FEDERAL MINISTRY OF HEALTH,
Integrated Supportive Supervision (ISS) tool for PHCs,
ODK (DEMO Version 2018)YesNoYesNoYesNoYesNoNoYesNoYesDeliveredCollectedParentsCaregiverNational GridGeneratorSolarLightRechargeable BatteryKerosene LampLast 1 MonthLast 2-3 MonthsMore Than 3 Months AgoYesNoN/AYes, fully implementedYes, partially implementedNonon availbility of vaccines/logisticsno trained healthcare wokernon avaibility of fundscompeting programsissues related with the communityTraditional LeaderVoluntary Community Mobilizer (VCM)Health WorkerIPDs Team memberField Volunteer (FV)Religious leaderCommunity Based organizationTraditional birth AttendantOthersNoneOnsiteOffsiteNo IncineratorNo minutesOne month's minutes availableTwo months' minutes availableAll minutes for quarter availableYesNoIncompleteAt 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 femaleFloor without fissuresRecently cleaned without visible fecal matterDoor lockable from the inside, ceiling and super structure with roofing, without flies and no smellProof 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 waterEvacuation of the waste water in a sanitation pitWaste disposal pit minimum 2 meters deep, lined with clay, concrete or brick or plastic, it is fenced and has a bright flagThe 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 fullWaste disposal of contaminated HCW in Yellow Bins with lid and foot pedal, lined with cellophene bag and not fullWaste disposal of organically HCW in Red Bins with lid and foot pedal, lined with cellophene bag and not fullProtective gear for personnel managing HCW available; boots, plastic shorts, thick plastic/rubber glovesWalls with durable materials well painted, floor paved with cement without fissures, undamaged ceilingConsultation room and waiting space separated assuring confidentialityWindows with curtainsFunctional door with functional lockRunning water (tap or water dispenser) with handwashing soap/liquid and clean towel available and used between patientsYesNoMedical DoctorSpecialist ConsultantResidentMedical OfficerNurse/Midwives (Double qualification)NursesCHOCHEWJCHEWNutrition Officer/DieticianNutrition AssistantEnvironmental Health OfficerEnvironmental Health TechnicianEnvironmental Health AssistantPharmacistMedical Lab ScientistLab TechnicianLab AssistantHealth Record TechnicianHealth Record OfficerHealth Education OfficerHealth Education AssistantPharmacy TechnicianPharmacy AssistantMainSubcontractedCommunity Volunteers (CHIPS)Head of WorksHead Laundry DepartmentHead TransportHealth AttendantsCleanersSecurity GuardsDriversAccount ClerkDirector of AdministrationNonePublicPrivateFBONGOYesNoTrueFalseFMoHNPHCDANACASMoHSPHCDASOMLAbiaAdamawaBauchiAba NorthAba SouthArochukwuDemsaFuforeGanyeAlkaleriBauchiBogoroAba Holy Wounds HospitalAbayiogbuligba Health PostAlaukwu Health CentreAba ClinicAba School Of Health Health ClinicAba Town Hall WardAbia Health PostAbuma Health CentreAchara Health CentreBali Health ClinicBidda Health ClinicBidoma Primary Health CentreBa-Umse Health ClinicBa-Ushe Health PostBagale Health ClinicYebbi Health ClinicYelwa Health CenterYelwa Health ClinicAlkaleri General HospitalAlkaleri Health PostAlkaleri Town Maternal & Child Health Clinic33 Army Brigade ClinicAbubakar Tafabalewa University Health ClinicAbubakar Tafawa-Balewa University Teaching HospitalAngunrimi Heath ClinicBanram Health ClinicBar Health ClinicOther facilitystatic_instance-one_point-01static_instance-one_point-10static_instance-two_points-02static_instance-two_points-10static_instance-three_points-03static_instance-three_points-10static_instance-four_points-04static_instance-four_points-10static_instance-five_points-00static_instance-five_points-15static_instance-ten_points-00static_instance-ten_points-110static_instance-RI_vaccines-0deliveredstatic_instance-RI_vaccines-1collectedstatic_instance-child_vaccine-0parentsstatic_instance-child_vaccine-1caregiverstatic_instance-light_source-0nationalgridstatic_instance-light_source-1generatorstatic_instance-light_source-2solarlightstatic_instance-light_source-3rechargeablebatterystatic_instance-light_source-4kerosenelampstatic_instance-lga_routine-0last 1 monthstatic_instance-lga_routine-1last 2-3 monthsstatic_instance-lga_routine-2more than 3 months agostatic_instance-yes_no_na-0yesstatic_instance-yes_no_na-1nostatic_instance-yes_no_na-2n/astatic_instance-one_implement-0yes, fully implementedstatic_instance-one_implement-1yes, partially implementedstatic_instance-one_implement-2nostatic_instance-session_planned-0non_availbility_of_vaccines_logisticsstatic_instance-session_planned-1no_trained_healthcar_wokerstatic_instance-session_planned-2non_avaibility_of_fundsstatic_instance-session_planned-3competing_programsstatic_instance-session_planned-4issues_related_with_the_communitystatic_instance-care_giver-0traditional leaderstatic_instance-care_giver-1voluntary community mobilizer (vcm)static_instance-care_giver-2health workerstatic_instance-care_giver-3ipds team memberstatic_instance-care_giver-4field volunteer (fv)static_instance-care_giver-5religious leaderstatic_instance-care_giver-6community based organizationstatic_instance-care_giver-7traditional birth attendantstatic_instance-care_giver-8othersstatic_instance-care_giver-9nonestatic_instance-one_incinerator-0onsitestatic_instance-one_incinerator-1offsitestatic_instance-one_incinerator-2no incineratorstatic_instance-indi_comm-00static_instance-indi_comm-11static_instance-indi_comm-22static_instance-indi_comm-33static_instance-tech_meeting-0yesstatic_instance-tech_meeting-1nostatic_instance-tech_meeting-2incompletestatic_instance-latrines-01static_instance-latrines-10.5static_instance-latrines-20.5static_instance-latrines-30.5static_instance-latrines-40.5static_instance-shower-01static_instance-shower-10.5static_instance-shower-20.5static_instance-waste_pit-03static_instance-waste_pit-13static_instance-waste_pit-23static_instance-waste_pit-33static_instance-waste_disposal-01.5static_instance-waste_disposal-11.5static_instance-waste_disposal-21.5static_instance-waste_disposal-31.5static_instance-consultation_room-01static_instance-consultation_room-11static_instance-consultation_room-21static_instance-consultation_room-31static_instance-consultation_room-41static_instance-six_points-06static_instance-six_points-10static_instance-staffs-0medical_doctorstatic_instance-staffs-1specialist_consultantstatic_instance-staffs-2residentstatic_instance-staffs-3medical_officerstatic_instance-staffs-4nurse_midwive_double_qualificationstatic_instance-staffs-5nursesstatic_instance-staffs-6chostatic_instance-staffs-7chewstatic_instance-staffs-8jchewstatic_instance-staffs-9nutrition_officer_dieticianstatic_instance-staffs-10nutrition_assistantstatic_instance-staffs-11environmental_health_officerstatic_instance-staffs-12environmental_health_technicianstatic_instance-staffs-13environmental_health_assistantstatic_instance-staffs-14pharmaciststatic_instance-staffs-15medical_lab_scientiststatic_instance-staffs-16lab_technicianstatic_instance-staffs-17lab_assistantstatic_instance-staffs-18health_record_technicianstatic_instance-staffs-19health_record_officerstatic_instance-staffs-20health_education_officerstatic_instance-staffs-21health_education_assistantstatic_instance-staffs-22pharmacy_technicianstatic_instance-staffs-23pharmacy_assistantstatic_instance-contract-0mainstatic_instance-contract-1subcontractedstatic_instance-non_medical-0community_chipsstatic_instance-non_medical-1head_of_worksstatic_instance-non_medical-2head_laundry_departmentstatic_instance-non_medical-3head_transportstatic_instance-non_medical-4health_attendantsstatic_instance-non_medical-5cleanersstatic_instance-non_medical-6security_guardsstatic_instance-non_medical-7driversstatic_instance-non_medical-8account_clerkstatic_instance-non_medical-9director_of_administrationstatic_instance-non_medical-10nonestatic_instance-facility_type-0publicstatic_instance-facility_type-1privatestatic_instance-facility_type-2fbostatic_instance-facility_type-3ngostatic_instance-yes_no-0yesstatic_instance-yes_no-1nostatic_instance-true_false-0truestatic_instance-true_false-1falsestatic_instance-organizations-0fmohstatic_instance-organizations-1nphcdastatic_instance-organizations-2nacastatic_instance-organizations-3smohstatic_instance-organizations-4sphcdastatic_instance-organizations-5somlstatic_instance-states-0abiastatic_instance-states-1adamawastatic_instance-states-2bauchistatic_instance-LGAs-0abiaaba_northstatic_instance-LGAs-1abiaaba_southstatic_instance-LGAs-2abiaarochukwustatic_instance-LGAs-3adamawademsastatic_instance-LGAs-4adamawafuforestatic_instance-LGAs-5adamawaganyestatic_instance-LGAs-6bauchialkaleristatic_instance-LGAs-7bauchibauchistatic_instance-LGAs-8bauchibogorostatic_instance-facilities-0abiaaba_holy_wounds_hospitalaba_northstatic_instance-facilities-1abiaabayiogbuligba_health_postaba_northstatic_instance-facilities-2abiaalaukwu_health_centreaba_northstatic_instance-facilities-3abiaaba_clinicaba_southstatic_instance-facilities-4abiaaba_school_of_health_health_clinicaba_southstatic_instance-facilities-5abiaaba_town_hall_wardaba_southstatic_instance-facilities-6abiaabia_health_postarochukwustatic_instance-facilities-7abiaabuma_health_centrearochukwustatic_instance-facilities-8abiaachara_health_centrearochukwustatic_instance-facilities-9adamawabali_health_clinicdemsastatic_instance-facilities-10adamawabidda_health_clinicdemsastatic_instance-facilities-11adamawabidoma_primary_health_centredemsastatic_instance-facilities-12adamawaba_umse_health_clinicfuforestatic_instance-facilities-13adamawaba_ushe_health_postfuforestatic_instance-facilities-14adamawabagale_health_clinicfuforestatic_instance-facilities-15adamawayebbi_health_clinicganyestatic_instance-facilities-16adamawayelwa_health_centerganyestatic_instance-facilities-17adamawayelwa_health_clinicganyestatic_instance-facilities-18bauchialkaleri_general_hospitalalkaleristatic_instance-facilities-19bauchialkaleri_health_postalkaleristatic_instance-facilities-20bauchialkaleri_town_maternal__child_health_clinicalkaleristatic_instance-facilities-21bauchiarmy_brigade_clinicbauchistatic_instance-facilities-22bauchiabubakar_tafabalewa_university_health_clinicbauchistatic_instance-facilities-23bauchiabubakar_tafawa_balewa_university_teaching_hospitalbauchistatic_instance-facilities-24bauchiangunrimi_heath_clinicbogorostatic_instance-facilities-25bauchibanram_health_clinicbogorostatic_instance-facilities-26bauchibar_health_clinicbogorostatic_instance-facilities-27-88other_facility-88abiaadamawabauchiPlease remember to add facility to master facility list10101010101010yesnon/ayesnon/ayesnon/ayesnon/ayesnon/ayesnon/ayesnon/ayesnon/ayesnon/ayesnon/ayesnon/ayesnon/a