For Contact Number – please input numerical only
Official email address of the hospital can be use as an alternative, use N/A if necessary

Hospital Statistics

Data Collection

Infant Mortality Information

Mortality Rate for the last:

Delivery Suites


Resuscitation Training


Treatment Room
Treatment Room Staffing
For Phototherapy Non-LED
Oxygen Therapy
Resuscitation Training
Infection Control
Laboratory Testing

Jaundice on Postnatal Wards

Postnatal Wards

Screening for Jaundice
Phototherapy on Post Natal Wards
Location of Equipment

Referrals to Higher Level Hospitals

Donated Devices (very important)

Hospital Power Supply