The Modular Health Facility Assessment (HFA) and user guide provide the MOMENTUM suite of awards with a tool focusing on reproductive, maternal, newborn, child and adolescent health/family planning care and services, including seven modules that collect information on the following: service availability; service readiness; quality and safety of patient care; experience of care; availability of register; community services and mobilization; health facility oversight; quality improvement; and use of data.


  • The MOMENTUM Modular HFA draws from a number of existing tools, including those developed by MOMENTUM awards, and informs most of the quality of care indicators included in the MOMENTUM Measurement, Evaluation, and Learning (MEL) Framework.
  • Guidance for how to construct these indicators is included in the HFA User Guide.
  • The tool also includes new maternal health clinical vignettes (French version available) developed by MKA, a section focusing on readiness to provide services for small and sick newborn care as well as additional sections on nutrition, adolescent health and others.

How to Use

The assessment tool is designed to collect relevant information at various levels of health facilities, from community health centers to tertiary or national level referral hospitals. The tool is designed in a modular manner, which allows flexibility and adaptability to different country contexts to relate to the needs of the country and the specificities of its health system.