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International Journal of Pediatrics
Volume 2010, Article ID 269293, 7 pages
Research Article

The Impact of Recycled Neonatal Incubators in Nigeria: A 6-Year Follow-Up Study

1Bioengineering Department, Imperial College London, London SW7 2AZ, UK
2Department of Paediatrics, University of Nigeria Teaching Hospital, Enugu 400001, Nigeria
3Department of Paediatrics, University of PortHarcourt Teaching Hospital, PMB 6173, Port Harcourt 500102, Nigeria
4Department of Paediatrics, University of Abuja Teaching Hospital, PMB 228 Abuja, Nigeria
5Department of Paediatrics, Lagos University Teaching Hospital, PMB 12003, Lagos 101001, Nigeria
6Department of Paediatrics, Aminu Kano Teaching Hospital, PMB 3452 Kano, Nigeria
7Department of Paediatrics, Ebonyi State University Teaching Hospital, Abakaliki 480001, Nigeria
8Department of Paediatrics, University of Benin Teaching Hospital, POB 1111, Benin-City 300001, Nigeria
9Department of Paediatrics, Federal Medical Centre, Nguru 630001, Nigeria
10Department of Paediatrics, Federal Medical Centre, PMB 0037 Gombe, Nigeria
11Department of Paediatrics, University of Ilorin Teaching Hospital, Ilorin 240001, Nigeria

Received 31 May 2010; Revised 1 November 2010; Accepted 30 December 2010

Academic Editor: Samuel Menahem

Copyright © 2010 Hippolite Onyejiaka Amadi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Nigeria has a record of high newborn mortality as an estimated 778 babies die daily, accounting for a ratio of 48 deaths per 1000 live births. The aim of this paper was to show how a deteriorating neonatal delivery system in Nigeria may have, in part, been improved by the application of a novel recycled incubator technique (RIT). Retrospective assessment of clinical, technical, and human factors in 15 Nigerian neonatal centres was carried out to investigate how the application of RIT impacted these factors. Pre-RIT and post-RIT neonatal mortalities were compared by studying case files. Effect on neonatal nursing was studied through questionnaires that were completed by 79 nurses from 9 centres across the country. Technical performance was assessed based on 10-indices scores from clinicians and nurses. The results showed an increase in neonatal survival, nursing enthusiasm, and practice confidence. Appropriately recycled incubators are good substitutes to the less affordable modern incubators in boosting neonatal practice outcome in low-income countries.