QST PHC-BHCPF WEB VERSION Yes No ABBAH ALFRED/08032570090 DR ERIC NWOJIJI/08037907240 EZINNE OGBONNA/07033912035 NWIGBO OGBONNAYA/08068425607 UCHENNA OSCAR NWANKWO/08034146668 OROKE MOSES/08131985046 CYPRIAN OGBONNA/08037460272 ACHI NNABUIKE/08160296692 NWAKAMA AGOCHUKWU/07030149551 EMMANUEL ABAH/08037515192 ERNESTINA OGBA/08036318859 PAUL OGAR /08135250294 CHARITY ANOKE/08068913764 TOCHUKWU NWOKWU/08030500054 CYNTHIA ELOY/07062831590 JUSTINA OLA OKO/08032711127 AZUENYA UDUMA /07032124846 PAUL NWACHI/08037605354 NWEGBE PERPETUA/08037977884 EMMANUEL ALI/08068271993 JOY ORJI/08063450305 SAMUEL CHINEDU UGURU/08063162757 EUNICE CHUKWU/08067104774 CHINWE ODAH/08143089835 OKORO ESENI NNACHI/08068281247 JOSEPH EZEUWA/08035450588 KENNETH NWEKE/08107382006 LEONARD ALEGU/08030886972 Rural Urban Peri-Urban General Hospital (GH) – 001 Comprehensive Health Centre (CHC) – 002 Primary Health-care Centre (PHC) – 003 Clinic/Maternity home – 004 Health Post – 005 Mobile Clinic – 006 Dispensary – 007 Medical officer Nurse/Midwife Registered nurse Midwife Community Health Extension Worker Junior Community Health Extension Worker Pharmacist Lab technician Health records officer Environmental health officer Government (public) Private not-for-profit/NGO Private not-for-profit/Faith-based Private for-profit Primary health center Primary health clinic Health post 0-10 minutes 11-20 minutes > 20 minutes Ambulance owned by facility Ambulance available on call Official vehicle (not an ambulance) owned by facility Official vehicle (not an ambulance) available on call Private vehicle (not ambulance) available on call Emergency patient transport No ambulance/vehicle in the facility Yes No Not Applicable Transport health worker to another post Transport a patient to another health facility Not Applicable Delay in submission of QIP by facility Headquarters not approving QIP Not Applicable Good; does not require renovation Requires light renovation Requires modest renovation Requires significant renovation Good; does not require renovation Requires light renovation Requires modest renovation Requires significant renovation Good; does not require renovation Requires light renovation Requires modest renovation Requires significant renovation No Fence No power supply Electric power grid Fuel operated generator Battery operated generator Solar system No alternative source of power Electric power grid Fuel operated generator Battery operated generator Solar system Piped into facility Piped onto facility grounds Public tap/standpipe Borehole Protected dug well Unprotected dug well Protected spring Unprotected spring Rainwater Bottled water Cart w/small tank/drum Tanker Truck Surface water Don't know No alternative source of water Piped into facility Piped onto facility grounds Public tap/standpipe Borehole Protected dug well Unprotected dug well Protected spring Unprotected spring Rainwater Bottled water Cart w/small tank/drum Tanker Truck Surface water Don't know No functioning toilet Bush Flush toilet Flush toilet (but no water) VIP latrine Covered pit latrine (no slab) Covered pit latrine (w/ slab) Uncoverd pit latrine (no slab) Uncovered pit latrine (w/ slab) Composting toilet Incinerator 1 chamber drum/brick Flat ground - no protection Flat ground - with protection Pit or protected ground Covered pit or pit latrine Open pit - no protection Protected ground or pit Stored in covered container Stored unprotected Facility never has sharp waste Waste collection agency Receipt boks Payment voucher Cah books Check Issue/Register General Ledger/Vote book Stores Records Statement of expenditure Did not receive any tools Weekly Biweekly (every two weeks) Monthly Quarterly Yearly Hard copy reports During meetings Chalkboard Posters State government only Local government only Both state and local government Delay in submission of quality (business/work) implementation plan Delay in receiving authority to incur expenses (AIE) from authorities Unable to provide timely accounts to LGA or state treasury Audit issues raised on facility's account Capacity problems at LGA or state treasury Drug revolving Registration Development partners/NGOs There is no alignment between spending and the plans Less than 60% of allocation spent on QIP ≥ 60% of allocation spent on QIP Never Seldom (Once in a year) Often (Once every 3-6 months) Always No attendance register available Attendance register available but not monitored Attendance register available and verified by the health facility supervisor There are no laid down procedures for staff Procedures exists but are not documented Documented procedures exists and are implemented Superintendent Specialist Medical officer Community Health Officer CHEW Junior CHEW Environmental Health Officer BSc Nurse Registered Nurse Registered Midwife Psychiatric Nurse Dentist Pharmacist Laboratory Technician / Technologist Volunteer (indicate cadre) Male Female Sick / maternity In training / seminar Official mission Approved absence Not his / her shift Doing fieldwork or outreach work Not approved absence Gone to retreive salary On strike Counselling services Counselling and commodity services None Condoms Oral pills Injectibles Implants IUC No antenatal risk assessment form Antenatal risk assessment form present but not used regularly for ANC Antenatal risk assessment form present and used regularly for ANC Yes, Electricity and rechargeable lamp Yes, Only Electricity No No partograph in the facility Partograph is present but not used Partograph is present and used for delivery The facility does not offer growth monitoring services There is no evidence that the facility offers growth monitoring services There is documented evidence that the facility offers growth monitoring services No measuring tapes available Measuring tapes available but there is no documentation on MUAC Measuring tapes and documentation available for MUAC Yes (observed and functional) No The facility does not have any duty roster The facility has a duty roster but is not followed The facility has a duty roster that is being followed No appropriate PPE (gloves, aprons, covered footwear, face masks, etc.)/job aids guidelines Appropriate PPE/job aids available but no evidence of implementation Appropriate PPE/job aids available and visibly in use No privacy/confidentiality provided for clients Provision for privacy/confidentiality is inadequate Privacy/confidentiality is provided for clients and is adequate Officer-in-Charge Medical Officer Pharmacy Technician Pharmacy Assistant Pharmacist CHEW JCHEW Lab Technician Facility itself (pull mechanism) Higher level facility (push mechanism) Combination LGA Store NGO/Donors Open Market Supplier delivers to facility Facility arranges delivery Supplier Facility No record of expired drugs or losses kept Record of expired drugs kept but not up to date Record of expired drugs kept are up to date No drug price list available Drug price list present but not displayed Drug price list present and displayed No laboratory price list available Laboratory price list present but not displayed Laboratory price list present and displayed Heamatology (PCV, Haemoglobin) Pregnancy test Urine dipsticks for sugar and protein Syphillis rapid test Malaria diagnostics HIV diagnostics Dried Blood Spots (DBS) preparation TB diagnostics venous collection for CD4 No relevant HMIS forms/registers available Some HMIS forms/registers available but not up to date (month prior to assessment) All relevant HMIS forms/registers available and up to date (month prior to assessment) HMIS information not represented graphically HMIS information represented graphically, but not displayed HMIS information represented graphically and displayed Not analysed Analysed Analyzed and shared Analysed and used for decision (minutes available) The information registers does not correspond with the HMIS data sent to LGA Some of the information in the registers correspond with the HMIS data sent to LGA= All the information in the register correspond with the HMIS data sent to LGA No community outreach services occurring Community outreach services are occurring but not scheduled Planned community outreach services are occurring No publicity of available health services There is no evidence of publicity of available health services There is evidence of publicity of available health services Outreaches are solely planned and executed by facility Outreaches are planned with local community/Facility Management Committee only, execution is solely carried out by facility staff Outreaches are planned and implemented in collaboration with the local community/Facility Management Committee None exist Review meeting does not occur regularly Review meetings are held regularly (monthly) _ _ _ _ _ static_instance-yes_no-0 yes static_instance-yes_no-1 no static_instance-enumerator_name-0 abahalfred static_instance-enumerator_name-1 dr_eric_nwoji static_instance-enumerator_name-2 ezinne static_instance-enumerator_name-3 nwigbo static_instance-enumerator_name-4 uschenna static_instance-enumerator_name-5 oroke static_instance-enumerator_name-6 cyprian static_instance-enumerator_name-7 nnabuike static_instance-enumerator_name-8 nwakama static_instance-enumerator_name-9 abahemmanuel static_instance-enumerator_name-10 ernestogba static_instance-enumerator_name-11 paulogar static_instance-enumerator_name-12 charityanoke static_instance-enumerator_name-13 tochukwu static_instance-enumerator_name-14 cynthia_ static_instance-enumerator_name-15 justinaola static_instance-enumerator_name-16 azuenye static_instance-enumerator_name-17 paulnwachi static_instance-enumerator_name-18 nwegbe static_instance-enumerator_name-19 emmanuel static_instance-enumerator_name-20 joyorji static_instance-enumerator_name-21 samuel static_instance-enumerator_name-22 eunice static_instance-enumerator_name-23 chinwe static_instance-enumerator_name-24 okoro static_instance-enumerator_name-25 joseph static_instance-enumerator_name-26 kenneth static_instance-enumerator_name-27 leonard static_instance-facility_area-0 rural static_instance-facility_area-1 urban static_instance-facility_area-2 peri-urban static_instance-facility_code-0 general_hospital static_instance-facility_code-1 com_health_centre static_instance-facility_code-2 prim_health_centre static_instance-facility_code-3 clinic_mat_home static_instance-facility_code-4 health_post static_instance-facility_code-5 mobile_clinic static_instance-facility_code-6 dispensary static_instance-position_fac-0 medical_doctor static_instance-position_fac-1 nurse_midwife static_instance-position_fac-2 registered_nurse static_instance-position_fac-3 Mid_wife static_instance-position_fac-4 chew static_instance-position_fac-5 Jchew static_instance-position_fac-6 pharmacist static_instance-position_fac-7 Lab_technician static_instance-position_fac-8 Health_records_officer static_instance-position_fac-9 Environmental_health_officer static_instance-facility_own-0 government static_instance-facility_own-1 Private_not-for-profit/NGO static_instance-facility_own-2 private_not-for-profit/Faith-based static_instance-facility_own-3 private_for-profit static_instance-facility_type-0 primary_health_center static_instance-facility_type-1 primary_health_clinic static_instance-facility_type-2 health_post static_instance-traveling_time-0 zero_to_ten_minutes static_instance-traveling_time-1 eleven_to_twenty_minutes static_instance-traveling_time-2 greater_than_twenty_minutes static_instance-emer_trans-0 ambulance_owned_facility static_instance-emer_trans-1 ambulance_on_call static_instance-emer_trans-2 official_vehicle_on_call static_instance-emer_trans-3 official_vehicle_on_call static_instance-emer_trans-4 official_vehicle_on_call static_instance-emer_trans-5 emergency_patient_transport static_instance-emer_trans-6 no_vehicle_in_facility static_instance-yes_no_na-0 yes static_instance-yes_no_na-1 no static_instance-yes_no_na-2 na static_instance-purpose_of_last_trip-0 transport_health_worker static_instance-purpose_of_last_trip-1 transport_patient static_instance-purpose_of_last_trip-2 na static_instance-reason_for_delay_of_qip-0 delay_in _submission static_instance-reason_for_delay_of_qip-1 hq_not approving_qip static_instance-reason_for_delay_of_qip-2 na static_instance-state_of_building-0 no_renovation static_instance-state_of_building-1 light_renovation static_instance-state_of_building-2 modest_renovation static_instance-state_of_building-3 significant_renovation static_instance-state_of_roof-0 no_renovation static_instance-state_of_roof-1 light_renovation static_instance-state_of_roof-2 modest_renovation static_instance-state_of_roof-3 significant_renovation static_instance-state_of_fence-0 no_renovation static_instance-state_of_fence-1 light_renovation static_instance-state_of_fence-2 modest_renovation static_instance-state_of_fence-3 significant_renovation static_instance-state_of_fence-4 no_fence static_instance-source_of_power-0 none static_instance-source_of_power-1 power_grid static_instance-source_of_power-2 fuel_gen static_instance-source_of_power-3 battery_gen static_instance-source_of_power-4 solar_system static_instance-source_of_power_alt-0 none static_instance-source_of_power_alt-1 power_grid static_instance-source_of_power_alt-2 fuel_gen static_instance-source_of_power_alt-3 battery_gen static_instance-source_of_power_alt-4 solar_system static_instance-source_of_water-0 piped_into_facility static_instance-source_of_water-1 piped_onto_facility static_instance-source_of_water-2 public_tap static_instance-source_of_water-3 borehole static_instance-source_of_water-4 protected_dug_well static_instance-source_of_water-5 unprotected_dug_well static_instance-source_of_water-6 protected_spring static_instance-source_of_water-7 unprotected_spring static_instance-source_of_water-8 rain_water static_instance-source_of_water-9 bottled_water static_instance-source_of_water-10 cart_w_small_tank_drum static_instance-source_of_water-11 truck static_instance-source_of_water-12 surface_water static_instance-source_of_water-13 dont_know static_instance-source_of_water_alt-0 none static_instance-source_of_water_alt-1 piped_into_facility static_instance-source_of_water_alt-2 piped_onto_facility static_instance-source_of_water_alt-3 public_tap static_instance-source_of_water_alt-4 borehole static_instance-source_of_water_alt-5 protected_dug_well static_instance-source_of_water_alt-6 unprotected_dug_well static_instance-source_of_water_alt-7 protected_spring static_instance-source_of_water_alt-8 unprotected_spring static_instance-source_of_water_alt-9 rain_water static_instance-source_of_water_alt-10 bottled_water static_instance-source_of_water_alt-11 cart_w_small_tank_drum static_instance-source_of_water_alt-12 truck static_instance-source_of_water_alt-13 surface_water static_instance-source_of_water_alt-14 dont_know static_instance-toilet_type-0 none static_instance-toilet_type-1 bush static_instance-toilet_type-2 flush_toilet static_instance-toilet_type-3 flush_toilet_no_water static_instance-toilet_type-4 vip_latrine static_instance-toilet_type-5 pit_latrine_covered_no_slab static_instance-toilet_type-6 pit_latrine_covered_with_slab static_instance-toilet_type-7 pit_latrine_uncovered_no_slab static_instance-toilet_type-8 pit_latrine_uncovered_with_slab static_instance-toilet_type-9 composting_toilet static_instance-waste_disposal-0 incinerator static_instance-waste_disposal-1 1_chamber_drum static_instance-waste_disposal-2 flat_ground_no_protection static_instance-waste_disposal-3 flat_ground_with_protection static_instance-waste_disposal-4 pit_protected_ground static_instance-waste_disposal-5 covered_pit static_instance-waste_disposal-6 open_pit_no_protection static_instance-waste_disposal-7 protected_ground_pit static_instance-waste_disposal-8 covered_container static_instance-waste_disposal-9 stored_unprotected static_instance-waste_disposal-10 facility_no_sharp_waste static_instance-waste_disposal-11 waste_collection_agency static_instance-financial_management_tools-0 receipt_books static_instance-financial_management_tools-1 payment_voucher static_instance-financial_management_tools-2 cash_books static_instance-financial_management_tools-3 check_issue_ledger static_instance-financial_management_tools-4 general_legder_vote_book static_instance-financial_management_tools-5 stores_records static_instance-financial_management_tools-6 statement_of_expenditure static_instance-financial_management_tools-7 did_not_receive_tools static_instance-last_calendar_year_visit_accounts_person-0 weekly static_instance-last_calendar_year_visit_accounts_person-1 biweekly static_instance-last_calendar_year_visit_accounts_person-2 monthly static_instance-last_calendar_year_visit_accounts_person-3 quarterly static_instance-last_calendar_year_visit_accounts_person-4 yearly static_instance-share_financial_info-0 hard_copy_reports static_instance-share_financial_info-1 during_meeti static_instance-share_financial_info-2 chalk_board static_instance-share_financial_info-3 posters static_instance-gov_level-0 state static_instance-gov_level-1 local static_instance-gov_level-2 state_local static_instance-delay_gov_fund-0 delay_submission_quality static_instance-delay_gov_fund-1 delay_receive_authority static_instance-delay_gov_fund-2 unable_provide_timely_account static_instance-delay_gov_fund-3 audit_issues static_instance-delay_gov_fund-4 capacity_problems static_instance-alt_sources_fund-0 drug_revolv static_instance-alt_sources_fund-1 registration static_instance-alt_sources_fund-2 dev_partners_ngos static_instance-fac_alloc_spent_bizplan-0 no_alignment static_instance-fac_alloc_spent_bizplan-1 less_than_60_spent static_instance-fac_alloc_spent_bizplan-2 more_than_60_spent static_instance-delay_pay_salary-0 never static_instance-delay_pay_salary-1 seldom static_instance-delay_pay_salary-2 often static_instance-delay_pay_salary-3 always static_instance-attendance_sys-0 none static_instance-attendance_sys-1 avail_no_monitoring static_instance-attendance_sys-2 avail_monitored static_instance-staff_recruit_procedures-0 none static_instance-staff_recruit_procedures-1 proc_exist_not_monitor static_instance-staff_recruit_procedures-2 doc_proc_exist_implemented static_instance-cadre-0 super_intindent static_instance-cadre-1 specialist static_instance-cadre-2 medical_officer static_instance-cadre-3 comm_health_officer static_instance-cadre-4 chew static_instance-cadre-5 junior_chew static_instance-cadre-6 environ_health_offic static_instance-cadre-7 bsc_nurse static_instance-cadre-8 regist_nurse static_instance-cadre-9 regist_midwife static_instance-cadre-10 psych_nurse static_instance-cadre-11 dentist static_instance-cadre-12 pharmacist static_instance-cadre-13 Lab_technician_technologist static_instance-cadre-14 volunteer static_instance-gender-0 male static_instance-gender-1 female static_instance-reason_for_absence-0 sick_maternity static_instance-reason_for_absence-1 training_seminar static_instance-reason_for_absence-2 official_mission static_instance-reason_for_absence-3 approved_absence static_instance-reason_for_absence-4 not_his_her_shift static_instance-reason_for_absence-5 field_outreach_work static_instance-reason_for_absence-6 not_approved_absence static_instance-reason_for_absence-7 retreive_salary static_instance-reason_for_absence-8 strike static_instance-family_plan_services-0 couns_services static_instance-family_plan_services-1 couns_comm_services static_instance-family_plan_commodity-0 none static_instance-family_plan_commodity-1 condoms static_instance-family_plan_commodity-2 oral_pills static_instance-family_plan_commodity-3 injectibles static_instance-family_plan_commodity-4 implants static_instance-family_plan_commodity-5 iuc static_instance-araf_for_anc-0 none static_instance-araf_for_anc-1 araf_present_not_used static_instance-araf_for_anc-2 araf_present_used static_instance-del_room_light-0 elect_rech_lamp static_instance-del_room_light-1 elect_only static_instance-del_room_light-2 no static_instance-partograph_for_delivery-0 none static_instance-partograph_for_delivery-1 present_unused static_instance-partograph_for_delivery-2 present_used static_instance-growth_monit_services-0 not_offered static_instance-growth_monit_services-1 no_evidence static_instance-growth_monit_services-2 docum_evidence static_instance-basic_nuti_ass_guide-0 no_tapes static_instance-basic_nuti_ass_guide-1 tapes_avail_no_doc static_instance-basic_nuti_ass_guide-2 tapes_doc_avail static_instance-yes_obs_no-0 yes_obs static_instance-yes_obs_no-1 no static_instance-doc_rosters-0 no_duty_roster static_instance-doc_rosters-1 duty_ros_not_foll static_instance-doc_rosters-2 duty_ros_foll static_instance-impl_univ_prec-0 no_ppe static_instance-impl_univ_prec-1 ppe_unused static_instance-impl_univ_prec-2 ppe_used static_instance-prov_privacy-0 no_privacy static_instance-prov_privacy-1 privacy_inadequate static_instance-prov_privacy-2 privacy_adequate static_instance-staff_manage-0 off_in_charge static_instance-staff_manage-1 med_officer static_instance-staff_manage-2 pharm_tech static_instance-staff_manage-3 pharm_ass static_instance-staff_manage-4 pharmacist static_instance-staff_manage-5 chew static_instance-staff_manage-6 jchew static_instance-staff_manage-7 lab_tech static_instance-fac_resupply_estim-0 fac_itself static_instance-fac_resupply_estim-1 high_level_fac static_instance-fac_resupply_estim-2 combination static_instance-supp_health_comm-0 lga_store static_instance-supp_health_comm-1 ngo_donors static_instance-supp_health_comm-2 open_market static_instance-means_drugs_supplied-0 supplier_to_facility static_instance-means_drugs_supplied-1 facility_arrange_del static_instance-transport_cost_delivery-0 supplier static_instance-transport_cost_delivery-1 facility static_instance-record_exp_drugs-0 no_record static_instance-record_exp_drugs-1 record_not_uptodate static_instance-record_exp_drugs-2 records_uptodate static_instance-drug_list-0 no_drug_list static_instance-drug_list-1 list_pres_not_displayed static_instance-drug_list-2 list_pres_displayed static_instance-lab_list-0 no_lab_list static_instance-lab_list-1 list_pres_not_displayed static_instance-lab_list-2 list_pres_displayed static_instance-phc_lab_services-0 heam_pcv static_instance-phc_lab_services-1 preg_test static_instance-phc_lab_services-2 sugar_protein_test static_instance-phc_lab_services-3 syph_rap_test static_instance-phc_lab_services-4 mal_diag static_instance-phc_lab_services-5 hiv_diag static_instance-phc_lab_services-6 dbs_prep static_instance-phc_lab_services-7 tb_diag static_instance-phc_lab_services-8 ven_collect_cd4 static_instance-hmis_forms_reg-0 no_form_reg static_instance-hmis_forms_reg-1 some_form_avail_not_uptodate static_instance-hmis_forms_reg-2 all_form_avail_uptodate static_instance-hmis_info_display-0 not_rep_graph static_instance-hmis_info_display-1 rep_graph_not_display static_instance-hmis_info_display-2 rep_graph_display static_instance-nhmis_analyed-0 not_analyzed static_instance-nhmis_analyed-1 analyzed static_instance-nhmis_analyed-2 analyzed_shared static_instance-nhmis_analyed-3 analyzed_decision static_instance-reg_corres_hmis-0 info_not_corres static_instance-reg_corres_hmis-1 some_info_corres static_instance-reg_corres_hmis-2 all_info_corres static_instance-comm_outreach_serv-0 no_outreach static_instance-comm_outreach_serv-1 outreach_occ_not_scheduled static_instance-comm_outreach_serv-2 outreach_plan_occ static_instance-pub_health_ser-0 no_pub_avail static_instance-pub_health_ser-1 no_evidence_pub static_instance-pub_health_ser-2 evidence_pub_avail static_instance-local_comm_involv-0 exec_by_fac_sole static_instance-local_comm_involv-1 plan_w_local_comm static_instance-local_comm_involv-2 plan_impl_w_loc_fac_man static_instance-review_meeting-0 none static_instance-review_meeting-1 not_regular static_instance-review_meeting-2 regular_monthly yes no Please remember to take necessary steps to add this facility to the master facility list primary_health_center primary_health_clinic health_post general_hospital com_health_centre prim_health_centre clinic_mat_home health_post mobile_clinic dispensary rural urban peri-urban [First-name Last-name] yes no medical_doctor nurse_midwife registered_nurse Mid_wife chew Jchew pharmacist Lab_technician Health_records_officer Environmental_health_officer other government Private_not-for-profit/NGO private_not-for-profit/Faith-based private_for-profit other government Private_not-for-profit/NGO private_not-for-profit/Faith-based private_for-profit other government Private_not-for-profit/NGO private_not-for-profit/Faith-based private_for-profit other government Private_not-for-profit/NGO private_not-for-profit/Faith-based private_for-profit other primary_health_center primary_health_clinic health_post zero_to_ten_minutes eleven_to_twenty_minutes greater_than_twenty_minutes zero_to_ten_minutes eleven_to_twenty_minutes greater_than_twenty_minutes yes no yes no yes no yes no yes no yes no yes no yes no transport_health_worker transport_patient na yes no yes no yes no yes no yes no Answer should be in weeks Answer should be in weeks yes no na delay_in _submission hq_not approving_qip na other ask to see the document yes no yes no na yes no yes no yes no na no_renovation light_renovation modest_renovation significant_renovation no_renovation light_renovation modest_renovation significant_renovation no_renovation light_renovation modest_renovation significant_renovation no_fence yes no yes no yes no yes no yes no yes no na yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no receipt_books payment_voucher cash_books check_issue_ledger general_legder_vote_book stores_records statement_of_expenditure did_not_receive_tools other yes no yes no weekly biweekly monthly quarterly yearly other yes no hard_copy_reports during_meeti chalk_board posters other yes no state local state_local yes no state local state_local delay_submission_quality delay_receive_authority unable_provide_timely_account audit_issues capacity_problems other yes no drug_revolv registration dev_partners_ngos other yes no yes no yes no yes no yes no yes no no_alignment less_than_60_spent more_than_60_spent Ask to see the boards yes no yes no yes no yes no yes no yes no Doctors, nurses, midwives, CHEWs, lab scientist/technician, dentist, pharmacy scientist/technician, environmental officer, and medical record officer Drivers, cleaners, gardeners, security personnel, and health attendants/ward miads yes no never seldom often always none avail_no_monitoring avail_monitored none proc_exist_not_monitor doc_proc_exist_implemented yes no couns_services couns_comm_services none condoms oral_pills injectibles implants iuc yes no yes no none araf_present_not_used araf_present_used yes no yes no yes no elect_rech_lamp elect_only no none present_unused present_used yes no by appropriate agency e.g. MOH, Dev partners, certified CBOs and others not_offered no_evidence docum_evidence no_tapes tapes_avail_no_doc tapes_doc_avail yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no spot check workers in ANC, OPD and family planning against roster no_duty_roster duty_ros_not_foll duty_ros_foll Cross check referral register, facility copy of form and return/feedback slips. yes no please check the referral register zero_to_ten_minutes eleven_to_twenty_minutes greater_than_twenty_minutes zero_to_ten_minutes eleven_to_twenty_minutes greater_than_twenty_minutes yes no by appropriate structure e.g. LGA, development partners, MOH, certified CBOs yes no yes no yes no Use checklist as appropriate against one consultation. yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no It will take some time to get the results. Please make a preliminary diagnosis. yes no yes no yes no yes no yes no 20 units in 500 ml dextrose or normal saline to run at 20 drops per minute for about 2 hours yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no It will take some time to get the results. Please make a preliminary diagnosis. yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no It will take some time to get the results. Please make a preliminary diagnosis. yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no no_ppe ppe_unused ppe_used yes no no_privacy privacy_inadequate privacy_adequate yes no yes no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes no off_in_charge med_officer pharm_tech pharm_ass pharmacist chew jchew lab_tech off_in_charge med_officer pharm_tech pharm_ass pharmacist chew jchew lab_tech fac_itself high_level_fac combination other lga_store ngo_donors open_market other supplier_to_facility facility_arrange_del other supplier facility other yes no yes no hard_copy_reports during_meeti chalk_board posters yes no yes no yes no yes no no_record record_not_uptodate records_uptodate yes no weekly biweekly monthly quarterly yearly other no_drug_list list_pres_not_displayed list_pres_displayed yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no yes_obs no Observe functioning yes_obs no yes_obs no yes no yes no yes no no_lab_list list_pres_not_displayed list_pres_displayed heam_pcv preg_test sugar_protein_test syph_rap_test mal_diag hiv_diag dbs_prep tb_diag ven_collect_cd4 yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no no_form_reg some_form_avail_not_uptodate all_form_avail_uptodate not_rep_graph rep_graph_not_display rep_graph_display not_analyzed analyzed analyzed_shared analyzed_decision yes no info_not_corres some_info_corres all_info_corres yes no yes no no_outreach outreach_occ_not_scheduled outreach_plan_occ yes no weekly biweekly monthly quarterly yearly other no_pub_avail no_evidence_pub evidence_pub_avail exec_by_fac_sole plan_w_local_comm plan_impl_w_loc_fac_man none not_regular regular_monthly yes no yes no weekly biweekly monthly quarterly yearly other yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no weekly biweekly monthly quarterly yearly other yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no