Health Facilities Clinics 1) Present Status of Facilities/Equipment/Supplies As part of the "health resources" survey at each clinik visited, an inventory of equipment, facilities, and supplies was done. (Defailed results are available from the Loma Linda University team - they ar@ not included here due to lack of space. Appendix G). a. Copies of the forms used for the inYentory are in Briefly the present status is as follows: All clinic facilities need some repair of windows, doors, roofs, etc. Some may need total replacement. bd. Very few havd functional toilets, washing facilitids, or water catchments. Not one functional refrigerator was found though many|clinics were issued one. Many had never worked because the health assigtants did not know how to light the kerosene wick element or insert elements were damaged). Fuel was often not refrigerator had worked. Most of the refigerators were ft (most wick available] even if the ftoo large and complex for existing needs. Very few of the beds, mattresses, and examining tables|were in good condition (rarely do the examining tables have ftirrups such ds for deliveries). Common health assessment tools and equipment otoscopes, stethoscopes, blood pressure cuffs, scales, etc., werefeither never issued or non-functional. Sheets, towels, and other linen were largely non-existent]. The medicine and medical supply situation varies tremendqusly with the clinic though the most common situation is the following: 1) No family planning supplies (intrauterine devices, cqndoms, pills, etc.) were found anywhere. 2) Expendable supplies such as splints, bandages, adhesive tape, cotton, bandaids are very seldom in enough supply. 3) Often clinics are over-stocked in some items i.e.]| solution and yet few have syringes intravenous (particularly diabetic syringes) 4) Many medicines were out-of-date or unused, oftenf because the health assistant did not know what they were for. 71