MEDICAL COUNCIL OF MALAWI
CHECKLIST FOR A HEALTH CENTRE
GENERAL INFORMATION
No ITEM
1 Name of the Health facility
2 Owner of the facility
3 Category of health facility
4 Facility registration status
5 Physical Address
6 Postal Address
7 Contacts of proprietor
8 Email
9 Name/Title Facility In charge
10 In charge contact
11 Incharge Registration Status
12 Mode of Communication
13 *water source /running, backup
reservoir/storage drums
14 Power source/Power Backup
15 Transportation Accessibility
16 Catchment Population
STAFFING LEVELS
No CADRE (Write names and Reg. Number of all MCM regulated) ESTABLISHMENT CURRENT
17 No Medical Doctor
18 No of Clinical Officers
19 No of Medical Assistants
20 No of Nurses (RN/NMT/Community/Auxiliary)
21 No of HSAs
22 Pharmacy Technician/Assistant
23 Lab
24 Environmental health officers
25 Hospital Attendants
26 Data Clerks
27 HDA
28 Ground labourers
29 Guards
30 Other
1
Health Center also applies to health centre or dispensary which will not have maternity
2
Those items with Asterisks (*) means they are more crucial than others
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INFRASTRUCTURE AND EQUIPMENT
No ITEM SECTION IDEAL STATUS CURRENT
STATUS
ROOF Minimum corrugated iron sheets but not
1 leaking
BUILDING FLOORS Smooth and non-slippery surfaces
Nature of WALLS Inside plastered and painted (oil paint/wash &
surroundi wear paints)
ng
VENTILATION Openable windows (Each room)
Premises
(Permane LIGHTING ESCOM /Solar/Natural
nt HOSPITAL GROUNDS Cleanliness
2 structure) Patient charter Availability
DUSTBINS Availability
HANDWASHING Availability
fire extinguisher or Availability
bucket of sand
Seats and registration table
Health Passport Books/ electronic
Weighing scale (both adult and Paeds)
(a) WAITING Outpatient Register for patients (OPR)
3 ROOMS AREA/RECEPTION
Table and three chairs
3 ROOMS (b) CONSULTATION Examination couch with a curtain/screen
ROOM(s) Cupboard/or filling cabinet
Patella hummer
Diagnostic sets
Stethoscope
BP Machine
Two Thermometers
Examination Gloves
**Resuscitation equipment (Pulse oximeter/
Ambu Bags (Adult & Paeds)/Mention the drugs
Atropine/adrenaline/aspirin/50% dextrose/
salbutamol inhaler or aminophylline )
Disposable Spatula
Drip stand
Angle poised light
Treatment Guidelines (Latest version) thus
MSTG/BNF/Paeds handbook//clinical H/book
Infection Prevention (IPC) Guidelines
SOPs, Protocols
Weighing scale (Adults, Paeds )
**Biomedical, Non biomedical bins and sharp
box
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IPC Buckets for Cleaning
Hand washing facility with soap or
handsanitiser
3 ROOMS (C) TREATMENT Examination couch with curtain/ screen around
ROOM/EMERGENCY syringes 2ml/5ml/10ml
ROOM Sterile syringe Tray
Drug trolley /emergency room
Oxygen concentrator
Suction Machine
Nebulizer
Drip stand
Examination light (torch)
**Biomedical & non-biomedical
Sharp box
IPC Buckets with soap and water
Hand washing facility/Handsanitiser
3 ROOMS (D) DRESSING ROOM Sterilized Dressing sets set(I&D, suturing, stitch
removing, FB Removal )
Hand washing facilities
Dressing stool/Patient seat
Drainage System
Wheel chair & Stretcher
Screen
Drip stand
Instrument trolley
Instrument storage drums (big medium and
small)
IPC buckets
Hand washing facility with soap/Handsanitiser
Biomedical, non-biomedical bin and a sharp
box
3 ROOMS EXTENDED Chairs and desk
PROGRAMME OF Wooden shelves
IMMUNIZATION Cupboard
(EPI) Set of cleaning utensils
27 litre vaccine storage insulated cold box
Electric/gas/solar Refrigerator
Vaccine carrier
Thermometers
Temperature monitoring chat
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4 WARDS
Availability of Nurses station
Emergency Tray, thermometer, steth, pulse
oximeter, O2Concentrator, sanction machine,
BP Machine
Status of the ward
Observation room (ceiling/walls/windows/floor )
Number of Beds
Bedside lockers
Hand washing facilities
Curtains/screen for Privacy
Availability of Nurses station
Emergency Tray, thermometer, steth, purse
oximeter, O2Concentrator, sanction machine,
BP Machine, Nebuliser
Status of the ward
ANTENATAL WARD (ceiling/wards/windows/floor )
bed and mattress
bedside locker
mosquito net
screen
Drip stand
hand washing facility
Bathroom and toilets
translucent windows or with curtains
fetal scope
weighing scale
BP machine
curtains or fitted with translucent windows
4 WARDS LABOUR WARD No of Deliveries (monthly)
No of delivery bed with mackintosh
Drip stand
Curtains & screen
Stepping stool
No of delivery packs
Drums for storage
Emergency tray
Ambu bags (adult and Paeds) & Penguin
suckers
Suction Machine
Fetal scope
BP machine
Doppler
Stethoscopes
Wall clock
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Protocol charts (HTN, Bleeding infection, HBB )
Baby Scale
Aprons (Disposable & heavy duty)+ Syringes,
Gloves (sterile and Latex )
Sharp boxes
IPC Buckets & Placenta bucket
Availability Disinfectants
Biomedical & non-biomedical
Heavy-duty Apron & Gumboots
Functional Sluice Room
Availability of Nurses station
4 Emergency Tray, thermometer, steth, purse
oximeter, O2Concentrator, sanction machine,
BP Machine, Nebuliser
Status of the ward
(ceiling/wards/windows/floor )
bed and mattress
WARDS POSTNATAL WARD bedside locker
mosquito net
screen
Drip stand
hand washing facility
Bathroom and toilets
curtains or fitted with translucent windows
fetal scope
weighing scale
BP machine
curtains or fitted with translucent windows
5 Examination couch with privacy
examination light
STERLISED instruments in storage drum
FAMILY PLANNING BP Machine
ROOM /VIA /MVA thermometer & weighing scale
instrument set for ICUD
Norplant set
forceps
tubligation
vasectomy sets
Relevant protocols
sharps box
Wet and dry waste
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Decontamination buckets
Instrument Sterilizer
An observation window to the Nurse’s Station.
Wall clock
6 Roof to have ceiling
Adequate size for storage space dispensing area
shelves are labelled and neatly packed
medicines supplies
Stock cards well filled and appropriately placed
Functional aircon or fan
PHARMACY wash basin
Wall thermometer & temperature monitoring
chart
lockable cabinet controlled medicines
Dispensing packs, tablet counter
Availability of essential drugs
Burglar bar door for Security
7 washing area
Functional washing & dry lines
LAUNDRY hanging area
Functional Iron & ironing area
adequate linen supply
Availability of running water
8 LABORATORY Staffing
waiting room
sample collection area
laboratory tests conducted
Equipment if any
Quality Control
Quality assurance
Evidence of Quality Control results in register
Total Quality controls documented in previous
quarter
Availability of a functional incinerator
WASTE DISPOSAL OF Ash pit
MANAGEMENT MEDICAL WASTES Rubbish pit
Placenta Pit
Back up pit latrines
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Strengths:
Gaps/Weaknesses
Recommendations
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