Health Facility Assessment Template in in Emergency or Post-Disaster Contexts

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This Health Facility Assessment Template is a structured spreadsheet designed to support rapid, standardized assessments of a clinic or hospital, especially in emergency or post-disaster contexts, by capturing essential information in one place. It guides assessors to record general and facility details (location, catchment population, accessibility, management/support), assess service availability and functionality (including triage, emergency care, lab, surgery/trauma, reproductive health, pharmacy, waste management, and vertical programs such as TB, HIV, and immunization), document damage and operational constraints, and map staffing profiles across clinical and administrative roles. It also prompts teams to review utilities and readiness (water, sanitation/latrines, electricity, communications, cold chain), summarize clinical activity (outpatient and inpatient volumes, top reasons for consultation/admission), and capture critical outcome and program areas such as mortality patterns, maternal and reproductive health services, and key public-health protocols, ending with sections for preliminary findings, priority intervention areas, and recommendations to inform immediate response planning and follow-up assessments.

 

Last Updated : 31-01-2026
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