ARI

CDD

Evidence-based-decision

Accreditation

Health Information System

Health visitor

E

Health )

EMR

RPEElectronic patient record

MIS

GIS

MIS

Location )

ERS)

Intranet )

Accreditation

Self assessement

tandards Accreditation S

scores

sInputstandardsStructural

Physical safety

ess standardscPro

ARI

microplanning Retrieval

(Integration)

standards omec Out

Mental health status

Dimentions of PHC quality

Effectiveness

Efficiency

Technical competence

ccessibilityA

ship relationInterpersonal

Continuity

ety Saf

Amenities

-: ed decision making in primary health caresba Evidence

TB

Cholera

Malaria

Leishmaniasis

Schistosomiasis

Meningitis

Acquired immune defeciency syndrome

Sexual transmitted diseases

NIDs

X- ray) Ultra Sound)

Oxytocin)

A )

Condom

IMCI

DOTs

A ))

IMCI

A ))

A ))

Cataract

Glucoma

Psychosis

Anxiesty

Depression

Epilepsy

Mental handicap

A ))

A ))

OPV , DPT , BCG , Measles )

A ))

ARI

Mastoditis

CDD

A ))

DOTs

A ))

A ))

A ))

Conjunctivitis

Cataract

Glucoma

Diagnostic Test

Hematology Blood Film * Hemoglobin * * Hematocrit * * Red blood cell count * White blood cell count & platelet count * Differential cell count * Erythrocyte Sedimentation Rate (ESR) * * Coagulation Screening tests Reticulocyte count * Blood grouping and RH factor * * Serology

Widal test * * Rose Bengal * * C-reactive protein ( CRP) * Anti-streptomycin O titre ( ASOT) * Rheumatoid factor (RF) * Toxoplasmosis * RPR (VDRL) * TPHR * Infectious mononucleosis * SLE G6PD assay Coombs test * Iron & TIBC

Diagnostic Test

Biochemistry Blood glucose * * Renal function test ( RFT) * Liver Function Test (LFT) * Lipid profile * Hormonal assays Virology Hepatitis A

B and C by ELISA Bacteriology

Direct Microscopy:-

a- General urine exam * * b- General soot exam * * Staining Smears :-

a- Gram stain * b- Zeal nelson stain * c- KLB stain * Culture :-

Urine * Swabs * Stool

throat sputum blood

Diagnostic Test

C.S.F Cult. For Coryne. Diphtheria Cholera culture

Sexually- tranmitted disease culture swabs Rapid Bacteriological Test

Smart test for salmonella * Smart test for cholera * Smart test for helicobacter * Smart test for E.COLI( 0:157 h:7) * Culture media * Anti microbial culture & sensitivity * Parasitology

Malaria parasite diagnosis * General stool exam * Visceral leishmaniasis (kalazar) by dip stick method Visceral leishmaniasis (kalazar) by IFAT Cutan eous leishmaniasis by blood * Urine for schistosoma ova *

Cytology Pap smear * Urine cytology *

Diagnostic Services

1. X- rays Chest * Abdomen Skeletal *

2- Utrasound Ultrasound *

1. Anesthetics 1.1 General Anesthetics and Oxygen Ketamine Iniection:50 mg (ashcl)

ml in 10- ml ampoule Oxygen Inhalation (medicinal

gas) * *

1.2 Local A nesthetics Bupivacaine Iniection : 0.5% (HCL) in

20 mi vial *

Lignocaine + Dextrose Iniection: for spinal anesthesia 5% (HCL) + Dextrose 7.5% (hyperbaric solution

spinal anesthesia / heavy) in 2 ml amp

Lignocaine Topical forms: (HCL) 2% gel 5% oint

* *

Lidocaine +Epinehrine Dental cartride: 2% (HCL) +epinephrine 1:80 000

*

Lignocaine +Epinephrine

Iniection : 2% (HCL)+ epinephrine 1:80 000

*

2.Analgesics

antipyretics

Nonsteroidal Anti

lnnflammatory Drugs

2.1. Non

Opioid Analgesics / Antipyretics / NSAID

Acetylsalicylic Acid Tablet : 100 mg * * Acetylsalicylic Acid Tablet : 325 mg or 300

mg enteric coated * *

Paracetamol Tablet : 500 mg * Paracetamol Syrup : 125 mg / 5 ml * * Paracetamol Suppositories : 125 mg

(infant) * *

Paracetamol Suppositories : 250 mg (child)

Drops : 100 mg / ml or 60 mg / 0.6 ml

* *

Paracetamol * *

Diclofenac sodium Tablet : 25 mg * 3.Anti Allergics and medicines Used in Anaphylaxis Diphenhydramine Hcl Elixir 10 mg / 5 ml * *

Diphenhydramine Hcl Lniection : 10 mg / ml

(1 ml Amp)

* *

Diphenhydramine Hcl Tablet : 25 :25 mg * * Chlorpheniramine Maleate

Tab 4 mg * *

Chlorpheniramine Maleate

Syrup : 2 mg / 5 ml * *

4. Antidotes 4.1 Nonspecific Antidotes Activated charcoal Single dose 50 g dose

plastic bottle of colloidal suspension

5. Anticonvulsants / Anti

Epileptics Carbamazepine Tablet : 200 mg * Carbamazepine Syrup : 100 mg / 5 ml * Diazepam Lniection : 5 mg in 2 ml

ampoule *

Magnesium Sulphate Lniection : 500 mg / ml in 20 ml ampoule

*

Phenobarbital (phenobarbitone)

Tablet : 15- 30 mg *

6. Anti-lnfective medicines

6.1. Anti

helminthics Mebendazole Tablet : 100 mg * * Mebendazole Suspension 100 mg / 5 ml * * Praziguantel Tablet : 600 mg * * Albendazole Tablet : 200 mg * Levamisole Tablet : 40 mg * 6.2. Antibacterials 6.2.1 Beta lactam Medicines Amoxy cillin Caps 250 mg * * Amoxy cillin Caps 500 mg * Amoxy cillin Syrup : 125 mg / 5 ml * * Amoxy cillin Syrup : 250 mg / 5 ml * Amoxy cillin + clavulanic acid

Tablet : 500 mg + 125 ml *

Ampicillin Powder for iniection : 500 mg (as sodium) / vial

* *

Ampicillin + cloxacilin Powder for lniwction : 500 mg (as sodium) + 500

*

mg / vial Benzathin Benzyl penicillin

Powder for iniection : 1.4 million IU per vial

*

Benzathine Benzyl penicillin

Powder for lniection : 2.4 million IU per vial

*

Benzylpenicillin Powder for lniection : 1m IU per vial

*

Phenoxy Methyl Penicllin (Penicillin V)

Tablet : 250 mg * *

Phenoxy Methyl penicillin (Penicillin V)

Powder for oral suspension 250 mg / 5 ml

* *

Injection 300000 iu (300mg) + 100000 iu (60mg)/vial

Procaine penicillin + benzyl penicillin

Injection: 600000 iu vial Procaine benzyl

penicillin

Suspension: 250mg/5ml cephalexin

* Caps: 250mg tetracycline 6.2.2 Other antibacterials

Injection: 1vialas sodium succinate vial

chloramphenicol

Caps/tab 100 mg doxycycline

Tablet: 250mg (ethylsuccinate enteric coated)

erythromicin

Powder for suspension: 250mg/5ml

erythromicin

Ear drop:03% gentamicin

Injection: 10mg : 40mg (as sulfate)/ml in 2 ml vial

gentamicin

* Tablet: 480gm cotrimoxazol * Suspension: 240 mg/5ml cotrimoxazol

6.2.3 Antituberculosis * * Tablet: 400mg ethambutol * * Tablet:100mg isoniazid * * Tablet:300mg isoniazid * * Tablet:130mg (HCL) +

100mg Ethambutol + isoniazide

* * Tablet:500mg pyrazinamide * * Caps/tab 150mg Rifampicin (rifampin) * * Caps/tab 300mg Rifampicin (rifampin) * * Powder for injection 1g (as

sulfate)in vial Streptomycin

6.3 Antifungal * Coated tab 100000 iu :500000

iu Nystatin

* Suspension:100000 u/ml Nystatin * Pessary:100000u Nystatin * Vag cream 100000u/4g Nystatin * Tablet:125mg:500mg griseofulvin

6.4 Antiprotozoal 6.4.1 Anti-amoebic and antigiardiasis

* Tablet:250-500mg metroidazole * i.v.infusion 5mg/ml(100ml

vial) metroidazole

* Oral suspension 200mg (asbenzoate)/5ml

metroidazole

* Tablet:500mg Diloxanide furpate 6.4.2 Antimalarial

* * Tablet: 150mg (as phosphate or sulfate)

chloroquine

* * Syrup 75 mg/5ml chloroquine * Tablet: 15mg (as phosphate) chloroquine

6.4.3 Antileishmanissis

Inj: 100mg /ml (6ml vial) or (100ml vial)

pentostam

6.5. Uriary antiseptics * Tablet: 50-100mg nitrofurantion

7. Medicines affecting pthe blood 7.1 Anti-anaemia

* * Syrup : 400mg/15ml Ferrous gluconale

* * Tablet: 200mg Ferrous sulfate * * Tablet: 200mg(65mg

iron)+0.25mg Ferrous sulfate + folic acid

* Tablet 1mg:5mg folic acid * Injection:50mg/ml(2ml

amp) deep i.m or slow i.v or i.v infusion

Iron dextran

7.2 Medicines affecting coagulation

Injection: s.c. i.v 5000 iu/ml.(5ml vial)

Heparin sodium

8. Blood products and plasma substitutes 8.1 Plasma substitutes

5% in dextrose Dextran 70

12. Diuretics * Tablet:40 mg Frusemide * Injection:20mg/2ml amp Frusemide * Tablet:25 mg,50mg Hydrochlorothiazide * Tablet:25mg Spironolactone

IV solution 10%,20% Mannitol 13. Gastroinestinal Medicines 13.1 Antacids

* * Tablet 500mg Aluminium Hydroxide * Oral liquid 290mg/5ml Aluminium Hydroxide * * Dried gel 200mg+mag

hydroxide 200mg +simethicone 25mg tab

Aluminium Hydroxide

13.2 Anti-Emetics * * Tablet 10mg(Hcl) Meloclopramide * Injection 5mg(Hcl)ml in 2-

ml ampoule Meloclopramide

* * Syrup 5mg/5ml (Hcl) Meloclopramide 13.3 Anti cholinergic

Tablet 10mg Hyoscine butylbromide

Inj:20mg/ml Amp Hyoscine butylbromide * Syrup 1mg/ml Hyoscine butylbromide * * Injection 0.6mg/ml,(1ml

Amp) Atropine sulphate

13.4 Laxatives * * Traditional dosage forms Senna * * Supp.5mg(child) Bisacodyl

14. Hormones other endochne medilnes

* * Eye drops 0.3 % Gentamicin

15.2 Anti- Inflammatory and Anti

pruritic

* * lotion Calamine * Eye drops 0.1 % Indomethacin * Eye drops 0.12 % Prednisolone acetate * Eye drops 0.5 %(sulfate )+ 0.025

%(uitrate) Antazoline + naphthazoline

16. Oxytocics and Antioxytocics 16.1 Oxytocics

* Injection :200 mcg ( hydrogen maleate) in 1-ml amp

Ergometrne

* Injection:10 iu in 1- ml ampoule Oxytocin 16.2 Antioxytocics

* Immediate release caps 10mg Nifedipine 17. Psychotherapeutic memicines 17.1Medicines used in psychotic disorders

* Tablet 100 mg (HCI) Chlorpromazine * Injection :25mg (HCI)/ml in 2-ml

ampoule Chlorpromazine

* Oral liquid 25 mg (HCI)/5 ML Chlorpromazine * Tablet 1.5 mg 5 mg Haloperidol

Injection : 5 mg in 1-ml ampoule Haloperidol 17.2 Medicines used in depressive disorders

* Tablet :25 mg (Hcl) Amitrpyline 17.3 medicinees used in generalized anxiety and sleep disorder

* Tablet:2mg Diazepam * Tablet:5mg Diazepam

18. Medicines Acting on the respiratory tract 18.1 Anti- asthmatic medicines

* Tablet:100mg , 225mg aminopbyline

* Inaction :25 mg/ml in 10-ml amp Aminopbyline * Inaction :1mg (as Hcl or hydrogen tarate

) in 1-ml amp Epinephrine (Adrenaline)

* * Tablet:2mg/4mg Salbutamol * * Inhaiation (aerosol) 100mcg (as sulfate )

per dose Salbutamol

* * Syrup 2mg /5ml (as sulfate) Salbutamol * * Respirator solution for nebulizers

0.5%w/v (20 ml) Salbutamol

18.2 Antitussives * * Tablet :15 mg Dextromethorphane hbr

* * Syrup 15 mg /5ml Dextromethorphane hbr

19. Solution correctingwater electrolyte and acid

based disturbances 19.1 Oral

* * Oral rehydration salt (ORS) 19.2 Parental

* Injectable solution 5% : 10% isotonic 50%hypertic

Glucose

* Injectable solution 4% glucose 0.18 sodium chloride (equivalent to na 30 mmol/l cl-30 mmol/l)

Glucose with sodium chloride

* Solution :112% in 20ml ampoule ( equivalent to k 1.5mmo/ml. cl-1.5 mmol/ml

Potassium chloride

* Inectable solution 0.9 % isotonic (equivalent ot na 154 mmo / l . cl -154 mmol/l )

Sodium chloride

* Injectable solution : 1.4 % isotonic ( equvalnt to na 167 mmol/l , Hco3- 167 mmol/l)

Sodium hydrogen carbonate

* Compound solution : injectable solution

Sodium locate

20 Vitamins and Minerals * * Cap 100.000 units Vitamin A ( retinol) * * Palmitate drops 1500 units /1 drop Vitamin A

Vitamin B supplement

* Tablet :10 mg Vitamin K (phytomenadione)

* 500 mg Calcium carbonate * * Multimicrnutrients

21. Vaccines

* * BCG * * DPT * * DPT /hepatitis

B vaccine

* * Measles * * OPV * * Tetanus toxoid

22. sera and Immunoglobulins

* * Ipecacuannha USP

Digoxin Tablet: 50 mcg Digoxin Inj:50mcg/ml(2ml Amp) Frusemide Inj:20mg/ 2ml Amp Mannitol Infusion:20% - 500ml Hydralazine HCL Infusion:20mg per Amp Methyldopa Inj: 50mg/ml(5ml Amp) Glyceryl trinitrate Tablet:0.5mg Glyceryl trinitrate Inj: 5mg/10ml Amp Atropine sulphate Inj:0.6mg/ml Amp Hyoscinebutylbromide Inj:20mg/ml Amp Ranitdine Hcl Inj:25mg/ml(2ml Amp) Metoclopamide HCL Inj:5mg /ml(2ml Amp) Aminophylline Inj:25mg /ml(10ml Amp) Iv Salbutamol as sulphate Inj:500mcg in 5 ml Amp Salbutamol as sulphate 5 mg/ml respirator solution for nebulizers Epinephrine Inj:1mg (as Hcl or hydrogen nitrate ) Amp Diphenhydramine Hcl Inj: 10mg/ml (1ml Amp) Diazepam Inj: 5mg/ml(2ml Amp) Diazepam Tablet:2mg. 5mg Chlorpromazine Hcl Inj:25 mg/ml(2ml Amp) Prochlorpromazine mesilate

Inj:12.5mg/ml.IM (ml Amp)

Acetylsalic Acid Tablet:325mg Enteric-coated Paracetamol + Phenobarbitone

Supp:125mg + 10mg (inf)

Pracetamol Inj:1g IV. Im Amoxycillin as sodium Inj: 1 MU per Vial Cefazolin Inj: 1 gm IV. IM + solvent water Metronidazole Inj: 5 mg/ml (100ml Vial) IV infusion Insulin neutral Inj: 100 units/ml Insulin soluble + isophane (biphasic)

Inj: 30% + 705% 100m/ml (human only)

Dexamethasone phosphate as disodium

Inj: 8mg/2ml Vial

Hydrocortisone as sodium succinate

Inj:100mg/ 2ml Vial or Amp

Tranexamic acid Inj:100mg/ml(5ml Amp) Phytomenadione Mixed Micelles (Vit.K1MM)

Inj:10mg/ml(1m1Amp)IVinj or slow IV inj within 30 sec

Phytomenadione Mixed Micelles (Vit.K1MM)

Inj:1mg/1ml(for new born babies)(IM)

Calcium gluconate (USP) I.V infusion,slow I.V inj 10%containing 0.465mEq (9.3mg)total calcium/ml PH adjusted 6-8-2(10ml Amp)

Magnesium sulphate Inj:50%(10ml Amp) Dextran 70 in normal saline (plander N) Distilled Water for 5 ml injection Glucose (dextrose) Infusion: 5% 500 ml Glucose (dextrose) Infusion: 25% 20 ml Sodium bicarbonate Inj: 8.4%(50 ml Vial) Sodium chloride Infusion: 0.9% in 500 ml Sodium chloride + dextrose

Infusion: 0.18% + 4% IV infusion (as glucose solution)

Diclofenac sodium Inj: 25mg/ml (3ml Amp) Tropicamide Eye drops: 0.5% Lidocaine 5% oint and jell Silver sulphadiazine Cream 1% Lignocaine 10% spry Antivenom polyvalent for snak,scorp ion, spiders

Inj: Vial

Charocaol activated 50 single dose plastic bottle of colloidal suspension Ipecacuanha Syrup USP Ampicillin + colxacillin Inj: 500 mg (Vial) Gentamycin Inj: 80 mg (Vial)

No Department

Imaging

1 General x-ray 50kw (500 ma- 12 kv ). Floor mounted. Bucky stand + voltage stabilizer complete with accessories.

2 Bench top semi

auto film processor +stabilizer +safe light

3 Cassettes ( 3 sizes ) + films + lead lettenng 4 Viewer x

ray single 5 Mobile lead screen with window 6 Lead gown & hanger

Laboratory 1 Microscope ( 4x mag ) 2 Centnfuge ( medium capacity ) 3 Biochemistry analyzer + stabilizer (ref : merck

microlab300) 4 Haemotology analser (18parmeters +3parts

differential) +stabilizer 5 Counter blood cell/wbc differential 6 digits

with totaliser 6 Elisa 7 stopwatch 8 Lab glass wares set 9 Haemocytometer counting chamber fuchs

Rosenthal w 2 white cell pipette 10 Micropipette set variable volume (3 sizes ) 11 Rack staining with glass rods & dryer slides 12 Photometer + stabilizer 13 Westergreen esr set 14 Oven hot air drying 4.5 cutft ( 126 l) +- 25 +

300oc 15 Refrigerator reagent sigle door 14 cf (

3781 ) w alarm 16 Refrigerator domerstic w freeze 2 door (

approx . 380l ) 17 Sealer / stripper cutter blood 18 Fume hood ductless 1200 mm length w sso gas

and water 19 Bath water laboratory ( approx .22l) 25

100degc .cw cover 20 Refrigerator blood 450bags lockable w alarm

and recorder

Dental unit

1 Dental treatment unit/chair mo + stabiliser cw compressor suction+ filter

2 Dental x-ray 3 Tooth extraction instrument set . adult 4 Tooth extraction instrument set child 5 Dental diagnostic instrument set 6 Stainless steel instrument set 7 Sterilizer hot water electric 8 Autoclave bench top . flash . steam w

prvacuum cycle 9 Sterilizer . oven hot air 4.5 cuft (126l) + 25 +

300oc

Epi ( immunization unit ) 1 Desk office w drawers 2 Chair office doctor 3 Chair patient 4 Bench patient waiting 5 Freezer vaccine single door 18cf (5041)

lockable -20to-40oc w alarm and recorder 6 Cooler box for vaccines ( unicef or

Labour &delivery unit and clinic for wmo

Delivery room 1 Obstetric delivery couch 2 Baby bassinette mobile w shelf below 3 Stethoscope infant 4 Stethoscope adult 5 Sphygmomanometer mercury (standard ) 6 Infant measuring rod (cradle measure ) 7 Infant scale non

digital 8 Pump suction electric 2 jar (1.5l) 0-760mmhg 9 Procedure light 30klux mobile 10 Fetal Doppler battery 11 Fetal scope 12 Emergency light with rechargeable battery 13 Infusion stand mobile w 2 prongs 14 Instrument trolley 15 Hand washing stand cw bowls mobile 16 Oxygen cylinders (large)+pin index o2 flow

meter & humidifier +trolley cylinder

17 Heater floor

18 Infant warmer mobile 19 Resuscitation set (ambu bags, masks, airways ,

ett, endotracheal introducer ,tunings , oxygen )for infant

20 Vacuum extractor (manual ) cw3 cups 21 Instrument episiotomy set ( suturing set ) 22 Instrument set baby assessment 23 Instrument vagina examination set 24 Instrument delivery set 25 Instrument iucd insertion set 26 Instrument d&c set 27 Instrument stainless steel tray set 28 Warmer blood /fluid dry heat transfusion

/infusion rapid flow rate 29 Monitor

spo2 + nibp 30 Stool for doctors 31 Instrument cabinet ( glass lockable 2door ) 32 Autoclave benchtop ,flash , steam w

prevacuum cycle 33 Sterilizer hot water electric 34 Sterilizer ,oven hot air 4.5 cuft (126l ) +25-

+300oc

Recovery room for delivery 1 Patient bed 2 section fixed height cw mattress

+pillow 2 Bedside cabinets 3 Infusion stand mobile w 2 prongs 4 Stethoscope adult 5 Sphygmomanometer mercury ( standard ) 6 Oxygen cylinders ( large ) + pin index o2 flow

meter & humidifier + trolley cylinder 7 Heater 8 Patient trolley transfer/treatment fixed ht 9 Wheelchair

Conisultation / Examination room ( midwife / female health worker )

1 Examination couch O&G with foldable stepstool

2 Sphygmomanometer mercury ( standard cuff )

3 Clinical digital thermometer + disp sleeves

4 Diagnostic adult 5 Stethoscope child 6 Viewer x-ray single 7 Examination light 15klux mobile 8 Instrument tongue depressor &dressing jar 9 Ht &wt scale manual 10 Ultrasound O&G w convex& TV probe +

thermal printer (**training to be provided to WMO)

Desk Office w drawers 15 Chair office doctor 16 Chair patient 17 Bench patient waiting

Minor OT or Procedure Room

Minor OT (for minor surgery) 1 Operating table hydraulic geral surgery cw

accessories 2 Anesthesia machine minor w ventilator 2

vaporiser 3 Diathermy machine 300w cw access ones 4 Infusor pressure 500ml 5 Infusion stand 2 prongs 6 Viewer x-ray single 7 Pump suction eclectic 2 2jar (1.5l) 0-760 mmhg

8 Pump suction battery operated 1 jar (1l) 9 Monitor patient 4 channel ( ECG / spo2/nibp ) 10 Operating light 80klux mobile 11 Resuscitation set (ambu bags , masks ,ett , end

tracheal introducer ,tubings , tubings , oxygen ) for adult ,child & infant

12 Laryngoscope set (adult +chid ) 13 Emergency light with rechargeable battery 14 Hand washing stand cw 2 bowls , mobile 15 Instrument trolley 16 Oxygen cylinders (large )+ pin index o2 flow

meter &humidifier + trolley cylinder 17 Stainless steel instrument tray set 18 Surgical instrument sets for dhq ( to be

specified later ) 19 Surgical instrument sets for thq ( to be

specified later ) 20 Surgical instrument sets for rhc (to be specified

later )

Department 1 Marument M nor Surgery set + Container 2 Namer blood /fuid dry heat transfusion /infusion

rapid flow rate 3 Narument cabinet (glass lockable2 door )

Recovery Room

Retent Trolley transfer /treatment fixed ht

Montor SpO2 + NIBp

Patient bed 2 section fixed height cw mattress+ pillow

Hadaide cabinets

Slethoscope aduit

Sphygmanomrter mercury (standard )

Inatrument trolley

Infusion stand 2 prongs

Oxygeh cylinders (Large )+ pin index O2 Flowmeter & humidifier + molley cylinder

Procedure room (can also be used for Emergrncy cases in the rvrnt that there is no separate Casualty Dept)

Procedure Room 1 Trolley procedure Hilo 2 Patient Trolley transfer /treatment fixed ht 3 Wheelchair 4 Anaesthesia machine minor w ventilator 2 vaporiser 5 Diathermy machine 300 W cw accessones

6 Infusor pressure 500ml

7 Infusion stand 2 progs

8 Viewer X-ray single 9 Pump suction electnc2 jar (1.5L) 0-7 60 mmHg 10 Monitor patient 4 channel (ECG/SpO2 /NIBP) 11 Operating light 80 klux mobile 12 Resuscitation set (A mbu bage , masks , airways ,ETT

, endotracheal introducer , tubings , Oxygen ) for aduit , child & infant

13 Laryngoscope set (aduit+ chid ) 14 Emergency light with Rechargeabie battery 15 Handwashing stand cw 2 bowis , mobile 16 Instrument trolley 17 Oxygen cylinders (Large )+ pin index o2 Flowmeter

% humidifier + trolley cylinder 18 Stainless steel instrument tray set 19 Surgical instrument Sets for DHQ (to be specified

later ) 20 Surgical instrument sets for THQ (to be specified ) 21 Surgical instrument sets for RHQ (to be specified ) 22 Instrument minor Surgery set + Container 23 Warmer blood/fuid dry heat + Container 24 Instrument cabinet (glass lockable 2 door ) 25 Autociave benchtop flash .steam w prevacuum cycle 26 Steniliser . oven hot air 4 .5 cuft (126L ) + 25+300c0

27 Stenliser hot water eiectnc

EMERGENCY /CASUALTY (can be doubled up as procedure /Minor OT if there are no provision for a separate area/dept )

Emergency Room 1 Trcney procedure Hio 2 Patient Trclley transfer /treatment fixed hi 3 Wheeichair 4 Streicher 5 Stethoscope 6 Stethoscope aduit 7 Examination couch with foldable stepstool 8 Clinicai digital thermometer + disp sleeves 9 Diagnostic set (Octhamoscope + otoscope ) 10 Heavy Duty Torch light 11 Instrument Tongue depressor & dressing jar 12 Sphygmomanometer mercury ( standard cuff )

13 Pump suction electric 2 jar (1.5l) 0-760mmHg 14 Procedure light 30kLux mobile 15 Viewer X-ray single 16 Resusciation Set (Ambu bage , masks , airways , ETT

, endotracheal introducer , tubings , Oxygen ) for aduit , child & infant

17 Laryngoscope set (adult+child) 18 Immobilisers, Plints & Cervical collars set 19 Emergency Light with Rechargeable Battery 20 Handwashing stand cw 2 bowls, mobile 21 Infusion stand mobile w2 prongs 22 Stainless steel instrument tray set 23 Instrument trolley 24 Oxygen Cylinders (Large) + pin index O2 flowmeter

& humidifier + trolley cylinder 25 Instrument Minor Surgery set + Container 26 Instrument Dressing set 27 Instrument cabinet (glass lockable 2 door) 28 Autoclave benchtop ,flash, steam w prevacuum cycle 29 Stenliser, oven hot air 4.5 cuff (126L) + 25~ + 300C 30 Steniliser hot water electric 31 ECG Machine 3/6 channel 32 Moniter SpO2 + NIBP 33 Nebuliser electric adult / child ultrasonic 34 Peak flowmeter adult 35 Peak flowmeter child

Observation Rooms 1 Patient bed 2 section fixed height cw mattress +

pillow 2 Bedside cabinets 3 Infusion stand 2 prongs 4 Pump suction electric 2 jar (1.5L) 0-760mmHg 5 Stethoscope adult 6 Sphymomanometer mercury ( standard cuff)

Consultation /Examination Room (MO) 1 Examination couch with foldable stepstool 2 Spnymomanometer mercury (standard cuff) 3 Ear digital thermometer + disp sleeves 4 Clinical digital thermometer + disp sleeves 5 Diagnostic set (Opthalmoscope + otoscope) 6 Sterthoscope adult 7 Sterthoscope child 8 Viewer x-ray single

9 Heavy Duty Torch light 10 Instrument Tongue depressor & dressing jar 11 Ht & Wt scale manual 12 Desk Office w drawers 13 Chair office doctor 14 Chair patient 15 Bench patient waiting

CLINICS

Consultation / Examination Room (MO) 1 Examination couch with foldable stepstool 2 Sphygmomanometer mercury ( standard cuff ) 3 Ear digital thermometer + disp sleeves 4 Clinical digital thermometer + disp sleeves 5 Dignostic set (Opthalmoscope + otoscope) 6 Stethoscope adult 7 Stethoscope child 8 Viewer x-ray single 9 Heavy Duty Torch light 10 Instrument Tongue depressor & dressing jar 11 Ht & Wt scale manual 12 Desk Office w drawers 13 Chair office doctor 14 Chair patient 15 Bench patient waiting

WARDS Department No

. wards(male)(**depends on the number of beds in the health facility) Patient bed 2 section fixed height cw mattress + pillow

Bedside cabinets 2 Table over bed mobile fixed height w support at both side 3 Infusion stand 2 prongs 4 Oxygen cylinders (large) + pin index O2 flow meter& humidifier + trolley cylinder

5

Wards(female)(**depends on the number of beds in the health facility) Patient bed 2 section fixed height cw mattress +pillow 1 Bedside cabinets 2 Table over bed mobile fixed height w support at both side 3 Infusion stand 2 prongs 4 Oxygen cylinders (large) + pin index O2 flow meter& humidifier + trolley cylinder

5

Nebuliser electric adult /child ultrasonic 1 Pump infusion syringe 2 Pump infusion volumetric 3 Stethoscope adult 4 Sphygmomanometer mercury 5 Infusion stand 2 prongs 6 Instrument ward dressing sets 7 Trolley instrument 8

Sterilizer hot water electric 9 Health education T.V. CD player Video camera Digital camera Advertising board for health issues computer

Table 13.2: equipment PHC sub center

department No.

LABORTORY Microscope(4x mag) 1 Centrifuge (medium capacity) 2 hemoglobin meter 3 Counter blood cell/WBC differential 6 digits with totaliser 4 stopwatch 5 Lab glass wares set 6 Rack test tubes& test tubes 7 Haemocytometer counting chamber Fuchs Rosenthal w 2 white cell pipette

8

Pipette glass set fixed volume (3sizes) 9 Rack staining with glass rods &dryer slides 10 Westergreen ESR set 11 Refrigerator domestic 1 door (approx. 250l) 12

EPI (IMMUNIZATION UNIT) Desk office w drawers 1 Chair office doctor 2 Chair patient 3 Bench patient 4 Freezer vaccine single door 18cf(5041) lockable- 20 to -40c w alarm and recorder

5

Cooler box for vaccine (UNICEF or WHO EPI programme for transportation)

6

CLINIC for Female health worker/midwife with delivery Delivery room Obstetric delivery couch 1 Patient bed 2 section fixed height cw mattress +pillow 2

Baby bassinette mobile w shelf bellow 3 Tape measurement plastic 4 Weighing scale hanging type for home delivery 5 Infant measuring rod (cradle measure) 6 Infant scale non-digital 7 Pump suction electric 2 jar (1.5L) 0-760mmhg 8 Procedure light 30klux mobile 9 Fetal Doppler battery 10 Fetal scope 11 Emergency light with rechargeable battery 12 Infusion stand mobile w 2 prongs 13 Instrument trolley 14 Hand washing stand cw 2 bowls mobile 15 Oxygen cylinders (large) + pin index o2 flow meter & humidifier +trolley cylinder

16

Heater floor 17 Vacuum extractor (manual) cw 3 cups 18 Instrument set baby assessment 19 Instrument vagina examination set 20 Instrument delivery set (clinic) 21 Instrument delivery set (home delivery)cw carry bag 22 Instrument stainless steel tray set 23 stool 24 Instrument cabinet (glass lockable 2 door) 25 Sterilizer hot water electric 26 Gas cooker single unit cw LPG gas cylinder 27 Sterilisator non-electric (pressured steam, large capacity) 28 Consultation / examination room (midwife/female health worker) Examination couch O&H with foldable stepstool 1 Sphygmomanometer mercury (standard cuff) 2 Clinical digital thermometer + dispsleeves 3 Stethoscope adult 4 Stethoscope child 5 Heavy duty torch light 6 Instrument tongue depressor & dressing jar 7 Trolley instrument 8 Bathroom weighing scale dial 9 Desk office w drawers 10 Chair office doctor 11 Chair patient 12 Bench patient waiting13

Department No.

CLINIC Consultation / examination /treatment room Examination couch with foldable stepstool 1 Sphygmomanometer mercury (standard cuff) 2 Clinical digital thermometer +disp sleeves 3 Stethoscope adult 4 Stethoscope child 5 Heavy duty torch light 6 Viewer X-ray single 7 Instrument tongue depressor& dressing jar 8 Ht & Wt scale manual 9 Trolley instrument 10 Instrument dressing set 11 Sterilizer hot water electric 12 Desk office w drawers 13 Chair office doctor 14 Chair patient 15 Bench patient waiting 16

Goagle

QC

Output

BCG

B

FPAFP)

Adequacy rate stool)

Adequate investigation)

Adequate specimens)

(confirmed cases)

Screening)

- Basic health Service Package MOH / WHO July / 2008.

- Quality improvement in primary health care WHO / reginonal office ser. 26.

- WHO / EMRC 50 / Tech.

Disc. 1.

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