ZIMBABWE NETWORK FOR HEALTH EUROPE (ZimHealth) (RÉSEAU ZIMBABWÉEN POUR L ACCÈS À LA SANTÉ) Name of institution

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Samantha Sims
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1 Name of institution Name of Health Institution/Clinic: Mabvuku Polyclinic Name of Person Completing this Form: Dr Mungofa Designation: Director Health Services Name of Contact at the Clinic, if different from above: Dr Bara Address: Box 596 Harare Telephone No: Fax No: CELL: address: Date: Section : Clinic structure. CLINIC/HOSPITAL PROFILE: Mabvuku Polyclinic is 22 km from the city centre in the Eastern District of Harare. It is the only polyclinic in the district. It has a total population of according to the last census (2002). The catchment area includes Mabvuku and Tafara, Greendale, Eastlea, Msasa, (Caledonia, Bobo Farm and Ruwa.) though their population is not included in the figure quoted. We, however believe that the polyclinic caters for a population of over people..2 HEALTH CARE SERVICES PROVIDED: - General outpatient care services - Maternal and child Health Services that include - ANC, Deliveries, PNC, PMTCT, Immunisations

2 - HIV Counselling and Testing including Opportunistic Infections clinic and ART Services - TB clinic as well as Integrated HIV/TB care - Laboratory services - Other Organisation offering services from our premises:- - Island Hospice (palliative care). Mashambanzou and New Lands clinic (Hiv and Aids). -.3 COMMON DISEASES/CONDITIONS TREATED: (If your data are categorised by sex and age, please specify conditions in Men, Women and Children) ARI Diarrhoea ENT Skin conditions HIV and AIDS Tb Injuries Malaria STI ENE conditions Hypertension Diabetes Schizophrenia PIH.4 MONTHLY STATISTICS: Maternal and Child Health Services (fourth quarter) (October 20 to Decemeber 20) Number of beds: 35 Prenatal visits: Initial ANC visits 900. Repeats 297 Deliveries: 70 Post natal visits: 35 Immunisations: BCG 752. TT 036 Other services provided: FP 728; Vitamin A supplementation 760 Pregnant mothers tested for HIV 966 Other Inpatient Services We do not offer any inpatient services except maternity

3 Outpatient Services Total number of attendances: ( Fourth quarter) Section 2: Human resources 2.: STAFF: Designation Establishment Current number in place District Medical Officer District Nursing Officer District Administrator Sister In Charge 2 Trained Nurses Clinic orderly 6 6 Clinic Attendant 6 6 Clerks 3 2 Gardeners 2 2 Primary counsellors 3 3 Section 3: List of equipment required (or attach an appendix of list) MATERIALS VIA and Cervicography Equipment (camera: 2 mega pixels with X 35 Optical zoom and flash) Two roomed cabin for HTC CURRENT NUMBER 0 NUMBER REQUIRED 3 REASON FOR NEED Gynaecological services HTC activities

4 FOUR PLATE ELECTRICAL STOVE 0 For staff use FUSCHS_WARE TEA URN 6 LITRE 2 additional DOUBLE DOOR FRIDGE METALIC Replace old 20 L MANUAL 0 2 A new need for MICROWAVE OVEN staff HB METER PORTABLE (BMS) 0 2 For patient use HOT AIR STERILISERS additional SUCTION MACHINE 0 2 For PCC needs ELECTRIC 2 BOTTLE and one (for PCC) replacement for maternity OXYGEN REGULATORS PININDEX 0 4 Patient care OXYGEN GAUGE (bull nose) 0 4 Patient care BOWLS 5 CM DIAMETER 4 30 additional GALLIPOT 7 CM additional SCISSORS SHARP EDGE S/S 3 CM 0 additional STICH REMOVING SCISSIRS SS 9 CM 0 20 Patient care INSTRUMEMT TROLLEY SS WITH 5 2 additional SHELVES DRIP STAND MOBILE DOUBLE HOOK 3 2 additional SPHYGMOMANOMETER ANEROID 2 0 additional INSTRUMENT TROLLEY WITH S/S 5 2 additional SHERLVES 945X458 SONICAID FOETAL DOPPLER HAND HELD 0 2 Patient care GLUCOMETER AND LANCING DEVICE 0 5 Patient care LINEN SKIP WITH 2 2 New and DOUBLE CANVASS BAG replacement of old ELECTRONIC DIGITAL SCALE 0 50Kg 2 2 additional RECIEVERS 3 50 additional EPISIOTOMY SCISSORS 2 50 PATIENT SCREEN COVER 3 FOLD MOBILE 4 4 additional and replace 2 LINEN TROLLEY 2 2 replacement HB METER AND 2 additional

5 HEAMOLYSING STICKS OBSTETRIC BEDS 2 2 replace additional STETHOSCOPE DUAL HEAD ADULT BLACK 3 6 additional LAWN MOWER HEAVY 0 Clinic grounds DUTY ELECTRICAL care DIAGNOSTIC SETS (AUROSCOPE) 6 additional URINARY CATHERTERS SIZE 6, 8, Patient care KNAPSACK SPRAYER 2 replacement (ENVIROMENTAL) additional RESPIRATORS (ENVIROMENTAL) 0 4 Use by staff in LEATHER GLOVES (SWEDE) pest control 4 Additional and replacement GOOGLES 4 replacement 3 additional CORD SCISSORS 0 50 Patient care Laptop 0 Gynae services Memory cards for camera (4GB) Macro converter magnifying lens with adapter tube Goose neck halogen 0 2 For use with camera on gynae services For gynae services 0 0 For gynae services Lamp Filling Cabinet 0 To keep and lock items for the camera and equipment Examination couch with stirrups 0 For gynae services 3. MEDICAL REQUIREMENTS

6 Materials Current number Number required Reason for need (broken, insufficient, new need) 3.2 NON MEDICAL EQUIPMENT Materials Current number Number required Reason for need (broken, insufficient, new need) Thank you for taking the time to provide ZimHealth with this information!

MEASURE DHS SERVICE PROVISION ASSESSMENT SURVEY HEALTH WORKER INTERVIEW

06/01/01 MEASURE DHS SERVICE PROVISION ASSESSMENT SURVEY HEALTH WORKER INTERVIEW Facility Number: Interviewer Code: Provider SERIAL Number: [FROM STAFF LISTING FORM] Provider Sex: (1=MALE; =FEMALE) Provider