Some of the modifiable factors identified during the audit meetings
| Modifiable factor | Children >1 month | Neonates |
| Insufficient patient assessment | 5 | 16 |
| Insufficient emergency department management | 6 | |
| Insufficient treatment and management in the ward | 7 | 12 |
| Insufficient ward nursing care | 3 | 8 |
| Insufficient documentation | 12* | 3 |
| Inadequate laboratory testing or tests not available | 13 | 21 |
| No attendance at antenatal clinics | 14 | |
| Lack of antenatal counselling | 4 | |
| Insufficient obstetric management: delayed delivery of distressed baby | 7 | |
| Late obstetric to paediatric communication of high-risk delivery | 6 | |
| Poor neonatal resuscitation | 4 | |
| Shortage of CPAP for the management of respiratory distress syndrome | 8 | |
| Delayed presentation from home (child being unwell for 2 weeks or more before primary presentation) | 5 | |
| Delayed referral from primary healthcare | 6 | 2 |
| Uncommunicated or unaccompanied referral from another province | 6 | |
| Children with chronic illness lost to follow-up | 3 |
↵*Insufficient fluid chart documentation.
CPAP, continuous positive airway pressure.