Hospital | HC1 | HC2 | HC3 | Mean score | ||
Support services | 1. Physical structures staff, water and power | 1 | 1 | 1 | 2 | 1.2 |
2. Statistics and medical records | 1 | 1 | 0 | 0 | 0.5 | |
3. Pharmacy and medicine availability | 1 | 1 | 1 | 2 | 1.2 | |
4. Equipment and supplies | 1 | 1 | 0 | 1 | 0.7 | |
5. Laboratory support | 1 | 1.5 | 1.5 | 2.5 | 1.5 | |
6. Layout of the ward | 1 | NA | NA | NA | NA | |
7. Food preparation area | 1 | NA | NA | NA | NA | |
Case management | 8. Case identification, triage and emergency treatment | 1 | 1 | 0.6 | 0.6 | 0.8 |
9. Case management | 1.5 | 2 | 0.5 | 0.8 | 1.2 | |
10. Monitoring and follow-up | 1 | NA | NA | NA | NA | |
11. Discharge and postdischarge follow-up | 1.5 | NA | NA | NA | NA | |
Policies and organisation of care | 12. Infection prevention | 0 | NA | NA | NA | NA |
13. Guidelines and training | 1 | 1.5 | 0 | 2 | 1.1 | |
14. Audit systems | 1 | 0 | 0 | 0 | 0.3 | |
15. Access to hospital and continuity of care | 1 | 1 | 0 | 1 | 0.8 | |
16. Patients’ rights | 1 | NA | NA | NA | NA |
The table reports the summary scores of the direct assessment based on the assessment tools, for each of the key area assessed (16 for the hospital and 10 for the HCs). Scoring system: score 3=good care according to international standards; score 2–2.9=suboptimal care but low health hazard; score 1–1.9=suboptimal care with significant health hazard; score 0–0.9=totally inadequate care and/or harmful practice with severe health hazards.
HC, health centre; NA, not applicable.