FEDERAL MINISTRY OF HEALTH, Integrated Supportive Supervision (ISS) tool for PHCs, ODK (DEMO Version 2018) Yes No Yes No Yes No Yes No No Yes No Yes Delivered Collected Parents Caregiver National Grid Generator SolarLight Rechargeable Battery Kerosene Lamp Last 1 Month Last 2-3 Months More Than 3 Months Ago Yes No N/A Yes, fully implemented Yes, partially implemented No non availbility of vaccines/logistics no trained healthcare woker non avaibility of funds competing programs issues related with the community Traditional Leader Voluntary Community Mobilizer (VCM) Health Worker IPDs Team member Field Volunteer (FV) Religious leader Community Based organization Traditional birth Attendant Others None Onsite Offsite No Incinerator No minutes One month's minutes available Two months' minutes available All minutes for quarter available Yes No Incomplete At least four water closet functional latrines/toilets (either the flushable squatting closet or the sitting closet) two for staff: Male and female, two for patients: Male and female Floor without fissures Recently cleaned without visible fecal matter Door lockable from the inside, ceiling and super structure with roofing, without flies and no smell Proof of use of bleach used as a disinfectant (eg jik, hypo, etc) At least two bathing facilities (with floor without fissures, Door lockable from the inside, super structure with roofing) Bathing facility with running water, or container with at the least 20 L of water Evacuation of the waste water in a sanitation pit Waste disposal pit minimum 2 meters deep, lined with clay, concrete or brick or plastic, it is fenced and has a bright flag The waste pit is a minimum of 15 meters from the health facility, minimum of 50 meters from a household, and 100 meters from a water source except in cases where the available surface area does not allow for these distances (written support of the LGA health administration is required) Health Care Waste is not visible (covered by at the least 10 cm of soil or lime) The health facility maintains a register indicating the date of the creation of the pit(s), and the location (s) Waste disposal of non-contaminated waste in Black Bin with lid and foot pedal, lined and not full Waste disposal of contaminated HCW in Yellow Bins with lid and foot pedal, lined with cellophene bag and not full Waste disposal of organically HCW in Red Bins with lid and foot pedal, lined with cellophene bag and not full Protective gear for personnel managing HCW available; boots, plastic shorts, thick plastic/rubber gloves Walls with durable materials well painted, floor paved with cement without fissures, undamaged ceiling Consultation room and waiting space separated assuring confidentiality Windows with curtains Functional door with functional lock Running water (tap or water dispenser) with handwashing soap/liquid and clean towel available and used between patients Yes No Medical Doctor Specialist Consultant Resident Medical Officer Nurse/Midwives (Double qualification) Nurses CHO CHEW JCHEW Nutrition Officer/Dietician Nutrition Assistant Environmental Health Officer Environmental Health Technician Environmental Health Assistant Pharmacist Medical Lab Scientist Lab Technician Lab Assistant Health Record Technician Health Record Officer Health Education Officer Health Education Assistant Pharmacy Technician Pharmacy Assistant Main Subcontracted Community Volunteers (CHIPS) Head of Works Head Laundry Department Head Transport Health Attendants Cleaners Security Guards Drivers Account Clerk Director of Administration None Public Private FBO NGO Yes No True False FMoH NPHCDA NACA SMoH SPHCDA SOML Abia Adamawa Bauchi Aba North Aba South Arochukwu Demsa Fufore Ganye Alkaleri Bauchi Bogoro Aba Holy Wounds Hospital Abayiogbuligba Health Post Alaukwu Health Centre Aba Clinic Aba School Of Health Health Clinic Aba Town Hall Ward Abia Health Post Abuma Health Centre Achara Health Centre Bali Health Clinic Bidda Health Clinic Bidoma Primary Health Centre Ba-Umse Health Clinic Ba-Ushe Health Post Bagale Health Clinic Yebbi Health Clinic Yelwa Health Center Yelwa Health Clinic Alkaleri General Hospital Alkaleri Health Post Alkaleri Town Maternal & Child Health Clinic 33 Army Brigade Clinic Abubakar Tafabalewa University Health Clinic Abubakar Tafawa-Balewa University Teaching Hospital Angunrimi Heath Clinic Banram Health Clinic Bar Health Clinic Other facility static_instance-one_point-0 1 static_instance-one_point-1 0 static_instance-two_points-0 2 static_instance-two_points-1 0 static_instance-three_points-0 3 static_instance-three_points-1 0 static_instance-four_points-0 4 static_instance-four_points-1 0 static_instance-five_points-0 0 static_instance-five_points-1 5 static_instance-ten_points-0 0 static_instance-ten_points-1 10 static_instance-RI_vaccines-0 delivered static_instance-RI_vaccines-1 collected static_instance-child_vaccine-0 parents static_instance-child_vaccine-1 caregiver static_instance-light_source-0 nationalgrid static_instance-light_source-1 generator static_instance-light_source-2 solarlight static_instance-light_source-3 rechargeablebattery static_instance-light_source-4 kerosenelamp static_instance-lga_routine-0 last 1 month static_instance-lga_routine-1 last 2-3 months static_instance-lga_routine-2 more than 3 months ago static_instance-yes_no_na-0 yes static_instance-yes_no_na-1 no static_instance-yes_no_na-2 n/a static_instance-one_implement-0 yes, fully implemented static_instance-one_implement-1 yes, partially implemented static_instance-one_implement-2 no static_instance-session_planned-0 non_availbility_of_vaccines_logistics static_instance-session_planned-1 no_trained_healthcar_woker static_instance-session_planned-2 non_avaibility_of_funds static_instance-session_planned-3 competing_programs static_instance-session_planned-4 issues_related_with_the_community static_instance-care_giver-0 traditional leader static_instance-care_giver-1 voluntary community mobilizer (vcm) static_instance-care_giver-2 health worker static_instance-care_giver-3 ipds team member static_instance-care_giver-4 field volunteer (fv) static_instance-care_giver-5 religious leader static_instance-care_giver-6 community based organization static_instance-care_giver-7 traditional birth attendant static_instance-care_giver-8 others static_instance-care_giver-9 none static_instance-one_incinerator-0 onsite static_instance-one_incinerator-1 offsite static_instance-one_incinerator-2 no incinerator static_instance-indi_comm-0 0 static_instance-indi_comm-1 1 static_instance-indi_comm-2 2 static_instance-indi_comm-3 3 static_instance-tech_meeting-0 yes static_instance-tech_meeting-1 no static_instance-tech_meeting-2 incomplete static_instance-latrines-0 1 static_instance-latrines-1 0.5 static_instance-latrines-2 0.5 static_instance-latrines-3 0.5 static_instance-latrines-4 0.5 static_instance-shower-0 1 static_instance-shower-1 0.5 static_instance-shower-2 0.5 static_instance-waste_pit-0 3 static_instance-waste_pit-1 3 static_instance-waste_pit-2 3 static_instance-waste_pit-3 3 static_instance-waste_disposal-0 1.5 static_instance-waste_disposal-1 1.5 static_instance-waste_disposal-2 1.5 static_instance-waste_disposal-3 1.5 static_instance-consultation_room-0 1 static_instance-consultation_room-1 1 static_instance-consultation_room-2 1 static_instance-consultation_room-3 1 static_instance-consultation_room-4 1 static_instance-six_points-0 6 static_instance-six_points-1 0 static_instance-staffs-0 medical_doctor static_instance-staffs-1 specialist_consultant static_instance-staffs-2 resident static_instance-staffs-3 medical_officer static_instance-staffs-4 nurse_midwive_double_qualification static_instance-staffs-5 nurses static_instance-staffs-6 cho static_instance-staffs-7 chew static_instance-staffs-8 jchew static_instance-staffs-9 nutrition_officer_dietician static_instance-staffs-10 nutrition_assistant static_instance-staffs-11 environmental_health_officer static_instance-staffs-12 environmental_health_technician static_instance-staffs-13 environmental_health_assistant static_instance-staffs-14 pharmacist static_instance-staffs-15 medical_lab_scientist static_instance-staffs-16 lab_technician static_instance-staffs-17 lab_assistant static_instance-staffs-18 health_record_technician static_instance-staffs-19 health_record_officer static_instance-staffs-20 health_education_officer static_instance-staffs-21 health_education_assistant static_instance-staffs-22 pharmacy_technician static_instance-staffs-23 pharmacy_assistant static_instance-contract-0 main static_instance-contract-1 subcontracted static_instance-non_medical-0 community_chips static_instance-non_medical-1 head_of_works static_instance-non_medical-2 head_laundry_department static_instance-non_medical-3 head_transport static_instance-non_medical-4 health_attendants static_instance-non_medical-5 cleaners static_instance-non_medical-6 security_guards static_instance-non_medical-7 drivers static_instance-non_medical-8 account_clerk static_instance-non_medical-9 director_of_administration static_instance-non_medical-10 none static_instance-facility_type-0 public static_instance-facility_type-1 private static_instance-facility_type-2 fbo static_instance-facility_type-3 ngo static_instance-yes_no-0 yes static_instance-yes_no-1 no static_instance-true_false-0 true static_instance-true_false-1 false static_instance-organizations-0 fmoh static_instance-organizations-1 nphcda static_instance-organizations-2 naca static_instance-organizations-3 smoh static_instance-organizations-4 sphcda static_instance-organizations-5 soml static_instance-states-0 abia static_instance-states-1 adamawa static_instance-states-2 bauchi static_instance-LGAs-0 abia aba_north static_instance-LGAs-1 abia aba_south static_instance-LGAs-2 abia arochukwu static_instance-LGAs-3 adamawa demsa static_instance-LGAs-4 adamawa fufore static_instance-LGAs-5 adamawa ganye static_instance-LGAs-6 bauchi alkaleri static_instance-LGAs-7 bauchi bauchi static_instance-LGAs-8 bauchi bogoro static_instance-facilities-0 abia aba_holy_wounds_hospital aba_north static_instance-facilities-1 abia abayiogbuligba_health_post aba_north static_instance-facilities-2 abia alaukwu_health_centre aba_north static_instance-facilities-3 abia aba_clinic aba_south static_instance-facilities-4 abia aba_school_of_health_health_clinic aba_south static_instance-facilities-5 abia aba_town_hall_ward aba_south static_instance-facilities-6 abia abia_health_post arochukwu static_instance-facilities-7 abia abuma_health_centre arochukwu static_instance-facilities-8 abia achara_health_centre arochukwu static_instance-facilities-9 adamawa bali_health_clinic demsa static_instance-facilities-10 adamawa bidda_health_clinic demsa static_instance-facilities-11 adamawa bidoma_primary_health_centre demsa static_instance-facilities-12 adamawa ba_umse_health_clinic fufore static_instance-facilities-13 adamawa ba_ushe_health_post fufore static_instance-facilities-14 adamawa bagale_health_clinic fufore static_instance-facilities-15 adamawa yebbi_health_clinic ganye static_instance-facilities-16 adamawa yelwa_health_center ganye static_instance-facilities-17 adamawa yelwa_health_clinic ganye static_instance-facilities-18 bauchi alkaleri_general_hospital alkaleri static_instance-facilities-19 bauchi alkaleri_health_post alkaleri static_instance-facilities-20 bauchi alkaleri_town_maternal__child_health_clinic alkaleri static_instance-facilities-21 bauchi army_brigade_clinic bauchi static_instance-facilities-22 bauchi abubakar_tafabalewa_university_health_clinic bauchi static_instance-facilities-23 bauchi abubakar_tafawa_balewa_university_teaching_hospital bauchi static_instance-facilities-24 bauchi angunrimi_heath_clinic bogoro static_instance-facilities-25 bauchi banram_health_clinic bogoro static_instance-facilities-26 bauchi bar_health_clinic bogoro static_instance-facilities-27 -88 other_facility -88 abia adamawa bauchi Please remember to add facility to master facility list 1 0 1 0 1 0 1 0 1 0 1 0 1 0 yes no n/a yes no n/a yes no n/a yes no n/a yes no n/a yes no n/a yes no n/a yes no n/a yes no n/a yes no n/a yes no n/a yes no n/a