| Service level | Definition |
| Water | |
| Basic service | Access to an improved water source (tap water, protected dug wells or springs, bore holes) on premises with water available at the healthcare facility at the time of the survey |
| Limited service | Access to improved water source on premises without water available at the healthcare facility at the time of the survey or water source is off premises but within 500 meters |
| No service | Access to improved water source that is more than 500 meters, water is taken from unimproved source such as unprotected dug wells, or the healthcare facility has no water source. |
| Sanitation | |
| Basic service | Access to improved latrines or toilets (VIP latrines, Pour-flush toilets, composting toilets) which are usable, separated for patients and staffs, separated for women with menstrual hygiene facilities, and meet the needs of people with limited mobility. The term usable here refers toilets or latrines that are accessible to patients and staffs (doors are unlocked or keys are available at all times), functional (the toilet is not broken, the toilet hole is not blocked, and water is available for flush/pour-flush toilets), and private (there are closable doors that lock from the inside and no large gaps in the structure) |
| Limited service | Access to improved latrines or toilets which do not meet all the criteria for basic service |
| No service | Access to unimproved (Pit latrines without slab) or no toilets |
| Hygiene | |
| Basic | Availability of alcohol hand-rub or a basin with water and soap at points of care (location in healthcare facility where care or treatment is delivered such as consultation/examination rooms) and handwashing facilities with water and soap at toilets |
| Limited | Availability of hand hygiene materials at either points of care or the toilets but not both |
| No service | No hand hygiene stations or with no cleansing materials |
| Healthcare waste management | |
| Basic service | Availability of facilities where healthcare waste is safely segregated into at least three bins (sharps, infectious, and non-infectious) in the consultation area, and that safely treat and dispose of sharps and infectious waste |
| Limited service | Availability of facilities that segregate healthcare waste but do not treat and dispose of it safely, or that do not effectively segregate waste |
| No service | Waste is not segregated or safely treated and disposed of at the healthcare facility. |
| Environmental cleaning | |
| Basic service | Health care facilities with basic protocols for cleaning and where all staff with cleaning responsibilities have been trained |
| Limited service | Facilities with cleaning protocols and/or where at least some staff with cleaning responsibilities have received training |
| No service | No cleaning protocols available and no staff have received training at the healthcare facility |