Table 3

 The performance of hospitals in delivering paediatric care in developing countries: a summary of some recent findings

Nolan et al12No or ineffective triage for sick children arriving at hospital, resulting in potentially dangerous delays in initiating treatment
Absence of basic, essential supplies for handling emergencies in “walk-in” areas of the hospital
Indications of some inadequacy in care in 76% of admitted children
Inadequate knowledge base of many health professionals for even common, serious childhood disorders
English et al13,14Absence of paediatricians and doctors, limited numbers of nurses
Basic resources often missing or inadequate, for example:
 Blood for transfusion
 Phototherapy equipment
 Inhaled therapy for asthma
 Feeds for malnourished children or sick newborn infants
Lack of access to or knowledge about modern case management approaches
Basic laboratory investigations (e.g. examination of CSF) unavailable, of poor quality, or not used
Serious dose errors for even commonly used drugs
Inadequate/inappropriate use of intravenous fluids