Maternal, newborn, child and adolescent health

Health facility survey

Tool to evaluate the quality of care delivered to sick children attending outpatient facilities

World Health Organization

Publication details

Number of pages: 181
Publication date: 2003
Languages: English
ISBN: 9241545860



An increasing number of countries are shifting from disease-specific to more integrated approaches to child health, including IMCI. Building on experience gained with the Control of Diarrhoeal Disease and the Acute Respiratory Infection programmes, the Department of Child and Adolescent Health and Development and its partners have developed a new health facility survey (HFS). It is designed to assess the quality of care delivered to sick children attending outpatient health facilities; caregivers' understanding of home treatment and key messages after visiting these facilities; health system supports for quality care; and facility utilization by sick children.

The manual has been field-tested in several countries and has already been widely used, whether for baseline evaluation before programme implementation begins, for periodic evaluation of progress, or to compare the quality of care in areas with or without programme intervention.

The direct observation of case management practices along with the re-examination of the sick children and exit interviews of caregivers by expert clinicians make the information provided by a HFS unique. Programme decisions based on survey findings contribute to improved and sustained quality of care in health facilities and are complementary to other facility-based quality improvement methods. Combined with periodic population-based outcome evaluations and mapping of public health data, HFS are powerful instruments for improving service delivery.

From this site you can access and download the survey manual, the survey forms and instruments, generic EpiInfo files for data entry and analysis, and you will find links to the EpiInfo software and its user manual. By making this survey manual widely available CAH and its partners hope to contribute to strengthening child health programming in countries.

CAH would welcome notification of use of this manual and encourages users and readers to send comments and suggestions to