Table 2 Compliance with items contributing to the care practices score (29 items)
19 items plus 10 points for record review | All district hospitals | |||
|---|---|---|---|---|
Data source | Baseline N = 39 (%) | Midpoint N = 38 (%) | End point N = 39 (%) | |
All sick neonatal admissions admitted to nursery | Observation or staff report | 20 (51%) | 29 (76%) | 29 (74%) |
CS babies not routinely admitted to nursery | Observation or staff report | 30 (77%) | 33 (87%) | 36 (92%) |
CLINICAL AUDIT | ||||
PPIP being implemented | Observation or staff report | 37 (95%) | 35 (92%) | 36 (92%) |
3 months PPIP data available | Observation | 27 (69%) | 33 (87%) | 32 (82%) |
Perinatal review meeting minutes available for past three months | Observation | 23 (59%) | 32 (84%) | 33 (85%) |
KANGAROO MOTHER CARE | ||||
No of KMC beds compliant with recommended number KMC beds | Observation | 26 (67%) | 34 (90%) | 36 (92%) |
POSTNATAL WARD | ||||
Babies kept with the mother at all times | Observation | 37 (95%) | 37 (97%) | 36 (92%) |
Observations done 12 hourly on babies born by caesarean section | Observation | 9 (23%) | 14 (37%) | 9 (23%) |
Daily weights recorded on all babies | Observation/ review of clinical notes | 8 (21%) | 13 (34%) | 11 (28%) |
Babies are not routinely bathed (recommended) | Observation or staff report | 16 (41.0%) | 37 (97.4%) | 35 (98.7%) |
Bottles and teats NOT on view in the postnatal ward (recommended) | Observation | 23 (59.0%) | 36 (94.7%) | 31 (79.5%) |
Road to health cards are available | Observation | 36 (92.3%) | 36 (94.7%) | 36 (92.3%) |
STAFF PRACTICES | ||||
Able to check ambubag | Observation | 15 (38%) | 31 (82%) | 34 (87%) |
Able to set incubator temperature | Observation | 35 (90%) | 34 (90%) | 30 (77%) |
Able to change incubator temperature according to babies temperature | Observation | 33 (85%) | 36 (95%) | 36 (95%) |
Able to assemble CPAP circuit | Observation | 6 (15%) | 12 (32%) | 13 (33%) |
If baby weighs 1.5 kg: | ||||
Able to calculate fluid requirements on first day of life | Observation | 14 (36%) | 17 (45%) | 31 (80%) |
Able to calculate the number of mls/hr | Observation | 12 (31%) | 20 (53%) | 31 (80%) |
Able to set up an infusion pump correctly | Observation | 25 (64%) | 33 (87%) | 38 (97%) |
OVERALL CARE PRATICES SCORE/29 | ||||
Average score (highest –lowest) | 17.7 (11–22) | 21.6 (16–27) | 22.6 (17–27) | |