Table of Contents BACKGROUND AND OBJECTIVES ...... 8 OBJECTIVES ...... 9 METHOD ...... 9 1.Survey sites ...... 9 2. Period of the survey ...... 9 3. Data Collection ...... 9 4. Data analysis ...... 10 5. Coordination ...... 11 6. Repeat assessment ...... 11 RESULTS ...... 12 INFRASTRUCTURE ...... 12 Type of health facility ...... 12

Condition of health facilities ...... 12 Functionality of health facilities ...... 13 HUMAN RESOURCES ...... 15 PARTNERS SUPPORT ...... 16 ACCESSIBILITY OF HEALTH CARE FACILITIES ...... 17 AVAILABILITY OF SERVICES ...... 18

General clinical services and trauma care ...... 18 H e R A M S M A R e H Child health ...... 20 Communicable diseases ...... 22 STI and HIV/AIDS ...... 24 Maternal and newborn health ...... 25 Sexual violence ...... 27 Non-communicable diseases and mental health ...... 28 Environmental Health ...... 30 MEDICAL RECORDS ...... 31 Vital data collection and statistics services ...... 31

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ANNEX ...... 32 APPENDIX 1: Health facilities offering general clinical and trauma care services ...... 33 APPENDIX 2: Health facilities offering child health services ...... 40 APPENDIX 3: Health facilities offering services on communicable diseases ...... 47 APPENDIX 4: Health facilities offering services on STI and HIV/AIDS care ...... 53 APPENDIX 5: Health facilities offering services on maternal and newborn health ...... 57 APPENDIX 6: Health facilities offering sexual violenceservices ...... 63 APPENDIX 7: Health facilities offering non-communicable diseases and mental health services ...... 65 APPENDIX 8: Health facilities offering services on environmental health(safe waste disposal and management) ...... 71 APPENDIX 9: Health facilities offering vital data collection and statisticsservices ...... 73 APPENDIX 10: List of non-functional health facilities in Borno state ...... 79

H e R A A R e H S M

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ABBREVIATIONS

ANC - Antenatal care ARV - Antiretroviral CHEW - Community health extension worker CHO - Community health officer EHO - Environmental health officer EPI - Expanded programme on immunization EWARS - Early warning alert and response system HeRAMS - Health resources availability monitoring system HIV/AIDS - Human immunodeficiency virus/Acquired immune deficiency syndrome

IDP - internally displaced person

IDSR - Integrated disease surveillance and response

IM - WHO Incident manager

M S M

IMCI - Integrated management of childhood illnesses IPD - in-patient department LGA - Local Government area

H e R A R e H NHMIS - National health management information system OPD - out-patient department PEP - post-exposure prophylaxis PMTCT - Prevention of mother to child transmission of HIV SAM - severe acute malnutrition SMOH - State Ministry of Health STI - sexually transmitted infection TB - Tuberculosis

WHO - World Health Organization

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SUMMARY

A Health Resources Availability Monitoring System (HeRAMS) was set by up the Borno State Ministry of Health with the support of WHO to collect information on the availability of health resources and services in Borno State.

The health system of Borno State includes 27 LGAs with 311 wards. The survey was conducted in 749 health facilities, including 2 (0.3%) tertiary hospitals, 47 (6%) secondary hospitals, 30 (4%) primary health care centres, 317 (42%) primary health care clinics, 305 (40%) health posts, and 48 (6%) IDP camp clinics. The majority of the health facilities are public-owned and have permanent structures.

Of these facilities, 262 (35%) were completely destroyed, 215 (29%) were partially damaged and

227 (30%) were not damaged (for the remaining 6% of health facilities the question was

unanswered or not relevant).

Of the 481 health facilities that were notfully destroyed, 288 (59%) were fully functional, 40 (8%) were partially functional, and153 (32%) were non-functional.

About 60% of the health facilities in Borno State are currently being supported by one or more of

the 18 health partners responding to the crisis.Not a single one of the non-functional sites have H e R A A R e H S M partner support.

The highlights related to the availability of services in the fully/partially functional health facilitiesaredetailedas follows:

- General services: out-patient and primary care services were available in more than 75% of primary health clinics, primary health centres, secondary hospitals and tertiary hospitals. - Child health: the least available service was essential newborn care (46%) while the most available service was the expanded programme on immunization (87%). - Communicable diseases: services for the diagnosis and treatment of measles were the most common (93%). In 48%of the facilities, diagnosis and treatment of Hepatitis B & C and tuberculosis were not normally provided.

- STI and HIV/AIDS: services were not normally provided in almost half of health facilities.

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- Maternal and newborn health: antenatal care services were available in at least half of the health facilities (71%). Comprehensive obstetric and abortion care were only available in 5% and 18% of IDP camp clinics, respectively. Normal delivery was at least partially available in 46% of health posts.

- Sexual violence: approximately half of all the fully/partially functional health facilities in Borno State do not normally provide services on sexual violence.

- Non-communicable diseases: treatment of high blood pressure and cardiovascular diseases were fully available in 37% (122) of the fully/partially functional health facilities in Borno State while mental health services were only fully available in 10% (32).

- Vital data collection services were fully available in over half of the fully/partially

functional health facilities in Borno State.

- The major reason for unavailability/partial availability of these services in the health facilities were lack of medical supplies and lack of training

The SMOH and WHO are working closely with partners to support the government to deliver essential health services, collect, collate and analyse key health information, and prepare for and

respond to disease outbreaks. H e R A A R e H S M

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INTRODUCTION The humanitarian emergency in northeast Nigeria has affected nearly 15 million people. The conflict has resulted in more than twomillion internally displaced persons(IDPs) who are living in overcrowded camps or in host communities with poor sanitation,severe food insecurity and limited availability of basic services. It is estimated that nearly fourmillion people are in need of health services. This dire situation constitutes a severe risk of disease outbreaks such as cholera, measles and polio in Borno State and in neighboring states and countries. Efficient and effective surveillance systems are therefore critical to monitor and rapidly detect signals indicative of outbreaks or other adverse health events.

BACKGROUND AND OBJECTIVES In May-June 2015, the World Health Organization (WHO)conducted an assessment of the health

situation in Borno State which highlighted the XX. From this assessment, priority health needs were identified and a response plan was developed. There was an urgent and pressing need to document the capacity of the health system and to identify priorities to optimize the health sector response. The inadequate information available at the time hampered effective decision-making, resource allocation, resource mobilization and advocacy in the response to thisemergency situation. The Health Resources and Services Availability Monitoring System (HeRAMS) wasdeveloped to H e R A A R e H S M collect data on health resources and services and to provide a simple reporting and monitoringsystem in emergency situations.

HeRAMS is an online system that provides a standardized approach to assessing and monitoring the availability health resources and services in emergencies.1HeRAMS also documents the underlyingcauses for unavailable health services.This innovative WHO project is designed to be rapidly deployed and operational in an emergency. Data is collected and uploaded to an online platform and statistical analysis is automatically conducted in real-time. The reports arepromptly shared with stakeholders for planning and monitoring purposes. HeRAMS data are particularly important for health sector partners for service implementation and coordination.

1http://www.who.int/hac/herams/en/

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OBJECTIVES

1. To identify the priority health needs of the population in terms of access to basic health care using quantitative and qualitative methods to estimate the availability and functionality of health services in regard to the national and international standard used in emergency situation. 2. To provide accurate and timely health data to ensure evidence-based decision making in the planning and implementation of the health sector response. 3. To provide a mechanism to monitor and assess the health sector response over time. 4. To provide information for health sector advocacy and resource mobilization purposes.

METHOD 1.Survey sites  The survey took place in all the accessible LGAs of BornoState.

 In each LGA, the survey included: o All public secondary or tertiary health facilities. o All primary health facilities including IDP camp clinics. o Private andfaith-based health facilities, or health facilities managed by NGOs, offering care to displaced populations.

2. Period of the survey H e R A A R e H S M  The survey of the availability and functionality of health services took place overa period of oneweek.The information was collected during a period of one month preceding the startof the survey.  The survey was carried out at the same time across all the accessible LGAs.

3. Data Collection 3.1. Data collection tools  Questionnaires from other HeRAMS assessments in Adamawa State and Yobe State were reviewed and adjustedto fit to the context and information needs of Borno State.  The information which was collected is focused onessential functionality, structural stability and health service data to furtherthe understanding of the situation and the response.  A glossary including the definition of the minimum package of treatment/diagnosis andexplanations of some werewritten to ensure that all health personnel involvedin the data collection had the samebasic understanding.

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3.2. Questionnaire administration  There was one questionnaire for all levels of care (primary, secondary and tertiary) and approximately 45 minutes were required to administer the questionnaire.  Due to the unstable security situation and the restriction of travel to some areas, the questionnaire was completed via either: o A face-to-face interview using the paper questionnaire for the health facilities which were accessible. An appointment was fixed in advance with the health staff who was tobe interviewed. o A phone interview using the numeric or paper questionnaire for the health facilities in hard-to- reach areas. Appointments were fixed with the most appropriate health staff and the questionnaire wassent before the interview.

3.3. Data collectors

 LGA Monitoring and Evaluation (M&E) Officers and assistants were employedas the primary data collectors.  Training of staff on the data collection was done at the state level shortly before the field data collection started.  LGA Disease Surveillance and Notification Officers (DSNOs) validated the data collected for correctness and completeness.

 Members of the Borno State HeRAMS task team supervised the process of data collection and H e R A M S M A R e H validation.

3.4. Data entry  The completed paper questionnaires were entered into the HeRAMS online platform.  Data entry clerks were trained for thedata entry process which lasted 5 days.  Guidance for data entry was provided to the clerks.  Data cleaning and management was carried out centrally in Maiduguri.  Health sector partners were expected to support all three levels of data collection and validation.

4. Data analysis  The resultswere presented as indicators, tables, graphics and maps according to a predefined analysis plan.

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 The resultswereaccessible online. Access was provided by the WHOIncident manager (IM). All table, maps,and graphs were exported to word documents.

5. Coordination  The Borno State HeRAMS task team, supported by WHO, coordinated the overall implementation of the survey at all levels with FMOH, SMOH, and other health sector partners.

6. Repeat assessment  Furtherassessments are expected to be carried out every quarter forhealth facilities where any change in service, structure or functionality has occurred.

H e R A A R e H S M

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RESULTS

INFRASTRUCTURE Type of health facility Among 749 health facilities assessed in the survey:2 (0.3%) were tertiary hospitals, 47 (6%) were secondary hospitals, 30 (4%) were primary health care centres, 317 (42%) were primary health care clinics, 305 (40%) were health posts, and 48 (6%) were IDP camp clinics (Table 1).

Table 1. Types of health facilities assessed in Borno State 2016

Health facility type Number assessed Percent TertiaryHospital 2 0.3% Secondary Hospital 47 6% Primary Health Centre 30 4% IDP Camp Clinic 48 6% Primary Health Clinic 317 42%

Health Post 305 40% Total 749 100%

Of the 749 health facilities,631 (84%) had permanent structures and112 (15%) had temporary structures, while 6 (1%) did not report on the modality status.

H e R A A R e H S M Of the 749 health facilities, 695 (93%) are publicly owned, 21 (3%) are private, 10 (1%) are private faith-based and2% (17) are owned by other organizations such as NGOs, while 10 (1%) did not report on ownership.

Condition of health facilities Of the 749 health facilities, 262 (35%) health facilities were fully damaged, 215 (29%) were partially damaged, and 227 (30%) awe not damaged. The question was not relevant for 39 (5%) of the facilities (i.e. mobile clinics) and was unanswered in another 6 (1%) facilities (Figure 1).

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Not relevant (notunanswered set) 5% 1%

Not damaged Fully damaged 30% 35%

Partially damaged 29%

Fully damaged Partially damaged Not damaged Not relevant (notunanswered set)

Figure 1.Condition of health facilities in Borno State as of 7 December 2016 (n= 749)

The proportion of health facilities damaged were 40% (122 of 305) of health posts, 37% (118 of 317) of primary health clinics, 23% (11 of 47) of secondary hospitals, and 33% (10 of 30) of primary health centres (Figure 2).

350

300 Fully damaged Partially damaged 250 Not damaged Not relevant 200 150 100

H e R A A R e H S M 50 Number of health facilities health Numberof 0 Health Post Primary Health Clinic Primary Health Hospital (Secondary) Hospital (Tertiary) (Primary) (Primary) Centre (Primary) Health facility type

Figure 2.Proportion of health facilities damaged in Borno State as of 7 December 2016 (n= 743)

Functionality of health facilities Functionality of the health facilities wasassessed to befully functional, partially functional, ornonfunctional. Of the 481 not fully damaged facilities and mobile health facilities, 288 (59%)

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were fully functional and40 (8%) were partially functional, while 153 (32%) were nonfunctional (Figure 3).

Partially functioning (notunanswered set) 8% 1%

Non-functioning 32% Functioning 59%

Functioning Non-functioning Partially functioning (notunanswered set)

Figure 3.Functionality of notfully damaged facilities and mobile health facilities in Borno State (n=481)

Almost half (49%) of the primary healthcare clinics were not functional. Fourteen (70%) of the primary healthcare centres were functional.Of the 35 not fully damaged secondary health facilities, 21 (60%)were fully functional while 4 (11%) were partially functional.The two tertiary health facilities in Borno State were not damaged and were fully functional. However, only one was assessed for services. One of the 45 IDP camp clinics was not functional due to security constraints.

(Table 2). H e R A A R e H S M

Table 2.Functionality of not damaged health facilities in Borno State

Type of health facility Functionality of the health facility Total Functional Partially Not functional functional Tertiary Hospital 2 (100%) 0(0%) 0(0%) 2(0.4%)

Secondary Hospital 21(60%) 4(11%) 10(30%) 35(7%) Primary Health Centre 14(70%) 0(0%) 6(30%) 20(4%)

Primary Health Clinic 93(47%) 8(4%) 95(49%) 196(41%)

IDP Camp Clinic 43(96%) 1(2%) 1(2%) 45(9%)

Health Post 115(63%) 27(15%) 41(22%) 183(38%)

Total 288(60%) 40(8%) 153(32%) 481

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Figure 4. Distribution of non-functional health facilities in Borno State as of 7 December 2016

HUMAN RESOURCES

There were5,290 staff working in the 749assessed health facilities in Borno State.This did not include military, police, or federal health facilities that could not be assessed at the time of the survey. Non-clinical staff accounted for 55% (2917),community health extension workers 20% (1062), nurses 11% (570), laboratory technicians 5% (246),midwives 4% (223), doctors 3% (173)andcommunity health officers 2% (99) of the health facility staff (Figure 5).

H e R A A R e H S M Doctors Community health 3% extension workers 20%

Non clinical staff Laboratory technicians 55% 5% Community Health Officers 2% Nurses 11% Midwives 4%

Doctors Community health extension workers Laboratory technicians Community Health Officers Nurses Midwives

Figure 5.Health facility staff in Borno State as of 7 December 2016

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Table 3 shows the distribution of health facility staff by type of health facility. Tertiary hospitals had higher proportion of nursesand laboratory technicians,primary healthcare clinics had higher proportion of community health extension workers (CHEW), andhealth posts hada higher proportion of non-clinical staff compared to other types of health facilities.

Table 3. Distribution of health facility staff by type of health facility

Types of health facilities Health workers Tertiary Secondary IDP Primary Primary Health Total hospital hospitals Camp Health Health Post (N=1) (N=25) Clinic Centre Clinic (N=142) (N=44) (N=14) (N=101)

Doctors 3 (5%) 64 (4%) 34 (6%) 11 (2%) 51 (3%) 10 (1%) 173 CHEW 3 (5%) 114 (8%) 154 116 (25%) 463 (27%) 212 (22%) 1062 (26%) Laboratory 11 (20%) 119 (8%) 9 (2%) 18 (4%) 79 (5%) 10 (1%) 246 technicians Community 0 (0%) 26 (2%) 34 (6%) 6 (1%) 25 (1%) 8 (1%) 99 Health Officers Nurses 26 (46%) 310 (21%) 66 (11%) 68 (14%) 79 (5%) 21 (2%) 570

Midwives 0 (0%) 90 (6%) 46 (8%) 12 (2%) 66 (4%) 9 (1%) 223 Non clinical 13 (23%) 756 (51%) 258 241 (51%) 960 (56%) 689 (72%) 2917 staff (43%) Total 56 1479 601 472 1723 959 5290

PARTNERS SUPPORT

Of the 288fully functionalhealth facilities, 179 (62%) are supported by at least one health partner.Of H e R A A R e H S M the 40 partially functional health facilities, 16 (40%) are supported by at least one health partner (Figure 6). None of the non-functional sites have partner support.The list of non-functional health facilities that are not fullydamaged is in the annex (Appendix 10).

Fully functional Partially functional

No support Supported Supported No support 62%

Figure 6. Proportion of partner supported and unsupported health facilities in Borno state Supported Unsupported Supported Unsupported

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ACCESSIBILITY OF HEALTH CARE FACILITIES Of the 328 health facilities that were fully or partially functional, 281 (86%) were fully accessible to patients, 44 (13%) were partially accessible to patients, and 3 (1%) were not accessible to patients (Figure 7). The distribution of accessible health facilities by LGA is shown in figure 8.

Not accessible Partially accessible 1% 13%

Fully accessible 86%

Fully accessible Partially accessible Not accessible

Figure 7: Proportion of fully or partially functional health facilities accessible to patients in Borno State

(n=328)

H e R A A R e H S M

Figure 8: Distribution of accessible health facilities in Borno State as of 7 December 2016

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AVAILABILITY OF SERVICES The following services were assessed:

 General clinical services and trauma care  Child health  Communicable diseases  STI and HIV/AIDS  Maternal and newborn health  Sexual violence  Non-communicable diseases and mental health  Environmental health  Vital data collection and statistics

The tables in this section correspond to 327 fully/partially functional health facilities in Borno State where services were assessed asof 7 December 2016.The detailed list of health facilities with

fully/partially available health services is in annex (Appendix 10).

General clinical services and trauma care General services cover a large range of activities that are not expected to be implemented in all types of health care facilities. Outpatient and primary injury care services were fully available in 226 (69%) and 250 (76%) of the 327 fully/partially functional health facilities, respectively. Blood bank and basic imaging services, however, were only fully available in 6% (18) of fully/partially

H e R A A R e H S M functional health facilities (Figure 9).Major reasons for unavailability /partial availability of most general clinical services and trauma care services include lack of medical supplies (drugs and consumables) and lack of training of health staff.

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100%

80%

60%

40%

20%

0%

Referral capacity Referral

Inpatient capacity Inpatient

Blood bank service: bank Blood

Ambulance Service: Ambulance

Outpatient services: Outpatient

Primary Injury care: Injury Primary

Intensive Care Unit: Care Intensive

elective surgery: elective

Basic Imaging Service: Imaging Basic

Basic Laboratory Services: Laboratory Basic

Trauma & surgical care, and care, surgical & Trauma

Pharmacy of essential drugs essential of Pharmacy

Post-Surgery Rehabilitation of Rehabilitation Post-Surgery people with wounds or trauma: or wounds with people

Not normally provided Not available Partially available Fully available

Figure 9: Provision of general clinical care and trauma services in health facilities in Borno State (n=327)

Out-patient and primary care services were available in more than 75% of primary health clinics, primary health centres, secondary hospitals and tertiary hospitals. Inpatient services were largely available in secondary hospitals and primary health centres, while referral systems were available in only half of primary health clinics and less than one quarter of health posts (Table 4).

H e R A A R e H S M Table 4.Fully or partially provided general clinical services by the type of health care facilities in Borno State 2016 (N=327)

Services Tertiary Secondary Primary Health Primary Health IDP Camp Health Post hospital hospitals Centre (N=14) Clinic (N=101) Clinic (N=44) (N=142) (N=1) (N=25)

Outpatient services 1 (100%) 20 (80%) 13 (93%) 80 (79 %) 30 (68 %) 82 (58%) Primary injury care 1 (100%) 20 (80%) 12 (86%) 87 (86 %) 38 (86 %) 92 (65%) IPD 1 (100%) 20 (80%) 13 (93%) 42 (42%) 15 (34 %) 25 (18%) Referral 1 (100%) 20 (80%) 8 (57%) 54 (54%) 36 (82%) 33 (23 %)

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Post-surgery, trauma and surgical care as well as ICU arenot expected to be available in health posts and primary health care structures. Imaging and blood bank services are not expected to be available in health posts. Basic laboratory services were not available in over 90% of health posts and IDP camps. Pharmacy services werenot available in twothirds of health posts. Ambulances were not available forhalf of the primary health centres and primary health clinics (table 5).

Table 5. General clinical services not available or not normally provided by the type of health care facilities in Borno State 2016 (N=327)

Type of service Hospital Hospital Primary Primary IDP Camp Health (Tertiary) (Secondary) Health Health Clinic Post N=1 N=25 Centre Clinic (Primary) (Primary) (Primary) (Primary) N=44 N=142 N=14 N=101 Post-surgery care 0 6 (25%) 4 (29%) 50 (49%) 30 (68%) 99 (70%) Trauma and surgical 0 6 (24%) 9 (64%) 83 (82%) 40 (91%) 133 (94%) care ICU 1 (100%) 18 (72%) 13 (93%) 86 (85%) 40 (91%) 135 (95%)

Basic Laboratory 0 5 (20%) 5 (36%) 64 (63%) 34 (77%) 134 (94%) Imaging 0 12 (48%) 14 (100%) 87 (86%) 42 (95%) 137 (96%) Blood bank 0 13 (52%) 11 (79%) 90 (89%) 44 (100%) 139 (98%) Pharmacy 0 3 (12%) 4 (29%) 39 (39%) 9 (20%) 120 (84%) Ambulance 0 11 (44%) 11 (79%) 84 (83%) 21 (47%) 141 (99%)

H e R A A R e H S M Child health

The child health services that were assessed included the essential child health care services that are components of the integrated maternal and child care initiative (IMCI), diagnosis and treatment for acute bloody diarrhea, cholera, malaria and measles. Other services assessed wereexpanded programme on immunization (EPI), essential care for the newborns, screening for acute malnutrition, and provision of vitamin A supplement.

The least available child health service was essential newborn care (33.0%) while the most available service was EPI (79%) (Table 6).The major reasons for unavailability or partial availability of most child health services include the lack of medical supplies (drugs and consumables) and the lack of medical or logistical (fuel andcold chain) equipment.

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Table 6: Availability of child health care services in health care facilities in Borno State in 2016 (N = 327)

Availability of Child health care services services Integrated Diagnosis EPI Essential Screening for Vit A. management of &treatment newborn acute supplement childhood of measles care malnutrition illnesses Fully available 118 (36%) 203(62%) 257(79%) 108(33 %) 223 (68%) 241 (74%)

Partially 46 (14%) 100(30.6) 28 (9%) 43 (13%) 0 (0%) 0 (0%) available Not normally 95 (29%) 12 (3.7) 26 (8%) 90 (28%) 60 (18%) 30 (9%) provided Not available 68 (21%) 12 (3.7) 16 (5%) 86 (26%) 44 (14%) 56 (17%)

Total 327 327 327 327 327 327

The child health services offered by type of health facility are shown in table 6. Expanded programme on immunization (EPI) was fully/partially available in theone tertiary health facility

and all primary health care centres. Basic child care was only available in 44 (31%) of 142 health posts.

Vitamin A supplementation was available in more than twothirds(71%) of primary health centres and health posts. Only 12 (48%) secondary health facilities offer vitamin A supplementation services. Forty- two (96%) IDP camp clinics offer vitamin A supplementation services. Screening of severe acute

malnutrition (SAM) was available in more than three quarters of the primary health care clinics, H e R A A R e H S M and also available in slightly more than half (53%) of the health posts. All IDP camps offered screening services for SAM and outpatient treatment for SAM.

There are only 11 stabilization centres in the state, oneof which is in the tertiary health facility that was not assessed. Stabilization centres are not expected to be available in primary health care level.

Table 7. Child health care services either fully or partially provided by the type of health care facilities in Borno State 2016

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Services Tertiary Secondary Primary Primary IDP Camp Health Post hospital hospitals Health Health Clinic (N=142) (N=1) (N=25) Centre(N=1 Clinic (N=44) 4) (N=101) Basic child care (IMCI) 1 (100%) 17 (68%) 10 (71%) 65 (64%) 27 (61%) 44 (31%)

Management of children 1 (100%) 16 (64%) 10 (71%) 56 (55%) 23 (52%) 64 (45%) (including sick neonates) suffering from severe and very severe illness Expanded programme 1 (100%) 17 (68%) 14 (100 %) 91 (90%) 41 (93%) 121 (85%) on immunization Vitamin. A 1 (100%) 12 (48%) 10 (71 %) 81 (80%) 42 (96%) 95 (67%) supplementation Screening of SAM 0 (0%) 13 (52%) 12 (86%) 79 (78%) 44 (100%) 75 (53%)

Outpatient treatment for 1 (100%) 17 (68%) 11 (79%) 83 (82%) 44 (100%) 79 (56%) SAM

Communicable diseases Services for the diagnosis and treatment of measles are the most common services available for communicable diseases. They are fully available in 203 (62%) and partially available in 100 (31%) of the 327 functional and accessible health facilities. Diagnosis and treatment services for cholera are only available in one third of the health facilities, while diagnosis and treatment of bloody diarrhea is more common and available in half of the health facilities. Diagnosis and treatment of

H e R A A R e H S M Hepatitis B & C and tuberculosis are not normally provided in nearly half of the facilities. Referral services shouldbe mapped for suspected patients to primary healthcarefacilitiesor secondary hospitals. Isolation units are fully available in just 33 (10%) and are not normally provided in over 198 (60%) of the functional and accessible health facilities (Table 8).

Table 8. Availability of communicable disease services in 327 health care facilities in Borno State in 2016

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Availability of Measles Cholera Acute Hepatitis Tuberculosis Typhoid Isolation diagnosis & bloody B&C unit/ treatment diarrhea room services Fully available 203 (62%) 112 (34%) 162 (50%) 37 (11%) 83 (25%) 118 (36%) 33 (10%) Partially 100 (31%) 89 (27%) 103 (32%) 18 (6%) 24 (7%) 98 (30%) 13 (4%) available Not available 12 (4%) 63(19%) 40 (12%) 116 (36%) 73 (22%) 45 (14%) 83 (25%) Not normally 12 (4%) 63(19%) 22 (7%) 156 (48%) 147 (45%) 66 (20%) 198 (61%) provided Grand Total 327 327 327 327 327 327 327

The major reasons for the unavailability/partial availability of most communicable disease services include the lack of medical supplies (drugs and consumables) and the lack of training of health staff.

Diagnosis and treatment of measles is fully/partially provided in over 90% ofalltypes of health

facilities. Diagnosis and treatment of hepatitis B & C is the least available of the communicable disease services provided across the different health facility types. Isolation rooms are only available in 11 (44%) of secondary health facilities (Table 9).

H e R A A R e H S M

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Table 9. Communicable diseases services fully or partially provided by the type of health care facilities in Borno State 2016

Services Tertiary Secondary Primary Primary IDP Camp Health Posts hospital hospitals health Health Clinics (N=142) (N=1) (N=25) Centres Clinics (N=44) (N=14) (N=101)

Diagnosis & treatment of 1 (100%) 24 (96%) 13 (93%) 96 (95%) 41 (93%) 128 (90%) measles Diagnosis & treatment of 1 (100%) 21 (84%) 8 (57%) 70 (69%) 25 (57%) 76 (54%) cholera Diagnosis & treatment of 1 (100%) 22 (88%) 13 (93%) 86 (85%) 38 (86%) 105 (74%) acute bloody diarrhea Diagnosis & treatment of 1 (100%) 20 (80%) 6 (43%) 46 (46%) 19 (43%) 15 (11%) hepatitis B&C Diagnosis & treatment of TB 1 (100%) 23 (92%) 11 (79%) 72 (71%) 25 (57%) 84 (59 %)

Isolation room 1 (100%) 11 (44%) 3 (21%) 15 (15%) 8 (18 %) 8 (6%)

STI and HIV/AIDS Table 10shows the distribution of STI and HIV/AIDS services in fully/partially functional health facilities in BornoState. The services are not normally provided in almost half of health facilities. Antiretroviral treatment (ARV) services are not available in 76 (23%) of the health facilities. The

H e R A A R e H S M major reason for unavailability /partial availability of most STI and HIV/AIDS services is thelack of medical supplies (drugs and consumables).

Table 10.STI and HIV/AIDS services provided by health facilities in Borno State

Availability of Services Syndromic management of HIV Prevention of mother to ARV sexually transmitted counselling child transmission of infections and testing HIV Fully available 79 (24%) 84 (26%) 74 (23%) 45 (14%) Partially available 42 (13%) 37 (11%) 23 (7%) 10 (3 %) Not available 56 (17%) 55 (17%) 70 (21%) 76 (23 %) Not normally provided 150 (46%) 151 (46%) 160 (49%) 196 (60%) Grand Total 327 327 327 327

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All STI and HIV/AIDS services are offered in the one tertiary hospital. Prevention of mother to child transmission of HIV (PMTCT) and ARV services are not normally provided at health posts.Standard precautions (disposable needles and syringes, safety sharp disposal containers, personal protective equipment, sterilizer, hand hygiene) are only fully/partially available in 63 (44%) of health posts (Table 11).

Table 11. Communicable diseases services fully or partially provided by the type of health care facilities in Borno State 2016

Services Tertiary Secondary Primary Primary IDP Camp Health hospital hospitals health Health Clinics Posts (N=1) (N=25) Centres Clinics (N=44) (N=142) (N=14) (N=101) Syndromic management of STIs 1 (100%) 20 (80%) 10 (71%) 47 (47%) 22 (50%) 21 (15%)

Standard precautions 1 (100%) 20 (80%) 13 (93%) 72 (71%) 38 (86%) 63 (44%)

HIV counselling and testing 1 (100%) 20 (80%) 9 (64%) 50 (50%) 16 (36%) 25 (18%)

Availability of free condoms 1 (100%) 15 (60%) 8 (57%) 48 (48%) 23 (52%) 23 (16%)

Prophylaxis and treatment of 1 (100%) 20 (80.0) 10 (71%) 53 (53%) 24 (55%) 40 (28%) opportunistic infections

ARV 1 (100%) 20 (80.0) 9 (64%) 50 (50%) 16 (36%) 25 (18%) H e R A A R e H S M PMTCT 1 (100%) 20 (80.0) 8 (57%) 37 (37%) 18 (41%) 13 (9%)

Maternal and newborn health

Maternal and newborn health services assessed were family planning, antenatal care, normal delivery, essential newborn care, basic and comprehensive obstetric care, post-partum care and comprehensive abortion care.

Antenatal care is fully available in 178 (54%) of the 327 fully/partially functional health facilities. Normal delivery services are not normally provided in almost one quarter (80) of health facilities.

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Basic and comprehensive emergency obstetric care isonly available in 59 (18%) and 26 (8%) health facilities (Table 12).The major reasons for unavailability /partial availability of most maternal care and newborn health services include the lack of medical supplies (drugs and consumables) and the lack of training of facility staff.

Table 12. Maternal and newborn health services in health facilities in Borno State

Availability of Family Antenatal Normal Essential Basic Compreh Post- Comprehe Services planning care delivery newborn obstetric ensive partum nsive care care obstetric care abortion care care Fully 133 178 (54%) 150 (46%) 108 (33%) 59 (18%) 26 (8%) 102 (31%) 39 (12%) available (41%) Partially 41 (13%) 53 (16%) 51 (16%) 43 (13%) 88 (27%) 20 (6%) 40 (12%) 26 (8%) available

Not available 60 (18%) 38 (12%) 46 (14%) 86 (26%) 149 (46%) 87 (27%) 68 (21%) 106 (32%)

Not normally 93 (28%) 58 (12%) 80 (24%) 90 (28%) 31 (10%) 194 117 (36%) 156 (48%) provided (59%)

Grand Total 327 327 327 327 327 327 327 327

Antenatal care services are available in at least 50% of the different types ofhealth facility.

H e R A A R e H S M Comprehensive obstetric and abortion care are only available in 5% and 18% of IDP camp clinics respectively.Normal delivery is fully/partially available in 46% of health posts only (Table 13).

26

Table 13. Health facilities with fully/partially available maternal health care services in Borno State

Services Tertiary Secondary Primary Primary IDP Camp Health hospital (N=1) hospitals Health Health Clinics Posts (N=25) Centres(N=1 Clinics(N= (N=44) (N=142) 4) 101) Family planning 1 (100%) 21 (84%) 14 (100%) 65 (64%) 28 (64%) 45 (32%)

Antenatal care 1 (100%) 22 (88%) 14 (100%) 85 (84%) 33 (75%) 76 (54%)

Normal delivery 1 (100%) 22 (88%) 12 (86%) 74 (73%) 27 (61%) 65 (46%)

Essential 1 (100%) 22 (88%) 8 (57%) 69 (68%) 24 (55%) 27 (19%) newborn care Basic obstetric 1 (100%) 21 (84%) 5 (36%) 41 (41%) 14 (32%) 8 (6%) care Comprehensive 1 (100%) 16 (64%) 3 (21%) 15 (15%) 2 (5%) 9 (6%) obstetric care Post-partum care 1 (100%) 20 (80%) 9 (64%) 64 (63%) 23 (52%) 25 (18%) Comprehensive 1 (100%) 18 (72%) 4 (29%) 26 (26%) 8 (6%) 8 (6%)

abortion care

Sexual violence

The sexual violence services assessed include clinical management of rape victims, psychological follow-up of rape victims, emergency contraception, and post-exposure prophylaxis (PEP).

H e R A A R e H S M Approximately half of all the fully/partially functional health facilities in Borno state do not normally provide sexual violenceservices. Clinical management of victims of rape is fully available in 18%, psychological follow-up (and referral) of victims of rape in 18%, emergency contraception in 24%, and post-exposure prophylaxis in 17% of the health facilities (Table 14).The major reasons for unavailability /partial availability of these services include the lack of medical supplies (drugs and consumables) and the lack of training of health staff.

27

Table 14. Availability of sexual violence services in health facilities in Borno State

Availability of Services Clinical Psychological Emergency PEP management of follow-up of contraception rape victims rape victims Fully available 59 (18%) 60 (18%) 77 (24%) 54 (17%) Partially available 21 (6%) 17 (5%) 12 (4%) 13 (4 %) Not available 77 (24%) 77 (24%) 101 (31%) 89 (27 %) Not normally provided 170 (52%) 173 (53%) 137 (42%) 171 (52 %) Grand Total 327 327 327 327

The distribution of sexual violence services by health facility type is displayed in table 15. These services are available in more than two thirds of the secondary hospitals.

Table 15. Health facilities with fully or partially available sexual violence services in Borno State

Services Tertiary Secondary Primary Primary IDP Camp Health Posts Hospital Hospitals Health Health Clinics (N=142)

(N=1) (N=25) Centres Clinics (N=44) (N=14) (N=101) Clinical management of 1 (100%) 17 (68%) 6 (4%3) 36 (36%) 15 (34%) 5 (4%) rape victims Psychological follow-up of 1 (100%) 18 (72%) 5 (36%) 29 (29%) 14 (32%) 10 (7%) rape victims

Emergency contraception 1 (100%) 17 (68%) 7 (50%) 36 (36%) 18 (41%) 10 (7%) H e R A A R e H S M PEP 1 (100%) 18 (72%) 5 (36%) 23 (23%) 13 (30%) 7 (5%)

Non-communicable diseases and mental health

For non-communicable diseases, treatment of high blood pressure and cardiovascular diseases is most common. It is fully available in 122 (37%) of the fully/partially functional health facilities in Borno State while mental health services are only fully available in 32 (10%) health facilities (Table 16). The major reasons for unavailability /partial availability of these services include the lack of medical supplies (drugs and consumables) and the lack of training of health staff.

28

Table 16. Availability of services for non-communicable diseases and mental health in health facilities in Borno State

Availability of Services Treatment of high Treatment of Treatment of Mental health BP and diabetes chronic care cardiovascular respiratory diseases condition Fully available 122 (37%) 65 (20%) 79 (24%) 32 (10%) Partially available 97 (30%) 44 (14%) 80 (25%) 32 (10%)

Not available 50 (15%) 87 (27%) 75 (22.9) 92 (28%) Not normally provided 58 (18%) 131 (40%) 93 (28%) 171 (52%)

Grand Total 327 327 327 327

Mental health services arenot offered in almost 80% of all health facilities at the primary level and

IDP camp clinics. Only 3 (21%) of primary health care centres offer services for the management of diabetes (Table 17).

Table 17. Health facilities with partial/full non-communicable diseases health care services in Borno State

Availability of services Tertiary Secondary Primary Primary IDP Camp Health hospital hospitals Health Health Clinic Post

H e R A A R e H S M (N=1) (N=25) Centre Clinic (N=44) (N=142) (N=14) (N=101) Treatment of high blood 1 (100%) 21 (84%) 12 (86%) 72 (71%) 33 (75%) 80 (56%) pressure and cardiovascular diseases Treatment of diabetes 1 (100%) 20 (80%) 3 (21%) 31 (31%) 14 (32%) 40 (28%)

Treatment of chronic 1 (100%) 21 (84%) 8 (57%) 49 (49%) 22 (50%) 58 (41%) respiratory condition Treatment of mental health 1 (100%) 15 (60%) 2 (14%) 22 (22%) 12 (27%) 12 (9%)

29

Environmental Health Safe waste disposal and management systemswerefully available in 153 (47%), partially available in 63 (20%), not available in 60 (18%) and not normally provided in 51 (16%) of the fully/partially functional health facilities (Table 18). The most common reason for unavailability /partial availability of these services was lack of medical supplies (drugs and consumables).

Table 18. Availability of safe waste disposal and management systems in health facilities

Availability of services Frequency Fully available 153 (47%) Not available 60 (18%) Not normally provided 51 (16%) Partially available 63(19%) Total 327

Safe waste disposal and management systems were not available in half of the fully/partially

functional health posts in the state.

Table 19. Availability of safe waste disposal and management systems in health facilities in Borno State 2016

Availability of services Tertiary Secondary Primary Primary IDP Camp Health Hospital Hospitals Health Health Clinics Posts (N=1) (N=25) Centres Clinics (N=44) (N=142) (N=14) (N=101)

H e R A A R e H S M Fully or partially available 1(100%) 20(80%) 12(86%) 72(71%) 39(91%) 71(50%)

Not normally available or 0 (0%) 5(20%) 2(14%) 29(29%) 4(9%) 71(50%) not available

Total 1 25 14 101 43 142

30

MEDICAL RECORDS

Vital data collection and statistics services Vital data collection and statistics services werefully available in over 50% of the 327 fully/partially functional health facilities in Borno State. Health records (OPD, IPD, ANC, delivery, laboratory registers, and IDSR 002 & 003 forms) were fully available in 206 (63%) of the health facilities. IDSR data is reported in 213 (65%), NHMIS data in 210 (64%), and EWARS data in 154 (47%) of the 327 functional health facilities (Table 20). The most common reason for unavailability /partial availability of these services was the lack of training of health staff.

Table 20. Distribution of vital data collection and statistics services in health facilities in Borno State

Availability of Services Health records: OPD, IPD, IDSR reports NHMIS EWARS ANC , deliveries, laboratories reports reports

Fully available 206 (63%) 213 (65%) 210 (64%) 154 (47%) Partially available 71 (22%) 1 (0%) 27 (8%) 2 (1%) Not available 20 (6%) 48 (15%) 35 (11%) 39 (12%) Not normally provided 30 (9%) 65 (20%) 55 (17%) 132 (40%) Grand Total 327 327 327 327 Health records were available in at least 75% of all the different health facility types. Data for

IDSR were reported in only 76 (54%) IDP camp clinics. EWARS data were reported from 30% H e R A A R e H S M health posts and 75% ofIDP camp clinics.

Table 21. Availability of vital data collection and statistics services in Borno State 2016

Availability of services Tertiary Secondary Primary Primary IDP Camp Health Post hospital hospitals Health Health Clinic (N=142) (N=1) (N=25) Centre Clinic (N=44) (N=14) (N=101) Health records: OPD, 1 (100%) 24 (96%) 14 (100%) 92 (91%) 39 (89%) 107 (75%) IPD, ANC , deliveries, laboratories

IDSR reports 1 (100%) 17 (68%) 11 (79%) 75 (74%) 34 (77%) 76 (54%)

NHMIS reports 1 (100%) 19 (76%) 14 (100%) 81 (80%) 31 (71%) 91 (64%)

EWARS reports 0 (0%) 15 (60%) 9 (64%) 56 (55%) 33 (75%) 43 (30%)

31

ANNEXURES

H e R A A R e H S M

32

APPENDIX 1: Health facilities offering general clinical and trauma care services

Health facility name: Surgery

-

care

Unit

Basic Basic

service

Service

Service:

trauma:

Referral Referral

Services

surgery:

capacity capacity

services:

Inpatient Inpatient

Trauma & & Trauma

wounds or wounds

Laboratory Laboratory

Outpatient Outpatient

Blood bank bank Blood Ambulance

and elective and elective

Pharmacy of Pharmacy

Post

surgical care, care, surgical

Basic Imaging Imaging Basic

Rehabilitation Rehabilitation

Primary Injury Injury Primary

Intensive Care Care Intensive

of people with with people of

essential drugs essential Askira- Uba Alagarno Dispensary x x Alheri Clinic x x x x x x x x x x x x Chull PHC (Temp) x x x Dille Dispensary (Temp) x x x EYN Clinic Wamdeo x x x x x x x x x EYN Dispensary x x x x FSP Clinic x x x General Hospital Lassa x x x x x x x x x General Hospital Uba x x x x x x x x General Hospital Zadawa x x x x x x x x x Giwi Dispensary x Husara Health Clinic x x x x x x Kilargal Dispensary x Kithludula PHC Clinic x

Kopa Dispensary (Temp) x x x Leho B Dispensary (Temp) x x Model Primary Health Care Centre (MPHC) Rumirgo x x x x x x x Muffa Dispensary x Mussa PHC Clinic x x x x x Ngurthavu Health Clinic x x x x x x Sabongari dispensary (Temp) x x Tampul Dispensary (Temp) x x Uba town Dispensary x x Uda Dispensary x x Uvu Health Centre x x x x x

H e R A A R e H S M Wamdeo Dispensary x x Yimir Ali Health Clinic x Zadawa Dispensary (Temp) x Bama Banki IDP Camp Clinic X x x x x COCIN Clinic Bama General Hospital Bama IDP Camp Clinic X x x x x x x x x x NAF Emergency Hospital X x x x x x x x Bayo Balbaya MCH Clinic X x x x x x Briyel MCH Clinic x x x x x x Chekele Dispensary x x Fikayel PHC Clinic x x x x x x x Gaidam Dispensary x Gamadadi Comprehensive Health Centre x x x x x x Garin Gado Dispensary x x x General Hospital Briyel x x x x x x x x x x x x Guburunde Dispensary x Jaradali PHC Clinic x x x x x x x x Jaragol PHC Clinic x x x x x x Korko Dispensary x x x x x Kuva Health Clinic x x x x Limanti Dispensary (Temp) x x Maina Baba Dispensary (Temp) x x x Teli PHC Clinic x x x x x x x Wuyo PHC Clinic x x x x x x x x

33

Zange Dispensary x x x x Zara Dispensary x x x Biu Bam dispensary (temp) x x x x Bera Dispensary x x x x x Berum Dispensary x x x Biu Town Dispensary x x x x Buratai Health Centre x x x x Charangi dispensary x x x Debiro Dispensary x x x x x Duzuwa Dispensary x x x x FSP Clinic x x x x Garubula Sabo Health Centre x x x x General Hospital Biu x x x x x x x x x x x GGSS Biu x x Gunda Comprehensive Health Centre x x x x x x x Gur Dispensary x x x x Gur Garubula Dispensary x x x x Health Post Panana x x x Hizhi dispensary x x x Maina Hari Clinic x x x x x x Mandafuma Dispensary x x x x Mandaragrau Health Centre x x x x

MCH Clinic Biu x x x x x x x Mirnga MCH Clinic x x x x x x Tum Dispensary x x x x x x Vocational Training Centre x x x Yawi Dispensary x x x x x x Chibok EYN Dispensary Mbalala x x x x x x x Federal Medical Health Clinic (Temp) x x x x x x Garu Primary Healthcare Centre x x x x x x x Gatamarwa Dispensary x x x x x General Hospital Garu x x x x x x x x x x x H e R A A R e H S M Hirpaya Dispensary x x Korongilum Dispensary x x x x Kuburmbula Dispensary x x x x Mboa Kura Dispensary x x x MCH MBALALA x x x x x x Model Primary Health Care Centre (MPHC) Shikarkir x x x x (Temp) Njilang Dispensary x x x x Paya Yesu Dispensary x x x x Pemi Dispensary x x x Damboa Kachallaburari dispensary x x Azir Health Clinic x x x Central Pri. Sch. x x x x Damboa MCH Clinic x x Damboa Town Dispensary x x x x Delta Base - Damboa MSF x x x x x x x Gen. Hospital IDP Camp Clinic MSF x x General Hospital x x Gumsuri Dispensary x x x x Hausari IDP camp x x x x Hausari MSF Clinic x Kallah Dispensary x

34

Kauji Dispensary x x x x Malaharam Dispensary x x x Nzuda Mairi Dispensary x x x Sabon Gari Dispensary x x x x Shuwari Host Community Clinic-UNICEF (Temp) x x x Dikwa Dikwa MCH Clinic x x x x x x x x x x Sangaiya IDPs Camp x x x x x x x x Shehu Sanda Kyarimi IDPs x x x x x x Gubio Bazam Dispensary x x x x x Diwga Dispensary x x x x Dunga Dispensary x x x Goni Abatchari Health Clinic x x x x Gubio MCH Clinic x x x x x x x x Ngetra CHC x x x x x x x Gwoza General Hospital Gwoza x x x x Guduf Dispensary Pulka Health Clinic x x x x x x x x Pulka MCH x x x x x x x Hawul Chata Dispensary x EYN Dispensary Shaffa (Temp) x x x x x x FSP Clinic Ghumma x x Gangshaffa Dispensary x x General Hospital Azare x x x x x x x x x x x General Hospital Marama x x x x x x x x x x Gula Dispensary x x x x Gyarha Dispensary x x Gyung Health Post x x Hema Health Post x Hyera Dispensary x x

Kida PHC Clinic x x x x H e R A M S M A R e H Kidang Dispensary x x Kirputu PHC Clinic x x Kukurupu Dispensary x x x Kwaguhulatu Dispensary x x x Kwayabura Dispensary x x x x Mbulatawiwi Dispensary x x Pama Dispensary x x Pelathabu Dispensary x x Sakwa PHC Clinic x x x x Shaffa PHC Clinic x x x x x x x T/ Alade Dispensary x x Vinadam Dispensary x x x x Whitambaya Dispensary x x Yimirshika Health Post x Jere Chad Basin Dept. Authority Health Clinic x x x COCIN Clinic Mulai x x x x x x x Dala Dispensary x x x x x x Dalaram Health Clinic x x x x x x x Dalori IDP Camp Air force x x x x x x x Dalori Quarters Health Clinic x x x x Dominion Maternity x x x x x x Dusuman Health Clinic x x x

35

Farm Centre IDP Camp x x x x x x x Federal Training Centre Dalori IDP Camp clinic A x x x x x x x Federal Training Centre Dalori IDP Camp clinic B x x x x x x Federal Training Centre Dalori IDP Camp clinic C x x x x x x x Fori Health Clinic x x x x x x x x General Hospital Molai x x x x x x x Gomari Health Clinic x x x x x x x Gongulong Comprehensive Health Centre x x x x x x Goni Kachallari IDP Camp x x x x x IDP Camp Custom House x x x x x Jiddari Health Clinic x x x x x Madinatu IDP Camp x x x x x x Maimusari Health Clinic x x x x x x x x x Mairi Health Clinic x x x Mashamari Health Clinic x x x Muna IDP Camp Clinic A x x x x x x Muna IDP Camp Clinic B x x x x Rehabilitation Centre IDP Camp x x x x x x x x x Royal Hospital Taimakon Jamaa Health Clinic x x x x x x x x x Umaru Shehu Ultra-Modern Hospital x x x x x x x x x x x x UniMaid Health Clinic x x x x x x x x x x x Zabarmari Health Clinic x x x x x x x Kaga Benisheik MCH Clinic x x x x x x General Hospital Benisheikh x x x x x x x x x Mainok MCH Clinic x Ngandu MCH Clinic x x x x x x Konduga 1000 Housing Estate Health Clinic x 250 Housing Estate (Kofa) Camp Clinic x x x x x 400 Housing Estate Gubio Road IDP Camp Clinic A x x x x x x x 400 Housing Estate Gubio Road IDP Camp Clinic B x x x x

777 Housing Estate Health Clinic x x x x x x x H e R A A R e H S M Aulari Health Clinic Auno Health Clinic x x x x x Boarding Primary School IDP Camp x x x x Chabbal Health Clinic x x x Dalori Health Clinic x x x Jakana IDP Camp x x x x x Kaka Mallam Yale MCH x x x x Kimeri Health Clinic x x x x Konduga MCH Clinic x x x x x Malari Dispensary x NAF Medical centre x x x x x x x x x x Njimtilo Health Clinic x x x x x Pompomari Health Clinic x x Tungushe Health Clinic x x Babadidi Health Clinic x x x x x x x x x x x x Bahai Dispensary x x Bilazi Dispensary x x x Diyar Dispensary x x x EYN Fesingo Health Clinic x x x x x x x x EYN Wandali Health Clinic x x x x x x x x x x Fika Dispensary x x Gadam Dispensary x x General Hospital Kwaya x x x x x x x x x x x

36

Guba dispensary (temp) x x Gusi Dispensary x x x x x x x Guwal Dispensary x x x x x Juggal Dispensary x x x Kogu Dispensary x x Kubuku Dispensary x x Kurbagayi MCH Clinic x x x x Kurbagayi PHC Clinic x x x Kwardum Dispensary x x Kwaya Kusar MCH Clinic x x x x x Kwaya Town Dispensary x x x x x x x Peta Dispensary x x x Savira Dispensary x x x x Wandali PHC Clinic x x x x x x x x x Wawa Dispensary x x x Yimirdalang PHC Clinic x x x Mafa Ajjari IDP camp x x x x x Gwozari MCH Clinic x x x x x x Malakyariri Health Clinic x x x x x Magumeri Borno Yesu dispensary x x x x Ardoram Dispensary x x

Furram Dispensary x x x x General Hospital Magumeri x x x x x x Hoyo Health Clinic x x x x Kaijiya Dispensary x x x x Kareram Dispensary x x x x x Karnowa Health Clinic x x Magumeri MCH Clinic x x x x MCH Madamari x x x x Model Primary Health Care Centre (MPHC) Gajiganna x x x x x x Njingowa health clinic x x x

Titiwa Dispensary x x x x x H e R A A R e H S M Maiduguri Abbaganaram Clinic x x x x x x Bakasi Camp Guzamala Clinic A x x x x x x Bakasi Camp Monguno Clinic B x x x x x x Bolori CHC x x x x x x x x Borno Medical x x x x x x x x x x x Bulabulin dispensary x x x CBN Quarters camp Clinic x x Epid Unit Health Clinic x EYN (CAN Centre) Camp Clinic x x x x x x x Fatima Ali Sheriff Clinic x x x x x x x Gamboru Clinic x x x x Gamboru Male Dispensary x x x x Gwange 1 Dispensary x x x x x x Gwange MCH Clinic x x x x Herwa Peace Health Clinic Kanem Health Post x x x x x x x x x x x Mala Kachalla Comprehensive Health Centre x x x x x x x x Maman Shuwa Memorial Hospital x x x x x x x x x x x Mogcolis Camp Clinic x x x x x Nakowa Specialist Hospital x x x x x x x x x x Ngarannam Health Clinic x x x x x x x Nursing Village Camp Clinic x x x

37

NYSC Camp Borno Camp Clinic x x x x x Ramat Clinic x x x x x x x x x Shehu's Palace Clinic x x State Psychiatric Hospital x x x State Specialist Hospital x x x x x x x x x x x Sunni Hospital x x x x x x x x Teachers Village Camp Clinic x x x x x x x x Yerwa Clinic x x x Zamani Clinic x x x x x x x x x x x Zonal Health Office x x Monguno ACF NRC IDP Camp Clinic x x x ACF Water Board IDP Camp Clinic x x x x FSP Clinic x x x x x General Hospital Monguno x x x x x x x x x x x ICRC GGSS IDP Camp Clinic x x x x Monguno Town Dispensary x x x x x x x x Ngollom Health Clinic UNICEF GDSS IDP Camp Clinic x x x x x UNICEF GGSS IDP Camp Clinic A x x x x x UNICEF GSSS IDP Camp Clinic x x x x x x UNICEF IDPs Clinic x x UNICEF Kuya IDP Camp Clinic x x x x x

Ngala Gamboru C Dispensary (Temp) x x x x x x Gamboru MCH (Temp) x x x x x x General Hospital Ngala ISS IDP Camp x x x x x Ndufu MCH Clinic Ngala Health Post x x x x Nganzai Gajiram FSP x x x x x Gajiram MCH clinic x x x x x Gasarwa Health Clinic x H e R A A R e H S M General Hospital Gajirm (Temp) x x x x x x x Kuda Lawanti Health Clinic x x x Shani Bakaina Dispensary x x Bargu MCH Clinic x x x x x x x Budam Dispensary x x Buma Dispensary x x Burashika Dispensary x x Gari Dispensary (Temp) x x General Hospital Shani x x x x x x x x x Gora Dispensary x x x x Gunduri Dispensary x x x x x Gwaskara Dispensary x x x Jeki Dispensary x x Kareji Dispensary x x Kashim Dispensary x x Kaule Dispensary x x x x Kombo Dispensary (Temp) x x x Kubo Comprehensive Health Centre x x x x x x Kubodeno Dispensary x x x Kurungulung Dispensary x x x x x Kwahara Dispensary x x Labilis Dispensary x x x

38

Lajada Dispensary x x Lakundum Dispensary x x x x Lawalam Gora Dispensary x x x x Nahuta Dispensary (Temp) x x x Ngambu Dispensary x x Pahara Dispensary (Temp) x x Pitilla Dispensary x x Salifawa Dispensary (Temp) x x x x Shani MCH Clinic x x x x x x Walama Dispensary x x Wunje Dispensary x x Wuroboki Dispensary x x x

H e R A A R e H S M

39

Appendics -2 Health facilities offering child health services:

on on

nt of nt

Health facility name:

EPI:

acute acute

(IMCI*)

children children

neonates) neonates)

Vitamin A: Vitamin

Outpatient Outpatient

Screening of Screening

Stabilization Stabilization

malnutrition malnutriti

severe acute acute severe

Malnutrition

treatment of treatment

complication

Severe Acute Acute Severe

severe illness severe

Centre for the the Centre for

(including sick sick (including

suffering from suffering

Basic Child Care Care Child Basic and very severe

manageme

Management of Management

without medical medical without

supplementation

Askira- Uba Alagarno Dispensary x x Alheri Clinic x x Chull PHC (Temp) x x x x Dille Dispensary (Temp) x x x x x EYN Clinic Wamdeo x x x x x x EYN Dispensary x x x x x FSP Clinic x x x x x x General Hospital Lassa x x x x x General Hospital Uba x x x x x x General Hospital Zadawa x x x Giwi Dispensary x x Husara Health Clinic x x x x Kilargal Dispensary x

Kopa Dispensary (Temp) x x Leho A Dispensary (Temp) x Leho B Dispensary (Temp) x X Model Primary Health Care Centre (MPHC) x x x x x Rumirgo Muffa Dispensary x x x Mussa PHC Clinic x x x x x Ngurthavu Health Clinic x Tampul Dispensary (Temp) x x x x Uba town Dispensary x x x x

H e R A A R e H S M Uda Dispensary x x x Uvu Health Centre x x Wamdeo Dispensary x x x x x Yimir Ali Health Clinic x Zadawa Dispensary (Temp) x Bama Banki IDP Camp Clinic x x x x x General Hospital Bama IDP Camp Clinic x x x x x x NAF Emergency Hospital x x x x x x Bayo Balbaya MCH Clinic x x x x x x Briyel MCH Clinic x x x x x x Chekele Dispensary x Fikayel PHC Clinic x x x x x x Gaidam Dispensary x x Gamadadi Comprehensive Health Centre x x x x x x Garin Gado Dispensary x x General Hospital Briyel x x x x Jaradali PHC Clinic x x x x Jaragol PHC Clinic x x x x x x Korko Dispensary x x x x

40

Kuva Health Clinic x x x x x Laroh Dispensary x Limanti Dispensary (Temp) x x Maina Baba Dispensary (Temp) x x x x Teli PHC Clinic x x x x x x Wuyo PHC Clinic x x x x x Zange Dispensary x Zara Dispensary x x x x x Biu Bam dispensary (temp) x x Bera Dispensary x x x x x Berum Dispensary x x Biu Town Dispensary x x x x x Buratai Health Centre x x x x Charangi dispensary x x Debiro Dispensary x x x x Duzuwa Dispensary x x x FSP Clinic x x x x x x Garubula Sabo Health Centre x x x x x General Hospital Biu x x x x x x x

GGSS Biu x x x x x x Gunda Comprensive Health Centre x x x x x x Gur Dispensary x x x x Gur Garubula Dispensary x x x x Health Post Panana x x x Hizhi dispensary x x Maina Hari Clinic x x x x x x Mandafuma Dispensary x x x x Mandaragrau Health Centre x x x x x x

MCH Clinic Biu x x x x x x H e R A A R e H S M Mirnga MCH Clinic x x x x x x Tum Dispensary x x x x Vocational Training Centre x x x x x Yawi Dispensary x x x x Chibok EYN Dispensary Mbalala x x x Federal Medical Health Clinic (Temp) x x x Garu Primary Healthcare Centre x x x x x x Gatamarwa Dispensary x x x x x General Hospital Garu x x x x x Hirpaya Dispensary x Korongilum Dispensary x x x x x Kuburmbula Dispensary x x x Mboa Kura Dispensary x x x MCH Mbalala x x x x x x Model Primary Health Care Centre (MPHC) x x x x Shikarkir (Temp) Njilang Dispensary x x x Paya Yesu Dispensary x x Pemi Dispensary x x x x Damboa

41

Kachallaburari dispensary x x Azir Health Clinic x x x Central Pri. Sch. x x x Damboa Town Dispensary x x x x Delta Base - Damboa MSF x x x x x Gen. Hospital IDP Camp Clinic MSF x x x General Hospital x x x x Hausari IDP camp x x x Hausari MSF Clinic x x x Sabon Gari Dispensary x x x Shuwari Host Community Clinic-UNICEF (Temp) x x Dikwa Dikwa MCH Clinic x x x x x x Sangaiya IDPs Camp x x x x Shehu Sanda Kyarimi IDPs x x x x Gubio Bazam Dispensary x x x Diwga Dispensary x Dunga Dispensary x x x Goni Abatchari Health Clinic x x x x x

Gubio MCH Clinic x x x x x Ngetra CHC x x x Gwoza General Hospital Gwoza x Pulka Health Clinic x x x x x x Pulka MCH x x x x x x Hawul Chata Dispensary x x x x x x FSP Clinic Ghumma x x x x x x Gangshaffa Dispensary x x

H e R A A R e H S M General Hospital Azare x x x General Hospital Marama x x x x Gula Dispensary x x x x x x Gwalam Dispensary x Gyarha Dispensary x x Gyung Health Post x x Hema Health Post x x Hyera Dispensary x x x Kida PHC Clinic x x x x x x Kidang Dispensary x x x Kirputu PHC Clinic x x x x x x Kukurupu Dispensary x x x x x x Kwaguhulatu Dispensary x Kwayabura Dispensary x x x x x x Mbulatawiwi Dispensary x x x x x x Pama Dispensary x x x x Pelathabu Dispensary x Sakwa PHC Clinic x x x x x x Shaffa PHC Clinic x x x x x x T/ Alade Dispensary x x x x x x

42

Vinadam Dispensary x x x x Whitambaya Dispensary x x Yimirshika Health Post x x Jere Chad Basin Devt. Authority Health Clinic x x x x COCIN Clinic Mulai x x x Dala Dispensary x x x x x x x Dalaram Health Clinic x x x x x Dalori IDP Camp Airforce x x x x x x Dalori Quarters Health Clinic x x x Dominion Maternity x Dusuman Health Clinic x x x x x Farm Centre IDP Camp x x x x x x Federal Training Centre Dalori IDP Camp clinic A x x x x x x Federal Training Centre Dalori IDP Camp clinic B x x x x x x Federal Training Centre Dalori IDP Camp clinic C x x x x x x Fori Health Clinic x x x x x x x General Hospital Molai x x x x x x x Gomari Health Clinic x x x x x x Gongulong Comprensive Health Centre x x x x x x

Goni Kachallari IDP Camp x x x x x IDP Camp Custom House x x x x x x Jiddari Health Clinic x x x x x Madinatu IDP Camp x x x x x x Maimusari Health Clinic x x x x x x Mairi Health Clinic x x x x x Mashamari Health Clinic x x x x x Muna IDP Camp Clinic A x x x x x Muna IDP Camp Clinic B x x x x x x Rehabilitation Centre IDP Camp x x x x x x

H e R A A R e H S M Taimakon Jamaa Health Clinic x x Umaru Shehu Ultra-Modern Hospital x x x x x x x UniMaid Health Clinic x x x x x Zabarmari Health Clinic x x x x x Kaga Benisheik MCH Clinic x x x x x x General Hospital Benisheikh x Ngamdu MCH Clinic x x x x x Konduga 1000 Housing Estate Health Clinic x x x x x x 250 Housing Estate (Kofa) Camp Clinic x x x x x x 400 Housing Estate Gubio Road IDP Camp Clinic x x x x x A 400 Housing Estate Gubio Road IDP Camp Clinic x x x x x B 777 Housing Estate Health Clinic x x x x Auno Health Clinic x x x x x x Boarding Primary School IDP Camp x x x x x x Chabbal Health Clinic x x x x Dalori Health Clinic x x x x x x Jakana IDP Camp x x x x x x

43

Kaka Mallam Yale MCH x x x x x x Kimeri Health Clinic x x x x x x Konduga MCH Clinic x x x x x x Malari Dispensary x NAF Medical centre x x x x Njimtilo Health Clinic x x x x x x Pompomari Health Clinic x x x x x Tungushe Health Clinic x x x Kwaya Kusar Babadidi Health Clinic x x x x x x Bahai Dispensary x x Bilazi Dispensary x x x x x x Diyar Dispensary x x EYN Fesingo Health Clinic x x x EYN Wandali Health Clinic x x x x Fika Dispensary x x Gadam Dispensary x x x General Hospital Kwaya x x x x x x Guba dispensary (temp) x x x x x Gusi Dispensary x x x x x x

Guwal Dispensary x x x x

Juggal Dispensary x x Kogu Dispensary x x x Kubuku Dispensary x x x x Kurbagayi MCH Clinic x x x x Kurbagayi PHC Clinic x x Kwardum Dispensary x x Kwaya Kusar MCH Clinic x x x x Kwaya Town Dispensary x x x x x x Peta Dispensary x x x x x

H e R A A R e H S M Savira Dispensary x Wandali PHC Clinic x x x x x Wawa Dispensary x x x x Yimirdalang PHC Clinic x x x x Mafa Ajjari IDP camp x x x x x x Gwozari MCH Clinic x x x x x Malakyariri Health Clinic x x x x x Magumeri Borno Yesu dispensary x x x Ardoram Dispensary x x x x Furram Dispensary x x x x General Hospital Magumeri x x x x Hoyo Health Clinic x x x x Kaijiya Dispensary x x x x Kareram Dispensary x x x x x x Karnowa Health Clinic x x x x Magumeri MCH Clinic x x x x x x MCH Madamari x x x x Model Primary Health Care Centre (MPHC) x x x x x x Gajiganna

44

Njingowa health clinic x x x x Titiwa Dispensary x x x x Maiduguri Abbaganaram Clinic x x x x x x Bakasi Camp Guzamala Clinic A x x x x x Bakasi Camp Monguno Clinic B x x x x x Bolori CHC x x x x Borno Medical x x x x Bulabulin dispensary x x x x CBN Quarters camp Clinic x x x x x Epid Unit Health Clinic x x x x EYN (CAN Centre) Camp Clinic x x x x x Fatima Ali Sheriff Clinic x x x x x Gamboru Clinic x x x x x Gamboru Male Dispensary x x x x x Gwange 1 Dispensary x x x x x Gwange MCH Clinic x x x x x x Kanem Health Post x x x x x x Mala Kachalla Comprensive Health Centre x x x x x Maman Shuwa Memorial Hospital x x x x

Mogcolis Camp Clinic x x x x x Nakowa Specialist Hospital x x x x x Ngarannam Health Clinic x x x x x x Nursing Village Camp Clinic x x x x x NYSC Camp Borno Camp Clinic x x x x Ramat Clinic x x x State Specialist Hospital x x x x x x x Teachers Village Camp Clinic x x x x Yerwa Clinic x x x x x Zamani Clinic x x x x x

H e R A M S M A R e H Monguno ACF NRC IDP Camp Clinic x x x x ACF Water Board IDP Camp Clinic x x x x x x FSP Clinic x x x x x x General Hospital Monguno x x x ICRC GGSS IDP Camp Clinic x x x x x x Monguno Town Dispensary x x x x x UNICEF GDSS IDP Camp Clinic x x x x x x UNICEF GGSS IDP Camp Clinic A x x x x UNICEF GSSS IDP Camp Clinic x x x x x UNICEF IDPs Clinic x x x x UNICEF Kuya IDP Camp Clinic x x x x Ngala Fuye Health Post Gamboru C Dispensary (Temp) x x x x x x Gamboru MCH (Temp) x x x x x x ISS IDP Camp x x x x x x Ngala Health Post x x Nganzai Gajiram FSP x x x x x

45

Gajiram MCH clinic x Gasarwa Health Clinic x x Kuda Lawanti Health Clinic x x Shani Bakaina Dispensary x x x x x Bargu MCH Clinic x x x x x x Budam Dispensary x x x x x Buma Dispensary x x x x x Burashika Dispensary x x x x x Gari Dispensary (Temp) x x General Hospital Shani x x x x x x Gora Dispensary x x x x x Gunduri Dispensary x x x x x Gwaskara Dispensary x x x x x Jeki Dispensary x x x x x Kareji Dispensary x x x x x x Kashim Dispensary x x x x x Kaule Dispensary x x x Kombo Dispensary (Temp) x x x x x x Kubo Comprensive Health Centre x x x x x

Kubodeno Dispensary x x x x x Kurungulung Dispensary x x x x Kwahara Dispensary x x x x x x Labilis Dispensary x x x x x Lajada Dispensary x x x x x x Lakundum Dispensary x x x x x x Lawalam Gora Dispensary x x x x x Nahuta Dispensary (Temp) x x x x Ngambu Dispensary x x

Pahara Dispensary (Temp) x x x x H e R A A R e H S M Pitilla Dispensary x x x x x Salifawa Dispensary (Temp) x Shani MCH Clinic x x x x x x Walama Dispensary x x x x x Wunje Dispensary x x x x x Wuroboki Dispensary x x x x x

46

APPENDIX 3: Health facilities offering services on communicable diseases

:

Health facility name:

malaria

cholera: Typhoid

diseases

Isolation Isolation

measles:

diarrhea

unit/room

pneumonia

treatment of treatment of treatment of treatment of treatment of treatment of treatment

acute bloody bloody acute

Diagnosis and and Diagnosis and Diagnosis and Diagnosis and Diagnosis and Diagnosis and Diagnosis and Diagnosis and Diagnosis and Diagnosis

Hepatitis B&C: Hepatitis

treatment of TB:of treatment

treatment of skin of treatment

treatment of Viral Viral of treatment

Askira- Uba Alagarno Dispensary x x x x Alheri Clinic x x x x x x x x x x Chull PHC (Temp) x x x Dille Dispensary (Temp) x x x EYN Clinic Wamdeo x x x x x x x x x x EYN Dispensary x x x x x x x FSP Clinic x x x x x x General Hospital Lassa x x x x x x x x x General Hospital Uba x x x x x x x x x General Hospital Zadawa x x x x x x x x x Giwi Dispensary x x x x Gwandang Dispensary (Temp) x x x x Husara Health Clinic x x x x x x x x Kilargal Dispensary x x x x Kopa Dispensary (Temp) x x x x Leho A Dispensary (Temp) x x x x Leho B Dispensary (Temp) x x x Model Primary Health Care Centre (MPHC) x x x x x x x x x Rumirgo Muffa Dispensary x Mussa PHC Clinic x x x x x x x Ngohi Dispensary x x x Ngurthavu Health Clinic x x x x x x x x

A M S M A Sabongari dispensary (Temp) x x

Tampul Dispensary (Temp) x x x x x x Uba town Dispensary x x x x Uda Dispensary x x x x x Uvu Health Centre x x x x x x x Wamdeo Dispensary x x x x

Yimir Ali Health Clinic x x x x H e R e H Zadawa Dispensary (Temp) x x Bama Banki IDP Camp Clinic x x x x x x x x General Hospital Bama IDP Camp Clinic x x x x x x x x NAF Emergency Hospital x x x x x x x x x Bayo Balbaya MCH Clinic x x x x x x x x Briyel MCH Clinic x x x x x x Chekele Dispensary x Fikayel PHC Clinic x x x x x x x Gaidam Dispensary x x x x x x x Gamadadi Comprensive Health Centre x x x x x x x Garin Gado Dispensary x General Hospital Briyel x x x x x x x x x x Guvayako Dispensary x x Jaradali PHC Clinic x x x x x x x Jaragol PHC Clinic x x x x x x x x Korko Dispensary x x x x x Kuva Health Clinic x x x x x Laroh Dispensary x x x x x Limanti Dispensary (Temp) x x Maina Baba Dispensary (Temp) x x x Teli PHC Clinic x x x x x x x Wuyo PHC Clinic x x x x x x x x Zange Dispensary x x x Zara Dispensary x x x x x

47

Biu Bam dispensary (temp) x x x x Bera Dispensary x x x x x x Berum Dispensary x x x x x x Biu Town Dispensary x x x x x x x x Buratai Health Centre x x x x x Charangi dispensary x x x x x Debiro Dispensary x x x x x Duzuwa Dispensary x x x FSP Clinic x x x x x x x Garubula Sabo Health Centre x x x x x General Hospital Biu x x x x x x x x x GGSS Biu x x x x Gunda Comprensive Health Centre x x x x x x Gur Dispensary x x x x x Gur Garubula Dispensary x x x x x Health Post Panana x x x x Hizhi dispensary x x x x Maina Hari Clinic x x x x x x x Mandafuma Dispensary x x x x x Mandaragrau Health Centre x x x x x x x MCH Clinic Biu x x x x x x x Mirnga MCH Clinic x x x x x x x Tum Dispensary x x x x x Vocational Training Centre x x x x x x x x x Yawi Dispensary x x x x x

Chibok

EYN Dispensary Mbalala x x x x x x x x Federal Medical Health Clinic (Temp) x x x x x x x Garu Primary Healthcare Centre x x x x x x x x Gatamarwa Dispensary x x x x x x x General Hospital Garu x x x x x x x x x Hirpaya Dispensary x x x x x x x Korongilum Dispensary x x x x x x x Kuburmbula Dispensary x x x x x Mboa Kura Dispensary x x x x x x x MCH MBALALA x x x x x x x Model Primary Health Care Centre (MPHC) x x x x x x x Shikarkir (Temp)

Njilang Dispensary x x x x x x x H e R A A R e H S M Paya Yesu Dispensary x x x x x x x Pemi Dispensary x x x x x x x Damboa Kachallaburari dispensary x Azir Health Clinic x x x x Central Pri. Sch. x x x x x x x Damboa MCH Clinic x Damboa Town Dispensary x x x x Delta Base - Damboa MSF x x General Hospital x x x x x Gumsuri Dispensary x x x x x x Hausari IDP camp x x x x x x Kauji Dispensary x x x Malaharam Dispensary x x x x Nzuda Mairi Dispensary x x x x Sabon Gari Dispensary x x x x Shuwari Host Community Clinic-UNICEF x x x x x (Temp) Dikwa Dikwa MCH Clinic x x x x x x x x x Sangaiya IDPs Camp x x x x x x x Shehu Sanda Kyarimi IDPs x x x x x x Gubio Bazam Dispensary x x x x Diwga Dispensary x x x Dunga Dispensary x x x x x x

48

Goni Abatchari Health Clinic x x x Gubio MCH Clinic x x x x x x x x x Ngetra CHC x x x x General Hospital Gwoza x x x x Pulka Health Clinic x x x x x x x Pulka MCH x x x x x x x Hawul Chata Dispensary x x x x x x EYN Dispensary Shaffa (Temp) x x x x x x x FSP Clinic Ghumma x x x x x x x General Hospital Azare x x x x x x x x x General Hospital Marama x x x x x x x x x Gula Dispensary x x x x x x Gyarha Dispensary x x x x x x x Gyung Health Post x x x x x Hema Health Post x x x x Hyera Dispensary x x x x x x x Kida PHC Clinic x x x x x x x Kidang Dispensary x x x x x x x Kirputu PHC Clinic x x x x x x Kukurupu Dispensary x x x x x x x Kwayabura Dispensary x x x x x x x x Mbulatawiwi Dispensary x x x x x x Pama Dispensary x x x x x x Pelathabu Dispensary x x x x x Sakwa PHC Clinic x x x x x x x Shaffa PHC Clinic x x x x x x x T/ Alade Dispensary x x x x x x Vinadam Dispensary x x x x x x x Whitambaya Dispensary x x x x x x x Yimirshika Health Post x x Jere Chad Basin Devt. Authority Health Clinic x x x x x x COCIN Clinic Mulai x x x x x x x x x Dala Dispensary x x x x x Dalaram Health Clinic x x x x x x x Dalori IDP Camp Airforce x x x x x x x x

H e R A A R e H S M Dalori Quarters Health Clinic x x x x x x x x Dominion Maternity x x x x x x Dusuman Health Clinic x x x x x x Farm Centre IDP Camp x x x x x x x x Federal Training Centre Dalori IDP Camp x x x x x x x x clinic A Federal Training Centre Dalori IDP Camp x x x x x x x clinic B Federal Training Centre Dalori IDP Camp x x x x x x clinic C Fori Health Clinic x x x x x x x x General Hospital Molai x x x x x x x x x Gomari Health Clinic x x x x x x x x Gongulong Comprensive Health Centre x x x x x x Goni Kachallari IDP Camp x x x x x x x x IDP Camp Custom House x x x x x x Jiddari Health Clinic x x x x x x x x Madinatu IDP Camp x x x x x Maimusari Health Clinic x x x x x x x x x x Mairi Health Clinic x x x x x x x x Mashamari Health Clinic x x x x x x x Muna IDP Camp Clinic A x x x x x x x Muna IDP Camp Clinic B x x x x x x x x Rehabilitation Centre IDP Camp x x x x x x Taimakon Jamaa Health Clinic x x x x x x x x x Umaru Shehu Ultra-Modern Hospital x x x x x x x x x x UniMaid Health Clinic x x x x x x x x x x Zabarmari Health Clinic x x x x x x Kaga

49

Benisheik MCH Clinic x x x x x x x x General Hospital Benisheikh x x x x x x x x Mainok MCH Clinic x x x x x x x Ngamdu MCH Clinic x x x x x x x Konduga 1000 Housing Estate Health Clinic x x x x x x 250 Housing Estate (Kofa) Camp Clinic x x x x x 400 Housing Estate Gubio Road IDP Camp x x x x x x x Clinic A 400 Housing Estate Gubio Road IDP Camp x x x x x x Clinic B 777 Housing Estate Health Clinic x x x x x x x x Auno Health Clinic x x x x x x Boarding Primary School IDP Camp x x x x x Chabbal Health Clinic x x x x x x x x x x Dalori Health Clinic x x x x x x Jakana IDP Camp x x x x x x x Kaka Mallam Yale MCH x x x x x x Kimeri Health Clinic x x x x x x x Konduga MCH Clinic x x x x x x x Malari Dispensary x x x x x x x x NAF Medical centre x x x x x x x x x Njimtilo Health Clinic x x x x x Pompomari Health Clinic x x x x x x x Tungushe Health Clinic x x x Kwaya Kusar

Babadidi Health Clinic x x x x x x x x x x

Bahai Dispensary x x x x x x x Bilazi Dispensary x x x x x x x x x Diyar Dispensary x x x x x x x EYN Fesingo Health Clinic x x x x x x x x EYN Wandali Health Clinic x x x x x x x x x x Fika Dispensary x x x x x x x Gadam Dispensary x x x x x x General Hospital Kwaya x x x x x x x x x x Guba dispensary (temp) x x x x x x Gusi Dispensary x x x x x x x x x Guwal Dispensary x x x x x x Juggal Dispensary x x x x x x

H e R A A R e H S M Kogu Dispensary x x x x x x x Kubuku Dispensary x x x x x x x Kurbagayi MCH Clinic x x x x x x x Kurbagayi PHC Clinic x x x x x x Kwardum Dispensary x x x x x x x Kwaya Kusar MCH Clinic x x x x x x Kwaya Town Dispensary x x x x x x x x x Peta Dispensary x x x x x x x x Savira Dispensary x x x x x x Wandali PHC Clinic x x x x x x x x Wawa Dispensary x x x x x x x Yimirdalang PHC Clinic x x x x x x x x Mafa Ajjari IDP camp x x x x x x x x x x Gwozari MCH Clinic x x x x x x x x Malakyariri Health Clinic x x x x x x x Magumeri Borno Yesu dispensary x x x x x x x x Ardoram Dispensary x x x x x x x x Furram Dispensary x x x x x x x General Hospital Magumeri x x x x x x x x Hoyo Health Clinic x x x x x x x Kaijiya Dispensary x x x x x x x Kareram Dispensary x x x x x x x Karnowa Health Clinic x x x x x x Magumeri MCH Clinic x x x x x x x x MCH Madamari x x x x x x x

50

Model Primary Health Care Centre (MPHC) x x x x x x x x Gajiganna Njingowa health clinic x x x x x x x Titiwa Dispensary x x x x x x x Maiduguri Abbaganaram Clinic x x x x x x x x Bakasi Camp Guzamala Clinic A x x Bakasi Camp Montuno Clinic B x x x x x x Bolori CHC x x x x x x x Borno Medical x x x x x x x x x x Bulabulin dispensary x x x x x x x CBN Quarters camp Clinic x x x x x x x Epid Unit Health Clinic x x x x EYN (CAN Centre) Camp Clinic x x x x x x x Fatima Ali Sheriff Clinic x x x x x x x x Gamboru Clinic x x x x x x x x Gamboru Male Dispensary x x x x x x Gwange 1 Dispensary x x x x x x x x Gwange MCH Clinic x x x x x x x Kanem Health Post x x x x x x x x x x Mala Kachalla Comprensive Health Centre x x x x x x x Maman Shuwa Memorial Hospital x x x x x x x x x Mogcolis Camp Clinic x x x x x x x x Nakowa Specialist Hospital x x x x x x x x x x Ngarannam Health Clinic x x x x x x x x x Nursing Village Camp Clinic x x x x x x x

NYSC Camp Borno Camp Clinic x x x x x x x x

Ramat Clinic x x x x x x x x x Shehu's Palace Clinic x x x x State Psychiatric Hospital x State Specialist Hospital x x x x x x x x x x Sunni Hospital x x x x x x x x Teachers Village Camp Clinic x x x x x x x x Yerwa Clinic x x Zamani Clinic x x x x x x x x x x Zonal Health Office x x x x Monguno ACF NRC IDP Camp Clinic x x x x ACF Water Board IDP Camp Clinic x x x x x x x

H e R A A R e H S M FSP Clinic x x x x x x x General Hospital Monguno x x x x x x x x x x ICRC GGSS IDP Camp Clinic x x x x x x x Monguno Town Dispensary x x x x x x x x x UNICEF GDSS IDP Camp Clinic x x x x x x x UNICEF GGSS IDP Camp Clinic A x x x x x x UNICEF GSSS IDP Camp Clinic x x x x x UNICEF IDPs Clinic x x x x x UNICEF Kuya IDP Camp Clinic x x x x x x x Ngala Gamboru C Dispensary (Temp) x x x x x x x x Gamboru MCH (Temp) x x x x x x x x ISS IDP Camp x x x x x x x x Ngala Health Post x x x x x x x Nganzai Gajiram FSP x x x x x Gajiram MCH clinic x x x x x x Gasarwa Health Clinic x x x x x x x General Hospital Gajirm (Temp) x x x x Kuda Lawanti Health Clinic x x x x Shani Bakaina Dispensary x x x x x x x Bargu MCH Clinic x x x x x x x x x Budam Dispensary x x x x x x Buma Dispensary x x x x x x x Burashika Dispensary x x x x x x x Gari Dispensary (Temp) x x x x x x x

51

General Hospital Shani x x x x x x x x x x Gora Dispensary x x x x x x Gunduri Dispensary x x x x x x x Gwaskara Dispensary x x x x x Jeki Dispensary x x x x x x x Kareji Dispensary x x x x x x Kashim Dispensary x x x x x x x Kaule Dispensary x x x x x x Kombo Dispensary (Temp) x x x x x x x Kubo Comprensive Health Centre x x x x x x x x x Kubodeno Dispensary x x x x x x x Kurungulung Dispensary x x x x x x x Kwahara Dispensary x x x x x x x Labilis Dispensary x x x x x x x Lajada Dispensary x x x x x x Lakundum Dispensary x x x x x x x Lawalam Gora Dispensary x x x x x Nahuta Dispensary (Temp) x x x x x x x Ngambu Dispensary x x x x x x x Pahara (ECWA) Dispensary x x x x x x Pahara Dispensary (Temp) x x x x x x Pitilla Dispensary x x x x x x x Salifawa Dispensary (Temp) x x x x x x Shani MCH Clinic x x x x x x x x Walama Dispensary x x x x x x x x Wunje Dispensary x x x x x x x

Wuroboki Dispensary x x x x x x x

H e R A A R e H S M

52

APPENDIX 4: Health facilities offering services on STI and HIV/AIDS care

-

to

-

Health facility name: of

(ARV)

vention of vention

(PMTCT)

child HIV HIV child

Standard Standard

infections infections

treatment treatment

Syndromic Syndromic

of sexually sexually of

mother

and testing

Prophylaxis Prophylaxis

precautions

transmitted transmitted

transmission transmission

management management

opportunistic opportunistic

Pre Antiretroviral

free condoms

Availability of Availability

and treatment and treatment

HIV counselling counselling HIV

Askira- Uba Alheri Clinic x x x Dille Dispensary (Temp) x EYN Clinic Wamdeo x x x x EYN Dispensary x x FSP Clinic x x x x General Hospital Lassa x x x x x x General Hospital Uba x x x x x General Hospital Zadawa x x x x x x Husara Health Clinic x x x x x Model Primary Health Care Centre (MPHC) Rumirgo x x Ngurthavu Health Clinic x Sabongari dispensary (Temp) x Tampul Dispensary (Temp) x x x x x Uvu Health Centre x Banki IDP Camp Clinic x General Hospital Bama IDP Camp Clinic x x x x x x x NAF Emergency Hospital x x x x x Bayo

Balbaya MCH Clinic x x x x Briyel MCH Clinic x x x x x x x Chekele Dispensary x x Fikayel PHC Clinic x x x Gaidam Dispensary x x Gamadadi Comprensive Health Centre x x x x Garin Gado Dispensary x General Hospital Briyel x x x x x x x Guburunde Dispensary x Jaradali PHC Clinic x x x x x Jaragol PHC Clinic x x x x Korko Dispensary x x

Kuva Health Clinic x x H e R A A R e H S M Laroh Dispensary x x x Limanti Dispensary (Temp) x x Maina Baba Dispensary (Temp) x Teli PHC Clinic x x x x x x x Wuyo PHC Clinic x x x x x Zara Dispensary x x x Biu Bera Dispensary x Berum Dispensary x x Biu Town Dispensary x x x x x x x Buratai Health Centre x x x x Debiro Dispensary x x x x Duzuwa Dispensary x FSP Clinic x x x x Garubula Sabo Health Centre x x x x x General Hospital Biu x x x x x x x GGSS Biu x x Gunda Comprensive Health Centre x x x x x x x Gur Dispensary x x x x Gur Garubula Dispensary x x x x Health Post Panana x Maina Hari Clinic x x x x x Mandafuma Dispensary x x Mandaragrau Health Centre x x x x x MCH Clinic Biu x x x x x x x Mirnga MCH Clinic x x x x x x x

53

Tum Dispensary x x x Vocational Training Centre x x Yawi Dispensary x x x Chibok EYN Dispensary Mbalala x x x x Federal Medical Health Clinic (Temp) x x x x x Garu Primary Healthcare Centre x x x x x x x Gatamarwa Dispensary x x x x General Hospital Garu x x x x x Hirpaya Dispensary x x Korongilum Dispensary x x x x Kuburmbula Dispensary x x Mboa Kura Dispensary x x x x MCH MBALALA x x x x x x x Model Primary Health Care Centre (MPHC) Shikarkir x x (Temp) Njilang Dispensary x x x Paya Yesu Dispensary x Pemi Dispensary x x Damboa Azir Health Clinic x Damboa Town Dispensary x x Delta Base - Damboa MSF x Gen. Hospital IDP Camp Clinic MSF x Gumsuri Dispensary x Hausari MSF Clinic x

Kauji Dispensary x

Malaharam Dispensary x Sabon Gari Dispensary x Shuwari Host Community Clinic-UNICEF (Temp) x Dikwa Dikwa MCH Clinic x x x x x x x Sangaiya IDPs Camp x x x x Shehu Sanda Kyarimi IDPs x x x Gubio Bazam Dispensary x x Diwga Dispensary x x Dunga Dispensary x Goni Abatchari Health Clinic x

H e R A A R e H S M Gubio MCH Clinic x x x x Ngetra CHC x x Gwoza Pulka Health Clinic x x x x Pulka MCH x x x Hawul Chata Dispensary x EYN Dispensary Shaffa (Temp) x x x FSP Clinic Ghumma x x x x General Hospital Azare x x x x x x General Hospital Marama x x x x x x x Gula Dispensary x x Hema Health Post x Hyera Dispensary x Kida PHC Clinic x Kirputu PHC Clinic x Kwaguhulatu Dispensary x Kwayabura Dispensary x Mbulatawiwi Dispensary x Pama Dispensary x Pelathabu Dispensary x Sakwa PHC Clinic x x x Shaffa PHC Clinic x x T/ Alade Dispensary x Whitambaya Dispensary x Yimirshika Health Post x Jere

54

Chad Basin Devt. Authority Health Clinic x x COCIN Clinic Mulai x x x x x x x Dala Dispensary x x x Dalaram Health Clinic x x x x x Dalori IDP Camp Airforce x x x x x x Dalori Quarters Health Clinic x Dominion Maternity x x x x Dusuman Health Clinic x x x x x Farm Centre IDP Camp x x x x x x x Federal Training Centre Dalori IDP Camp clinic A x x x x x x x Federal Training Centre Dalori IDP Camp clinic B x x x x x x x Federal Training Centre Dalori IDP Camp clinic C x x x x x Fori Health Clinic x x x x x x x General Hospital Molai x x x x x Gomari Health Clinic x x x x x x Gongulong Comprensive Health Centre x x x x x Goni Kachallari IDP Camp x x x x IDP Camp Custom House x Jiddari Health Clinic x x x Madinatu IDP Camp x x Maimusari Health Clinic x x x x x x Mairi Health Clinic x x x x x Mashamari Health Clinic x x x Muna IDP Camp Clinic A x x x Muna IDP Camp Clinic B x x x Rehabilitation Centre IDP Camp x x x x

Taimakon Jamaa Health Clinic x x x x x x

Umaru Shehu Ultra-Modern Hospital x x x x x x x UniMaid Health Clinic x x x x x x x Zabarmari Health Clinic x x Kaga Benisheik MCH Clinic x x x x General Hospital Benisheikh x x x x x Ngamdu MCH Clinic x x Konduga 1000 Housing Estate Health Clinic x x x 250 Housing Estate (Kofa) Camp Clinic x x x x x x x 400 Housing Estate Gubio Road IDP Camp Clinic A x x x x x x 400 Housing Estate Gubio Road IDP Camp Clinic B x x x x x x x

H e R A A R e H S M 777 Housing Estate Health Clinic x x Auno Health Clinic x x x Boarding Primary School IDP Camp x x Chabbal Health Clinic x x Dalori Health Clinic x x x Jakana IDP Camp x x x x x x Kaka Mallam Yale MCH x x Konduga MCH Clinic x Malari Dispensary x NAF Medical centre x x x x x x x Njimtilo Health Clinic x x Pompomari Health Clinic x x x Tungushe Health Clinic x x Kwaya Kusar Babadidi Health Clinic x x x x x x x Bilazi Dispensary x x x x x x EYN Fesingo Health Clinic x x x EYN Wandali Health Clinic x x Gadam Dispensary x General Hospital Kwaya x x x x x x x Gusi Dispensary x x x x x x x Guwal Dispensary x Kurbagayi MCH Clinic x x Kwaya Kusar MCH Clinic x Kwaya Town Dispensary x x x x x Savira Dispensary x Wandali PHC Clinic x x x

55

Yimirdalang PHC Clinic x Mafa Ajjari IDP camp x x x x Gwozari MCH Clinic x x x x x Malakyariri Health Clinic x x x x x x Magumeri Borno Yesu dispensary x x Furram Dispensary x General Hospital Magumeri x x x Hoyo Health Clinic x Kaijiya Dispensary x Kareram Dispensary x Magumeri MCH Clinic x x x x MCH Madamari x Model Primary Health Care Centre (MPHC) Gajiganna x x x Njingowa health clinic x Titiwa Dispensary x Abbaganaram Clinic x x x x Baga Motor Pack Dispensary Bakasi Camp Guzamala Clinic A x x x x x x x Bakasi Camp Munguno Clinic B x x x x x x x Bolori CHC x x x x x x Borno Medical x x x x Bulabulin dispensary x x x CBN Quarters camp Clinic x x x x EYN (CAN Centre) Camp Clinic x x x x x x x

Fatima Ali Sheriff Clinic x x x x x x Gamboru Clinic x x x x x x Gamboru Male Dispensary x x Gwange 1 Dispensary x x x x x x Gwange MCH Clinic x x x x x x Kanem Health Post x x x x Mala Kachalla Comprensive Health Centre x x x x x x x Maman Shuwa Memorial Hospital x x x x x x x Mogcolis Camp Clinic x x x x x x x Nakowa Specialist Hospital x x x x x x Ngarannam Health Clinic x x x x x x Nursing Village Camp Clinic x x x NYSC Camp Borno Camp Clinic x x x x x x x H e R A A R e H S M Ramat Clinic x x x x Shehu's Palace Clinic x State Specialist Hospital x x x x x x x Sunni Hospital x x x Teachers Village Camp Clinic x x x x x x x Yerwa Clinic x x x x x x Zamani Clinic x x x x x Monguno ACF NRC IDP Camp Clinic x ACF Water Board IDP Camp Clinic x FSP Clinic x General Hospital Monguno x x x x x x x ICRC GGSS IDP Camp Clinic x Monguno Town Dispensary x x x x UNICEF GDSS IDP Camp Clinic x UNICEF GGSS IDP Camp Clinic A x UNICEF IDPs Clinic x UNICEF Kuya IDP Camp Clinic x Ngala Gamboru C Dispensary (Temp) x x x x x Gamboru MCH (Temp) x x x x x ISS IDP Camp x x x x Ngala Health Post x x x x Nganzai General Hospital Gajirm (Temp) x x x x x Shani Bargu MCH Clinic x x x x x x

56

Budam Dispensary x Buma Dispensary x Gari Dispensary (Temp) x General Hospital Shani x x x x x x x Gora Dispensary x Gwaskara Dispensary x Kareji Dispensary x x Kashim Dispensary x Kaule Dispensary x x Kubo Comprensive Health Centre x x x x Kubodeno Dispensary x Lajada Dispensary x Lawalam Gora Dispensary x x Nahuta Dispensary (Temp) x Pahara (ECWA) Dispensary x Shani MCH Clinic x x x x x x x Wunje Dispensary x

H e RAMS e H

57

APPENDIX 5: Health facilities offering services on maternal and newborn health

-

Health facility name: partum

-

care:

CEmOC:

born care: born

Emergency Emergency

Post

BEmOC: Basic

abortion care:

Obstetric Care

Essential newEssential

Obstetric Care:

Comprehensive Comprehensive

Antenatal Antenatal Care:

Family planning

Normal delivery

Askira- Uba Alheri Clinic x x x x x x x x Dille Dispensary (Temp) x EYN Clinic Wamdeo x x x x x x x x EYN Dispensary x x x FSP Clinic x x General Hospital Lassa x x x x x x x x General Hospital Uba x x x x x x x x General Hospital Zadawa x x x x x x x x Giwi Dispensary x Husara Health Clinic x x x x x x Model Primary Health Care Centre (MPHC) Rumirgo x x x x Mussa PHC Clinic x x x Ngurthavu Health Clinic x Sabongari dispensary (Temp) x x Tampul Dispensary (Temp) x x x x x Uda Dispensary x Uvu Health Centre x Banki IDP Camp Clinic x x x x General Hospital Bama IDP Camp Clinic x x x x x x x x NAF Emergency Hospital x x x x x x x x Bayo Balbaya MCH Clinic x x x x x x x Briyel MCH Clinic x x x x x x x Fikayel PHC Clinic x x x x x x Gaidam Dispensary x Gamadadi Comprensive Health Centre x x x x x H e RAMS e H General Hospital Briyel x x x x x x x x Guburunde Dispensary x x x Guvayako Dispensary x Jaradali PHC Clinic x x x x x x x x Jaragol PHC Clinic x x x x Kuva Health Clinic x x x Laroh Dispensary x Teli PHC Clinic x x x x x x Wuyo PHC Clinic x x x x x x Zara Dispensary x Biu Biu Town Dispensary x x Buratai Health Centre x x x x Debiro Dispensary x x x x x FSP Clinic x x x x Garubula Sabo Health Centre x x x General Hospital Biu x x x x x x x x GGSS Biu x x x Gunda Comprensive Health Centre x x x x x Gur Dispensary x x x x x Gur Garubula Dispensary x x x Health Post Panana x Maina Hari Clinic x x x x x Mandafuma Dispensary x x x Mandaragrau Health Centre x x x x x MCH Clinic Biu x x x x x x

58

Mirnga MCH Clinic x x x x Tum Dispensary x x x x x Vocational Training Centre x x Yawi Dispensary x x x x Chibok EYN Dispensary Mbalala x x x Federal Medical Health Clinic (Temp) x x x x Garu Primary Healthcare Centre x x x x Gatamarwa Dispensary x x x General Hospital Garu x x x x x x x Hirpaya Dispensary x Korongilum Dispensary x x x x Kuburmbula Dispensary x x x x Mboa Kura Dispensary x x MCH MBALALA x x x x x x x Model Primary Health Care Centre (MPHC) Shikarkir x x x (Temp) Njilang Dispensary x x x Pemi Dispensary x x x x Damboa Central Pri. Sch. x x x Damboa MCH Clinic x x x Damboa Town Dispensary x x Delta Base - Damboa MSF x x Gen. Hospital IDP Camp Clinic MSF x General Hospital x Gumsuri Dispensary x Hausari MSF Clinic x Sabon Gari Dispensary x x Shuwari Host Community Clinic-UNICEF (Temp) x Dikwa Dikwa MCH Clinic x x x x x x Sangaiya IDPs Camp x x x x H eR A M S M A eR H Shehu Sanda Kyarimi IDPs x x x x Gubio Bazam Dispensary x Dunga Dispensary x x x Goni Abatchari Health Clinic x x x x x Gubio MCH Clinic x x x x x x Ngetra CHC x x x Gwoza Pulka Health Clinic x x x x x Pulka MCH x x x x x Hawul EYN Dispensary Shaffa (Temp) x x x x FSP Clinic Ghumma x x General Hospital Azare x x x x x x x x General Hospital Marama x x x x x x x x Kida PHC Clinic x Kirputu PHC Clinic x x x x Kukurupu Dispensary x x x Kwayabura Dispensary x x x x Mbulatawiwi Dispensary x x Pelathabu Dispensary x Sakwa PHC Clinic x x x x Shaffa PHC Clinic x x x x x x Vinadam Dispensary x x Jere Chad Basin Devt. Authority Health Clinic x x x x x x COCIN Clinic Mulai x x x x x x Dala Dispensary x x x x x x

59

Dalaram Health Clinic x x x x x x x Dalori IDP Camp Airforce x x x x x x x Dalori Quarters Health Clinic x x x x Dominion Maternity x x x x Dusuman Health Clinic x x x x x x Farm Centre IDP Camp x x x x x x x Federal Training Centre Dalori IDP Camp clinic A x x x x x x x Federal Training Centre Dalori IDP Camp clinic B x x Federal Training Centre Dalori IDP Camp clinic C x x x x x x Fori Health Clinic x x x x x x General Hospital Molai x x x x x x x x Gomari Health Clinic x x x x x x x Gongulong Comprensive Health Centre x x x x x x Goni Kachallari IDP Camp x x x x x x IDP Camp Custom House x x x Jiddari Health Clinic x x x x x x x Madinatu IDP Camp x x Maimusari Health Clinic x x x x x x x x Mairi Health Clinic x x x x x x x Mashamari Health Clinic x x x x Muna IDP Camp Clinic A x x x Rehabilitation Centre IDP Camp x x x x x x x x Taimakon Jamaa Health Clinic x x x x x x x x Umaru Shehu Ultra-Modern Hospital x x x x x x x x

UniMaid Health Clinic x x x x x x x x

Zabarmari Health Clinic x x x x x x Kaga Benisheik MCH Clinic x x x x x General Hospital Benisheikh x x x x x x Ngamdu MCH Clinic x x x x x Konduga 1000 Housing Estate Health Clinic x x x x x x 250 Housing Estate (Kofa) Camp Clinic x x x x x x 400 Housing Estate Gubio Road IDP Camp Clinic A x x x x x x x 400 Housing Estate Gubio Road IDP Camp Clinic B x x x x 777 Housing Estate Health Clinic x x x x x

H e R A A R e H S M Auno Health Clinic x x x x x x Boarding Primary School IDP Camp x x x x x Dalori Health Clinic x x x x x x Jakana IDP Camp x x x x x Kaka Mallam Yale MCH x x x x Kimeri Health Clinic x x x x x x Konduga MCH Clinic x x x x x Malari Dispensary x x NAF Medical centre x x x x x x x x Njimtilo Health Clinic x x x Pompomari Health Clinic x x x x Kwaya Kusar Babadidi Health Clinic x x x x x x x x Bilazi Dispensary x x x x x Diyar Dispensary x x x EYN Fesingo Health Clinic x x x x x x EYN Wandali Health Clinic x x x x Gadam Dispensary x General Hospital Kwaya x x x x x x x x Gusi Dispensary x x x x x x x x Kogu Dispensary x Kubuku Dispensary x Kurbagayi MCH Clinic x x x Kwardum Dispensary x Kwaya Kusar MCH Clinic x x x x

60

Kwaya Town Dispensary x x x x x x x Peta Dispensary x x Wandali PHC Clinic x x x x x x Wawa Dispensary x Yimirdalang PHC Clinic x Mafa Ajjari IDP camp x x x x x x Gwozari MCH Clinic x x x x x x x Malakyariri Health Clinic x x x x x x x Magumeri Borno Yesu dispensary x x x Ardoram Dispensary x x x Furram Dispensary x x x x General Hospital Magumeri x x x x x x Hoyo Health Clinic x x x x Kaijiya Dispensary x x x x Kareram Dispensary x x x Magumeri MCH Clinic x x x x x MCH Madamari x x x x Model Primary Health Care Centre (MPHC) Gajiganna x x x x x Njingowa health clinic x x x x Titiwa Dispensary x x x Abbaganaram Clinic x x x x x x Baga Motor Pack Dispensary Bakasi Camp Guzamala Clinic A x x x x x

Bakasi Camp Munguno Clinic B x x x x x Bolori CHC x x x x x x x x Borno Medical x x x x x x x x Bulabulin dispensary x x x x x CBN Quarters camp Clinic x x x x x EYN (CAN Centre) Camp Clinic x x x Fatima Ali Sheriff Clinic x x x x x x x x Gamboru Clinic x x x x x x Gwange 1 Dispensary x x x Gwange MCH Clinic x x x x x

H e RAMS e H Kanem Health Post x x x x x x x x Mala Kachalla Comprensive Health Centre x x x x x x x x Maman Shuwa Memorial Hospital x x x x x x x x Mogcolis Camp Clinic x x x x Nakowa Specialist Hospital x x x x x x x x Ngarannam Health Clinic x x x x x x x x Nursing Village Camp Clinic x x x x x x NYSC Camp Borno Camp Clinic x x x x x x Ramat Clinic x x x x x Shehu's Palace Clinic x State Specialist Hospital x x x x x x x Sunni Hospital x x x x x x Teachers Village Camp Clinic x x x Yerwa Clinic x x x x x x Zamani Clinic x x x x x x Monguno FSP Clinic x General Hospital Monguno x x x x x x x x ICRC GGSS IDP Camp Clinic x x Monguno Town Dispensary x UNICEF GSSS IDP Camp Clinic x x x x x UNICEF IDPs Clinic x Ngala Gamboru MCH (Temp) x x x x x ISS IDP Camp x x x x Ngala Health Post x

61

Nganzai Gajiram FSP x x General Hospital Gajirm (Temp) x x x x x Kuda Lawanti Health Clinic x Shani Bakaina Dispensary x x x Bargu MCH Clinic x x x x x Budam Dispensary x x x Buma Dispensary x x Burashika Dispensary x x x Gari Dispensary (Temp) x x x x General Hospital Shani x x x x x x x Gora Dispensary x x x x Gunduri Dispensary x x x x Gwaskara Dispensary x x Jeki Dispensary x x x Kareji Dispensary x x Kashim Dispensary x x x Kaule Dispensary x Kombo Dispensary (Temp) x x x Kubo Comprensive Health Centre x x x x Kubodeno Dispensary x x Kurungulung Dispensary x x x x x x Kwahara Dispensary x x x x Labilis Dispensary x x x

Lajada Dispensary x x Lakundum Dispensary x x x Lawalam Gora Dispensary x x Nahuta Dispensary (Temp) x x x Ngambu Dispensary x x Pahara Dispensary (Temp) x x x x Pitilla Dispensary x x x Shani MCH Clinic x x x x x x x x Walama Dispensary x x x x Wunje Dispensary x x x x x

H e RAMS e H Wuroboki Dispensary x x x

62

APPENDIX 6: Health facilities offering sexual violenceservices Clinical PEP: Post- management Psychological Emergency exposure Health facility name: of victims of follow-up* of contraception: prophylaxis rape: victims of rape:

Askira- Uba Alheri Clinic x x x x Chull PHC (Temp) x General Hospital Lassa x x x x General Hospital Uba x x x x General Hospital Zadawa x x x x Model Primary Health Care Centre (MPHC) Rumirgo x Muffa Dispensary x General Hospital Bama IDP Camp Clinic x x x x NAF Emergency Hospital x x x Bayo Balbaya MCH Clinic x x x Briyel MCH Clinic x x Fikayel PHC Clinic x Gamadadi Comprensive Health Centre x General Hospital Briyel x x x x Jaradali PHC Clinic x x x Jaragol PHC Clinic x Teli PHC Clinic x x x Biu Bera Dispensary x Biu Town Dispensary x x x Buratai Health Centre x Debiro Dispensary x Garubula Sabo Health Centre x x x General Hospital Biu x x x x Gunda Comprensive Health Centre x x Gur Dispensary x Gur Garubula Dispensary x Health Post Panana x Mandafuma Dispensary x MCH Clinic Biu x x Mirnga MCH Clinic x x x x Tum Dispensary x Yawi Dispensary x Chibok

H e R A A R e H S M Federal Medical Health Clinic (Temp) x Gatamarwa Dispensary General Hospital Garu x x x x Hirpaya Dispensary x MCH MBALALA x x Damboa Dikwa Dikwa MCH Clinic x x x Sangaiya IDPs Camp x Gubio Bazam Dispensary x Diwga Dispensary x Gubio MCH Clinic x x x Ngetra CHC x x x Gwoza General Hospital Gwoza x x x Hawul General Hospital Azare x x x x General Hospital Marama x x x x Sakwa PHC Clinic x x Shaffa PHC Clinic x x x x Jere

63

Dala Dispensary x x x x Dalaram Health Clinic x x x x Dalori IDP Camp Airforce x x x x Dominion Maternity x Dusuman Health Clinic x x Farm Centre IDP Camp x x x Federal Training Centre Dalori IDP Camp clinic A x x x x Federal Training Centre Dalori IDP Camp clinic B x x x x Federal Training Centre Dalori IDP Camp clinic C x x x x Fori Health Clinic x x x x General Hospital Molai x x x x Gomari Health Clinic x x x x Gongulong Comprensive Health Centre x x x x Jiddari Health Clinic x x x x Madinatu IDP Camp x x x Maimusari Health Clinic x x x Mairi Health Clinic x x x x Mashamari Health Clinic x x Rehabilitation Centre IDP Camp x x x x Taimakon Jamaa Health Clinic x x x x Umaru Shehu Ultra-Modern Hospital x x x x UniMaid Health Clinic x x x x Zabarmari Health Clinic x x x Kaga Ngamdu MCH Clinic x x Konduga

250 Housing Estate (Kofa) Camp Clinic x x x x

400 Housing Estate Gubio Road IDP Camp Clinic A x x x x Auno Health Clinic x Dalori Health Clinic x x x Jakana IDP Camp x x x x Kaka Mallam Yale MCH x Kwaya Kusar Babadidi Health Clinic x x x x Bilazi Dispensary x x x x EYN Wandali Health Clinic x x General Hospital Kwaya x x x x Gusi Dispensary x x Wandali PHC Clinic x x

H e R A A R e H S M Mafa Gwozari MCH Clinic x x x x Magumeri General Hospital Magumeri x Magumeri MCH Clinic x x x x Baga Motor Pack Dispensary Bakasi Camp Guzamala Clinic A x x x x Bakasi Camp Munguno Clinic B x x Bolori CHC x x x x Borno Medical x x x CBN Quarters camp Clinic x EYN (CAN Centre) Camp Clinic x x x x Fatima Ali Sheriff Clinic x x x x Gamboru Clinic x x x x Gwange MCH Clinic x x Kanem Health Post x x Mala Kachalla Comprensive Health Centre x x Maman Shuwa Memorial Hospital x x x x Mogcolis Camp Clinic x x x x Nakowa Specialist Hospital x x x x Ngarannam Health Clinic x x x x Nursing Village Camp Clinic x NYSC Camp Borno Camp Clinic x x x State Specialist Hospital x x x x Sunni Hospital x Teachers Village Camp Clinic x x Yerwa Clinic x x x

64

Zamani Clinic x x x Monguno General Hospital Monguno x x x x Monguno Town Dispensary x x Ngala Ngala Health Post x Nganzai Gajiram FSP x Shani General Hospital Shani x x Kubo Comprensive Health Centre x Kubodeno Dispensary x Shani MCH Clinic x

H e R A A R e H S M

65

APPENDIX 7: Health facilities offering non-communicable diseases and mental health services Treatment of High Blood Treatment of Treatment of chronic Pressure and Cardiovascular Mental Health facility name: diabetes respiratory condition diseases Health care

Askira- Uba Alheri Clinic x x x x EYN Clinic Wamdeo x x x FSP Clinic x General Hospital Lassa x x x General Hospital Uba x x x x General Hospital Zadawa x x x Model Primary Health Care Centre (MPHC) Rumirgo x x Ngurthavu Health Clinic x Tampul Dispensary (Temp) x x x Yimir Ali Health Clinic x Banki IDP Camp Clinic x x General Hospital Bama IDP Camp Clinic x x x x NAF Emergency Hospital x x x x Bayo Balbaya MCH Clinic x x x Briyel MCH Clinic x Chekele Dispensary x

Fikayel PHC Clinic x x Gamadadi Comprensive Health Centre x x General Hospital Briyel x x x x Guburunde Dispensary x Guvayako Dispensary x Jaradali PHC Clinic x x x x Jaragol PHC Clinic x Korko Dispensary x x Kuva Health Clinic x x Maina Baba Dispensary (Temp) x Teli PHC Clinic x x x x H e R A A R e H S M Wuyo PHC Clinic x x x Zara Dispensary x x Biu Bam dispensary (temp) x x Bera Dispensary x x Berum Dispensary x x x Biu Town Dispensary x x x Duzuwa Dispensary x Garubula Sabo Health Centre x x x x General Hospital Biu x x x x GGSS Biu x x Gunda Comprensive Health Centre x x MCH Clinic Biu x x Mirnga MCH Clinic x x Vocational Training Centre x x Chibok Federal Medical Health Clinic (Temp) x Garu Primary Healthcare Centre x x Gatamarwa Dispensary x General Hospital Garu x x x x Hirpaya Dispensary x Korongilum Dispensary x Kuburmbula Dispensary x

66

Mboa Kura Dispensary x MCH MBALALA x x x Model Primary Health Care Centre (MPHC) Shikarkir x (Temp) Njilang Dispensary x Paya Yesu Dispensary x Pemi Dispensary x x Damboa Central Pri. Sch. x General Hospital x Hausari IDP camp x Malaharam Dispensary x Sabon Gari Dispensary x Dikwa Dikwa MCH Clinic x x x x Sangaiya IDPs Camp x x x Shehu Sanda Kyarimi IDPs x x Gubio Dunga Dispensary x Goni Abatchari Health Clinic x Gubio MCH Clinic x x x Ngetra CHC x Gwoza

General Hospital Gwoza x Pulka Health Clinic x Pulka MCH x Hawul EYN Dispensary Shaffa (Temp) x x FSP Clinic Ghumma x General Hospital Azare x x x x General Hospital Marama x x x x Gula Dispensary x Gyung Health Post x Kida PHC Clinic x x x

Kirputu PHC Clinic x H e R A M S M A R e H Kukurupu Dispensary x x Kwayabura Dispensary x x Mbulatawiwi Dispensary x Pelathabu Dispensary x Sakwa PHC Clinic x x Shaffa PHC Clinic x x x Vinadam Dispensary x x Whitambaya Dispensary x Jere Chad Basin Devt. Authority Health Clinic x x COCIN Clinic Mulai x x x x Dala Dispensary x x Dalaram Health Clinic x x x Dalori IDP Camp Airforce x x x x Dalori Quarters Health Clinic x x Dominion Maternity x x Dusuman Health Clinic x x Farm Centre IDP Camp x x Federal Training Centre Dalori IDP Camp clinic A x x x x Federal Training Centre Dalori IDP Camp clinic B x x x Federal Training Centre Dalori IDP Camp clinic C x x Fori Health Clinic x x

67

General Hospital Molai x x x x Gomari Health Clinic x x x Gongulong Comprensive Health Centre x x Goni Kachallari IDP Camp x x x IDP Camp Custom House x Jiddari Health Clinic x x Madinatu IDP Camp x x Maimusari Health Clinic x x Mairi Health Clinic x x Mashamari Health Clinic x Muna IDP Camp Clinic A x Rehabilitation Centre IDP Camp x x x Taimakon Jamaa Health Clinic x x x x Umaru Shehu Ultra-Modern Hospital x x x x UniMaid Health Clinic x x x x Zabarmari Health Clinic x x x Kaga Benisheik MCH Clinic x x x General Hospital Benisheikh x x x Ngamdu MCH Clinic x Konduga 1000 Housing Estate Health Clinic x 250 Housing Estate (Kofa) Camp Clinic x x

400 Housing Estate Gubio Road IDP Camp Clinic A x x x x

400 Housing Estate Gubio Road IDP Camp Clinic B x x 777 Housing Estate Health Clinic x x Boarding Primary School IDP Camp x x Dalori Health Clinic x x Jakana IDP Camp x Kaka Mallam Yale MCH x x Kimeri Health Clinic x Malari Dispensary x x x x NAF Medical centre x x x x Njimtilo Health Clinic x

Pompomari Health Clinic x H e R A A R e H S M Tungushe Health Clinic x Kwaya Kusar Babadidi Health Clinic x x x x Bahai Dispensary x x x Bilazi Dispensary x x x x Diyar Dispensary x x x EYN Fesingo Health Clinic x x x EYN Wandali Health Clinic x x x Fika Dispensary x x x Gadam Dispensary x x General Hospital Kwaya x x x x Guba dispensary (temp) x x Gusi Dispensary x x x Guwal Dispensary x x x Juggal Dispensary x x x Kogu Dispensary x x Kubuku Dispensary x x Kurbagayi MCH Clinic x x Kurbagayi PHC Clinic x x Kwardum Dispensary x x Kwaya Kusar MCH Clinic x x Kwaya Town Dispensary x x x x

68

Peta Dispensary x x x Savira Dispensary x x Wandali PHC Clinic x x x x Wawa Dispensary x x x Yimirdalang PHC Clinic x x x Mafa Ajjari IDP camp x x x x Gwozari MCH Clinic x x x Malakyariri Health Clinic x x x Magumeri Borno Yesu dispensary x Ardoram Dispensary x x x Furram Dispensary x General Hospital Magumeri x Hoyo Health Clinic x Kaijiya Dispensary x Kareram Dispensary x Karnowa Health Clinic x x x Magumeri MCH Clinic x x MCH Madamari x Model Primary Health Care Centre (MPHC) Gajiganna x x Njingowa health clinic x Titiwa Dispensary x Abbaganaram Clinic x Baga Motor Pack Dispensary Bakasi Camp Munguno Clinic B x Bolori CHC x Borno Medical x x x x CBN Quarters camp Clinic x Fatima Ali Sheriff Clinic x x x Gamboru Clinic x Gwange 1 Dispensary x Gwange MCH Clinic x x x

Kanem Health Post x x x x H e R A A R e H S M Mala Kachalla Comprensive Health Centre x x Maman Shuwa Memorial Hospital x x x x Mogcolis Camp Clinic x x x Nakowa Specialist Hospital x x x x Nursing Village Camp Clinic x NYSC Camp Borno Camp Clinic x x x Ramat Clinic x x x x Shehu's Palace Clinic x State Psychiatric Hospital x State Specialist Hospital x x x Sunni Hospital x x x Teachers Village Camp Clinic x x x Zamani Clinic x x x x Monguno FSP Clinic x General Hospital Monguno x x x ICRC GGSS IDP Camp Clinic x x Monguno Town Dispensary x x x UNICEF GDSS IDP Camp Clinic x x UNICEF GGSS IDP Camp Clinic A x UNICEF GSSS IDP Camp Clinic x x UNICEF IDPs Clinic x Ngala

69

Gamboru C Dispensary (Temp) x x x Gamboru MCH (Temp) x x x x ISS IDP Camp x x x x Ngala Health Post x x x Nganzai Gajiram FSP x x Shani Bakaina Dispensary x x x Bargu MCH Clinic x x x Budam Dispensary x x x Buma Dispensary x Burashika Dispensary x x x Gari Dispensary (Temp) x x General Hospital Shani x x x x Gora Dispensary x Gunduri Dispensary x x x Gwaskara Dispensary x x x Jeki Dispensary x x x Kareji Dispensary x Kashim Dispensary x x x Kombo Dispensary (Temp) x x x Kubo Comprensive Health Centre x x x Kubodeno Dispensary x x

Kurungulung Dispensary x x x Kwahara Dispensary x x x Labilis Dispensary x x x x Lajada Dispensary x Lakundum Dispensary x x x Lawalam Gora Dispensary x Nahuta Dispensary (Temp) x x x Ngambu Dispensary x x x Pahara (ECWA) Dispensary x Pahara Dispensary (Temp) x x Pitilla Dispensary x x x H e R A A R e H S M Shani MCH Clinic x x x Walama Dispensary x x x Wunje Dispensary x x x Wuroboki Dispensary x x x

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APPENDIX 8: Health facilities offering services on environmental health(safe waste disposal and management)

Health facility name: Korongilum Dispensary T/ Alade Dispensary Askira- Uba Kuburmbula Dispensary Vinadam Dispensary Alheri Clinic Mboa Kura Dispensary Whitambaya Dispensary EYN Clinic Wamdeo MCH MBALALA Yimirshika Health Post FSP Clinic Model Primary Health Care Centre (MPHC) Shikarkir (Temp)Jere General Hospital Lassa Njilang Dispensary Chad Basin Devt. Authority Health Clinic General Hospital Uba Paya Yesu Dispensary COCIN Clinic Mulai Giwi Dispensary Pemi Dispensary Dala Dispensary Husara Health Clinic Damboa Dalaram Health Clinic Kopa Dispensary (Temp) Central Pri. Sch. Dalori IDP Camp Airforce Muffa Dispensary Damboa Town Dispensary Dusuman Health Clinic Mussa PHC Clinic Delta Base - Damboa MSF Farm Centre IDP Camp Uda Dispensary Gen. Hospital IDP Camp Clinic MSF Federal Training Centre Dalori IDP Camp clinic A Uvu Health Centre Gumsuri Dispensary Federal Training Centre Dalori IDP Camp clinic B Banki IDP Camp Clinic Hausari IDP camp Federal Training Centre Dalori IDP Camp clinic C General Hospital Bama IDP Camp Clinic Hausari MSF Clinic Fori Health Clinic NAF Emergency Hospital Kauji Dispensary General Hospital Molai

Bayo Nzuda Mairi Dispensary Gomari Health Clinic

Balbaya MCH Clinic Sabon Gari Dispensary Gongulong Comprensive Health Centre General Hospital Briyel Shuwari Host Community Clinic-UNICEF (Temp) Goni Kachallari IDP Camp Jaradali PHC Clinic Dikwa IDP Camp Custom House Jaragol PHC Clinic Dikwa MCH Clinic Madinatu IDP Camp Laroh Dispensary Sangaiya IDPs Camp Maimusari Health Clinic Teli PHC Clinic Shehu Sanda Kyarimi IDPs Mairi Health Clinic Wuyo PHC Clinic Gubio Mashamari Health Clinic Biu Diwga Dispensary Muna IDP Camp Clinic A Bam dispensary (temp) Goni Abatchari Health Clinic Muna IDP Camp Clinic B Bera Dispensary Gubio MCH Clinic Rehabilitation Centre IDP Camp

Berum Dispensary Ngetra CHC Taimakon Jamaa Health Clinic H e R A A R e H S M Biu Town Dispensary Gwoza Umaru Shehu Ultra-Modern Hospital Buratai Health Centre General Hospital Gwoza UniMaid Health Clinic Debiro Dispensary Pulka Health Clinic Zabarmari Health Clinic Duzuwa Dispensary Hawul Kaga Garubula Sabo Health Centre Chata Dispensary Benisheik MCH Clinic General Hospital Biu EYN Dispensary Shaffa (Temp) General Hospital Benisheikh GGSS Biu FSP Clinic Ghumma Ngamdu MCH Clinic Gunda Comprensive Health Centre General Hospital Azare Konduga Gur Dispensary General Hospital Marama 1000 Housing Estate Health Clinic Gur Garubula Dispensary Gula Dispensary 250 Housing Estate (Kofa) Camp Clinic Maina Hari Clinic Gwalam Dispensary 400 Housing Estate Gubio Road IDP Camp Clinic A Mandafuma Dispensary Gyung Health Post 400 Housing Estate Gubio Road IDP Camp Clinic B MCH Clinic Biu Hema Health Post 777 Housing Estate Health Clinic Mirnga MCH Clinic Hyera Dispensary Auno Health Clinic Tum Dispensary Kida PHC Clinic Boarding Primary School IDP Camp Vocational Training Centre Kirputu PHC Clinic Chabbal Health Clinic Yawi Dispensary Kukurupu Dispensary Dalori Health Clinic Chibok Kwayabura Dispensary Jakana IDP Camp Federal Medical Health Clinic (Temp) Mbulatawiwi Dispensary Kaka Mallam Yale MCH Garu Primary Healthcare Centre Pama Dispensary Kimeri Health Clinic Gatamarwa Dispensary Pelathabu Dispensary Malari Dispensary General Hospital Garu Sakwa PHC Clinic NAF Medical centre Hirpaya Dispensary Shaffa PHC Clinic Pompomari Health Clinic

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Tungushe Health Clinic General Hospital Magumeri FSP Clinic Kwaya Kusar Model Primary Health Care Centre (MPHC) Gajiganna ICRC GGSS IDP Camp Clinic Babadidi Health Clinic Baga Motor Pack Dispensary Monguno Town Dispensary Bahai Dispensary Bolori CHC UNICEF GDSS IDP Camp Clinic Bilazi Dispensary Borno Medical UNICEF GGSS IDP Camp Clinic A Diyar Dispensary Bulabulin dispensary UNICEF GSSS IDP Camp Clinic EYN Fesingo Health Clinic CBN Quarters camp Clinic UNICEF IDPs Clinic EYN Wandali Health Clinic EYN (CAN Centre) Camp Clinic UNICEF Kuya IDP Camp Clinic Fika Dispensary Fatima Ali Sheriff Clinic Ngala Gadam Dispensary Gamboru Male Dispensary Gamboru C Dispensary (Temp) General Hospital Kwaya Gwange MCH Clinic Gamboru MCH (Temp) Gusi Dispensary Kanem Health Post Nganzai Juggal Dispensary Mala Kachalla Comprensive Health Centre Gajiram MCH clinic Kogu Dispensary Maman Shuwa Memorial Hospital Gasarwa Health Clinic Kubuku Dispensary Mogcolis Camp Clinic General Hospital Gajirm (Temp) Kurbagayi PHC Clinic Nakowa Specialist Hospital Kuda Lawanti Health Clinic Kwardum Dispensary Ngarannam Health Clinic Shani Kwaya Kusar MCH Clinic Nursing Village Camp Clinic Bargu MCH Clinic Kwaya Town Dispensary NYSC Camp Borno Camp Clinic General Hospital Shani Peta Dispensary Ramat Clinic Gwaskara Dispensary Wandali PHC Clinic Shehu's Palace Clinic Kubo Comprensive Health Centre Wawa Dispensary State Specialist Hospital Kurungulung Dispensary Yimirdalang PHC Clinic Teachers Village Camp Clinic Lawalam Gora Dispensary Mafa Yerwa Clinic Shani MCH Clinic Ajjari IDP camp Zamani Clinic Wunje Dispensary Gwozari MCH Clinic Monguno Wuroboki Dispensary Magumeri ACF NRC IDP Camp Clinic

Borno Yesu dispensary ACF Water Board IDP Camp Clinic

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APPENDIX 9: Health facilities offering vital data collection and statisticsservices

Health facility name:

IDSR?

NHMIS?

EWARS?

deliveries, deliveries,

laboratory

the facility the facility

NHMIS data: data: NHMIS

report to the the to report the to report the to report

EWARS data: data: EWARS

OPD, IPD, ANC, ANC, IPD, OPD,

Health records: records: Health

IDSR data: does does data: IDSR

does the facility the facility does the facility does Askira- Uba Alagarno Dispensary x Alheri Clinic x x x Dille Dispensary (Temp) x x x EYN Clinic Wamdeo x x x EYN Dispensary x FSP Clinic x x x x General Hospital Lassa x x x x General Hospital Uba x x x General Hospital Zadawa x x x Giwi Dispensary x Gwandang Dispensary (Temp) x Husara Health Clinic x x x x Kopa Dispensary (Temp) x x Leho B Dispensary (Temp) x Model Primary Health Care Centre (MPHC) Rumirgo x x x x

Muffa Dispensary x

Mussa PHC Clinic x x x Ngohi Dispensary x Ngurthavu Health Clinic x x x Tampul Dispensary (Temp) x Uba town Dispensary x x x x Uda Dispensary x Uvu Health Centre x x x Wamdeo Dispensary x Yimir Ali Health Clinic x x Zadawa Dispensary (Temp) x x Banki IDP Camp Clinic x x

H e R A A R e H S M General Hospital Bama IDP Camp Clinic x x x NAF Emergency Hospital x x x Bayo Balbaya MCH Clinic x x x x Briyel MCH Clinic x x x x Chekele Dispensary x Fikayel PHC Clinic x x x x Gamadadi Comprensive Health Centre x x x x Garin Gado Dispensary x General Hospital Briyel x x x x Jaradali PHC Clinic x x x x Jaragol PHC Clinic x x x x Korko Dispensary x Kuva Health Clinic x Limanti Dispensary (Temp) x x Maina Baba Dispensary (Temp) x Teli PHC Clinic x x x x Wuyo PHC Clinic x x x x Zara Dispensary x x x Biu Bera Dispensary x x x x Berum Dispensary x x Biu Town Dispensary x x x x Buratai Health Centre x x x x Charangi dispensary x x x x

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Debiro Dispensary x x x FSP Clinic x x x x Garubula Sabo Health Centre x x x x General Hospital Biu x x x x GGSS Biu x x x Gunda Comprensive Health Centre x x x x Gur Dispensary x x x x Gur Garubula Dispensary x x x Hizhi dispensary x x x x Maina Hari Clinic x x x Mandafuma Dispensary x x x Mandaragrau Health Centre x x x x MCH Clinic Biu x x x Mirnga MCH Clinic x x x x Tum Dispensary x x x x Vocational Training Centre x x x Yawi Dispensary x x x x Chibok Federal Medical Health Clinic (Temp) x x x x Garu Primary Healthcare Centre x x x x Gatamarwa Dispensary x x x x General Hospital Garu x x x x Hirpaya Dispensary x

Korongilum Dispensary x x x x Kuburmbula Dispensary x x x x Mboa Kura Dispensary x x x x MCH MBALALA x x x x Model Primary Health Care Centre (MPHC) Shikarkir (Temp) x x x x Njilang Dispensary x x x Pemi Dispensary x x x x Damboa Azir Health Clinic x x Central Pri. Sch. x Damboa MCH Clinic x x Damboa Town Dispensary x x x H e R A A R e H S M Delta Base - Damboa MSF x x Gen. Hospital IDP Camp Clinic MSF x x General Hospital x Gumsuri Dispensary x Hausari IDP camp x x Hausari MSF Clinic x x Kauji Dispensary x Malaharam Dispensary x x Sabon Gari Dispensary x x Shuwari Host Community Clinic-UNICEF (Temp) x Dikwa Dikwa MCH Clinic x x x Sangaiya IDPs Camp x x x Shehu Sanda Kyarimi IDPs x x x x Gubio Bazam Dispensary x x Diwga Dispensary x x x Dunga Dispensary x x x Goni Abatchari Health Clinic x x Gubio MCH Clinic x x x Ngetra CHC x x x Gwoza General Hospital Gwoza x x Pulka Health Clinic x x Pulka MCH x x x Hawul

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EYN Dispensary Shaffa (Temp) x FSP Clinic Ghumma x x Gangshaffa Dispensary x General Hospital Azare x x x x General Hospital Marama x x x x Gula Dispensary x x Gwalam Dispensary x x Hyera Dispensary x x x x Kida PHC Clinic x x x x Kidang Dispensary x Kirputu PHC Clinic x x x x Kukurupu Dispensary x Kwayabura Dispensary x x x x Mbulatawiwi Dispensary x x Pama Dispensary x x x x Pelathabu Dispensary x Sakwa PHC Clinic x x x x Shaffa PHC Clinic x x x Vinadam Dispensary x x x x Whitambaya Dispensary x x x x Yimirshika Health Post x x Jere Chad Basin Devt. Authority Health Clinic x x x COCIN Clinic Mulai x x x

Dala Dispensary x x x

Dalaram Health Clinic x x x x Dalori IDP Camp Airforce x x x x Dalori Quarters Health Clinic x x x x Dominion Maternity x x x Dusuman Health Clinic x x x x Farm Centre IDP Camp x x x x Federal Training Centre Dalori IDP Camp clinic A x x x x Federal Training Centre Dalori IDP Camp clinic B x x x x Federal Training Centre Dalori IDP Camp clinic C x x x x Fori Health Clinic x x x x General Hospital Molai x x

H e R A A R e H S M Gomari Health Clinic x x x x Gongulong Comprensive Health Centre x x x Goni Kachallari IDP Camp x x x x IDP Camp Custom House x x x x Jiddari Health Clinic x x x x Madinatu IDP Camp x x x Maimusari Health Clinic x x x x Mairi Health Clinic x x x Mashamari Health Clinic x x x x Muna IDP Camp Clinic A x x x x Muna IDP Camp Clinic B x x x x Rehabilitation Centre IDP Camp x x Taimakon Jamaa Health Clinic x x Umaru Shehu Ultra-Modern Hospital x x x x UniMaid Health Clinic x x x Zabarmari Health Clinic x x x x Kaga Benisheik MCH Clinic x x x x General Hospital Benisheikh x Ngamdu MCH Clinic x x x x Konduga 1000 Housing Estate Health Clinic x x x x 250 Housing Estate (Kofa) Camp Clinic x x x 400 Housing Estate Gubio Road IDP Camp Clinic A x x x 400 Housing Estate Gubio Road IDP Camp Clinic B x x x

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777 Housing Estate Health Clinic x x Auno Health Clinic x x x x Boarding Primary School IDP Camp x x x x Chabbal Health Clinic x x x x Dalori Health Clinic x x x Jakana IDP Camp x x x Kaka Mallam Yale MCH x x x Kimeri Health Clinic x x x Konduga MCH Clinic x x Malari Dispensary x x x NAF Medical centre x x Njimtilo Health Clinic x x x Pompomari Health Clinic x x x x Tungushe Health Clinic x Kwaya Kusar Babadidi Health Clinic x x x Bahai Dispensary x x x Bilazi Dispensary x x x Diyar Dispensary x x x x EYN Fesingo Health Clinic x x x EYN Wandali Health Clinic x x x Fika Dispensary x x x Gadam Dispensary x x x General Hospital Kwaya x x x Guba dispensary (temp) x x x Gusi Dispensary x x x x Guwal Dispensary x x x x

Juggal Dispensary x x x

Kogu Dispensary x x x x Kubuku Dispensary x x x Kurbagayi MCH Clinic x x x Kurbagayi PHC Clinic x x x x

Kwardum Dispensary x x H e R A R e H S M Kwaya Kusar MCH Clinic x x x Kwaya Town Dispensary x x x x Peta Dispensary x x x x Wandali PHC Clinic x x x x Wawa Dispensary x x x x Yimirdalang PHC Clinic x x x x Mafa Ajjari IDP camp x x x x Gwozari MCH Clinic x x x x Magumeri Borno Yesu dispensary x x Ardoram Dispensary x x Furram Dispensary x x x General Hospital Magumeri x x x Hoyo Health Clinic x x x Kaijiya Dispensary x x Kareram Dispensary x x x Karnowa Health Clinic x x MCH Madamari x x Model Primary Health Care Centre (MPHC) Gajiganna x x x Njingowa health clinic x x x Titiwa Dispensary x x Abbaganaram Clinic x x x x Baga Motor Pack Dispensary Bakasi Camp Guzamala Clinic A x x Bakasi Camp Munguno Clinic B x x x x Bolori CHC x x x Borno Medical x

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Bulabulin dispensary x x x CBN Quarters camp Clinic x x Epid Unit Health Clinic x EYN (CAN Centre) Camp Clinic x x x x Fatima Ali Sheriff Clinic x x x x Gamboru Clinic x x x x Gamboru Male Dispensary x x x Gwange 1 Dispensary x x x Gwange MCH Clinic x x x x Kanem Health Post x x Mala Kachalla Comprensive Health Centre x x x x Maman Shuwa Memorial Hospital x x x x Mogcolis Camp Clinic x x x x Nakowa Specialist Hospital x x Ngarannam Health Clinic x x x x Nursing Village Camp Clinic x x x NYSC Camp Borno Camp Clinic x x Ramat Clinic x x Shehu's Palace Clinic x State Psychiatric Hospital x State Specialist Hospital x x x x Sunni Hospital x x x Teachers Village Camp Clinic x x x x Yerwa Clinic x x x x

Zamani Clinic x x x Monguno ACF NRC IDP Camp Clinic x x x ACF Water Board IDP Camp Clinic x x x FSP Clinic x x x General Hospital Monguno x x x x ICRC GGSS IDP Camp Clinic x x x Monguno Town Dispensary x x x x UNICEF GDSS IDP Camp Clinic x x x UNICEF GGSS IDP Camp Clinic A x x x UNICEF GSSS IDP Camp Clinic x x x UNICEF IDPs Clinic x x x x H e R A A R e H S M UNICEF Kuya IDP Camp Clinic x x x Ngala Gamboru C Dispensary (Temp) x x Gamboru MCH (Temp) x x x ISS IDP Camp x x x Ngala Health Post x x Nganzai Gajiram FSP x x Gajiram MCH clinic x x x Gasarwa Health Clinic x x General Hospital Gajirm (Temp) x x Kuda Lawanti Health Clinic x x Shani Bakaina Dispensary x x x Bargu MCH Clinic x x x x Budam Dispensary x x x Buma Dispensary x x x x Burashika Dispensary x x x Gari Dispensary (Temp) x x General Hospital Shani x x x x Gora Dispensary x x x x Gunduri Dispensary x x x Gwaskara Dispensary x x x Jeki Dispensary x x x Kareji Dispensary x x x x

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Kashim Dispensary x x x Kombo Dispensary (Temp) x x x Kubo Comprensive Health Centre x x x x Kubodeno Dispensary x x x x Kurungulung Dispensary x x x Kwahara Dispensary x x x Labilis Dispensary x x x Lajada Dispensary x x x x Lakundum Dispensary x x x x Lawalam Gora Dispensary x x x Nahuta Dispensary (Temp) x x x Pahara Dispensary (Temp) x x x Pitilla Dispensary x x x Shani MCH Clinic x x x x Walama Dispensary x x x x Wunje Dispensary x x x Wuroboki Dispensary x x x x

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Fadagwe Dispensary Dogoshi Health Clinic APPENDIX 10: List of non- Guduf Dispensary Doran Naira Health Clinic functional health facilities Warabe Dispensary Doro PHC Clinic Hawul FSP Cross clinic in Borno state Harang Dispensary Askira-Uba Lokoja Dispensary General Hospital Kukawa Ngulde Dispensary Jere Kangarwa Health Clinic Bama 505 Housing Estate Health Clinic Kekeno PHC Clinic Bama MCH Clinic 7 Division Hospital Maimalari Kukawa MCH Clinic Banki Health Clinic Aliturari Dispensary Kwata Daban Masara PHC Clinic COCIN Clinic Bama Divine Health Clinic Malam Bayeri Dispensary Islamiyya IDP Camp Clinic Giwa Barrack Clinic Mile 90 PHC Clinic UMTH Comprensive Health Centre Kesa Kura Dispensary Shiwaram Health Clinic Biu Khadamari Health Clinic Yoyo Health Clinic Kimba Dispensary Royal Hospital Mafa Liya Dispensary Kaga Mafa MCH Clinic Mirnga Dispensary Maintakururi MCH Clinic Maiduguri Nguma Dispensary Tamsu Kawu PHC Clinic Baga Motor Pack Dispensary Chibok Kala Balge Herwa Peace Health Clinic EYN Kuburmbula Dispensary Kalma Health Clinic Marte

Damboa Sigal MCH Clinic Ala Dispensary General Hospital Damboa Tilam Health Clinic Badairi Health Clinic Dikwa Wumbi Health Clinic Borsori Health Clinic Antul Dispensary Konduga Cbda MCH Clinic Boboshe MCH Clinic 28 Housing Health Clinic Chikungudowa Health Clinic Bulonguwa Fadabe Dispensary Abduri Health Clinic General Hospital Marte Bulonguwa Maibe Dispensary Abulam Health Clinic Gunmna Health Clinic Dikwa Dispensary Abusuri Health Clinic Kabulawa Health Clinic Durbe Dispensary Arnari Health Clinic Kaje Health Clinic Gabure Dispensary Aulari Health Clinic Kirenowa Health Clinic Gajibo MCH Clinic Bulabulin Health Clinic Marte MCH Clinic Gamai Dispensary Champu Health Clinic Marte Town Dispensary

General Hospital Dikwa DalwaDispensary Model Primary Health Care Centre H e R A A R e H S M Jejemi Dispensary Dengelti Health Clinic (MPHC) Kulli Musune Health Clinic Kaza Dispensary Gabchari Health Clinic Njillam Health Clinic Kudeye Dispensary General Hospital Konduga Njine Health Clinic Mallam Maja MCH Clinic Jakana Comprehensive Health Centre Zaga Ngalori Health Clinic Mudu Dispensary Jewu Health Clinic Mobbar Mujigute Dispensary Kashimiri Health Clinic Asaga Health Clinic Mukdala Dispensary Kawuri MCH Clinic Chamba Dispensary Muliye Dispensary Kayamla Health Clinic Gashagar Dispensary Muzuguli Dispensary Lawanti Health Clinic General Hospital Zanna Umarti Ngudoram Dispensary Maidurmari Health Clinic Guwa Health Clinic Sogoma Dispensary Mairamri Health Clinic Kareto PHC Clinic Gubio Masba Abbari Health Clinic Layi Health Clinic Baram Kuru Dispensary Masfannamari Health Clinic Meleri Health Clinic Bindondul Dispensary Mastafantamiri Health Clinic Zari Dispensary Gazabure Dispensary Mastagujari Health Clinic Monguno General Hospital Gubio Mauduri Health Clinic Ngollom Health Clinic Model Primary Health Care Centre Model Primary Health Care Centre (MPHC) Musaleri (MPHC) Yale Ngala Model Primary Health Care Centre Muktari Health Clinic Fuye Health Post (MPHC) Zowa Nyaleri Health Clinic General Hospital Ngala Guzamala Sandia Dispensary Ndufu MCH Clinic Aduwa Health Clinic Sherifdariri Health Clinic Nganzai Aligambari MCH Clinic Wanori Health Clinic Gadai Lawanti Health Clinic Bulturam Health Clinic Yabbal Health Clinic Toroea Health Clinic Garanda Health Clinic Yagiwa Health Clinic Goni Adamti Health Clinic Kukawa Gudumbali MCH Clinic Alagarno Health Clinic Guzamala Health Clinic Ali Sheriffti Health Clinic Mairari PHC Clinic Baga COCIN Health Clinic Gwoza Bundur Health Clinic EYN Clinic Dabar Masara Health Clinic

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