| References | Level of the quality | Score | Observations | |||
| A | B | C | D | |||
| Architectural standards |
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| Reception and orientation procedure |
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| Structure/ANC equipment |
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| Equipment of the waiting room |
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| Gynecology consultation room |
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| Immediate postpartum assistance service |
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| Medicine depot/Architectural standards and medicine cost |
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| Laboratory functionality |
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| State of toilets |
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| Bloc operatory |
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| Water supply system and elimination of waste |
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| Hospitalization ward |
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| Lighting and communication system |
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