Abstract:
Background: - The Neonatal Intensive Care Unit (NICU), with trained health professionals and fully
equipped lifesaving supplies. The scarcity of resources is the main bottle nick for NICU service
implementation.
Objective: - To evaluate the implementation status and associated factors of NICU service in Fitche
General Hospital.
Method: A Hospital-based single case study was conducted at Fitche general Hospital from Jul to
Sept. 2021. Both quantitative and qualitative data collection methods were used, to assess the
availability of resources, health service providers‟ compliance with the standard, and level of Parents‟
satisfaction. Quantitative data was collected using a structured questionnaire, Parents of admitted
newborns were selected by convenience sampling technique. Data was entered into Epi data 4.6.0.4
and exported into SPSS Version 26 for analysis. Bi-variable & multivariable logistic regression
analyses were used to identify factors associated with parent satisfaction. The key informants were
select purposefully for qualitative method.
Results: 63 percent of the required resources were available for the implementation of NICU service in
the study setting. The human resources and rooms have been inadequate. Health service providers'
compliance with the standard national guideline was 82%. However, there was no hand washing
conducted at the proper hand-washing event according to guidelines. About 66.4% of parents were
satisfied with the services given to their neonates. There is no an association between
sociodemographic characteristics and parental satisfaction with NICU service at Fitche General
Hospital.
Conclusion: The overall implementation status of neonatal intensive care unit service was good
according to preset judgment criteria. However, there is a need for improvement on human
resource, additional rooms, water supply, essential drugs, medical supplies and continuous
Integrated Supportive Supervision
