Table 4.

Exemplary quotes from focus group discussions with medical staff highlighting resource-poor setting effects on feasibility and fidelity of evidence-based SCBU treatments.

Type of SCBU care	Quotes	Themes
Feeding	“Well, we can help the patients but it takes more effort for the staff to feed them because they have to be fed hourly. Some of the patients are not severe, but the staff need to help them because the parents don't know how to. Sometimes premature infants need donor milk because they [need to supplement breastfeeding]. For donor milk, we need to find from breastfeeding mothers in the SCBU. Some mothers want to give but others do not. Even some mothers want to give, we have to screen their blood before we take milk. Also, we get some donor milk from Mae Sot.”—Medic (2–13 years SMRU experience), FGD, SMRU Maw Ker Thai Clinic (MKT-FGD-01).	Feasibility
Hyperbilirubinemia	“Some of the pre terms with jaundice need phototherapy. There is an eye mask to cover the baby's eyes. But there are not enough and sometimes they are not of good quality. We need to tie it to fit the baby because it's too big. There are not a lot of size M or size S to order for the baby. So, it is not ok for preterms. And many things from here were sent to Ko Ko SCBU [new SCBU unit on the Myanmar side], so here there is not really enough equipment. It is really difficult for us.”—Nurse (2–6 years SMRU experience), FGD, SMRU Wang Pha Clinic (WPA-FGD-02).	Feasibility
Respiratory support	“If you have a small oxygen face mask then it will be better. Also, [having an] oxygen flow meter which is 0.5 L [oxygen flow meter helps determine the flow of oxygen to the patient]. Now, we have one which is 15 L and if we open [it is difficult to control and fine tune]. It will be better if they can procure this for us. Because the preterms need oxygen support for long periods of time so it will be better to have 0.1 or 0.5 unit for that. At the moment, we have only one.”—Medic (2–10 years SMRU experience), FGD, SMRU Wang Pha Clinic (WPA-FGD-01).	Fidelity
Thermoregulation (e.g., early onset neonatal sepsis)	“When the pre terms have a cold temperature, then we use the incubator to warm them. But if the machine is not working properly or we don't have one available then we need to use a hot water bag. Then we need to be really careful about it. If not, it is very easy to burn the baby's skin. I think the incubator is better than the hot water bag. It will be better if we can have enough incubators for preterms who have low body temperature.”—Medic (2–10 years SMRU experience), FGD, SMRU Wang Pha Clinic (WPA-FGD-01).	Feasibility, fidelity