HEFRIAS
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Health facility regulation & quality M&E

Inspect, score and improve every health facility, on one platform.

HEFRIAS, the Health Facility Registration, Inspection & Accreditation System, gives ministries of health, regulators and partners one digital workflow. Register facilities, run standardised assessments in the field, score compliance automatically, cost every gap, and track the interventions that close it.

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  • 12 national assessment modules ready to use
  • Web & Android
  • Every gap costed in naira
Illustration of the HEFRIAS agency dashboard with sample data: key figures and compliance by thematic area.

Illustrative sample data

12national assessment modules, ready to deploy
3scoring methods: option-based, quantity-gap and hybrid
Low–highcost estimate for every gap found
State → Warddrill-down from state to LGA to ward
Why HEFRIAS

From clipboards and spreadsheets to a closed improvement loop

Assessments shouldn't end as a report in a drawer. HEFRIAS connects what inspectors find to what it costs to fix, and to proof that it was fixed.

Before

Paper checklists, retyped later

Forms differ between teams, results arrive weeks late, and evidence lives on personal phones.

With HEFRIAS

Standard digital instruments, captured once

Every inspector uses the same version of the same form, with photos and documents attached to the answer they support.

Before

Findings without a price

"Not available" tells planners what is wrong but not what it will cost to put right.

With HEFRIAS

Costed gap lists, automatically

Each shortfall is matched to a standard procurement item with a low and high estimate, ready for budgeting and partner asks.

Before

Partner support you can't trace

Donations and upgrades are hard to tie back to the facilities and gaps they were meant to address.

With HEFRIAS

Verified interventions, measured impact

Interventions are logged against facilities, verified with evidence, and compared with the next round of assessment scores.

How it works

One workflow, from registration to verified improvement

Six steps take a facility from the registry to a verified fix, and the next assessment round shows whether things got better.

  1. Register facilities and their workforce

    Build one authoritative registry of public and private facilities, with ownership, level of care, facility type, services offered, LGA and ward, and GPS coordinates. Record the health workers at each site.

    • Facility types & services
    • State → LGA → Ward
    • Personnel & job titles

  2. Choose or build the assessment tool

    Start from a national module or design your own checklist. Group questions into thematic categories and choose how each is answered and scored.

    • Yes/No & multiple choice
    • Counts with minimum quantities
    • Free text
    • Linked procurement items

  3. Assess in the field, with evidence

    Inspectors complete assessments on the web or the Android app. They attach photos and documents to individual answers, add comments, and log arrival and departure times. Facilities can also complete self-assessment forms.

    • Photo & PDF evidence
    • Per-question comments
    • Self-assessment

  4. Score compliance automatically

    Every submission is scored when it is saved. Results roll up by thematic area, facility, LGA and agency, so supervisors see where standards are slipping without waiting for a manual report.

    • Option-based
    • Quantity-gap
    • Hybrid

  5. Turn every gap into a costed need

    A "No" answer, or a count below the required minimum, becomes a gap. HEFRIAS works out the shortfall and prices it against a standard procurement list, giving a low and high cost for each facility, LGA or state.

    • Shortfall × unit price
    • Low – high range
    • Priority needs

  6. Track interventions and verify the fix

    Log government and partner interventions against facilities, with donor, type, value and evidence. Verify or reject them, then compare scores before and after to see what changed.

    • Verify / reject workflow
    • Donor & value tracking
    • Before / after comparison
The platform

Everything a regulator needs, in one system

Registration, assessment, analysis, accreditation and follow-up share one data model, so nothing has to be exported and re-entered between steps.

Registry

Facility registry

Every public and private facility with its ownership, level of care, type, services, location and GPS coordinates, searchable and mapped to state, LGA and ward.

Human resources for health

A central record of health workers by facility, with NIN, job title and cadre, plus breakdowns by gender and by professional and support staff.

Accreditation & certificates

Manage accreditation status and renewals for each facility, and issue digital certificates once standards are met.

Assessment

Checklist & SOP builder

Design your own instruments with categories, questions, answer options, scores, minimum quantities and linked procurement items. Publish SOPs alongside them.

National instrument library

Health facility assessment modules, record reviews, exit interviews, case simulations and survey-monitoring tools, loaded and ready to use.

Field inspections

Web and Android data capture with photo and PDF evidence on each answer, comments, visit times, and facility self-assessment.

Analysis & action

Scoring engine

Option-based, quantity-gap and hybrid scoring, set per form. Scores are capped at 100% so oversupply in one area never hides gaps in another.

Gap analysis & costing

Missing and insufficient items are listed automatically, with the shortfall and a low and high cost estimate from a standard procurement catalogue.

Dashboards & insights

Agency and facility dashboards with thematic compliance, trends, rankings and a summary of what inspectors' comments say most often.

Reports & exports

Monthly, comparison and benchmark reports with a cover page and executive summary, exportable to Excel and PDF.

Intervention tracking

Record donor and government interventions by type and value, attach evidence, verify or reject them, and follow trends over time.

Integrations & access control

Access by role for each agency, a secure integration API for partner systems, and signed webhooks when new assessments come in.

Scoring & gap costing

Scores you can explain. Gaps you can budget for.

Every form declares how it is scored, and every gap is costed by the same rule, so results are consistent from one inspector, facility and round to the next.

Option-based

Each answer carries a value. The score is the points earned against the points possible.

Σ answer values ÷ Σ max scores

Quantity-gap

For countable items such as beds, equipment or staff, the score is what's there against the required minimum, weighted by that minimum.

min(found ÷ required, 1)

Hybrid

Mix both in one instrument. Where an item has a count and an answer, both must pass for full credit, for example "present" and "functional".

min(quantity score, answer score)

From finding to cost estimate

A gap is a "No" answer or a count below the minimum. The shortfall is multiplied by the low and high price of the linked procurement item.

ItemRequiredFoundShortEstimate
Delivery couch211₦180k – ₦240k
Oxygen concentrator202₦1.9M – ₦2.4M
Hospital beds20146₦1.1M – ₦1.4M
Autoclave ("No")1–1₦650k – ₦820k
Facility total₦3.8M – ₦4.9M
Totals roll up from facility to LGA to agency, so planners and partners can see the cost of reaching the standard across a whole area.
Illustrative example. Prices come from your agency's procurement catalogue.
Analytics & reporting

Decision-ready reports, without the spreadsheet work

Dashboards update as assessments come in. Reports are built from the same data, ready to present or export.

Agency & facility dashboards

See compliance across the whole agency, then open any facility to see its own scores, gaps and history.

  • Compliance by thematic area, facility type and location
  • Lowest-scoring facilities and most common gaps
  • Summary of recurring themes in inspector comments, with the strongest positive and negative remarks
  • Workforce charts by cadre, gender and professional status
Built for the field

Designed for inspectors on site

HEFRIAS runs in the browser and as an Android app, so assessment teams use the device they already carry, and every answer arrives with its evidence.

Web & Android

The same forms on desktop, tablet and phone, plus an installable web app.

Evidence on each answer

Attach photos and PDF documents to the question they support.

Comments that count

Inspector notes are kept per question and summarised into recurring themes.

Visit records

Assessment date and arrival and departure times are recorded with every inspection.

Located facilities

GPS coordinates and state, LGA and ward for every facility in the registry.

Self-assessment

Facility teams sign in to complete forms marked as self-fillable and to report interventions.

Who it's for

One source of truth for everyone working to improve care

Each role sees what it needs, from the state-wide picture to a single facility.

Ministries & regulators

Run registration, inspection and accreditation programmes on standard instruments, with live oversight.

  • State-wide compliance view
  • Accreditation & renewals
  • Benchmark rankings

Facility managers & HMBs

Know exactly which standards a facility is missing and what it will take to meet them.

  • Facility dashboard
  • Costed gap list
  • Self-assessment

Development partners

Target support at documented, costed needs, and show verified results for what you fund.

  • Priority needs by area
  • Verified interventions
  • Before / after evidence

Policy makers & M&E teams

Track quality of care across rounds and regions to plan budgets and measure what works.

  • Trends over time
  • Workforce analytics
  • Excel & PDF exports
Integrations & security

Connects to your health information ecosystem

Partner systems can fill HEFRIAS forms, read scores and costed gaps, and get notified of new assessments, all under your agency's control.

Integration API

Approved systems list forms, register facilities (duplicates are matched automatically), submit completed assessments and read results, gaps and costs.

Signed webhooks

Partner systems are notified when a new inspection is submitted. Each message is signed with HMAC-SHA256 so the receiver can confirm it came from HEFRIAS.

From gaps to supply

The shared procurement catalogue lets partner marketplaces turn costed gaps into offers from vendors.

Role-based access for admins, inspectors and facility staff
Data scoped to each agency
Only hashed API keys are stored, and each key is limited to named agencies
Token-based sign-in and rate-limited APIs
POST /your/webhookX-Hefrias-Signature: 9f2c…
// Sent when an inspection is submitted
{
  "event": "inspection.submitted",
  "inspection_id": 51,
  "agency_id": 1,
  "facility_id": 12,
  "inspect_form_id": 3,
  "source": "hefrias"
}

// Then fetch scores and costed gaps
GET /api/integration/v1/submissions/51
{
  "metrics": { "percentile": 72.4 },
  "gap_totals": {
    "low_cost": 3820000,
    "high_cost": 4860000
  }
}
Instrument library

Start assessing on day one

National health facility assessment modules and survey tools are already built in, with categories, questions and answer options configured.

M1Services, Management & Staff
M2Facility Infrastructure
M3Outpatient Services
M4Delivery & Surgical Services
M5Blood Transfusion, Diagnostics & Pharmacy
M6Health Management Information System
RECFacility Record Reviews
HRStaff Roster
SIMProvider Case Simulations & Sick Child Observation
EXITExit Interview: Caretaker of Child Under 5
SMSurvey Monitoring: Fieldwork Observation
SMSurvey Monitoring: Training & Readiness

Need something else? Build your own instruments with the checklist builder, or ask us to load yours.

FAQ

Questions, answered

Can't find what you're looking for? Email the team.

Can we use our own checklists?

Yes. The checklist builder lets you create instruments with your own categories, questions and answer types, including yes/no, multiple choice, counts and free text. You also set the scores, minimum quantities and linked procurement items. The national modules can be used as they are or as a starting point.

How is a facility's score calculated?

Each instrument uses one of three methods. Option-based scoring adds up answer values. Quantity-gap scoring compares counts with required minimums. Hybrid scoring combines the two, so an item is fully compliant only when both its count and its answer pass. Scores are capped at 100%, so oversupply of one item can't hide a gap in another.

Where do the cost estimates come from?

Question items can be linked to a procurement catalogue that holds a low and a high unit price. When an assessment finds a gap, HEFRIAS multiplies the shortfall by those prices. You manage the catalogue, so estimates reflect your local market.

Does it work on phones and tablets?

Yes. HEFRIAS runs in any modern browser and as an Android app, and inspectors can attach photos and PDF documents to individual answers.

Can facilities assess themselves?

Yes. Facility staff have their own sign-in and can complete any instrument marked as self-fillable. They can also report interventions, which the agency then verifies.

Can HEFRIAS connect to our other systems?

Yes. A secure integration API lets approved systems read forms, register facilities, submit assessments and fetch scores and costed gaps. Signed webhooks notify them when new inspections are submitted.

Who can see our data?

Data is scoped to each agency, and access depends on role: agency administrators, inspection staff and facility personnel each see only what their role allows. Integration keys are stored hashed and are limited to the agencies they were issued for.

Bring your next assessment round onto HEFRIAS

We'll show you the platform with your instruments, your facilities and your reporting needs.

Request a demo Sign in to HEFRIAS