The Ministry of Health together with its partners realizes that efficient and effective delivery of clinical care is highly dependent on the availability of appropriately upgraded environment, which is in well facilitated space. Such facilities and utilities should always be properly designed, built, and maintained, so as to ensure efficient treatment in clean and safe from infection. The main challenges in achieving this include the lack of, appropriate holistic and futuristic management plans, human resource for facility/utility management and maintenance, adequate budget funds for renovation/maintenance activities at all levels which means daily and long-term of facility maintenance plans and executions. It is hoped that the guidelines will help to standardise design of medical facilities and utilities country wide and result in efficient and effective establishment of these life-saving function