Table 1 Health system building block (HSBB) modules and sub-modules: description of categories included in standards-based scoring

1. Medical devices and supplies (544/630 items included)

 Medical device requirements

• Device availability and functionality

• Consumable availability and stockouts

• Infection prevention supply availability and stockouts

 Laboratory

• Laboratory infrastructure

• Equipment availability and functionality

• Laboratory supply availability and stockouts

• Laboratory test and guideline availability

• Laboratory staffing

 Pharmacy

• Medicine availability and stockouts

• Supply chain processes

 Biomedical workshop

• Repair tool availability and functionality

• Spare part availability and stockouts

• Workshop infrastructure

• Planning and management processes

• Preventive maintenance processes

2. Human resources (229/381 items included)

 People

• Staffing allocation and staff numbers

 Education

• Clinical and technical staff training

• Provision of clinical competencies

 Enabling Environment

• Guideline availability and accessibility

• Support and supervision

• Hospital policies and working conditions

• Provision of free newborn care services

3. Infrastructure (131/221 items included)

 Electrical power

• Backup power sources and functionality

• Neonatal unit power infrastructure

• Electricity availability by hospital area

 Medical gases and vacuum

• Hospital oxygen systems

• Neonatal unit walled and piped oxygen availability

 Referral

• Communication method availability and functionality

• Transport method availability and functionality

• Transport maintenance and support systems

 Space and design

• Neonatal unit capacity

• Dedicated areas in neonatal unit

• Temperature and heating in neonatal unit

• Fire prevention in neonatal unit

• Staff/visitor personal items and dedicated areas

• Biomedical workshop space availability

 Water, Sanitation, and Hygiene

• Hospital water infrastructure

• Water availability by hospital area

• Autoclaving availability and functionality

• Hand hygiene options on the neonatal unit

• Toilet/latrine options for neonatal unit staff/visitors

• Neonatal unit sterilisation and equipment disinfection

• Waste management on the neonatal unit

• Infection surveillance

• Observed hand hygiene behaviour

4. Information Systems (95/215 items included)

 Data collection

• Forms/registers used on the neonatal unit

• Register completion

• Summary reports used

• Maternal perinatal death surveillance and response

 Data management

• Filing systems on the neonatal unit

• Indicators used at the hospital

• Summary data for reporting

• Civil registration and vital statistics

 Maternal and perinatal death surveillance and response (MPDSR)

• MPDSR reporting

 Foundations

• Form/register supply and stockouts

• Filing systems on the neonatal unit

• Electronic information system availability and management

• Infrastructure for electronic information systems

5. Family-Centred Care (30/40 items included)

 Organisation of care

• Guideline availability and accessibility

• Sitting, sleeping, and visitor infrastructure

• Dedicated areas for mothers/families

 Discharge and early development

• Guideline availability and accessibility

 Parent power

• Guideline availability and accessibility

 Kangaroo mother care (KMC)

• KMC infrastructure and occupancy

6. Governance (14/21 items included)

 Hospital management

• Clinical audit and management meetings

• Staff absenteeism and training plans

• Hospital and neonatal unit target setting

• Financial management policies