Operationalization Document

Operationalization Document for Anambra State Health Facility Accreditation and MonitoringUnit (ASHEFAMU) Taskforce Team

Introduction

The Anambra State Health Facility Monitoring and Accreditation Unit (ASHEFAMU) Taskforce Team is established to ensure the quality, safety, and regulatory compliance of health facilities within Anambra State.

Penalty Structure

Fines and Offenses

Offense Type	Category	Description	Fine Range
Operating without being a health professional	Major Violation	Facility operating with an imposter	₦1,000,000/Jail
Operating without registration	Major Violation	Facility operating without official registration	₦500,000
Poor hygiene standards	Moderate Violation	Failure to maintain basic hygiene standards	₦100,000
Inadequate medical equipment	Major Violation	Operating without necessary medical equipment	₦250,000
Unqualified staff	Major Violation	Employing staff without required qualifications	₦500,000
Training of individuals as health workers	Major Violation	Training of individuals without approval from the regulatory bodies	₦500,000
Expired medications	Moderate Violation	Possession of expired medications	₦250,000
Improper waste disposal	Moderate Violation	Failure to dispose of medical waste properly	₦100,000
Record keeping failures	Minor Violation	Inadequate patient record management	₦50,000
Unauthorized procedures	Major Violation	Performing procedures without authorization	₦500,000
Non-compliance with safety protocols	Moderate Violation	Failure to follow established safety protocols	₦100,000
Facility maintenance issues	Minor Violation	Poor maintenance of the facility infrastructure	₦50,000
Overcrowding	Moderate Violation	Exceeding the approved capacity of patients	₦100,000
Failure to renew accreditation	Major Violation	Operating with expired accreditation	₦250,000
Unauthorized advertisements	Minor Violation	Advertising without approval from relevant authorities	₦100,000
Violation of patient confidentiality	Major Violation	Breaching patient confidentiality	₦500,000
Failure to report notifiable diseases	Major Violation	Not reporting cases of notifiable diseases to health authorities	₦500,000
Inadequate emergency preparedness	Moderate Violation	Lack of adequate emergency preparedness plans and equipment	₦100,000
Failure to submit health data	Moderate Violation	Not reporting health data to the appropriate health authorities	₦100,000/jail
Failure to implement corrective actions	Major Violation	Not implementing corrective actions after previous violations	₦500,000
Lack of proper signage	Minor Violation	Failure to display proper signage and notices	₦100,000
Illegal sale of medications	Major Violation	Selling medications without proper authorization	₦500,000

Sealing of Facilities

Offense Type	Category	Temporary Sealing Duration	Permanent Closure Criteria
Operating without being a health professional	Major Violation	No limit	Outright permanent closure/Litigation
Operating without registration	Major Violation	14 days	Repeated severe violations or unauthorized operation
Poor hygiene standards	Moderate Violation	14 days	After repeated violations despite warnings
Inadequate medical equipment	Major Violation	60 days	Repeated severe violations
Unqualified staff	Major Violation	31 days	Repeated severe violations
Training of individuals as health workers	Major Violation	31 days	Repeated severe violations
Expired medications	Moderate Violation	15 days	After repeated violations despite warnings
Improper waste disposal	Moderate Violation	15 days	After repeated violations despite warnings
Record keeping failures	Minor Violation	14 days	After repeated violations despite warnings
Unauthorized procedures	Major Violation	31 days	Repeated severe violations
Non-compliance with safety protocols	Moderate Violation	15 days	After repeated violations despite warnings
Facility maintenance issues	Minor Violation	14 days	After repeated violations despite warnings
Overcrowding	Moderate Violation	30 days	After repeated violations despite warnings
Failure to renew accreditation	Major Violation	31 days	Repeated severe violations
Unauthorized advertisements	Minor Violation	14 days	After repeated violations despite warnings
Violation of patient confidentiality	Major Violation	31 days	Repeated severe violations
Failure to report notifiable diseases	Major Violation	31 days	Repeated severe violations
Inadequate emergency preparedness	Moderate Violation	15 days	After repeated violations despite warnings
Failure to submit health data	Moderate Violation	15 days	After repeated warning
Failure to implement corrective actions	Major Violation	31 days	Repeated severe violations
Lack of proper signage	Minor Violation	14 days	After repeated violations despite warnings
Illegal sale of medications	Major Violation	31 days	Repeated severe violations

Implementation Timeline

Immediately: inform team.
Immediately: Disseminate operational procedures and field checklists.
Immediately: Commence inspections and enforcement actions.
Onwards: Conduct routine and unscheduled inspections, enforce penalties, and ensure compliance.