Table 1

Baseline characteristics, admissions and pulse oximetry adoption patterns of 12 secondary-level hospitals in south-west Nigeria

H1H2H3H4H5H6H7H8H9H10H11H12
Hospital typeMissionMissionStateStateStateMissionStateStateStateMissionMissionState
Paediatric beds703225366020484613631436
 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 paediatricianYes*No†YesYesYesYesYesNoNo†Yes*Yes*No†
 Doctors—entire hospital4421117516127667
 Nurses—child/newborn wards (number of paediatric-trained nurses)18716 (2)33 (3)629 (2)26311118426
Hospital oxygen supply
 Oxygen cylindersYes‡Yes‡Yes‡YesYesYes‡Yes§YesYes‡YesYes‡Yes‡
 Oxygen concentratorsYes¶NoYes¶Yes¶NoYesYes¶NoNoYes¶Yes¶No
 Pulse oximeters0000100000
Admissions (January 2014–April 2017)67301225242355612911105274752594500590411331017
 Child2951106522192952237576944371740488374510381016
 Neonate377916020426095362833038854122169951
Adoption milestones (months**)
 >50% admissions333230333323
 >90% admissions455104013313533
 6 months sustained >90%917101261918158
Adopter category††FastMediumFastSlowMediumNA‡‡SlowMediumMediumMediumFastSlow
  • 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.