Staffing
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There was no specific nurse allocated to the ward; reliance was mainly on a general postnatal nurse. |
Seven nurses allocated to the neonatal department, including one registered Nurse Midwife. |
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No designated team of clinicians in the nursery, but sporadic rounds with COs. |
CO assigned to do ward rounds twice a day. During a night shift, the CO on duty was responsible for the delivery ward and the nursery. |
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One nurse assigned to the day shift and another for the night. |
Four nurses are assigned for the day shift, and two cover the night shift. |
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Non-trained staff in neonatal care used to take care of neonates. |
All staff attended basic neonatal care training. |
Space
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2.5 by 3 metres room accommodating nine neonatal beds. No isolation. |
Extensive spaced facility with separate KMC (6-bed capacity), HDU (18-bed capacity), isolation department (4-bed capacity), and low-risk area (8 beds and six mattresses for mothers) |
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No separation for admissions from home and from within the facility (labour ward) |
All the nursery units separate from each other and not shared with the labour ward. |
Equipment
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One CPAP machine, one radiant warmer; no resuscitation machine and inadequate essential resources. |
Three CPAP machines, three big oxygen concentrators, three radiant warmers and resuscitation machines with adequate nasal prongs. |
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Relied on general system electricity, backup mostly unreliable |
Sustainable solar electricity backup |