Table 2.
Domains and indictors of the supply service readiness for HIV and syphilis testing and treatment
| Domain / Indicators | Explanation of indicator |
|---|---|
| Basic amenities | |
| Electricity | Electricity is available |
| Back-up generator | Back-up power source (generator) available |
| Fuel for generator | Health facility has fuel to run the generator |
| Running water | Running water is available and piped into the health facility |
| Toilet | At least one functional toilet (can be pit without slab, pit with slab or flushable) available for patients |
| Communication equipment | A functional telephone (landline), shortwave radio or mobile phone is available for communication purposes |
| Emergency transport | A vehicle, not necessarily an ambulance, is available and has the primary function of transporting patients |
| Protocols for infection prevention | |
| Sharps final disposal | Protocol in place for final disposal of sharps (e.g., taken of offsite, burnt and/or buried) |
| Final bio-waste disposal | Protocol in place for final disposal of bio-waste (e.g., taken offsite, burnt and/or buried) |
| Waste segregation | Segregates sharps, general- and bio-waste into different bins |
| Diagnostic equipment | |
| EDD calculator | Expected date of delivery (EDD) calculator available and able to estimate EDD and gestational age |
| Scale | Available to measure the weight of antenatal clinic attendees |
| Tape measure | Available to measure fundal height (size of uterus) and able to estimate gestational age |
| Foetal stethoscope | Pinard horn is available to check the baby’s heart rate |
| Blood pressure machine | Sphygmomanometer is available to measure blood pressure |
| Refrigerator/Vaccine carrier | Suitable vaccine carrier available to store/administer vaccines safely |
| Urinalysis dipsticks and collection cups | In-stock and available to test urine for protein and glucose to help diagnose pre-eclampsia and gestational diabetes |
| Point-of-care HIV test-kits | Serological HIV point-of-care test-kits to test for HIV are available and in-stock (including 30 days prior to survey) |
| Point-of-care syphilis test-kits | Serological syphilis point-of-care test-kits to test for syphilis are available and in-stock (including 30 days prior to survey) |
| Medicines and medical supplies | |
| Gloves | Examination gloves are available and in-stock (including 30 days prior to survey) |
| Needles and syringes | Needles and syringes are available and in-stock (including 30 days prior to survey) |
| Cotton wool | Cotton wool is available and in-stock (including 30 days prior to survey) |
| Water for injection | Water for injection, used to reconstitute substances, is available and in-stock (including 30 days prior to survey) |
| Iron and folate supplement | Iron and Folate oral supplement, used to treat anaemia, is available and in-stock (including 30 days prior to survey) |
| Sulfadoxine/pyrimethamine (SP) | SP, used for intermittent prevention of malaria in pregnancy, is available and in-stock (including 30 days prior to survey) |
| Tetanus toxoid | Tetanus toxoid, used to prevent neonatal tetanus, is available and in-stock (including 30 days prior to survey) |
| Benzathine-penicillin | Benzathine-Penicillin, used to treat syphilis, is available and in-stock (including 30 days prior to survey) |
| Antiretroviral therapy (ART) | ART, first line therapy used to treat HIV, is available and in-stock (including 30 days prior to survey). ART comprises of tenofovir or zidovudine plus lamivudine and efavirenz or nevirapine |