Table 2 Documented newborn assessment, monitoring and clinical care in newborn medical records, weighted proportions (%, 95% CI)

Documentation of newborn characteristics

n = 1182

n = 490

n = 220

n = 472

 Characteristics documented (of nine), mean (95% CI)

7.8 (7.2–8.3)

8.0 (7.3–8.7)

7.2 (6.9–7.5)

7.1 (6.4–7.7)

Documentation of signs and symptoms

n = 1182

n = 490

n = 220

n = 472

 Signs documented (of eight), mean (95% CI)

4.3 (2.7–5.9)

5.2 (4.0–6.5)

1.7 (0.8–2.5)

2.1 (1.7–2.5)

 Symptoms documented (of eight), mean (95% CI)

4.2 (2.2–6.2)

5.0 (2.9–7.2)

2.0 (1.5–2.6)

1.9 (1.3–2.6)

Evidence of patient monitoring

n = 1182

n = 490

n = 220

n = 472

 Evidence of further clinical review

89.6 (85.5–92.6)

90.7 (87.2–93.3)

83.6 (77.9–88.0)

91.6 (72.2–97.9)

 Frequency of temperature recorded in first 48 h, mean (95% CI)

6.6 (5.0–8.2)

5.2 (4.5–5.8)

6.9 (5.6–8.2)

9.6 (8.2–10.9)

 Treatment sheet available and filled

88.7 (79.9–93.9)

91.0 (81.7–95.9)

80.0 (54.2–93.1)

86.3 (76.8–92.2)

 Vital signs chart available and filled

39.4 (13.3–73.4)

26.6 (4.7–72.8)

72.9 (48.8–88.3)

75.2 (39.0–93.5)

 Feeding chart available and filled*

35.7 (23.3–50.3)

31.7 (20.7–45.1)

30.4 (9.6–64.3)

81.5 (48.3–95.4)

 Fluid chart available and filled**

41.4 (17.7–70.0)

35.1 (9.8–72.8)

42.2 (23.9–62.9)

79.8 (40.9–95.8)

 Weight monitored and filled

21.3 (7.8–46.3)

22.9 (6.2–57.1)

5.9 (3.0–11.2)

34.8 (14.6–62.6)

 Antibiotic dose

n = 556

n = 316

n = 62

n = 178

 Incorrect dose

19.4 (11.8–30.2)

14.4 (8.6–23.1)

34.2 (15.9–58.7)

51.0 (38.6–63.4)

 Gentamicin doseǂ

n = 539

n = 315

n = 62

n = 162

 Overdose

11.7 (7.1–18.5)

9.4 (5.5–15.5)

11.6 (7.4–17.8)

36.0 (26.0–47.3)

 Under-dose

4.6 (2.3–9.1)

2.9 (1.6–5.5)

15.4 (7.0–30.8)

8.5 (6.0–11.8)

 Penicillin doseǂ

n = 512

n = 302

n = 43

n = 167

 Overdose

2.8 (1.4–5.3)

2.7 (1.2–5.8)

0.0 (0.0–0.0)

5.8 (4.0–8.5)

 Under-dose

3.6 (1.2–10.6)

1.3 (0.8–2.2)

21.6 (2.5–74.8)

11.1 (8.1–14.9)

 Those requiring and prescribed

60.8 (54.8–66.5) (n = 316)

59.2 (53.6–64.6) (n = 187)

70.8 (42.0–89.0) (n = 26)

69.0 (53.9–80.9) (n = 103)

 Correct route (nasal prongs or catheter)

36.4 (24.6–50.0) (n = 412)

36.5 (21.5–54.7) (n = 181)

35.4 (16.9–59.5) (n = 73)

37.0 (27.5–47.6) (n = 158)

 Correctly prescribed (required and correct route)

40.7 (23.7–60.4) (n = 191)

39.4 (19.7–63.2) (n = 111)

57.1 (39.8–72.8) (n = 18)

39.1 (26.6–53.3) (n = 62)

Correct fluids and feeds

n = 721

n = 382

n = 75

n = 264

 Correct fluid and feed volumes

34.9 (23.2–48.7)

37.4 (23.6–53.6)

19.9 (5.5–51.6)

30.1 (20.0–42.6)