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out-of-date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.
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