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) |