Definition: Premises with facilities for medical investigation, diagnosis and treatment including bed care, nursing and other relevant professional services. Such premises shall be composite and shall not form part of normal residential accommodation.


Out-Patient and In-Patient Facility

Minimum Requirements

PART A: Out-Patient

  • Waiting/Reception Room of 4 x 3 sq. metres with:
    • Sitting facilities
    • Registration table.
    • Medical Record Facilities (preferably digital).
  • Consulting Room(s) of 4 x 3 sq. metres with:
    • Examination couch and screen
    • Basic hand washing facilities under running water
    • Appropriate medical waste bins and management.
  • Treatment Room of 4 x 3 sq. metres with the following:
    • Treatment couch
    • Basic hand washing facilities under running water
    • Appropriate medical waste bins and management.
    • Trolley containing various instruments and articles as needed by the facility.
  • Dispensing Room with Pharmacy Technician dispensing. If compounding is done, a registered Pharmacist and compounding facilities are required.
  • Toilet facilities as approved by the Agency
  • Staff Room/Call room/Staff changing rooms.
  • Ambulance (optional).

PART B: In-Patient

  • Ward(s) of admission with minimum distance of one (1) metre between two adjoining beds or 1 x 3 metres between two rows of beds.
  • Ward(s) with locker and over-bed table for each bed (separate for male and female patients).
  • First Stage Labour room (where applicable) of 12 sq. metres
  • Delivery Room (where applicable) of 12 sq. metres equipped with the following:
    • Delivery Bed/couch
    • Delivery Instruments/Trolley /Packs (sterile)
    • Oxygen Cylinders (complete with flow metre and other apparatus for administration)/concentrators
    • Sonicaid/Fetoscope
    • Weighing scales (Pediatrics and adult).
    • Baby Resuscitaire machine
    • Suction Machine/Sterile Mucus Extractors
    • Standard Led Light for illumination
    • Angle Poise Lamp
    • Basic hand washing facilities under running water
    • Appropriate medical waste bins and management etc.
  • Proper hand washing facilities as approved by the Agency.
  • Suitably equipped Theater with basic equipment such as:
    • Theatre Light (Standard)
    • Operating table (Standard)
    • Anaesthetic Machine (Standard)
    • Suction machine
    • Oxygen Cylinders (complete with flow metre and other apparatus for administration)/concentrator
    • Oxygen concentrator
    • Patient monitor
    • Resuscitaire Machine
    • Scrub room with appropriate facilities
    • Red Line area (well defined)
    • Changing room
  • Sluice room
  • Toilet/Bathroom facilities – 1 water closet per 8 beds (separate for male and female).
  • Nurses’ Station.

PART C: Diagnostic Facilities

  • Minimum investigations required are for:
    • Blood – e.g. Hemoglobin, Full Blood Count, Blood sugar serum electrolytes, urea etc.
    • RDTS: HIV, VDRL, Malaria Parasite
    • Urine and stool test i.e. Urinalysis, Stool examination.
      NOTE: Other complex tests are done by documented arrangements with an approved Laboratory in the State.
  • X-ray Services (optional).
    • This needs special permission as the walls of the room shall be lined according to acceptable international regulations for preventing and protecting individuals from radiation hazards.
    • Lead apron
    • TLD badge with appropriate documentation that has not expired

PART D: Equipment:

Basic Hospital equipment required are:

  • Suction machine (automated and manual)
  • Oxygen Cylinders (complete with flow metre and other apparatus for administration)
  • Oxygen concentrator
  • Autoclave
  • Patient monitors
  • Any other Hospital Equipment/Instrument that may enhance the services of the facility.

PART E: Hand Washing Facilities

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

Facilities to provide are:

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

PART F: Medical Waste Management

  • Registration with LAWMA Medical waste management is compulsory
  • Use of appropriate pedal 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
  • Creation of an appropriate secure final waste collection point for all facility’s waste

PART G: Minimum Staff Complement

  • One Medical Practitioner in-charge who serves as the Operating Officer.
  • One Registered Nurse in charge of Nursing Services
  • One Registered Staff Nurse/Midwife or Staff Nurse per 8 in-patient beds per shift.
  • One Laboratory Technician/Assistant if operating a side laboratory or a laboratory scientist for a full laboratory
  • One Registered Pharmacist (for a Hospital Pharmacy) or Pharmacy Technician (if a dispensary)
  • Medical records and secretarial Staff
  • Ward Assistant or Aides (Optional)
  • Kitchen section with food handlers regularly screened accordingly.
  • Any other staff as may be needed by the facility.

PART H: Public health facilities

These shall include:

  • Clean and adequate water supply
    • Pipe borne
    • Borehole (regularly treated)
  • Washable floors i.e. tiled appropriately for easy cleaning and disinfection.
  • Adequate drainage in and outside the facility
  • Adequate ventilation
  • Adequate illumination
  • Toilet/Bathroom facilities
    • 1 water closet/bathroom per 8 in-patient beds.

PART I: Power Supply

  • PHCN
  • Standby Generators
  • Inverter (optional)

PART J: Other Services

  • Fire extinguisher and other safety gadgets with valid service records attached.
  • Muster point
    • Valid fire safety certificate