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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