Definition: Premises where maternal and child care services are provided including ante-natal, delivery and post-natal care, with bed care and nursing services. They are allowed to run 24 hours services.


PART A: Out-Patient

PART A: Out-Patient

  • Waiting/Reception Area 4 x 3 metres with:
    • Sitting facilities
    • Registration facilities
    • Record keeping facilities (preferably digital).
    • Consulting Room of 4 x 3 metres with:
      • Examination couch for physical examination
      • Proper hand washing facilities with disposable serviettes
      • Appropriate medical waste management.
  • Treatment Room of 4 x 3 metres with the following in place-
    • Proper hand washing facilities
    • Appropriate medical waste management.
  • Procedure room for I&D, suture

PART B: In-Patient

  1. Wards of admission with minimum distance of one (1) metre between two adjoining beds or 1 x 3 metres between two rows of beds.
  2. Labour/Delivery Room of 4 x 3 sq. metres with necessary equipment e.g.
  • Standard Delivery Couch (1 stage room)
  • Standard Delivery Bed/Couch
  • Delivery Instruments and Trolley
  • Placenta receiver
  • Baby Resuscitaire machine
  • Patient monitors
  • Sonicaid/Fetoscope
  • Suction machine & mucous extractor
  • Weighing scales (Pediatrics and adult).
  • Proper hand washing facilities.

PART C: Equipment

  1. Basic Maternity Centre equipment i.e.
  • suction machine (manual and automated)
  • Oxygen Cylinders (complete with flow metre and other apparatus for administration)
  • Oxygen concentrator
  • Autoclave
  • Angle poise lamp
  • Patient monitors
  • Suitable equipment for monitoring fetal heart rate and uterine contractions (please note that a partograph must be used for all deliveries).
  • Any other Hospital Equipment and Instruments that may enhance the services of the centre.


PART D: Diagnostic Facilities

Facilities for Basic Diagnostic Investigations (e.g. side room Laboratory) such as:

  • Blood – e.g. Hemoglobin, Full Blood Count, Blood sugar serum electrolytes, urea etc.
  • Urine and stool test i.e. Urinalysis, Stool examination.
  • RDTS: Malaria parasite, HIV

NOTE: Other complex tests are done by documented arrangements with an approved Laboratory in the state.

PART E:  Medical Waste Management

  • Registration with LAWMA Medical waste management is compulsory
  • Use of appropriate waste bins with cover in all sections of the facility
  • Use of appropriate colour coded bags for all medical waste disposal i.e.
    • Yellow
    • Red
    • Brown
    • Black
  • Use of safety boxes for all sharps
  • Availability of an appropriate final waste collection point for all facility’s waste

PART F: Hand Washing Facilities

Proper hand washing facilities must be available in all sections of the Maternity Centre to facilitate frequent hand washing by the staff and patients.

Basic facilities for handwashing are:

  • Wash hand basin with running water
  • Liquid antiseptic soap in dispensing bottle with plunger
  • Disposable Serviettes
  • Liquid hand sanitizers
  • Hand dryers (optional)
  • Handwashing poster
  • Pedal bin

PART G: Public health facilities

These shall include:

  • Adequate ventilation
  • Adequate illumination
  • Clean and adequate Water Supply
  • pipe borne water
  • treated borehole
  • Tank water
  • Toilet/Bathroom facilities
  • 1 water closet per 8 in-patient beds.
  • Fire extinguisher and other safety gadgets with valid service records attached.
  • Washable floors i.e. tiled appropriately for easy cleaning and disinfection.
  • Ambulance (optional)
  • Power Supply
  • PHCN
  • Standby Generators
  • Inverter (Optional)

PART H: Minimum Staff Complement

  • A supervising doctor to attend to ANC patients atleast twice before delivery
  • One registered nurse/midwife with a minimum of 5 years post-registration in charge of nursing services.
  • One registered staff Registered Nurse/Midwife or staff Midwife per 8 in-patient beds per shift
  • A trained Community Health aide per 5 in-patient beds to assist at the center
  • One Clerk/Receptionist
  • Other domestic and secretarial staff as needed by the facility.
  • Laboratory technician/assistant if facility has a side lab
  • A referring obstetrician for emergency obstetric cases whose hospital is within the proximity of 30 minutes’ drive

NOTE: Midwives must be conversant with the use of Misoprostol, Magnesium Sulphate and Anti-shock Garment. They must also be conversant with the use of partograph.

PART I: Other Services

  • Kitchen (optional) with evidence of regular food handlers screening.
  • Laundry Service and housekeeping services
  • Fire Extinguisher and other safety gadgets with valid service records
  • Muster point
  • Valid fire certificate
  • Ambulance (Mandatory)