The ISS is a digital checklist aimed at improving facilities management in Malawi by assessing important indicators across twelve essential service areas that enhance healthcare quality and effectiveness. It produces actionable items for decision-makers at various levels—Central, Zonal, District, and Facility—to facilitate follow-up and implementation. Key health focus areas include Sexual and Reproductive Health, Communicable Diseases, Vaccination/Immunization, Environmental Health, and Maternal and Child Health.