Table 1 Health service delivery capacity needs at 125 low level health facilities in Uganda between June and August 2009
Assessed parameter | Characteristic | N(%) |
|---|---|---|
Facility level | HC II | 64(51%) |
| Â | HC III | 61(49%) |
Facility Ownership | Government | 110(88%) |
| Â | Faith Based | 13(10%) |
| Â | Private | 2(2%) |
Tools (Performance capacity) | Â | Â |
Diagnostic Tools | Functional microscopy HCIII (n = 61) | 18(30%) |
|  | Available malaria RDTs(n = 125) | 12(10%) |
Antimalarial Drugs available for 3 months | Oral antimalarial drugs ACTs | 70 (56%) |
|  | Parental Quinine available (n = 91) | 48(52%) |
| Â | Rectal Artesunate | 1 (1%) |
|  | Normal Saline (n = 9 | 33(38%) |
| Â | 50% dextrose available | 32(35%) |
| Â | Intra venous (IV) giving sets | 38(42%) |
| Â | Syringes | 51(56%) |
Guidelines | Treatment guideline for malaria available | 108(82%) |
| Â | Referral guidelines | None |
Staff and infrastructure‡ |  |  |
Work-load | Approved staff position filled with qualified staff | 131(18%) |
|  | In patient space for admission (HCIII n = 35) | 9(25%) |
Work-flow | Effective triage system in places (n = 111) | 33(30%) |
Support services | Waste management and infection control tools | Inadequate |
Supply chain | Inventory system(stock cards, and consumption data) | None |
Quality control | Laboratory external quality assurance (N = 18) | None |
Support supervision | Supervision from Malaria focal person 6 months | 12(10%) |
Information system | Available Out-Patient (OPD) registers | 125(100%) |
| Â | Up to date registers available | 120(97%) |
| Â | Complete records with vital mortality information | 25(20%) |
| Â | Computerised data systems | None |
Systems and Role Capacities | Â | Â |
| Â | Hold regular monthly meetings | 47(56%) |
|  | Health centre III led by Clinical Officers (n = 61) | 9(15%) |
|  | Health Centre II led by Comprehensive Nurse (n = 64) | 36(56%) |