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

From: Effective coverage of essential inpatient care for small and sick newborns in a high mortality urban setting: a cross-sectional study in Nairobi City County, Kenya

  Total Public Mission Private
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)
Appropriate antibiotic prescription
 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)
Correct oxygen treatment
 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)
  1. Overdose and under-dose was defined as 20% more and less, respectively, than the recommended dose per kilogram body weight per day as per national guidelines. Correct fluid and feed volume allow for 20% margin of error from national guidelines
  2. *Of those patients who received a prescription for feeding (n: total = 307, public = 199, mission = 16 and private = 92)
  3. **Of those patients who received a prescription for fluids (n: total = 529, public = 252, mission = 66 and private = 211)
  4. ǂ Of those patients who received antibiotics (n = 640) and had their weight, prescription frequency and dose recorded
  5. CI confidence interval