2
Qualified staff carry out ANC services
2
Evidence of refresher training for ANC staff in the last 2 years
0
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
2
There is evidence that all laboratory and ultrasound investigations are done according to WHO guideline
2
There is a health education register/schedule
2
Delivery bed(s) with stirrups
2
Angle poise lamp
0
Resuscitaire
0
Incubator
0
Suction machine (manual)
0
Suction machine (automatic)
2
Suction machine (automatic)
1
Baby cots are adequate and functional
0
Suturing materials
2
Is medical oxygen available?
0
Parthographs are used to monitor delivery
0
Available equipment to check fetal heartbeat
0
Delivery packs are available
0
Newborn tags are available and used
0
Is the Laboratory generally clean and there is delineation between clean and dirty areas?
2
Available laboratory equipment is adequate for the scope of services provided
2
Available laboratory equipment are functional and calibrated up-to-date
2
Illumination in the laboratory is adequate
2
Water supply in the laboratory is adequate
2
There is a functional blood bank refrigerator
0
Blood bank refrigerator temperature is recorded daily
0
There is evidence that blood being issued out have Lagos State Blood Transfusion Committee Logo
0
Categories of Facilities
Hospital