| Lack of paediatric & neonatal areas in some hospitals |
Establish dedicated areas for hospitalized children & a model of care for unwell newborns |
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| Oxygen therapy for pneumonia & neonatal care |
Implementation of an oxygen system that includes concentrators & oximetersTraining in pneumonia management & use of oxygenEstablish high-dependency areas for the care of the sickest children |
WHO Clinical Use of Oxygen http://video.rch.org.au/cich/The_Clinical_Use_of_Oxygen_November_2011.pdfWHO Hospital Care for Children and training CD, www.ichrc.org
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| Infection control |
Improve soap or alcohol hand-wash |
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| Neonatal care |
Improve basic neonatal equipmentTraining in care of the sick newbornwith sepsis or low birthweightNeonatal resuscitation training for birth asphyxia |
Minimal standards of neonatal care20WHO Hospital Care for Childrenwww.ichrc.orgEssential Early Newborn Care https://apps.who.int/rht/documents/MSM96-13/essential_newborn_care.htmEmergency Obstetric Care http://www.unfpa.org/public/home/mothers/pid/4385
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| Lack of bacteriology services leading to no knowledge of bacterial causes of infection, lack of evidence-based antibiotic prescribing, & no understanding of local antibiotic resistance patterns |
Establish bacteriological culture at selected district hospitals |
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| Lack of paediatric nurses, or existing paediatric nurses deployed into administrative roles |
Establish a regional training course in highlands for paediatric nurses, with intake particularly from district hospitals |
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