Conclusion
In conclusion, our study found that video recording of neonatal resuscitation in secondary-level district hospitals in a low-resource setting revealed significant derivations from NR guidelines despite nearly 90% of health workers having received training in NR. The neonatal mortality rate was 23.6 per 1000 live births. The video recordings provided direct evidence of gaps in quality of care, and were instrumental in identifying areas for future education, particularly efforts on effective bag- and mask ventilation.