Type of hospital | Total (n=142) % (95% CI) | ||
Medical college hospitals (n=79) | District hospitals (n=63) | ||
% (95% CI) | % (95% CI) | ||
Essential infrastructure | |||
General infrastructure | |||
Technical maintenance | 77.2 (66.0 to 85.6) | 73.0 (57.0 to 84.7) | 75.4 (66.2 to 82.6) |
Emergency electricity source | 93.7 (87.3 to 97.0) | 87.3 (68.8 to 95.6) | 90.8 (82.3 to 95.5) |
Air and oxygen | 91.1 (83.0 to 95.6) | 88.9 (73.8 to 95.8) | 90.1 (82.8 to 94.5) |
CPAP-specific infrastructure | |||
Air-oxygen blender for each CPAP device | 51.9 (39.7 to 63.8) | 49.2 (32.6 to 66.0) | 50.7 (41.4 to 60.9) |
Range of sizes of nasal interfaces | 86.1 (75.6 to 92.5) | 87.3 (76.4 to 93.6) | 86.6 (79.6 to 91.5) |
Guidelines for CPAP use available in the immediate area of care | 27.8 (19.4 to 38.2) | 34.9 (19.5 to 54.3) | 31.0 (22.2 to 41.4) |
Staffing levels | |||
>1 doctor 24/7 | 93.7 (85.0 to 97.5) | 65.1 (44.8 to 81.1) | 81.0 (69.6 to 88.8) |
>1 doctor 24/7 trained in CPAP use | 63.3 (51.7 to 73.5) | 46.8 (29.8 to 64.5) | 56.0 (45.8 to 65.8) |
>1 doctor technically competent in the management of pneumothorax available 24/7 | 75.9 (64.5 to 84.6) | 41.3 (25.7 to 58.8) | 60.6 (49.9 to 70.3) |
CPAP training plan available | 48.1 (34.3 to 62.2) | 41.3 (25.7 to 58.8) | 45.1 (34.4 to 56.2) |
Monitoring | |||
Neonatal pulse oximeters | 82.3 (72.2 to 89.2) | 93.7 (85.3 to 97.4) | 87.3 (80.9 to 91.8) |
X-ray 24/7 | 86.1 (77.4 to 91.8) | 54.0 (35.0 to 71.9) | 71.8 (60.6 to 80.9) |
Transilluminator | 17.7 (10.4 to 28.7) | 6.3 (1.5 to 23.5) | 12.7 (7.4 to 20.9) |
Retinopathy of prematurity (ROP) screening | 89.9 (77.2 to 95.9) | 60.3 (44.0 to 75.6) | 76.8 (66.0 to 84.9) |
Broncho-pulmonary dysplasia (BPD) screening | 62.0 (49.0 to 73.5) | 22.2 (12.5 to 36.3) | 44.4 (34.8 to 54.4) |
Management of complications | |||
Availability of equipment specific to the management of neonatal pneumothorax | 63.3 (49.8 to 74.9) | 20.6 (9.8 to 38.3) | 44.4 (34.1 to 55.2) |
Other important infrastructure | |||
Availability of caffeine | 82.3 (71.6 to 89.5) | 58.7 (40.3 to 75.0) | 71.8 (60.3 to 81.1) |
Availability of surfactant | 77.2 (66.6 to 85.2) | 49.2 (31.9 to 66.8) | 64.8 (53.5 to 74.6) |
Availability of humidifiers | 55.7 (43.1 to 67.6) | 63.5 (48.8 to 76.1) | 59.2 (49.6 to 68.0) |
Availability of antenatal corticosteroids | 93.7 (85.7 to 97.3) | 85.7 (75.9 to 91.9) | 90.1 (84.6 to 93.8) |
Availability of cryotherapy or laser therapy for the treatment of ROP | 44.3 (30.9 to 58.5) | 7.9 (2.9 to 20.0) | 28.2 (19.4 to 39.0) |