title: Equipment for neonatal resuscitation in a middle-income country: a national survey in Vietnam.
abstract: Interventions to improve neonatal resuscitation are considered a priority for reducing neonatal mortality. In addition to training programs for health caregivers, the availability of adequate equipment in all delivery settings is crucial. In this study, we assessed the availability of equipment for neonatal resuscitation in a large sample of delivery rooms in Vietnam, exploring regional differences.
  
  
  
  In 2012, a structured questionnaire on 2011 neonatal resuscitation practice was sent to the heads of 187 health facilities, representing the three levels of hospital-based maternity services in eight administrative regions in Vietnam, allowing national and regional estimates to be calculated.
  
  
  
  Overall the response rate was an 85.7 % (160/187 hospitals). There was a limited availability of equipment considered as "essential" in the surveyed centres: stethoscopes (68.0 %; 95 % CI: 60.3-75.7), clock (50.3 %; 42.0-58.7), clothes (29.5 %; (22.0-36.9), head covering (12.3 %; 7.2-17.4). The percentage of centres equipped with polyethylene bags (2.2 %; 0.0-4.6), pulse oximeter (9.4 %; 5.2-13.6) and room air source (1.9 %; 0.1-3.6) was very low.
  
  
  
  Adequate equipment for neonatal resuscitation was not available in a considerable proportion of hospitals in Vietnam. This problem was more relevant in some regions. The assessment strategy used in this study could be useful for organizing the procurement and distribution of supplies and equipment in other low and/or middle resource settings.
authors.affiliation: Women's and Children's Health Department, Medical School, University of Padua, Azienda Ospedaliera di Padova, Via Giustiniani, 3, 35128, Padua, Italy. daniele.trevisanuto@gmail.com.|Amici della Neonatologia Trentina (ANT), Trento, Italy. daniele.trevisanuto@gmail.com.
authors.forename: Daniele
authors.initials: D
authors.lastname: Trevisanuto
authors.affiliation: Independent statistician, Padua, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Cavallin
authors.affiliation: Thrive Networks, Oakland, CA, USA.|School of Public Health & Community Medicine, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
authors.forename: Gaston
authors.initials: G
authors.lastname: Arnolda
authors.affiliation: Thrive Networks, Oakland, CA, USA.
authors.forename: Tran Dinh
authors.initials: TD
authors.lastname: Chien
authors.affiliation: World Health Organization, Country Office Bhutan, Thimphu, Bhutan.
authors.forename: Ornella
authors.initials: O
authors.lastname: Lincetto
authors.affiliation: University of Medicine Pham Ngoc Thach, Ho Chi Minh City, Vietnam.|Perinatal and Neonatal Association of Ho Chi Minh City, Ho Chi Minh City, Vietnam.
authors.forename: Ngo Minh
authors.initials: NM
authors.lastname: Xuan
authors.affiliation: National Hospital of Obstetrics and Gynecology, Hanoi, Vietnam.
authors.forename: Nguyen Viet
authors.initials: NV
authors.lastname: Tien
authors.affiliation: Thrive Networks, Oakland, CA, USA.
authors.forename: Nguyen Thi Xuan
authors.initials: NT
authors.lastname: Hoi
authors.affiliation: Amici della Neonatologia Trentina (ANT), Trento, Italy.|Thrive Networks, Oakland, CA, USA.
authors.forename: Luciano
authors.initials: L
authors.lastname: Moccia
mesh_terms: D003696:Delivery Rooms / Q000706:statistics & numerical data*; D003906:Developing Countries / Q000706:statistics & numerical data*; D019538:Health Care Surveys; D006295:Health Resources / Q000600:supply & distribution*; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006801:Humans; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal / Q000706:statistics & numerical data*; D012151:Resuscitation / Q000295:instrumentation*; D014744:Vietnam
keywords: Equipment; Middle-income country; Neonatal resuscitation; Survey; Vietnam