Baseline characteristics, admissions and pulse oximetry adoption patterns of 12 secondary-level hospitals in south-west Nigeria
H1 | H2 | H3 | H4 | H5 | H6 | H7 | H8 | H9 | H10 | H11 | H12 | |
Hospital type | Mission | Mission | State | State | State | Mission | State | State | State | Mission | Mission | State |
Paediatric beds | 70 | 32 | 25 | 36 | 60 | 20 | 48 | 46 | 13 | 63 | 14 | 36 |
Child+neonatal | (40+30) | (20+12) | (21+4) | (16+20) | (44+16) | (15+5) | (20+28) | (22+24) | (9+4) | (38+25) | (12+2) | (26+10) |
Hospital staffing | ||||||||||||
Access to paediatrician | Yes* | No† | Yes | Yes | Yes | Yes | Yes | No | No† | Yes* | Yes* | No† |
Doctors—entire hospital | 4 | 4 | 2 | 11 | 17 | 5 | 16 | 12 | 7 | 6 | 6 | 7 |
Nurses—child/newborn wards (number of paediatric-trained nurses) | 18 | 7 | 16 (2) | 33 (3) | 62 | 9 (2) | 26 | 31 | 11 | 18 | 4 | 26 |
Hospital oxygen supply | ||||||||||||
Oxygen cylinders | Yes‡ | Yes‡ | Yes‡ | Yes | Yes | Yes‡ | Yes§ | Yes | Yes‡ | Yes | Yes‡ | Yes‡ |
Oxygen concentrators | Yes¶ | No | Yes¶ | Yes¶ | No | Yes | Yes¶ | No | No | Yes¶ | Yes¶ | No |
Pulse oximeters | 0 | 0 | 0 | 0 | 3¶ | 1 | 0 | 0 | 0 | 0 | 1¶ | 0 |
Admissions (January 2014–April 2017) | 6730 | 1225 | 2423 | 5561 | 2911 | 1052 | 7475 | 2594 | 500 | 5904 | 1133 | 1017 |
Child | 2951 | 1065 | 2219 | 2952 | 2375 | 769 | 4437 | 1740 | 488 | 3745 | 1038 | 1016 |
Neonate | 3779 | 160 | 204 | 2609 | 536 | 283 | 3038 | 854 | 12 | 2169 | 95 | 1 |
Adoption milestones (months**) | ||||||||||||
>50% admissions | 3 | 3 | 3 | 2 | 3 | 0 | 3 | 3 | 3 | 3 | 2 | 3 |
>90% admissions | 4 | 5 | 5 | 10 | 4 | 0 | 13 | 3 | 13 | 5 | 3 | 3 |
6 months sustained >90% | 9 | 17 | 10 | – | 12 | 6 | – | 19 | 18 | 15 | 8 | – |
Adopter category†† | Fast | Medium | Fast | Slow | Medium | NA‡‡ | Slow | Medium | Medium | Medium | Fast | Slow |
Note: Neonate ≤28 days, child 29 days–15 years.
*Part-time.
†Family medicine consultant.
‡Not available in paediatric areas.
§Piped system connected to a large oxygen cylinder.
¶Present but not fit for use.
**Months to achieve targets, counted from introduction of oximetry (November 2015).
††Categories based on ranking of hospitals based on speed of achieving and sustaining high oximetry use (>90% of admissions).
‡‡H6 already practising oximetry.
NA, not applicable.