medical BLOG | DATE- 2022-08-31

HOW TO OPEN A MEDIUM CLINIC IN ETHIOPIA |2022 UPDATED REQUIREMENTS

A medium Clinic is the next level to primary level of the healthcare in ambulatory health service that provide mainly curative service and preventive and promotive services. A medium clinic gives a vast service which in Ethiopian standards Agency is stated below

1. Outpatient Medical Service

2. Minor Surgical service at outpatient level.

The Medium clinic shall provide minor surgical services under aseptic technique for the following conditions:

3. Nursing care service

shall be availed for patients unable to support themselves, and other clients who need the care by licensed nurses. 

4. Emergency service 

shall be available during 24 hours. Lifesaving management of emergency cases shall be provided without any prerequisite and discrimination. The emergency service shall provide basic life support as indicated for any emergency cases, which may include at least the followings:

a) Airway management,

b) Bleeding control

c) Fluid resuscitation

d) Cardiopulmonary resuscitation (CPR)

Protocols for initial management of at least the following emergency cases:

a) Shock

b) Severe Bleeding

c) Fracture and injuries

d) Coma

e) Burn

f) Poisoning

g) Seizure disorder

h) Hypertension emergencies

i) Cerebrovascular accident

j) Acute diarrhea (Severe dehydration)

k) Acute abdomen

l) Tetanus

m) Meningitis

n) Severe & complicated malaria

5. Delivery Service (optional)

For spontaneous normal deliveries. There shall be a reliable referral system for high-risk mothers and complicated deliveries. . Assisted deliveries are prohibited in medium clinic MCH service. The medium clinic shall provide MCH services that include ANC, PNC, Family Planning, Growth monitoring, VCT and PMTCT services being compliant with the current guidelines prepared for the respective services. The medium clinic comprehensive abortion care may provide lessthan 12weeks.

6. Pharmaceutical service

Medium clinics shall have emergency medicines at all times. emergency medicines must be from suppliers licensed by EFDA ONLY.

7. Laboratory service

Medium clinic shall have a laboratory service during working hours. The following list of lab tests shall be available in the medium clinic:

Rooms required

premises required

No. of rooms required

Area required

Reception, Registration/Recording & Waiting area

1

16 sq.m

Examination room

1

12

Laboring room(optional)

1

12

Delivery room(optional)

1

16

Postnatal rooms(optional)

1

12

Shower room and toilet if have

delivery service (optional)

1

8

 

Duty room if the emergency service is 24hs

1

8

 

MCH room

1

12

Ultrasound room(optional)

1

12

Treatment/ procedure/ injection room

1

 

12

Laboratory room

1

24

Sample collection room

1

4 include

in 24

X-ray room as per ERPA (optional )

 

 

  • Conventional X-ray room

1

24

  • Dark room (if necessary)

1

6

  • Toilet with hand washing basin

2

8

  • Patient dressing cubicle inside x-ray room

1

 

4

  • sub waiting area

1

12

Emergency resuscitation room with two beds

1

16

Instrument processing room

1

12

Staff room

1

9

Toilet (Male &Female)

2

8

Incinerator

 

 

Staff toilet with shower 1 4

1

4

Area for placenta pit

 

 

Professionals needed

The medium clinic shall be directed by a licensed

The medium clinic shall have at a minimum the following staff:

Staffs required

Number required

GP/HO/Nurse Practitioner/BSc Nurse

1

Nurse, Diploma

1

HO or GP

1

Midwife

1

If delivery service available BSC midwife

1

Lab technician or lab technologist

2

Radiology technologist if ultrasound available

1

Radiology technologist/Radiographer

1

Receptionist

1

Cleaner

1

Equipments and supplies required

a) Diagnostic Equipment

b) Medical Equipment

c) Delivery Equipment

d) Instruments

e) Laboratory equipment:

f) Imaging equipment(optional)

g) Others

N.B: All equipments of medium clinic shall be in good working order, routinely quality controlled, and precise in terms of calibration

So what steps should one take to open a medium clinic?

  1. Acquire a professional license
  2. Find a place that fulfills the requirements listed
  3. Have the place inspected by a local standards agency officer
  4. Renovate the place
  5. Have a second round inspection
  6. Get clearance and business license
  7. Get all equipments required
  8. Finally, launch the clinic.

IF YOU ARE LOOKING FOR A DETAILED LIST OF CLINIC EQUIPMENTS ALONG WITH THEIR PRICE CONTACT US ON TELEGRAM VIA THE LINK BELOW

CONTACT US 

 

This article is based on the guide published by the Ethiopian Standards Agency (ESA) 2020 edition.

For further information contact through the following address

Phone numbers: 011- 646 06 85, 011- 646 05 65, 011-646 08 80

Postal: 2310 Addis Ababa, Ethiopia

E-mail: info@ethiostandards.org,

Website: www.ethiostandards.org

WRITTEN BY - Bezawit Girma-Med In Ethiopia Team

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WRITTEN BY - Bezawit Girma

Med In Ethiopia Team

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