Assessment Of Public Facilities For Readiness To Deliver Antiretroviral Therapy Page 2

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Hand washing facility/ water source
Yes
No
**Weighing scales/Height measurement available
Yes
No
**Basic clinical equipment (BP machine, thermometer etc)
Yes
No
Demo penis, male & female condoms available
Yes
No
Copies of National ARV Treatment and HIV – Related Disease Guidelines present in HIV / ARV
room.
Yes
No
To be brought
**The clinician/MA (and the nurse if available) is trained and certified in ART, certificates available
Yes
No
Group counselling session plan is in place
Yes
No
**Drug security issues have been considered, and an appropriate plan is in place
Yes
No
Methods to book new clients are agreed and understood
Yes
No
ANC Clinic
Number of nurses working in the ANC clinic.....
ANC (integrated) registers available
Yes
No
Referral forms for supportive services available
Yes
No
Infection prevention measures observed at all times
Yes
No
Pharmacy: (if ARV drugs are being dispensed)
**Pharmacy secure with burglar bars/ and security locks
Yes
No
Pharmacy has secure room for ARV drugs
Yes
No
Adequate space for storage of ART drugs
Yes
No

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