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Table 3 Incremental government staffing ratios compared against baseline required for two scenarios A and B to be modelled. Baseline staffing ratios based on Health Facility Assessments conducted in seven hospitals in Tanzania by the NEST360 Alliance (5 facilities in October 2020 and 2 facilities in February 2021). Scenario A considered establishing and operating new additional neonatal for scale-up. Scenario B considered modifying, upgrading, or adding resources to existing neonatal units, plus setting up new additional units

From: Investment case for small and sick newborn care in Tanzania: systematic analyses

WardStaff Cadres

Baseline

Modelling Scenarios

 

Scenario A

Scenario B

Nurse (per cots)

1:11

1:4

1:8

Nursing Assistant

1 per unit

2 per room

1 per unit

Medical Doctor/ Paediatrician

1:20 cots

1:8 cots

1:12 cots

Clinical Officer

Variable

1 per room

1 per room

Biomedical Technician

1 per hospital

1 per unit

1 (one per hospital)

Ward Clerk

Variable

2 per unit

>1 per newborn unit

  1. Ward clerk >1 at least one health records personnel, who is not entirely attached to the newborn unit but can be shared with the health facility. Under scenario B, the ward clerk is not costed, for District Hospital it's more health system costs and for Regional Referral Hospitals one ward clerk personnel is costed.
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BMC Pediatrics

ISSN: 1471-2431

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