1. Premises
   1. a waiting room;
   2. a consulting room which should be reasonably sound-proofed so that conversations taking place therein are not easily audible outside the consulting room;
   3. an examination room which should be either a separate room or a curtained off part of a consulting room;
   4. a treatment room in which such procedures as the giving of medications and the carrying out of minor surgical operations can be undertaken;
   5. adequate toilet facilities.
2. All rooms should be clean and adequately furnished, and-
   1. there should be sufficient sitting accommodation in the waiting room for the size of the practice;
   2. the consulting room should have a desk for the practitioner, a chair for the practitioner and at least two or three chairs for the patient and persons accompanying the patient; and further, a consulting room should have a facility for the practitioner to wash his hands. For example, where there is no running water there should be a wash-basin with a jug of water which is periodically drained, cleaned and topped up;
   3. there should be an examination couch in the consulting or examination room and another couch in the treatment room and the couches ought to be so designed that it is easy for an infirm patient to get on to them, and further there should be adequate lighting, either daylight or artificial light, to enable the practitioner to see his patient fully.

1. diagnostic instruments such as stethoscope, syphygmomanometer, foetal stethoscope, torch, patella hammer, auroscope, opthalmoscope, proctoscope, vaginal speculum, disposable tongue depressors;
2. instruments for carrying out certain procedures, for example, draining abscesses and stitching wounds;
3. sterilizers for surgical instruments and containers, etc;
4. facility to examine urine on the premises, as for example, by the use of "labstix" or equivalent reagents;
5. a cabinet for patients' records.

1. Subject to the relevant provisions of the Pharmacy, Medicines and Poisons Act, 1988, the practitioner should attempt to keep in his premises a stock of those essential drugs which he considers should be administered to his patients in his premises and especially if his practice is not in a location where there may be dispensing pharmacy. The range of drugs that he should have is wide, but he ought to have at least the following-
   1. injections of analgesics (for example, pethedine, morphine, etc); and
   2. antibiotics, antihistamines, brochodilators, antienetics, antispasmodics, local anesthetics and cortisteroids.
2. for the purpose of administering injections, a practitioner should have sterile syringes and needles, or standard and surgical spirit or other appropriate skin antiseptic.
3. The practitioner should provide himself with a bag which he can carry with him when visiting patients or when traveling or to be available for him to use whenever his services may be needed. The bag should contain, as a minimum, the following-
   1. such drugs as injections of analgesics, antibiotics, bronchodilators, tranquilizers, local anaesthetics antispasmodics, antiemetics and similar drugs.
   2. oral preparations such as antipyretics, analgesics, gastro-intestinal sedatives, antihistamines, bronchodilators, antibiotics, muscle relaxants, and others.
4. for the purpose of the doctor's bag, it should be the practice to carry disposable syringes and needles rather than steel and glass syringes which require sterilization. The bag will be adequately furnished if it carries a supply of 2 ml disposable syringes and 25g(I in.) and 21 g (1) all disposable equipment to avoid their possible re-use.

1. Basic laboratory requirements, as follows-
1. investing flasks;
2. press and clamp;
3. polishing motor;
4. laboratory motor and hand piece;
5. Bunsen burner;
6. Pliers, wax, knife, etc
7. Denture materials;
8. Plaster for models;
9. Polishing brushes, cone felt, etc.
2. Basic requirements in filling materials-
1. Amalgams
2. Dental cements as follows-
1. zinc oxide engenel
2. zinc and copper phosphates
3. calcium hydroxides;
4. silicate and silicophosphate cements;
5. composites

1. dental unit with low and high speed drills which are water cooled;
2. wash-basin with running water;
3. sterilizer unit;
4. cabinet with basic dental instruments;
5. basic drugs and medicaments used in dentistry including antimicrobials, corticosteroids, analgesics, haemostatic and anaesthetic drugs, in addition to antiseptics disinfectants;
6. lockable cabinet, containing essential emergency drugs;
7. emergency oxygen cylinder;
8. cabinet for patients records and card system.

1. be built with permanent materials
2. have a plastered interior
3. have adequate ventilation
4. have at least four rooms of 4 x 3 metres divided as follows:
1. an examination room; and
2. a treatment room; and
3. a patients’ registration room; and
4. a procedure room
5. have toilet facilities consisting of either--
1. a ventilated pit latrine; or
2. a sanitation platform latrine; or
3. a water closet.
6. have an adequate supply of clean and safe water nearby or running water within the building.
7. have a wash basin or sink and a large container for storing water.

1. Wax room
2. Plaster room
3. Fume cabinet/fume extractor
4. Fire fighting equipment

1. be built with permanent materials
2. have a plastered interior
3. have adequate ventilation and lighting;
4. have a gymnastic area of at least 30 square metres;
5. have a treatment room of at least 5 square metres;
6. have a waiting and reception room;
7. have toilet facilities consisting of either-
1. a ventilated pitlatrine;or
2. a sanitation platform latrine; or
3. a water closet;
4. have an adequate supply of water nearby or running water within the building;
5. have a wash basin or sink and a large container for storing water.

1. Category "A" laboratories;
2. Category "B (1)” laboratories; and
3. Category "B (2)” laboratories.

1. a medical practitioner or dentist licensed under the Medical Practitioners and Dentists (Private practice) Regulations; or
2. a paramedical licensed under the Paramedicals and Allied Health Professionals (Private Practice) Regulations.

1. the tests to be performed in a Category “A” laboratory shall be such tests as are necessary for the immediate management of the practitioner's own patients and shall be limited to–
1. full blood count differential;
2. urinalysis;
3. blood smear for malaria parasites;
4. blood suga;r
5. pregnancy tests;
6. wet preparations for Candida, T.Vaginalis and skin microfilaria
7. stool for microscopy
8. gram stain
9. VDRL
10. other tests approved by Council from time to time;
2. there shall be maintained in respect of a Category “A” laboratory the following minimum equipment-
1. a binocular microscope with at least three objective lenses, including a x40 and x100 oil immension
2. a centrifuge and
3. a haemoglobinometer or a lovebond comparator

1. clinical chemistry
2. haemology
3. histopathology
4. microbiology; and
5. parasitology

1. if the applicant is a medical practitioner, be issued under the Medical Practitioners and Dentists (Private Practice) Regulations; and
2. if the applicant is not a medical practitioner, be issued under the Paramedical and Allied Health Professional (Private Practice) Regulations

       (ii)The range of tests to be performed in a Category “B (2)” laboratory shall be limited to any of the following types:-

1. clinical chemistry;
2. haematology;
3. microbiology; and
4. parasitology,

1. clinical chemistry;
2. haematology;
3. microbiology; and
4. parasitology

1. Premises should be of permanent building materials and should be of adequate size for the number and range of tests to be performed. There should be distinct areas for:-
   1. specimen reception, preparation of tests
   2. collection of specimens from patients, e.g blood samples
   3. waiting room for patients to wait for urgent specimen results; and
   4. toilet facilities for patients and staff.

2. Arrangements must be made for disposal of examined specimen. Some may require decontamination before final disposal, e.g. autoclaving, incineration, pit latrine or sewer disposal.

1. Medical Imaging for private practice shall be classified as-
   1. Category A – Radiography
   2. Category B – Sonography
   3. Category C – Radiology

1. A Category “A” Radiography practice shall be a private practice which may be operated as a private practice for service to the general public only by a person registered as a Radiography Technician or Radiographer under the Medical Practitioners and Dentists (Registration and Miscellaneous Fees) Regulations.
2. A licence to operate Category “A” Radiography practice shall be issued under the Paramedicals and Allied Health Professionals (Private Practice) Regulations.
3. The tests to be performed in Category A Radiography Practice shall be as listed in the Third Schedule, Part E of the Paramedicals and Allied Health Professionals Regulations.
4. The premises for use by a Radiographer/Radiography Technician licensed to operate Category “A” Radiography practice shall, as a minimum, comply with the requirements specified in these regulations and in Part III.

1. Category “B” Sonography practice shall be a practice which may be operated as a private practice by a person registered as a Sonographer under Medical Practitioners and Dentists (Registration and Miscellaneous Fees) Regulations.
2. A licence to operate Category “B” Sonography Practice shall be licenced under the Paramedicals and Allied Health Professionals (Private Practice) Regulations.
3. The tests to be performed in a Category “B” Sonography practice shall be as listed in Part E of the Third Schedule of the Paramedicals and Allied Health Professionals (Private Practice) Regulations.
4. The premises for use by a practitioner licenced to operate a Category “B” Sonography practice shall, as a minimum, comply with the requirements specified in these regulations

1. A Category “C” Radiology practice shall be a private practice which may be operated for the service of the general public by a person registered as a Radiologist under the Specialist Register kept and maintained by the Council in accordance with the Medical Practitioners and Dentists (Specialist Register) Qualification Rules.
2. A licence to operate Category “C” Radiology Practice shall be used under the Medical Practitioners and Dentists (Private Practice) Regulations.
3. The range of tests to be performed in Category “C” Radiology Practice shall include all or any of those applicable in Category “A” and “B” and as the Council may endorse on the licence of the practitioner having regard to his training, experience and equipment.
4. The premises for use by a practitioner licenced to operate a Category “C” Imaging (Radiology) shall as a minimum, comply with the requirements specified in Part III.

1. be built with permanent materials
2. have waiting room of adequate size to hold 10 people, with adequate ventilation and toilet facilities;
3. have x-ray room of at least 30 sq metres with length at least 4-6m;
4. have wall thickness of 9 inches plastered brick wall all round or 4.5 inches brick wall plastered with 1.25mm, barium plaster or 150mm concrete or; other equivalents of 22 mm pb;
5. have doors lined with lead of 2mm pb or brick 9 inches with maze format all 3m high
6. have viewing window for control panel should be of 1.6mm Pb glass or equivalent radiation protection window or surrounded in a maze format of equivalent brick or potable radiation protection shield;
7. have ventilation provided by window on the side of the room that is NOT used by persons or by air-Conditioner;
8. have at least one change room for patients;
9. have dark room should be of adequate size for purposes automatic or manual film processing with a window painted black;
10. have work benches in the darkroom must be made of cleanable and non corrosive material;
11. have film storage of hopper or equivalent holder to avoid light fogging;
12. have supply of running water;
13. have washing hands facilities: sink and washing basin.

1. where there are open wards at least 2 rooms for isolation as necessary;
2. there should be 1 toilet to 10 patients with separation of male and female toilets;
3. a curtain or other partitions, etc, to separate beds;
4. an admission/examination room;
5. a separate maternity room to be provided where such services are offered with a delivery room which shall consist of a delivery bed/couch, suction machine, nursery and a vacuum extractor;
6. at least a nurses station in every ward;
7. there shall be a wash hand basin within the wards of the hospital;

1. permanent building material;
2. adequate size for tests to be carried out;
3. adequate lighting;
4. good ventilation;
5. each room must have a fire extinguisher;
6. supply of running water with wash basin;
7. bench tops must be made of cleanable and non-corrosive materials;
8. a specimen reception area for preparation and performance of tests;
9. toilet facilities for patients;
10. waiting room for patients; and
11. a place for handling dangerous specimens.

1. Haematology
   1. Haemoglobin - colorimetric
   2. White cell count-manual
   3. Hematocrit-centrifugal
   4. White cell-differential count
2. Parasitology
   1. Routine urinalysis;
   2. Examination of stool for cysts and parasites;
   3. Blood films for malaria parasites;
3. Bacteriology
   1. Gram stains;
   2. Acid fast bacilli staining;
   3. Culture and sensitivity;
4. Bio-chemistry
   1. Blood and CSF proteins-colorimetric;
   2. Birilibin-colorimetric is recommended;
   3. Urea-colorimetric is recommended;
   4. The laboratory should be able to do blood and CSF glucose.
5. Serology
   1. VDRL tests for syphilis;
   2. Pregnancy test; and HIV tests.

1. Laboratory equipment should be appropriate for the range of tests to be performed;
2. the equipment should be regularly serviced;
3. every laboratory should be able to participate in the national laboratory quality assurance scheme (where any has been established with approval of the Council) to ensure that standards are maintained; and
4. all tests done in the laboratory should be properly documented and monthly returns should be made to the Secretary for Health.

1. It should be of adequate size for the practice;
2. The internal walls and the floors should be easily cleanable;
3. It should be partitioned in such a way that there will be enough storage space and a dispensing area where prescription drugs can be collected:
4. It should be constructed in such a manner that moisture is excluded;
5. It should be adequately lit with approved fittings so as to facilitate easy identification of drugs;
6. It should have a provision of wash basin;
7. It should have cold storage facilities for storing heat sensitive drugs;
8. It should be kept free of vermin;
9. All areas in the pharmacy should be adequately and suitably shelved to enable proper and hygienic storage of drugs and any other items stored therein;
10. All drug containers should be clearly labeled;
11. The doors and windows or any other openings in the pharmacy should be properly and adequately secured;
12. Access to the pharmacy area shall be strictly limited to authorized personnel only;
13. The pharmacy should be staffed by persons with adequate and approved pharmaceutical training as required by the Pharmacy, Medicines and Poisons Act, 1988.
14. Proper inventory should be maintained of all drugs kept in the pharmacy;
15. The pharmacy should at all times be kept clean and tidy;
16. prescription record shall be maintained in the pharmacy;
17. All drugs should be dispensed in clean and tidy containers which shall bear the name and strength of the drug, quantity dispensed, directions for use, name of hospital, name of patient and expiry date.
18. A lockable controlled drug cupboard and register for such drugs should be provided to avoid abuse.

1. wheel chair;
2. emergency drug tray;
3. resuscitation equipment;
4. supply of oxygen;
5. blood pressure machine;
6. suction machine;
7. patient's stretcher;
8. a vehicle for transporting referred patients to other hospitals;
9. diagnostic sets;
10. lockable drug cabinet;
11. ECG machine (optional)
12. Weighing scales and thermometers.

1. where food is provided, necessary equipment for providingthe food should be available depending on the size of the hospital and a balanced diet should be provided;
2. the kitchen must always be kept clean and hygienic.

1. All private hospitals should provide adequate sterilization equipment having regard to the size of the hospital;
2. Both hot water and cold water should be available in a running state.

1. doctor to patient ration shall be 1-50
2. general nurse to patient ratio shall be 1-10
3. nurse/midwife working in maternity shall be 1-7.

1. Hospital grounds should always be kept clean;
2. Dust bins should be emptied at least twice a week for appropriate final disposal of waste;
3. An adequate number of wards and floors always clean to avoid breeding of flies.

1. Minimum of 1/10 floor area should be provided for ventilation and half of it shall be made openable for lighting;
2. Permanent ventilation should be made available by provision of air vents on opposite walls.

1. fire extinguishers should be provided at appropriate points:
2. emergency exit doors should be provided;
3. wherever possible alarm system should be provided.

1. adequate running water supply;
2. provision of wash basins in the treatment, examination and consultation room;
3. water drums could be used for storing water.

1. Lockable drug cupboard
2. Examination couch/bed
3. Good examination light
4. Table in the registration room
5. Seats for patients in the waiting room
6. Stethoscope
7. Auto scope
8. Blood pressure machine
9. Torch or other source of light for throat examination
10. Weighing scale
11. Adequate stocks of disinfectants, e.g. Jik
12. At least two basins for disinfection
13. At least two thermometers
14. A minimum of 100 glass syringes as follows:
1. 5 x 2ml syringes
2. 5 x 5ml syringes
3. 5 x 10ml syringes
15. At least 100 needles for injection
16. At least one sterilizer (e.g. fish kettle type)
17. At least one stove
18. At least two needle holders
19. At least one sterile syringes tray
20. At least two pairs of dressing scissors
21. At least two dissecting forceps
22. Cheatle forceps x 2
23. At least 25 metal spatulae or a box of disposable spatulae
24. A microscope for examination of stool and urine (optional)
25. Refrigerator for the storage of drugs requiring refrigeration
26. Resuscitation equipment
27. Appropriate and current reference books for the practice
28. Two bins for the disposal of waste, one of which shall be for the disposal of sharp instruments and the other for the disposal of waste material in either case using an incinerator of the ordinary type or of a 44-gallon drum with specifications approved by the Council.
29. Registers of patients
30. Patient’s prescription tickets
31. Case record cards to be carried by patients or to be kept by the clinic
32. Reporting forms for submission for clinic statistics to the Ministry of Health
33. Rubbish disposal pit or rubbish bin
34. At least fifty pairs of surgical and sterile gloves
35. Receipt book for the fees charged
36. Receipt of drugs purchased
37. Record of drugs purchased

1. Dental unit with low and high speed drills which are water cooled
2. Wash basin
3. Autoclave
4. Cabinet with basic dental instruments
5. Basic drugs and medications used in dentistry
6. Intra oral radiological unit and a developing unit
7. Basic requirements in filling materials:
1. amalgams
2. dental cements
3. composite chemically cured
4. glass ionomer

1. Prosthetics
   1. Bunsen burner
   2. Articulator
   3. Suspension motor
   4. Model trimmer
   5. Polishing lathe
   6. Acrylic curing appliance
   7. Mixing bowl
   8. 2 flasks with a clamp
   9. casting machine
   10. vibrator
   11. duplicating flasks
   12. surveyor
   13. electro polishing bath
   14. bench press
   15. protective eye ware
   16. Dental Technician’s kit which should include:
   1. Lecron
   2. Plaster knife
   3. Spatula
   4. Ash five
   5. Wire cutters
2. Orthodontics
   1. 64 and 65 orthodontic pliers
   2. Technicians kit as in prothestics
   3. Model trimmer
3. Crown and Bridge
   1. ceramic kit
   2. ceramic firing furnace
   3. technician’s kit
   4. centrifugal casting machine
   5. sand blasters
   6. model trimmer
   7. burn out furnices

1. One treatment couch
2. Two sets of linen – blanket, sheets, towels
3. Four pillows
4. One wheelchair
5. Two pairs of crutches – adjustable
6. One adjustable walking frame
7. One set of parallel bars
8. One wall bar
9. One full-length exercise mirror
10. One exercise mat
11. Toys
12. Two gymnastic balls
13. Weights, e.g. sandbags
14. One foot/arm bath
15. One measuring tape
16. One Goniometer
17. One Stethoscope
18. One Sphygmomanometer
19. One complete First Aid box
20. Disinfectants and other cleaning materials

1. snellen test chart types;
2. a slit lamp;
3. an opthalmometer;
4. a photoptometer;
5. a set of trial lens;
6. a trial frame;
7. an edger machine;
8. a lens meter;
9. a refractometer;
10. fluorescein drops;
11. amethocaine;
12. artificial tears;
13. a sink.

1. CATEGORY “B (1)’’ LABORATORIES
   1. Equipment will depend on tests allowed by the Council on the basis of applicant’s training and experience. The following equipment is required as a minimum-
   1. binocular microscope with built-in light source and at least three objective lenses including a x40 and x100, oil immersion lens, and where there is no electricity a 6 volt or 12 volt car battery and AC/DC transformer should be used;
   2. centrifuge – electrical or manual
   3. waterbath, or heating block preferably with a thermostat;
   4. spectrophometer or calorimeter for biochemistry tests and or haemoglobin measurement
   5. refrigerator for reagents and specimens requiring to be stored at refrigeration temperature
   6. hot boiler for sterilization
   7. burnsen burner or spirit lamp
   8. waste disposal bucket with appropriate liners or waste bin bags;
   9. assorted glassware, pipettes etc
   2. Other essential equipment would depend on the type of work done in the laboratory, as follows-
      1. for microbiology–
         1. incubator with thermostat
         2. autoclave or steam sterilizer
         3. hot air oven for drying glassware;
         4. medical sterilizer
         5. anaerobic jar; and
         6. safety cabinet with UV – sterilization for mycobacterial work.

      2. for serology – shaker (VDRL type)
      3. for histology/cytology
         1. microtome with appropriate microtome knives;
         2. floating bath;
         3. hot plate;
         4. wax dispenser;
         5. tissue processor; and
         6. knife sharpener wither leather strap or automatic machine;
         7. cytology centrifuge;
         8. slide filing cabinet
         9. assorted items e.g. blade with handle, pair of scissors, forceps etc

      4. for haematology –
         1. haemoglobinometer;
         2. haematocrite centrifuge and reader;
         3. differential counter;
         4. haemocytometer; and
         5. ESR apparatus

   3. A number of small items though not essential, improve the safety working conditions in the laboratory. These include:
   1. reagent dispensers;
   2. variable volume pipettes
   3. pipette fillers; and
   4. slide filing cabinets
   4. Appropriate and current reference books

2. CATEGORY “B (2)” LABORATORIES
   1. As for Category B (2) laboratories

1. a good light source
2. ophthalmoscope
3. schiotz tonometer
4. magnifying loopes
5. Bp machine
6. snellen chart
7. trial flame
8. slit lamp
9. epilation forceps
10. artery forceps
11. lid retractors
12. blade holder
13. galliports
14. cannulas for syringing

1. epilation
2. I & D for style and lid abscess;
3. removal of foreign body;
4. removal of sutures
5. corneal scrapings
6. syringing of the punctum

1. stationery or mobile X-ray unit in good working order, one per room;
2. patient couch
3. erect chest stand, gotional
4. pb gown
5. various sizes of cassettes
6. grids optional
7. automatic processor in good working order
8. manual processing facility
9. at least one viewing box
10. sonar scanner in good working order
11. printer, optional
12. CT Scan, optional
13. MRI Scanner, optional; and
14. Coupling, medium