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Table 2 Compliance with items contributing to the care practices score (29 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

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)