Table 2.
Framework of health facility assessment domains and subdomains with corresponding WHO health systems building blocks
| Health systems building blocks | Assessment domains and sub-domains identified |
|---|---|
| 1. Leadership/Governance | Ownership/management of facility |
| 2. Health Care Financing | Financing of facility |
| User fees charged/cost of service | |
| 3. Health Workforce | National health professions/cadres of workers |
| 4. Medical Products, Technologies | Basic equipment |
| Diagnostic/imaging services | |
| Laboratory services | |
| Pharmacy | |
| Essential medicines | |
| Nutrition | |
| 5. Information and Research | Service utilization |
| Disease registers | |
| Caseload data | |
| Mortality data | |
| Vital statistics | |
| Evidence-based guidelines | |
| Continuing medical education | |
| 6. Service Delivery | Basic structural components |
| Identification as a health facility | |
| Bed census | |
| General clinical services | |
| Non-communicable diseases | |
| Child health | |
| Outpatient Department/emergency room | |
| Dental/oral health | |
| Communicable diseases | |
| HIV/AIDS | |
| Vaccines | |
| Infection control | |
| Cleaning/sterilization | |
| Sexual and reproductive health | |
| Obstetric care | |
| Sexually transmitted infections | |
| Surgery | |
| Intensive care unit | |
| Disabilities and injury rehabilitation | |
| Mental health care | |
| Internal medicine | |
| Palliative care | |
| Mortuary | |
| Environmental health | |
| Nutrition |