biostudies-literatureUnknown23(Suppl 2)Penzias REChildren&apos;s Investment Fund FoundationLemelson FoundationELMA FoundationTing Tsung and Wei Fong Chao Family FoundationBill and Melinda Gates FoundationJohn D. and Catherine T. MacArthur Foundation<h4>Background</h4>Service readiness tools are important for assessing hospital capacity to provide quality small and sick newborn care (SSNC). Lack of summary scoring approaches for SSNC service readiness means we are unable to track national targets such as the Every Newborn Action Plan targets.<h4>Methods</h4>A health facility assessment (HFA) tool was co-designed by Newborn Essential Solutions and Technologies (NEST360) and UNICEF with four African governments. Data were collected in 68 NEST360-implementing neonatal units in Kenya, Malawi, Nigeria, and Tanzania (September 2019-March 2021). Two summary scoring approaches were developed: a) standards-based, including items for SSNC service readiness by health system building block (HSBB), and scored on availability and functionality, andBMC pediatrics656https://www.ebi.ac.uk/biostudies/studies/S-EPMC10935770biostudies-literatureQuantifying health facility service readiness for small and sick newborn care: comparing standards-based and WHO level-2 + scoring for 64 hospitals implementing with NEST360 in Kenya, Malawi, Nigeria, and Tanzania.PMC10935770A OOChalamanda PHailegabriel TOchieng CBohne CJames FDzinkambani MMujaid BAEzeaka VCMakhumula BObure JWebster HHGupta GKerubo ENderitu NIrimu GMkude GKoech KOtieno SGicheha EBilitinyu JMiraji MLawn JEKumwembe PMtambo VAderounmu TWainaina JChimombo EDosunmu OAmbuso NBahati FDupe AAWaithaka NOvuoraye JAOhuma EOMhango RBanda LTillya RNyasulu NDube QChumbi BMulungu JBanda CMasanja Hwith the Health Facility Assessment Data Collection Learning Collaborative GroupKassim ICross JHAwolowo SNambombi CPenzias REShabani JSalim NWakhungu CRashid EOdedere OFetuga AMolyneux EMGathara DZimba EShayo CMichael AOCyrilo CChiume MStevens FYemisi OVAbiodun OAOden MCousens SWale AWAdudans STongo ORichards-Kortum RNdau IAyaga JNgwala SKAwosika FMchoma COkanlawon JfalseQuantifying health facility service readiness for small and sick newborn care: comparing standards-based and WHO level-2 + scoring for 64 hospitals implementing with NEST360 in Kenya, Malawi, Nigeria, and Tanzania.<h4>Background</h4>Service readiness tools are important for assessing hospital capacity to provide quality small and sick newborn care (SSNC). Lack of summary scoring approaches for SSNC service readiness means we are unable to track national targets such as the Every Newborn Action Plan targets.<h4>Methods</h4>A health facility assessment (HFA) tool was co-designed by Newborn Essential Solutions and Technologies (NEST360) and UNICEF with four African governments. Data were collected in 68 NEST360-implementing neonatal units in Kenya, Malawi, Nigeria, and Tanzania (September 2019-March 2021). Two summary scoring approaches were developed: a) standards-based, including items for SSNC service readiness by health system building block (HSBB), and scored on availability and functionality, and2024-01-01T00:00:00Z2024 Mar2026-06-09T03:15:02.338Z2026-06-09T03:07:40.143ZS-EPMC109357703847576110.1186/s12887-024-04578-5