Table 1. Audit criteria and audit guide.

ETAT+: Emergency Triage Assessment and Treatment; TEO: tetracycline eye ointment; APGAR score: Appearance, Pulse,

Audit criterion	Audit guide	Sample	Method used to measure % compliance with best practice
1. Healthcare providers attending to deliveries have received training and maintain competencies in relation to newborn resuscitation	The auditor administered a questionnaire to find out if the healthcare providers had been trained in basic newborn resuscitation, using the national ETAT+ guidelines. Auditor marked as ‘Yes’ for trained and ‘No’ for no training	55 healthcare providers	A questionnaire to healthcare providers (refer to Appendix I) Certification provided on completion
2. Availability of functional equipment and supplies for basic newborn resuscitation in the labor ward and maternity theater	The auditor used a simple tool to check availability of equipment in the maternity theater and labor ward, and marked as ‘not available’, ‘partially available’ or ‘available’.	Warming device for room or resuscitaire Two warm dry towels Hand washing facilities or hand sanitizer Bag-valve mask Suction machine and catheters TEO available for eye prophylaxis Cord clamps Resuscitation starts within one minute of birth if needed Chlorhexidine available for cord care Baby placed skin to skin with mother	All supplies present in the resuscitation tray – ‘Yes’. Equipment partially or not available in the resuscitation tray – ‘No’. Refer to Appendix II
3. Availability of evidence-based newborn resuscitation protocols in the labor ward and maternity theater	Audit team marked as: ‘Yes’ if available ‘No’ if unavailable or not updated	A current evidence-based protocol	Presence of printed protocol in the 2 rooms (maternity theater and labor ward). Refer to Appendix V
4. All newborns are assessed correctly and assigned an APGAR score	Audit team looked at the patient case notes and marked as: ‘Yes’ if APGAR score documented ‘No’ if empty	Baseline – conducted retrospectively on 300 case notes (from mothers) from May 2016 Follow-up – October 2016	Refer to Appendix III for audit tool
5. All newborns with perinatal asphyxia are correctly assessed and managed according to the WHO guidelines	Audit team looked at the patient case notes and marked as: ‘Yes’ if APGAR score was documented and the resuscitation efforts documented. ‘No’ if resuscitation efforts not documented	Baseline - 15 case notes of newborns in May 2016 Follow-up – October 2016	Refer to Appendix IV for audit tool

Grimace, Activity and Respiration; WHO: World Health Organization