Assessing Facility Issues
Within the resource-constrained settings in which I-TECH works, systems and resources issues inevitably intersect with clinical activities and have an impact on clinicians’ ability to provide high-quality care and treatment. As a result, most clinical mentors work with health care facilities on systems strengthening activities to support high-quality service delivery. The tools and checklists in this section may be used to track systems change over time and to identify any recurring challenges that may exist.
- Health Care Facility Assessment: Key Informant
Interview Guide
This tool is a checklist that can be used to conduct an initial facility assessment. It includes items related to staffing, patient demographics, and clinical and laboratory services. The document is organized in the form of an interview guide, and can be used with managers, supervisors, or other key staff in the facility. - Site Visit Report for ART Clinical Mentors:
Initial Visit
This tool is designed to provide structure for observation during an initial assessment of a facility. - Facility Assessment Tool for Clinical Mentors
This tool can be used to conduct a baseline assessment and/or to track changes over time at a site. Clinical mentors can complete the form based on their own observations or conversations with facility staff. - Site Assessment for Improving Patient
Safety
This tool can be used to assess a site to improve the safety of patients. - Site Visit Report for ART Clinical Mentors:
Follow-up
This document provides a template for conducting a follow-up site assessment after completing the more extensive baseline assessment (please see the “Site Visit Report for ART Clinical Mentors: Initial Visit” tool). - Specific Facility Types
The tools below provide checklists designed for particular types of facilities, including outpatient departments, antenatal clinics, and labor and delivery wards.