CSwMR

Table 3.2 Availability of basic amenities for client services
Among all facilities, percentage with indicated amenities considered basic for quality services, by background characteristics, Senegal SCSPA
2012–2013
Background
characteristics
Regular
electricity 1
Improved
water source 2
Visual and
auditory
privacy 3
Amenities
Client
latrines 4
Communication
equipment 5
Computer
with Internet
access 6
Emergency
transport 7
Number of
facilities
Facility type
Hospital 80 99 100 99 93 93 67 17
Health center 67 94 98 85 86 86 87 30
Health post 52 90 99 86 53 50 43 317
Managing
Public 53 89 100 84 53 51 49 302
Private 63 95 97 100 82 72 40 62
Region
Dakar 72 96 99 98 80 76 29 71
Diourbel 24 100 100 100 50 12 66 25
Fatick 49 88 100 100 41 12 59 22
Kaffrine 39 95 100 39 100 91 43 14
Kaolack 27 100 100 100 23 17 67 23
Kédougou 84 57 100 39 100 95 27 9
Kolda 70 65 100 92 32 62 65 17
Louga 31 100 100 100 47 37 58 23
Matam 62 94 100 100 27 27 30 17
Saint Louis 43 91 100 100 49 35 16 29
Sédhiou 83 65 100 83 25 86 60 12
Tambacounda 56 75 100 32 89 89 47 24
Thiès 54 94 97 75 82 55 43 48
Ziguinchor 69 91 100 94 17 75 86 29
Total 55 90 99 87 58 55 48 364
Health hut 14 60 93 61 18 0 19 74
Note: The indicators presented in this table comprise the basic amenities domain for assessing general service readiness within the health
facility assessment methodology proposed by WHO and USAID (WHO 2012).
1
Facility is connected to a central power grid and there has not been an interruption in power supply lasting for more than two hours at a time
during normal working hours in the seven days before the survey; facility has a functioning generator with fuel available on the day of the survey;
or else facility has back-up solar power
2
Water is piped into facility or piped onto facility grounds or else water from a public tap or standpipe, a tube well or borehole, a protected dug
well, protected spring, or rain water and the outlet from this source is within 500 meters of the facility.
3
A private room or screened-off space available in the general outpatient service area that is a sufficient distance from other clients so that a
normal conversation could be held without the client being seen or heard by others.
4
The facility had a functioning flush or pour-flush toilet, a ventilated improved pit latrine, or composting toilet.
5
The facility had a functioning land-line telephone, a functioning facility-owned cellular phone, a private cellular phone that is supported by the
facility, or a functioning short wave radio available in the facility.
6
Facility had a functioning computer with access to the Internet that is not interrupted for more than two hours at a time during normal working
hours or facility has access to the Internet via a cellular phone inside the facility.
7
Facility had a functioning ambulance or other vehicle for emergency transport that is stationed at the facility and had fuel available on the day
of the survey or facility has access to an ambulance or other vehicle for emergency transport that is stationed at another facility or that operates
from another facility.
3.3 Standard Equipment for the Control of Nosocomial Infections
Nosocomial infections often complicate the delivery of health services in all facilities;
hence, the need for strict control measures to prevent their spread. The SCSPA 2012–2013
was used to assess the availability of sterilization equipment; safe final disposal of sharps
(pricking, cutting or slicing items); and the availability of soap and running water, hand
washing disinfectant, latex gloves, masks, gowns and, especially, guidelines and protocols for
basic precautionary measures.
Tables 3.3.1 and 3.3.2 show the availability of basic items for the control of infection,
according to the type of facility, management authority, and region.
The management of biomedical waste in health facilities is generally good. Indeed,
the survey shows that 80 percent of facilities, whatever their characteristics, are capable of
processing the safe final disposal of sharps waste, 59 percent have the capacity for safely
disposing of infectious waste, and 87 percent are able to ensure proper storage of sharps
11