Medical Facility Nigeria
Data submission of medical facilities in Nigeria for Health4Naija online publication. Health4Naija is a website creating healthier communities in Nigeria through education. The time to complete the form is 10 minutes.

Updated: Due to the global COVID pandemic of March 2020, some Healthcare facilities have now added the option of TeleHealth virtual visit either by Telephone or Video visits. Please complete this new section if applicable.
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Email *
Website *
Summary of services in one sentence *
What type of Telemedicine services do you provide? *
What is the name of the healthcare facility? *
What is the address (include city and state) and phone number of the facility? *
What is the type of healthcare facility? *
Required
What is the ownership structure of the health facility?
Clear selection
Does the Health facility have Telehealth Capacity for virtual visits by Telephone or Video? *
Does the facility have ICU with ventilator beds? If so how many ventilators does the facility have?
Clear selection
How many beds does the facility have?
Clear selection
What are the available services?
Laboratory on site
Radiology on site
Oxygen
24 hour medical officer
blood bank on site
Ambulance
Xray machine
Ct scan machine
MRI machine
Airway management/Defibrillator
Hospital
Clinic
Diagnostic center
Other
If an Intensive care unit with Ventilatory support is available, how many ICU beds are there?
1 to 5 beds
6 to 10 beds
11 to 15 beds
More than 16 beds
Not applicable
Hospital
Clinic
Diagnostic center
Other
Not applicable
Ages of patients seen at the healthcare facility
Clear selection
Specialists available at facility
Radiologist
Cardiologist
Interventional cardiologist
Pulmonologist
Gastroenterologist
Neurologist
Urologist
Hematologist/Oncologist
Obstetrician Gynecologist
Paediatrician
Anaesthesiology
Neonatologist
Hospital
Clinic
Diagnostic center
Other
Level of care available
24/7 General surgery
Neurosurgery
Cardiovascular surgery
Adult Intensive care
Orthopedics
Burns care
24/7 Accident & Emergency/Trauma care
Anaesthesia
Neonatal intensive care
Pediatric intensive care
Maternity care
Nephrology
Opthalmologist
Ear, nose and Throat specialist
Plastic Surgery
Maxillofacial surgery
Dentist
Hospital
Clinic
Diagnostic center
Other
Level of Nursing support
Yes
No
Staff Nurse
Nursing Sister
Senior Nursing sister
Matron
Senior matron
Chief Matron
Clear selection
Level of Medical support
Yes
No
House officer
Medical officer
Registrar
Consultant
Clear selection
How do you rate the Medical and Nursing staff? *
Bad
Excellent
Facility support
24 hour generator/Electricity
24 hour water supply
Food services, kitchen
24 hour security
Mosquito nets
Auxillary nurse
Physical/occupational therapy
Social worker
Dietician
Mental health therapist
Charity care
Facility wheelchair access
24/7 Telephone support/Telemedicine
Hospital
Clinic
Diagnostic center
Other
Specialized medical care
YES
NO
Sickle cell care
HIV prevention and care
Sexual assault care
Domestic violence support
Special medical needs
Tuberculosis care
Dialysis
Pathology
Mortuary
Clear selection
Your email. (We may email you to verify  information or obtain clarification) *
What do you like about the facility?
What do you dislike about the facility?
How do you rate the healthcare facility? *
Any other comments.
Submit
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