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Table 1 Compliance with items contributing to the Resources Score (34 items)

From: A health systems strengthening intervention to improve quality of care for sick and small newborn infants: results from an evaluation in district hospitals in KwaZulu-Natal, South Africa

 

KZN Norm

Data source

All district hospitals

Compliant at baseline

n = 39 (%)

Compliant at midpoint

n = 38 (%)

Compliant at endpoint

N = 39 (%)

HUMAN RESOURCES

 Dedicated doctor responsible for the nursery

recommended

Observation or staff report

12 (31%)

34 (89%)

39 (100%)

 Dedicated doctor has neonatal training (MSSN training)

recommended

staff report

5 (12.8%)

22 (57.9%)

10 (25.6%)

 Registered nurse on duty with neonatal/MSSN training

recommended

staff report

15 (38.5%)

33 (86.8%)

31 (79.5%)

INFRASTRUCTURE

 Stand-alone nursery (separate door not part of labour ward)

recommended

Observation

36 (92.3%)

38 (100%)

39 (100%)

 Wall oxygen points

2 per HC bed

1 per IC bed

Observation

6 (15%)

3 (8%)

7 (18%)

 Functioning portable oxygen points

1 per nursery

Observation

14 (36%)

17 (45%)

22 (56%)

 Wall suction points

2 per HC bed

1 per IC bed

Observation

2 (5%)

3 (8%)

8 (21%)

 Functioning portable suction

1 per nursery

Observation

31 (79%)

26 (68%)

31 (80%)

 Functioning electrical points

12 per HC bed

Observation

1 (3%)

5 (13%)

3 (7.7%)

 Medical air or compressor

1 per nursery

Observation

15 (38%)

13 (34%)

22 (56%)

MAJOR EQUIPMENT

 Functional CPAP machine available

1 per nursery

Observation

8 (21%)

12 (32%)

14 (36%)

 Multiparameter monitors

1 per HC bed

Observation

6 (15%)

21 (55%)

28 (72%)

 Oxygen blenders

1 per HC bed

Observation

1 (3%)

2 (5%)

7 (18%)

 Glucometers

1 per cubicle

Observation

33 (85%)

35 (92%)

37 (95%)

 Stethoscopes

1 per HC bed

Observation

5 (13%)

21 (55%)

26 (67%)

 Infusion pumps

2 per HC bed

Observation

8 (21%)

9 (24%)

17 (44%)

 Syringe drivers

4 per HC bed

Observation

0 (0%)

1 (3%)

2 (5%)

CONSUMABLES/DRUGS

 CPAP circuits

1 complete set a

Observation

13 (33.3%)

17 (44.7%)

15 (38.5%)

 Neonatal nasal prongs

5a

Observation

23 (59%)

29 (76%)

36 (92%)

 Oxygen tubing

5a

Observation

16 (41%)

25 (65.8%)

22 (56%)

 Infusion sets

10a

Observation

19 (49%)

18 (47%)

29 (74%)

 Pulse oximeter probes

HC beds + 1a

Observation

32 (82%)

36 (91%)

39 (100%)

 Gentamicin

anya

Observation

32 (82%)

35 (92%)

36 (92%)

 Pen G

anya

Observation

27 (70%)

31 (82%)

32 (82%)

 Neonatalyte

200mls X 10a

Observation

15 (38%)

26 (68%)

27 (69%)

 Glucostix

10a

Observation

34 (87%)

36 (95%)

35 (90%)

 Neonatal cannulae

20a

Observation

29 (74.4%)

34 (89%)

37 (95%)

AVAILABILITY OF GUIDELINES IN THE NEONATAL UNIT

 MSSN chart booklet

recommended

Observation

23 (59%)

35 (92%)

37 (95%)

 Fluids chart on the wall

recommended

Observation

14 (36%)

22 (58%)

34 (87%)

 Resuscitation chart on the wall

recommended

Observation

8 (21%)

17 (45%)

27 (69%)

 Feeding chart on the wall

recommended

Observation

12 (31%)

20 (53%)

34 (87%)

 Incubator temperature chart

recommended

Observation

8 (21%)

19 (50%)

29 (74%)

 Phototherapy chart on the wall

recommended

Observation

25 (64%)

32 (84%)

39 (100%)

 Oxygen chart on the wall

recommended

Observation

5 (13%)

8 (21%)

9 (23%)

OVERALL RESOURCES SCORE/34

 Average score

(highest-lowest)

  

13.5

(5.0–26)

19.4

(11.0–28)

22.1

(11.0–31.0)

  1. aindicates the number of items that had to be present to achieve compliance