CES 205 Compulsory

Ethiopian Standard
Second Edition
05-01-2021

Physiotherapy Clinic- Requirement

ICS: 11.020
Published by Ethiopian Standards Agency
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Table of Contents Page

1.Scope ........................................................................................................................... 1

2.Normative Reference .................................................................................................. 1

3.Terms and definitions ................................................................................................. 1

4.General Requirement.................................................................................................. 2

5.Specific Requirement ................................................................................................. 3

5.1Outpatient service......................................................................................................3

5.2Radiography and Imaging Service ...........................................................................8

5.3Health Promotion ................................................................................................9

5.4Record keeping & reporting services .....................................................................10

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Foreword

This Ethiopian Standard has been prepared under the direction of the Technical Committee for Healthcare

practicesed. (TC 90) and published by the Ethiopian Standards Agency (ESA). This Compulsory Ethiopian

Standard cancels and replaces ES 3620.

Application of this standard is COMPULSORY due to concerns to safeguard the public health with respect to

clauses 4.0 to 5.0. A Compulsory Ethiopian Standard shall have the same meaning, interpretation and application

of a "Technical Regulation “as implied in the WTO-TBT Agreement.

Implementation of this standard shall be effective as of January 2021.

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Physiotherapy Clinic- Requirement

1. Scope
This Ethiopian standard shall specify requirements with respect to practices, premises, professionals and
products or materials put into use for Physiotherapy clinic.
The standard shall be applicable for all physiotherapy clinics new and existing, governmental and non-
governmental.
2. Normative reference
The following documents, in whole or in part, are normatively referenced in this document and are
indispensable for its application. For dated references, only the edition cited applies. For undated
references, the latest edition of the referenced document (including any amendments) applies.
ES xx Part 1-Health services-Terms and definitions
CES xx-Part 2- Health services –General requirements
CES xx-part 3-Health services –Physical Infrastructure Requirements

3. Terms and Definitions

For the purpose of this standard the terms and definition in ES xx and the following definitions shall apply
3.1.
Appropriate Organ:
Shall mean a state government organ authorized to implement food, medicine and health care
administration and control activities at a state level;

3.2.
Appropriate Law:
Shall mean a law issued by a state to implement regulatory activities regarding food, medicine and health
care.

3.3.
Authorized Person:
Shall mean any physiotherapy service clinic staff who is responsible for a given service.

3.4.
Physiotherapy Clinic:
A specialized health care facility where promotion, preventive, rehabilitation, curative specialty health
services are provided with diagnostic and treatment facilities for any kind of movement disorders in human
body by addressing the underlying physical disorder to restore, maintain and maximize movement,
functional ability and over all well-being of the society.

Physiotherapy clinic may have more than one specific physiotherapy clinic with physiotherapy
professionals that are specialized in different practices like orthopedics, neurology, pediatric, sport
medicine, oncology, geriatrics, cardiopulmonary, women health, electrophysiological and others the clinic
complies with all requirements stated for each category of specialty services.

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4. General requirements
4.1 A physiotherapy specialized clinic shall be directed by licensed physiotherapy professionals Doctor
of physiotherapists(DPT) Or physiotherapy specialist(MSc) Or physiotherapy professional(BSc).
4.2 The physiotherapy clinic shall render the service at outpatient level either ambulatory or non-
ambulatory
4.3 The physiotherapy specialized clinic is obliged to report diseases under national surveillance to the
MOH through a responsible person/office at sub-city/ woreda/ town health offices.
4.4 The physiotherapy clinic shall avail updated reference materials, treatment guidelines and manuals
for common disease.
4.5 The clinic shall have a program of continuous quality improvement for the service which includes
regularly collecting and analyzing data to help identify health-service problems and their extent, and
recommending, implementing, and monitoring corrective actions on the basis of these data.
4.6 The specialty shall establish quality team to improve quality of service deliveries.
4.7 The clinic shall asses its staffs current knowledge and practice and observes utilization of national
guidelines for the services it renders every six month.
4.8 The clinic shall provide or facilitate training to their staffs.
4.9 The clinic shall display the following at visible place:

a) List of Services available in the clinic during working hours & after working hours,
b) List of Professionals and specialties working in the clinic during & after working hours,
c) Updated list of Various fees and prices,
4.10 The physiotherapy clinic facilities shall be well marked and easily accessible for persons with
disability.
4.11 The physiotherapy clinic shall have fire extinguisher placed in visible area.
4.12 All employees, including part-time and contract shall be trained in fire-fighting equipment and
patient evacuation of clinic’s buildings as part of their initial orientation and at least annually
thereafter.
4.13 Fire extinguishers shall be visually inspected at least monthly; fully inspected at least annually,
recharged, repaired and hydro-tested as required by manufacturer's instructions; and labeled with
the date of the last inspection.
4.14 Potential source of accidents shall be identified and acted upon like slippery floors, misfit in
doorways and footsteps.
4.15 All patient care rooms shall be provided with running water supply & functional hand washing basin.
4.16 The Internal surfaces of the clinic (floors, walls, and ceilings) shall be:
a) Smooth, impervious, free from cracks, recesses, projecting ledges.
b) Easy to clean and decontaminate effectively,
c) Constructed of materials that are non-combustible or have high fire-resistance.
4.17 Physiotherapy clinic where functional units are at different floor shall have a mechanism of
accessing all the functioning rooms horizontally either by stairs and ramp or stair and elevator.
4.18 The clinic shall have established system for verbal and written communication about patient care.

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a) Verbal communication includes the communication with treating physician & other service units
(like X-Ray units) & giving education for clients & families.
b) Written communication includes use of clinical forms and nursing care plan for patients.
5. Specific requirements
5.1. Outpatient service
5.1.1. Practices:
5.1.1.1. A physiotherapy clinic services shall be provided with a licensed Doctor of physiotherapists
(DPT) Or physiotherapy specialist (MSc) Or physiotherapy professional (BSc).
5.1.1.2. All physiotherapy service and procedures are given only after performing appropriate
assessment, evaluation and indicated diagnostic procedures are completed and
documented in the patient’s medical record.
5.1.1.3. Visual and auditory privacy shall be offered and provided to all patients during evaluation
and treatment.
5.1.1.4. The clinic may provide Nerve conduction test (NCT) and Electromyography (EMG) services.
5.1.1.5. There must be written protocols and procedures to perform physiotherapy interventions, and
ethical practice that compile with the six precepts of health care (safe, effective, patient
centered, timely, efficient and equitable)
5.1.1.6. The physiotherapist’s shall explain and discuss the overall clinical findings, intervention plan
and prognosis of the conditions to client and/or their families and documented on patient’s
medical record accordingly.
5.1.1.7. There shall be a referral system in clinic to ensure that patients/ clients can access the
service.
5.1.1.8. There shall be an educational training service for patients that will raise awareness on
prevention, control and possible treatments of different physiotherapy cases based on
needs using through different Medias including but not limited to TV, social media, posters,
brochures, leaflets etc. It may includes or may not include
a) copping with disability, utilization of prostheses and orthoses, wheelchairs and walking aids,
b) ailments, disabilities, functional limitations and prosthesis-orthosis,
c) pressure sores in clients with sensory loss,
d) contractures in clients with limb and/or trunk paralysis, phantom limb pain for amputees,
e) Posture related musculoskeletal pain and disorders such as sitting, standing, driving, lifting
activities.
f) Non-communicable diseases such as stroke, Hypertensive, diabetic mellitus, abnormal lipid
profiles by reducing or avoiding any lifestyle,
g) Sport related injuries and risk of re-injury by designing proper individualized exercise program,
h) Physical disabilities through therapeutic exercise such as stretching, strengthening and core
stability,.
i) Social participation restriction by providing appropriate walking aid,

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5.1.2. Professionals:
5.1.2.1. Physiotherapy service and procedures must be directed by a licensed Doctor of
physiotherapists (DPT) Or physiotherapy specialist (MSc) Or physiotherapy professional
(BSc).
5.1.2.2. The physiotherapists must keep their updates with current best evidence-based practice
and knowledge to assess, evaluate, treat and predict prognosis of the patients.
5.1.2.3. The physiotherapy specialized clinic shall have at least one physiotherapy assistant or
trained nurse.
5.1.2.4. There shall be at least one physiotherapist available during working hours and for part time
employees, the time & the type of service available during after-working hours shall be
posted at a visible place to the public.
5.1.2.5. In physiotherapy specialized clinic there must be an interdisciplinary approach between the
professionals and also multidisciplinary team approach involving referring to other medical
practitioner.
5.1.2.6. All physiotherapy professionals must participate in CPD, seminars, journal clubs and
research to update their knowledge and skills, such opportunities shall be facilitated by the
health facility within the available resources.
5.1.2.7. The physiotherapy clinic must have a minimum staff as specified in table 1.
Table 1 Requirement for physiotherapy clinic Professionals

No Professional required No of professional

required
1. Doctor of physiotherapists(DPT) Or physiotherapy specialist 1
(MSc) Or physiotherapy professional(BSc)
2. Physiotherapy technician(Diploma)(optional) 1
3. Professional/clinical nurse 1
4. Exercise therapist (Optional) 1
5. Sport science professionals(optional) 1
6. Exercise physiologist (optional) 1
7. Prosthetic and orthotic (optional) 1
8. Radiological technologist/radiography technician (optional) 1
9. Radiologist (optional) 1
10. Cleaner/janitor 1
11. Receptionist 1

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5.1.3. Premises
5.1.3.1. The premises of physiotherapy clinic shall be friendly for people with disabilities and
wheelchair accessible.
5.1.3.2. The premises shall be located with direct access and clear labels.
5.1.3.3. There must be enough space for assistive devices and appropriate accessories.
5.1.3.4. The physiotherapy clinic shall have adequate waiting area at reception with front desk and
chairs.
5.1.3.5. The reception area must have one PC for computerized patients file recording system or a
shelf to put the patients chart.
5.1.3.6. The clinic shall have separate toilet with hand washing that provide running water supply &
functional hand washing basin facilities in an accessible location, which shall be accessible,
adapted and friendly for people with disability.
5.1.3.7. All rooms of the clinic shall have adequate light and well ventilated.
5.1.3.8. All rooms of the clinic shall promote patient dignity and privacy.
5.1.3.9. All rooms of the clinic shall be well labeled/ marked and easily accessible for persons with
disability.
5.1.3.10. The corridor to examination rooms shall be spacious enough to allow easy transport for
patients with support.
5.1.3.11. The arrangement of the clinic rooms shall consider proximity between related services.
5.1.3.12. Call bells shall be provided to patients in the physiotherapy service who are not under
visual supervision.
5.1.3.13. Potential source of accidents shall be identified and acted upon it.
5.1.3.14. The premises shall have a fire extinguisher placed at the reception & recording area in
visible place.
5.1.3.15. There shall must be a separated physiotherapy treatment room
5.1.3.16. There shall be one exercise therapy room which is well ventilated.
5.1.3.17. Workshop for production of orthosis- prostheses, walking sticks, axillary and/or elbow
crutches is optional. If there is no workshop, there shall be variety of walking aids.
5.1.3.18. The premises of physiotherapy clinic shall have the following minimum set up:
Table 2 Requirement for physiotherapy clinic layout

S.No Premises required No. required Area required

1 Reception, Recording & Waiting area 1 20 sq. m

2 Consultation/ Examination room 1 12 sq. m
3 Exercise therapy room 1 20 sq. m
4 Physiotherapy treatment room 2 7sq. m each
5 Toilet room (male & female) 2
6 General purpose room 1
7 Store facility or cabinet
8 Incinerator (fixed/ mobile) 1

9 Basic imaging service (optional) as per the ERCA

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11 machine room 1 25 sq.m
12 casting &first fitting room 1 9 sq.m
N.B
If there is no incinerator and ash pit within the chiropractic specialty clinic compound, there shall be an
agreement with authorized to handle waste management as per the infection prevention guideline.

5.1.4. Equipments
5.1.4.1. All equipment’s shall be clean and functional.
5.1.4.2. Physiotherapy equipment shall be stored in a safe and accessible place and shall not be
stored in a public walkways and hallways.
5.1.4.3. The Physiotherapy clinic shall have the following minimum standard equipment’s and
consumable listed in table 3.
Table 3 Requirement for physiotherapy clinic equipment and consumable

S.NO Equipment/Device Quantity

1. Examination tools
 Examination couch or bed
(adjustable /nonadjustable)
 Therapist stool
 Table
Diagnostic supplies on table

 Goniometer  Tape measure

 Reflex hammer  Thermometer

 Blood pressure cuff Digital or manual  Weighing scale

 Stethoscope  Disposable glove
 Pulse oximetry  Sensation testing tool
2. Exercise therapy tools

 Physiotherapy/exercise mat  Walking aids (Adjustable

crutches, walking frame)
 Balance boards  Wheelchair
 Physio ball (one big and one small size)  Stationary Bike
 Adjustable parallel bar  Different resistance TheraBand
 Correction Mirror

3. Physiotherapy treatment room

 Treatment couch or bed Therapist stool
(adjustable /nonadjustable)
4. Electrotherapy and physical modalities
 Multiple mode electrical stimulator Thermal modality
(EMS / TENS )
 Therapeutic Ultrasound
5. First-Aid kit
6. Others

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 Educational posters and pictures

7. Optional equipment’s and Materials

o Anatomical Skeletons models  Hand exercise tools

o Passive exercise equipment  Medicine balls
 Inclinometer  Foam roller or bolsters
 Dynamometer  Treadmill

 Adjustable overhead pulleys  Cervical & lumbar traction set

 Adjustable height exercise steps  Gait belts
 Fixed Wall bars  Trigger point releasers

 Free weights /Dumbbells in pairs  Cotton rolls, POP, gauze bandage,

POP scissors)
 Weight Cuff weights: set of  Different size elastic /ACE wrap bandage)
paired weights
 Nerve conduction test (NCT)  Neurological testing
instruments monofilament…..)
 Electromyography (EMG)  Multi Gym Equipment
Prosthesis and orthotics

 Oven  Bench vice

 Leather sewing machine  Tool case (Tool craft)
 Vacuum pump with connection kit  Scissor
 Grinder stand  Hack saw
 Suction(dust aspirator)  Drill conical(different type)
 Bench Drill  Riveting bar

 Jig saw  Safety equipment(protective )

 Saw oscillating ( cast cutter)  Glove, Nylon full palm PU coated

 Heat gun  Sand drum( different type)

 Welding Iron electrical  Contouring instrument ( Bender)

 Welding mirror  Revolving Hole puncher

 Measuring tape  Contouring instrument( side bar bender)

 Caliper guage  Rivet setter and header

Consumables for prosthesis and orthotics

 EVA - Indelible pencil  Ankle joint,Knee joint& Hip joint- Rivet

 Homopolymer(PP)- (locally not tubular iron nickel plated
available)-Leather  Side bar
 Plaster mixing bowel  Plaster of Paris (POP)
 Gypsum Powder  Copper rivet - Cotton stokinet
 Velcro - Stanley surform(different  Sand paper(different type)
type)  Cast cutter blade
 Glue- Sewing needles  Jig saw blade
 Foot(different size) - Ring half round  Hack saw blade
(D-Ring)  Drill bit
 Module system(different type & size)
- Loop
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 Knife (cutter)

5.2. Radiography Imaging Services (Optional)

5.2.1. Practice
5.2.1.1. Basic Radiology service (X-Ray) may be available for the physiotherapy clinic.
5.2.1.2. The radiology service shall have written policies and procedures that are reviewed at least
once every three years, and which shall include at least:
a) Radiology Safety practices;
b) Adverse reactions;
c) Management of the critically ill patient during imaging procedures;
d) Infection control, including patients in isolation;
e) Timeliness of the availability of diagnostic imaging procedures and the results;
f) Quality control program covering the inspection, maintenance, and calibration of all equipment.
5.2.1.3. There shall be a written protocol for managing medical emergencies in the radiological suite.
5.2.1.4. The radiology service unit shall be free of hazards to patients and personnel.
5.2.1.5. Proper safety precautions shall be maintained against fire and explosion hazards, electrical
hazards, and radiation hazards.
5.2.1.6. The physiotherapy clinic shall post in easily visible place all the necessary signs & the
approval certificate from the Ethiopian Radiation Protection Authority through periodic
inspection.
5.2.1.7. The physiotherapy clinic radiology unit shall keep documentation of the report for periodic
readings of employee’s exposure for radiation by the use of exposure meters or badge tests.
5.2.1.8. The physiotherapy clinic shall make sure that the radiographer(s) put on personal TLD(s)
whenever on operating the radiation emitting machines and TLD(s) are regularly monitored.
5.2.1.9. Requests for radiologic imaging examination shall contain a concise statement of reason for
the examination.
5.2.1.10. Imaging results (X-ray films) shall be labeled with minimum information that includes: date,
patient’s name, age, sex, location marks (L/R), name of institute and name of radiographer.
5.2.1.11. Imaging Reporting form shall have minimum information such as date, patient’s name, age,
sex, findings and name and signature of the radiographer.
5.2.2. Premises
5.2.2.1. The radiology imaging unit for chiropractic service center shall fulfills the design requirements
of Ethiopian radiation Protection Authority (ERPA) guidelines.
5.2.2.2. The premise for imaging service shall fulfill the ERPA requirements & be functional only if
licensed/ certified by ERPA.
5.2.3. Professional
5.2.3.1. The physiotherapy clinic that has radiology imaging service shall have the following
professionals:
 Radiological technologist/ radiographer technician
 Radiologist (optional)
5.2.4. Products
5.2.4.1. Imaging equipments which shall be available for radiology services at chiropractic service
center are indicated below:
a) Standard conventional x-ray machine,
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b) X-Ray viewing boxes,

c) Radiation protection equipments:
 lead gloves,  lead goggle,
 lead apron,  Gonad shields.
d) Dark room film processing baths (if necessary),
e) Drier (if necessary),
f) Diagnostic Ultrasound imaging

5.2.4.2. The X-Ray machine shall be regularly inspected, maintained, and calibrated by licensed organ or
ERPA; appropriate records of maintenance shall be maintained.
5.2.4.3. All radiation generating equipments shall be installed within a room/ building with wall thickness
that protects radiation to the surroundings, i.e., the minimum criteria set by the Ethiopian
Radiation Protection Authority /International Atomic Energy Agency (IAEA).
5.2.4.4. Installation and un-installation of radiation emitting machines like X-Ray shall follow the safety
procedures set by the Ethiopian Radiation Protection Authority during all procedures.
5.3. Health Promotion Services
5.3.1. Practice
5.3.1.1. The physiotherapy clinic shall plan, schedule and carry out health promotion activities.
5.3.1.2. The physiotherapy clinic shall have a written policy and procedures for health promotion. Which
shall include:
a) Content of health promotion package, the implementation media aiming at improving health
outcomes for patients, relatives, staff and community.
b) Allocating resources to the processes of implementation & regular review of the promotion package.
c) Enlightening staffs on health promotion package.
d) Ensuring that the clinic staff has relevant competences to perform health promotion activities and
supports the acquisition of further competences as required.
5.3.1.3. The physiotherapy clinic shall provide patients with information on significant factors concerning
their health condition. Health promotion interventions shall be established in all patient pathways,
& to a minimum shall include:
a) Based on the health promotion needs assessment, the patient is informed of factors impacting on his/
her health and, in partnership with the patient, a plan for relevant activities for health promotion is
agreed.
b) Patients are given clear, understandable and appropriate information about their actual health
condition, treatment, care and factors influencing their health.
c) Health promotion is systematically offered to all patients based on the assessed needs.
d) Information given to the patient and all health promoting activities are documented and evaluated,
including whether expected and planned results have been achieved.
e) All patients, staff and visitors have access to general information on factors influencing health.

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f) When necessary, an individual health promotion plan for a medical services shall be drawn up and
documented into the patient’s medical file;
5.3.1.4. The physiotherapy clinic shall have policy for the establishment of a healthy workplace which
shall include:
a) Development and training of staff in health promotion skills.
b) Implementation of a policy for a healthy and safe workplace providing occupational health for staff.
c) Involvement of staff in decisions impacting on the staff's working environment.
d) Availability of procedures to develop and maintain staff awareness on health issues.
5.3.1.5. The physiotherapy clinic health promotion practice shall provide unbiased and evidence based
information.
5.3.1.6. The physiotherapy clinic shall prepare &/ or avail health promotional materials which shall be
customer focused
5.3.2. Premises
5.3.2.1. The physiotherapy clinic shall have waiting area at reception with audio visual health promotion
materials.
5.3.3. Professionals
5.3.3.1. It is not mandatory to assign staff for promotion in particular,
5.3.3.2. The physiotherapist shall take the lead to identify priority conditions to prepare or avail promotion
materials.
5.3.3.3. The nurse shall collect available promotion materials from respective parties and coordinate
health promotion activities.
5.3.3.4. The expected health promotional activities shall be specified in the job description(s) of the
nurse(s).
5.3.4. Equipments
5.3.4.1. The physiotherapy clinic shall have Audio visual materials, TV set, DVD/ VCD, Radio, Tape
recorded at reception area,
5.3.4.2. The physiotherapy clinic may have the following health promotional materials:
a) Printed material (Posters, Brochures, Leaflets, Newspaper, Health bulletin),
b) Audio- video IEC materials (audio cassettes, video cassettes),
5.4. Record keeping & reporting services
5.4.1. Practice
5.4.1.1. The physiotherapy clinic shall maintain individual patient records,
5.4.1.2. The physiotherapy clinic shall maintain individual medical records in a manner to ensure accuracy
and easy retrieval.
5.4.1.3. If a patient received medical intervention while on ambulance, the medical information of a patient
& medication administered during ambulance service shall be documented in written and
attached into the medical record.
5.4.1.4. The physiotherapy clinic shall establish a master patient index with a unique medical
number/record for each patient

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5.4.1.5. Patient medical record shall at least contain the following information:
a) Identification (name, age, sex, address),
b) History, physical examination, investigation results and diagnosis,
c) Medication, procedure and consultation notes,
d) Name and signature of treating physician ,
e) If applicable, a signed Consent form(s). In case where someone other than the patient signs the
forms, the reason for the patient's not signing it shall be indicated on the face of the form, along with
the relationship of the signee to the patient.
5.4.1.6. Every piece of paper or format that contains a patient medical information shall carry the
appropriate identification,
5.4.1.7. All medical records shall be kept confidential, available only for use by authorized persons or as
otherwise permitted by law.
5.4.1.8. The clinic shall have a mechanism to track a medical record taken out for use until returned to the
record room.
5.4.1.9. All entries in the patient's medical record shall be written legibly in permanent ink (blue or black
color), dated, and signed by the recording person.
5.4.1.10. Consent forms that patient sign shall be printed in an understandable format and the text written
in clear, legible and non-technical language.
5.4.1.11. There shall be a mechanism to make medical records ready on appointment for use and to return
seen cards back to the central medical record room within 24hrs.
5.4.1.12. If death happens in the center, the necessary information of the patient's death shall be
documented in the patient's medical record upon death; date, time, any intervention, etc.,
5.4.1.13. Original medical records shall not leave physiotherapy chiropractic service center premises
unless they are under court order or in order to safeguard the record in case of a physical
emergency or natural disaster.
5.4.1.14. If a patient or his legally authorized representative requests in writing, a copy of the medical
record shall be given.
5.4.1.15. If a patient is provided with medical certificates, copies of the certificate and other records shall
be documented and/or recorded on the patient’s medical record.
5.4.1.16. If the patient is referred to another facility on a non- emergency basis, the physiotherapy service
center shall prepare a transfer/ referral note reflecting the patient's immediate needs; send a copy
of this record to the receiving facility & maintain a copy to the medical record.
5.4.1.17. The physiotherapy clinic shall establish a procedure for removal of inactive medical records from
the medical record room.
5.4.1.18. The physiotherapy clinic shall destroy old medical records as per the law by using techniques that
assures confidentiality. However, records which are active for more than ten years shall not be
destroyed.
5.4.1.19. The physiotherapy clinic shall have a written policy and procedure for medical record keeping
which include at least:
a) Procedures for record completion,
b) Conditions & procedures for releasing medical information,
c) Procedures for the protection of medical record information against the loss, tampering,
alteration, destruction or unauthorized use. 11
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5.4.1.20. The physiotherapy clinic shall have procedure for keeping records, collecting data and reporting
regularly specified reportable surveillance disease conditions for concerned public body-Zone/
Town/Sub-city.
5.4.1.21. Prescriptions and different request forms for investigation like, x-ray, etc. shall be revised and
updated as per service need at least every five years.
5.4.1.22. Digital recording & reporting (optional)
5.4.2. Premises
5.4.2.1. The physiotherapy clinic shall have a well secured, ventilated & illuminated room with adequate
space for shelves for archiving medical records. This room can be together with the reception
based on the volume.
5.4.2.2. The premises for medical record shall have enough space between and around shelves. The
medical records shall be kept in shelves which are to a minimum 10cm above the floor.
5.4.2.3. The medical record room shall have the following areas:
a) Working area for Recording & sorting ( can be the reception area)
b) Archive space with shelves

5.4.2.4. The medical record room shall have adequate light and ventilation.
5.4.2.5. There shall be fire extinguisher kept in a visible and identified place near the medical record
room,
5.4.2.6. For facilities where medical records area shared with reception, medical records shall be stored in
cabinets with locks.
5.4.3. Professional
5.4.3.1. The physiotherapy clinic receptionist shall function as record room personnel with proper
orientation.
5.4.4. Equipments
5.4.4.1. The record room of the chiropractic service center shall have the following materials:
a)Shelves,
b)Lockable cabinet, Cardex,
c) Patient medical records,
Note: if used digital recording these equipments should be optional

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 Organization and Objectives
The Ethiopian Standards Agency (ESA) is the national standards body of Ethiopia
established in 2010 based on regulation No. 193/2010.ESA is established due to the
restructuring o f Q uality a nd S tandards A uthority o f Ethiopia ( QSAE) w hich w as
established in 1970.

ESA’s objectives are:-

 Develop Ethiopian standards and establish a system that enable to

Ethiopian Standards Agency
የኢትዮጵያ የደረጃዎች ኤጀንሲ

check whether goods and services are in compliance with the

required standards,
 Facilitate the country’s technology transfer through the use of
standards,
 Develop national s tandards for local products and se rvices so as to
make them competitive in the international market.
Ethiopian Standards
The Ethiopian Standards are developed by national technical committees which are
composed of different stakeholders consisting of educational Institutions, research
institutes, government organizations, certification, inspection, and testing
organizations, regulatory bodies, consumer association etc. The requirements and/
or recommendations contained in Ethiopian Standards are consensus based that
reflects the interest of the TC representatives and also of comments received from
the public a nd other sources. Ethiopian Standards are approved by t he National
Standardization Council and are kept under continuous review after publication and
updated regularly to take account of latest scientific and technological changes.
Orders f or a ll Ethiopian Standards, I nternational Standards and ASTM standards,
including electronic versions, should be addressed to the Documentation and
Publication Team at the Head office and Branch (Liaisons) offices. A catalogue of
Ethiopian Standards is also available freely and can be accessed in from our
website.
ESA has the copyright of all its publications. No part of these publications may be
reproduced in any form without the prior permission in writing of ESA.
International Involvement
ESA, representing Ethiopia, is a member of the International Organization for
Standardization ( ISO), and Codex Alimentarius Commission ( CODEX). It also
maintains close working relations with the international Electro-technical
Commission (IEC) and American Society for Testing and Materials (ASTM).It is a
founding member of the African Regional Organization for Standardization
(ARSO).

More Information?
Contact us at the following address.
The Head Office of ESA is at Addis Ababa.

 011- 646 06 85, 011- 646 05 65

 011-646 08 80
 2310 Addis Ababa, Ethiopia
E-mail: [email protected],
Website: www.ethiostandards.org
Standard Mark