Attachments
Instructions
This form can be completed by anyone with knowledge of a current health facility. It should be submitted once a week - but once completed the first time, subsequent updates should take just a few seconds.
Please, fill the table with the best of your knowledge. Starting from column A and going right.
Once a State (column C) is selected, it enables the dropdown to select Locality (column D). At the same time, the Locality column enables a list of hospital names under Hospital Name English (column E). If the hospital that is being reported does not appear in the dropdown menu of column E, please, type the name of the Hospital in column G.
The same applies for the names in Arabic (columns H and I respectively), these columns are not mandatory, but to allow for a space in case the English translation of the hospital name is not known.