Objectives: To assess the use of the WHO's Essential Newborn Care (ENC) programme items and to investigate how the non-use of such technologies associates with the mothers' characteristics and hospital structure.
Design: A cross-sectional observational health facility assessment.
Setting: This is a secondary analysis of the 'Birth in Brazil' study, a national population-based survey on postnatal women/newborn babies and of 266 publicly and privately funded health facilities (secondary and tertiary level of care).
Background: In Brazil, hospital birth care is available to all, but there are important differences between hospitals in the public and private sectors, geographical regions and capitals/inland cities, resulting in inequalities of infant health.
Aims: To assess the hospital structure for birth care in Brazil and analyze hospital adequacy to care for newborns according to levels of risk.
Methods: Data were collected as part of a nationwide hospital-based cohort study, 'Birth in Brazil'.