Federal Democratic Republic of Ethiopia

Ministry of Health

Information revolution (IR) Model facility

Master Facility
Learning Registry
hospitals’ training

Session Three: MFR data content

August /2019
 Session Objective
The objectives of this session are:
 To provide overview of Master facility Registry (MFR)

 To understand the benefits of MFR and its role in the

Ethiopian e-health architecture
 MFR Data Content
The MFR data content refers to the information or data
elements that relate to each facility included in the MFR.

Typically, an MFR includes both:

Service
Signature
domain
domain
(data on
(data to the service capacity of
identify and contact the facility)
the facility)
 MFR Data Content
 Data elements for the signature domain are required while
others, including service domain data, are desirable but
optional.

 The inclusion in an MFR of additional or optional data may

be useful to MFR data consumers but, ultimately, the more
data included in the MFR, the greater the cost and the
effort required to update and maintain the MFR.

 Decision regarding which data to include in the MFR must

necessarily balance the basic needs of data consumers
with the potential costs of collecting additional data on all
facilities, and to regularly update and verify that data.
Signature Domain

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 Signature domain data
 The signature domain contains data elements that are used to
establish a “fingerprint” for a facility. Has information necessary
to uniquely identify, locate, and contact a specific facility.

• These data elements should not change substantially over

time and constitutes the minimum data content for the MFR.

The following signature domain data elements are included:

1. Unique Facility Identifier 8. Facility physical Location
2. Facility Name 9. Geographic coordinates
3. Facility Old/Other Name 10. Date opened
4. Facility Type 11. Facility Contact information
5. Facility Ownership 12. Head of facility contact information
6. Operational status 13. Date License renewed
7. Administrative Area 14. Settlement
Unique Facility Identifier
 A unique identifier that identifies a specific facility and
distinguishes it from all others. Numbers are often used as
unique identifiers for facilities. They are simple, compact, and
can be stored in any system.

 Unique Facility Identifier -is an auto-generated sequential

number allocated to each Health institutions (which includes
both administrative and health facilities) when it is added to
the master list.

 The process will generate a new unique identifier to all health

institutions based on a predefined criteria.
Facility Name
 This is the formally documented official name of the
facility. It is important not to include the administrative
unit’s name or level in the name of the facility, unless it is
part of the official name. The location or the type of facility
should only be included in the facility name if it is
included in the official name.

Data Rule:
- The name should be in Proper Case (First letter of each word
should be capitalized, except for prepositions)
- There should be one space between each word.
- Avoid abbreviations.
- Facility name should be registered in English

Data Source: Official license certificate from authorized body

Old/Other Name of the facility
 This is the previous/old/legacy/other alternative name that
the facility has.

Data Rule:
- The name should be in Proper Case (First letter of each word
should be capitalized, except for prepositions)
- There should be one space between each word
- Facility old/other name should be registered separately and
in English

Data Source: From previous systems, previous license

Facility Type
 Facility types should be determined and supported with
official certificate by respective authority. It includes:
- Hospitals (Comprehensive Specialized, General & Primary H)
- Health Center
- Health Post
- Clinics (Primary, Medium & Institution based clinics)
- Specialty Clinics
- Specialty Center
- Laboratories (Basic, Advanced)
- Imaging centers (Basic, Advanced)
- Pharmacies/Retail outlets (Drug store, Pharmacy)
- Others
Data Rule:
- A facility should have only one facility type. But in case of
specialty center, more than one sub type can be selected.
Data Source: Official license certificate from authorized body
Old/Other Name of the facility
Specialty Clinics Specialty Center
Obstetrics and gynecology clinic Maternal and Child Health (MCH) Center
Pediatric clinic Internal Medicine Center
Internal Medicine clinic Surgery Center
Surgery clinic Pediatric Center
Orthopedic clinic Orthopedic Center
Chest clinic Trauma Center
Neurology clinic Cardiac Center
Gastroenterology clinic Oncology Center
ENT clinic Neurology Center
Ophthalmology clinic Gastroenterology Center
Psychiatry and mental health clinic Renal Center
Dental clinic ENT Center
Cardiovascular clinic Ophthalmology
Rheumatology Clinic Psychiatry and rehabilitation
Nephrology Clinic IVF (In-vitro Fertilization) center
Dialysis Clinic Aesthetic and antiaging
Dermatology clinic Chiropractic Center
Physiotherapy clinic
 Ownership/Managing Authority
 It describes about who owns/manages the health
facilities. Ownership for a facility is established during the
registration process. It is classified as:

1. Public/Government: Owned by government

2. Other Government: Owned by other government such as
Military, Police, Prisons, universities, factories and others
3. Private for profit: Owned by private owner/s established for
profit making.
4. Private not for profit: Owned by organizations not established
for profit purpose (FBOs, NGOs etc)

Data Rule: Only one owner at a time.

Data Source: Official license certificate from authorized
body
 Operational Status
 It shows the operational status of a health facility.
operational status can be:

Operational: Facility is open and providing services

Currently Not Operational: A facility stopped providing
service for a temporally (Non-regulatory reasons)
Pending: A facility that has been approved and licensed but
not yet operational
Closed: A facility that was operational but is now
permanently closed
Doesn’t Exist: A facility whose physical existence cannot
be verified
Duplicate: Exists and is properly licensed but is effectively
a duplicate of another facility.
Suspended: A facility that is temporarily closed (Due to
regulatory reasons)

Data Rule: One operational status at a time.

Data Source: Official license certificate
 Administrative area
 This shows the administrative hierarchy that includes
Region, Zone, Woreda, city/town (Optional) and Kebele in
which the facility is located.

 The MOH may maintain Region, Zone, Woreda and Kebele

(i.e., administrative areas that are specific to the function
of the health sector), the list will be always refer and use
the government structure to be consistent with changes.

Data Rule: One facility should have only one administrative

area within each hierarchy.
Data Source: Central Statistics Agency hierarchy data and
License certificate.
 Facility physical Location
 While administrative divisions are geographic boundaries that
divide Ethiopia into manageable subunits, there are other
location-related data for a health facility that more precisely
describe its specific location.

• It includes:
o Physical locations includes:
o Specific area name
o Street number
o house number.

Data Rule: The location description/landmarks for a given health

facility should give reference to its physical address including
as much descriptive information as possible (i.e.,
neighborhood, physical landmarks, etc.).

Data Source: Facility, Woreda Health Office

Geographic coordinates/Latitude and
Longitude
 The geographic coordinates refer to the physical location
of the facility, typically represented as latitude (S),
longitude (E) and Altitude (Elevation)

 Physical location of the facility typically represented as

latitude and longitude using appropriate device to capture
the coordinates.

Data Rule: Both latitude and longitude should be specific in

decimal degrees. Example: For Addis Ababa it is:
Latitude 9.005401
Longitude 38.763611

Data Source: Survey, from existing other data sources.

 Date of inaugurated/ opened/
upgraded
 It refers to when the facility gets operational or start
to give services. If a facility is upgraded from a
Health Post to a health center this data is updated to
reflect the date when the change occurred.

Data Rule:
 The date opened is a date only and should follow the
Ethiopian Calendar.

oDate in the format dd/mm/yyyy Example:

21/06/1989
Data Source: Facility in charge or woreda office
Facility Contact Information:

 These contain information the facility uses as a means

of communication.
 Includes; official phone number (The telephone of the
head or technical leader if the facility doesn’t have
phone number), official fax, official email address,
P.O.Box or official web sites of the facility.

Data Rule: It should have at least one means of

communication.

Data Source: Facility, Woreda Health Office and/or

administrative hierarchy.
Head of Facility/ Technical leader
Contact Information:
 These refers to point of contact of the facility (head of the
facility/technical leader) information that will be used for
communication.

 In case of private facilities, the name of the owner could

be considered as they may not have a facility head.

Head of facility Contact Information Include, full name,

Phone number and email address.

Data Rule: Name should be full name (First, middle and last
name)
Data Source: Facility
Date of License last renewed
 It refers to when the facility gets its license renewed. In
reality, health facilities are expected to renew their license
every year. This also includes the license date for the first
time and subsequent renewals.

Data Rule:
 The date license last renewed is a date only format and
should follow the Ethiopian Calendar.
 Date in the format dd/mm/yyyy Example: 21/06/1989

Data Source: License document

Settlement:
 This shows whether the facility is in rural or urban area,
based on CSA’s definition.

 Urban center is defined as a locality with 2,000 or more

inhabitants. Moreover, all administrative capitals (Region,
Zone and Wereda), and localities in which urban dwellers’
associations were established were considered as urban
centers, irrespective of the population size.

 Settlement is either Urban or rural

Data Rule: One value (Either rural or urban) & is string

Data Source: CSA report

Service Domain

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 Service domain data
 Contains data elements that describes the infrastructure,
basic services and human resource;

 Compared with signature domain data elements, these

data elements tend to change more frequently, so greater
effort is required to keep the data up to date.

INFRSASTRUCTURE
1. Infrastructure
2. Number of rooms SERVICES OFFERED
3. Number of Beds 1. Diagnostic and imaging center
4. Transport available 2. Clinical service
5. Latrine
6. Source of water HUMAN RESOURCES
7. Source of power
8. Waste management facilities
9. Communication facilities
10. ICT infrastructure
 Number of Rooms:
 Enter in the total number of rooms.
INFRSASTRUCTURE INFRSASTRUCTURE ……
1. Reception 11. Imaging center (X-ray,
2. Record room MRI, CT scan, Mammography
3. Emergency Room and other
4. OPD Room 12. ICU room
5. IPD Room 14. Treatment/Injection Room
6. Growth Monitoring and 15. NICU room
Immunization room 16. Morgue Room
7. Laboring room 17. Laundry Room
8. Delivery room 18. Food and Dietary Room
9. Post-delivery room 19. Sterilization Room
10. Nursery and kitchen room 20. Latrine room
11. Laboratory Room 21. Administration Room
12. Pharmacy room 22. Other rooms
13. Major OR room
14. Minor OR room
Number of Beds:
 Enter the total number of functional beds for each of the
following rooms. This doesn’t include couch.

 Includes the following:

o Inpatient beds
o Laboring and delivery beds
o Emergency beds
o ICU beds
o NICU beds
o Recovery beds

Data Rule:
 Only numeric value will be entered.
 Total number of functional beds.
Data Source: Facility information & Regulatory office
Transport available:
 Refers to the number of functional vehicles available for
transportation for a particular facility.

 It may be stationed at that facility or woreda health

office.
 Includes the following:
o Ambulances
 Shared
 Owned
o Cars
o Motorcycles

Data Rule: Number of functional transportation service

owned ambulances

Data Source: Facility

Latrine:
 This refers to the availability of latrine in the facility
separated for male and female.

 Includes the following:

o Latrine type might be:
o Flush/pour flush to piped sewer system;
o Flush/pour flush to septic tank;
o Flush/pour flush to pit latrine, soak pit or
cesspool;
o Ventilated improved pit (VIP) latrine;
o Pit latrine with cleanable slab;
o Composting latrine
o Unimproved latrine

Data Rule: Yes or No /Type

More than one type can be available
Data Source: Facility
Source of water:
 This refers to where the facility gets water and from what
source. The source of water could be:

 Includes the following:

o Protected Spring or Well
o Tube well or borehole Pipe
o Public tap/standpipe
o Roof Catchment
o Unprotected source
o No water source

Data Rule: Select one or more type of water source.

Data Source: Facility

Source of Power:
 This refers to where the facility gets power sources. The
source of power can be:

 Includes the following:

o Power Grid-Electricity from the main power line
(Power grid)
o Solar-Electricity from Solar energy
o Generator-Electricity from Generator.
o Biogas
o No Power source

Data Rule: Select one or more type of power source.

Data Source: Facility

Waste management facilities:
 This data element will capture the availability of the
following waste disposal mechanisms.

 Includes the following:

o Placenta pit
o Incinerator
o Surgical waste pit
o Burial pit
o Ash pit

Data Rule:
Yes or No
Select one or more type of waste management facility

Data Source: Facility

Communication Facilities:
 This data element refers to available communication
mechanisms to reach out health facilities and vice versa.

 Includes the following:

o Landline telephone
o Wireless telephone
o Radio
o Cell phone
o Internet (email, website...etc)
o Fax
o None

Data Rule: Choose from the list. More than one can apply.

Data Source: Facility, Survey, Ethio telecom service

directory and coverage.
ICT infrastructure:
 This data element refers to the availability of functional
ICT equipment and infrastructure.

 Includes the following:

o Desk top computer (Functional)
o Laptop (Functional)
o Tablet computers (Functional)
o Wireless Internet access (2G, 3G, 4G)
o Server computers
o Local Area Network
o Virtual Private Network (VPN)

Data Rule:
Select all applied options from the choice.

Data Source: Facility, Survey, Ethio Telecom

 Services Offered:
Diagnostic and imaging services:
 Diagnostic and imaging services available and provided in
the health facility

 Includes the following:

9. X-ray
1. Clinical Chemistry
10. Ultrasound
2. Parasitology
11. MRI
3. Hematology
12. CT Scan
4. Urine & blood fluid analysis
13. Angiography
5. Mycology
14. Mammography
6. Serology
15. Echocardiography (ECG)
7. Bacteriology
16. Others (Specify)
8. Pathology

Data Rule: Yes or No

Data Source: Assessment

 Clinical services:
 Clinical services often correlate to health facility types.

 Includes the following:

10. HIV/AIDS Care & Rx Service:
1. Outpatient Service HIV Testing,
2. Inpatient services ART
3. Internal medicine services PMTCT
4. Pediatric services Tuberculosis Dx and Rx
5. Surgical care services Oxygen Service
NCDs Rx: DM, HTN, Cardiac Diseases
6. Orthopedics services
NTD
7. Reproductive, Maternal and
Anesthesia services
Child Health Care Service Dentistry services
FP,
ANC, ENT service
Delivery, Ophthalmology services
PNC, Mental healthcare services
Adolescent RH services, Dermatology services
Safe/Post Abortion Care,
Newborn Care,
Cardiac services
Immunization service, Neurology service
GM and promotion Service Gastroenterology
IMNCI/ICCM, Renal services
Cervical Cancer Screening & Rx ,
Rehabilitation services
OTP
Management of SAM Oncology services
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 Services Offered:
Diagnostic and imaging services:
 Diagnostic and imaging services available and provided in
the health facility

 Includes the following:

9. X-ray
1. Clinical Chemistry
10. Ultrasound
2. Parasitology
11. MRI
3. Hematology
12. CT Scan
4. Urine & blood fluid analysis
13. Angiography
5. Mycology
14. Mammography
6. Serology
15. Echocardiography (ECG)
7. Bacteriology
16. Others (Specify)
8. Pathology

Data Rule: Yes or No

Data Source: Assessment

Thank you!