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This may be especially relevant in rural settings where access to quality neonatal care is most challenging.
Lack of data to inform decision making, and limited funding to increase access to quality neonatal care were also major challenges.
Most of the neonatal deaths in northern Tanzania are preventable, [ 21, 22] and an audit of records in a Dar es Salaam teaching hospital showed quality neonatal care was often suboptimal even within the context of available resources [ 23].
4 The survival of preterm infants has also steadily increased over time, 5 and the long term health implications are becoming increasingly apparent, 6 7 emphasising the importance of high quality neonatal care.
The control of visual impairment from ROP requires high quality neonatal care from the first few minutes after birth, coupled with programs for the detection and treatment of infants who develop the constellation of clinical signs which indicate a high rate of progression to blinding ROP [ 5, 6].
Largely because of evidence that countries with network based approaches lead the way in the provision of high quality neonatal care, 9 the subsequent 2003 report recommended the reorganisation of neonatal care in England into managed clinical networks, in which clusters of hospitals providing different levels of specialist care work in collaboration.
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"We want to make sure that sick and premature babies get consistently high-quality neonatal care.
Findings suggest that there is room for improvement in a number of interconnected areas including in relation to the layout and child health infrastructure in hospitals; hospital support systems, equipment and essential drugs; laboratory support; the availability and quality of neonatal care; and the quality of case management and patient monitoring systems.
The task force discovered that inconsistent care practices, anecdotally reported by the medical providers, affected the quality of neonatal care and maternal satisfaction.
8 11 However, few have focused on the quality of neonatal care.
The variation of quality of neonatal care over the day has been rarely studied directly.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com