2023-06-27-世界卫生组织-HHFA_Building_structure_June_2023_63页_1mb
报告摘要
Harmonized Health Facility Assessment (HHFA) Building Structure Questionnaire
Overview
- Purpose: Assesses the physical infrastructure and accessibility features of health facilities to ensure quality care, support universal health coverage, and align with health-related Sustainable Development Goals (SDGs).
- Scope: Focuses on building structure for various services, accessibility, and general facility details.
- Development: Created by WHO and partners, building on existing global tools like SARA, SPA, and SDI, with standardized questions and electronic data collection.
Key Features
- Facility Assessment: Evaluates characteristics such as facility type, managing authority, geographic coordinates, and service levels.
- Building Infrastructure: Provides detailed questions for structural condition of areas like general outpatient services, emergency walk-in services, surgery, maternity, inpatient wards, dental, physical therapy, and mortuary.
- Structural Elements: Interiors (doors, ceilings, flooring, walls), exteriors (security, windows, roof).
- Condition Assessment: Rates conditions as good, medium, or poor, and flags maintenance issues.
- Accessibility: Ensures facilities are accessible for persons with mobility limitations, including ramps, wide doors, grab bars, and functional toilets with wheelchair access.
- Additional Details: Covers construction year, renovations, building layout, fencing, and grounds condition.
- Methodology: Uses skip logic, response options, and electronic tools (CSPro) for data collection, and is designed for multistakeholder use in surveys.
Usage
- Applicable as a supplementary module in HHFA surveys, allowing adaptation to country-specific needs.
- Supports health sector reviews, evidence-based decision-making, and facility capacity assessments.
- Note on Accessibility: Questions include checks for universal accessibility to improve equity in health service delivery.
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