Table 1 Service standards for nurses in health centers and clinics, Namibia 2012
Activities | Service standards for health centers | Service standards for clinics | Workload data for the most recent fiscal year |
|---|---|---|---|
Admit a patient | 20 minutes/admission | n/a | Total admissions |
Discharge a patient | 5 minutes/discharge | n/a | Total discharges |
Death: last office | 60 minutes/death | n/a | Total deaths |
Conduct a daily ward round | 10 minutes/inpatient | n/a | Total admissionsa |
Routine nursing care | 30 minutes/inpatient | n/a | Total admissions |
Give injections | 10 minutes/injection | 10 minutes/injection | Total injections, other than immunizations and family planning (FP) |
Take lab specimens, including for antiretroviral therapy (ART) | 10 minutes/lab specimen | 10 minutes/lab specimen | Total lab specimens taken, including ART |
Perform a dried blood spot (DBS) test | 10 minutes/DBS test | 10 minutes/DBS test | Total DBS tests done |
Monitor and manage normal delivery | 240 minutes/normal delivery | n/a | Total normal deliveriesb |
Monitor and manage emergency delivery | 180 minutes/emergency delivery | 180 minutes/emergency delivery | Total emergency deliveries |
Immediate post-natal care of mother and baby | 60 minutes/delivery | 60 minutes/delivery | Normal + forceps + vacuum + emergency deliveries + born before arrival |
Screen and treat outpatients | 25 minutes/outpatient | 25 minutes/outpatient | Total outpatients (OPD first visits and revisits) |
Outpatient department (OPD) procedure | 25 minutes/procedure | 25 minutes/procedure | Total OPD procedures |
Take a pap smear | 20 minutes/pap smear | 20 minutes/pap smear | Total pap smears |
Antenatal care (ANC) first visit | 30 minutes/ANC first visit | 30 minutes/ANC first visit | Total ANC first visits |
ANC revisit | 20 minutes/ANC revisit | 20 minutes/ANC revisit | Total ANC revisits |
Post-natal visits | 30 minutes/post-natal visit | 30 minutes/post-natal visit | Total post-natal visits |
Growth monitoring of children | 10 minutes/child | 10 minutes/child | Total children growth monitored |
Immunization of women of reproductive age | 10 minutes/immunization | 10 minutes/i006Dmunization | Total tetanus toxoid immunizations for women aged 15 to 49 years - all doses |
Immunization of children under one year old | 10 minutes/immunization | 10 minutes/immunization | Total immunizations of under-one year-olds - all vaccines, all doses |
Family planning first visit | 15 minutes/FP first visit | 15 minutes/FP first visit | Total FP first visits |
Family planning revisit | 10 minutes/FP revisit | 10 minutes/FP revisit | Total FP revisits |
Integrated management of adult illness (IMAI) | 30 minutes/HIV/AIDS revisit | 30 minutes/HIV/AIDS revisit | 80% of the total HIV/AIDS revisits plus 80% of enrolled in HIV/AIDS care and treatmentc |
Pre-test counseling of voluntary counseling and testing (VCT) clients | 15 minutes/VCT client | 15 minutes/VCT client | 10% of the total VCT clients pre-test counseled |
Post-test counselling of VCT clients | 30 minutes/VCT client | 30 minutes/VCT client | 10% of the total VCT clients post-test counseled |
Provide prevention of mother-to-child transmission (PMTCT) counseling and testing | 10 minutes/client | 10 minutes/client | Total clients who received PMTCT |
Provide TB DOTS | 10 minutes/DOTS visit | 10 minutes/DOTS visit | 40% of the total DOTS visits |
Provide ART care and treatment | 15 minutes/ART revisit | 15 minutes/ART revisit | 20% of total ART revisits plus 20% of enrolled in care and treatment |
Dressing wounds | 10 minutes/dressing | 10 minutes/dressing | Total dressings |