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Table 2 Domains and indictors of the supply service readiness for HIV and syphilis testing and treatment

From: Investigating health service availability and readiness for antenatal testing and treatment for HIV and syphilis in Papua New Guinea

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