Domain / Indicators | Explanation of indicator |
---|---|
Basic amenities | |
  Electricity | Electricity is available |
  Back-up generator | Back-up power source (generator) available |
  Fuel for generator | Health facility has fuel to run the generator |
  Running water | Running water is available and piped into the health facility |
  Toilet | At least one functional toilet (can be pit without slab, pit with slab or flushable) available for patients |
  Communication equipment | A functional telephone (landline), shortwave radio or mobile phone is available for communication purposes |
  Emergency transport | A vehicle, not necessarily an ambulance, is available and has the primary function of transporting patients |
Protocols for infection prevention | |
  Sharps final disposal | Protocol in place for final disposal of sharps (e.g., taken of offsite, burnt and/or buried) |
  Final bio-waste disposal | Protocol in place for final disposal of bio-waste (e.g., taken offsite, burnt and/or buried) |
  Waste segregation | Segregates sharps, general- and bio-waste into different bins |
Diagnostic equipment | |
  EDD calculator | Expected date of delivery (EDD) calculator available and able to estimate EDD and gestational age |
  Scale | Available to measure the weight of antenatal clinic attendees |
  Tape measure | Available to measure fundal height (size of uterus) and able to estimate gestational age |
  Foetal stethoscope | Pinard horn is available to check the baby’s heart rate |
  Blood pressure machine | Sphygmomanometer is available to measure blood pressure |
  Refrigerator/Vaccine carrier | Suitable vaccine carrier available to store/administer vaccines safely |
  Urinalysis dipsticks and collection cups | In-stock and available to test urine for protein and glucose to help diagnose pre-eclampsia and gestational diabetes |
  Point-of-care HIV test-kits | Serological HIV point-of-care test-kits to test for HIV are available and in-stock (including 30 days prior to survey) |
  Point-of-care syphilis test-kits | Serological syphilis point-of-care test-kits to test for syphilis are available and in-stock (including 30 days prior to survey) |
Medicines and medical supplies | |
  Gloves | Examination gloves are available and in-stock (including 30 days prior to survey) |
  Needles and syringes | Needles and syringes are available and in-stock (including 30 days prior to survey) |
  Cotton wool | Cotton wool is available and in-stock (including 30 days prior to survey) |
  Water for injection | Water for injection, used to reconstitute substances, is available and in-stock (including 30 days prior to survey) |
  Iron and folate supplement | Iron and Folate oral supplement, used to treat anaemia, is available and in-stock (including 30 days prior to survey) |
  Sulfadoxine/pyrimethamine (SP) | SP, used for intermittent prevention of malaria in pregnancy, is available and in-stock (including 30 days prior to survey) |
  Tetanus toxoid | Tetanus toxoid, used to prevent neonatal tetanus, is available and in-stock (including 30 days prior to survey) |
  Benzathine-penicillin | Benzathine-Penicillin, used to treat syphilis, is available and in-stock (including 30 days prior to survey) |
  Antiretroviral therapy (ART) | ART, first line therapy used to treat HIV, is available and in-stock (including 30 days prior to survey). ART comprises of tenofovir or zidovudine plus lamivudine and efavirenz or nevirapine |