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  11. Allied Health Provision Of Therapy In The Neonatal Units In New Zealand: A Cross-sectional Survey

Allied Health Provision of Therapy in the Neonatal Units in New Zealand: A Cross-Sectional Survey

Danielle Atkins1, Parimala Kanagasabai2, Malcolm Battin3

  • 1Child Development Service, Health New Zealand, Te Whatu Ora, Aotearoa, New Zealand.

Journal of Paediatrics and Child Health
|January 26, 2026

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View abstract on PubMed

Summary
This summary is machine-generated.

Early rehabilitation intervention by Neonatal Neurodevelopmental Therapists (NNTs) in New Zealand neonatal units is significantly below recommended levels. This limited provision impacts neonates and families, highlighting a need for increased NNT services and training.

Area of Science:

  • Neonatal care
  • Rehabilitation therapy
  • Healthcare workforce analysis

Background:

  • Early intervention is crucial for neonatal neurodevelopmental outcomes.
  • Neonatal Neurodevelopmental Therapists (NNTs) provide essential rehabilitative services in Neonatal Intensive Care Units (NICU) and Special Care Baby Units (SCBU).
  • Understanding current service provision and workforce priorities is key to improving care.

Purpose of the Study:

  • To benchmark early rehabilitative intervention by NNTs in Aotearoa New Zealand's NICUs and SCBUs.
  • To assess the content and amount of neurodevelopmental therapy provided.
  • To gather insights into NNT workforce priorities.

Main Methods:

  • An online cross-sectional survey was distributed to clinical directors and NNTs in NZ neonatal units.
Keywords:
benchmarkingneonatal neurodevelopmental therapyservicesstaffing ratio

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  • Quantitative data were analyzed using descriptive statistics.
  • Qualitative data from open-ended questions underwent thematic analysis.

    • Main Results:

    • Early rehabilitation intervention by NNTs is substantially below international recommendations across all surveyed units.
    • Only 29% of units have dedicated NNTs; NNTs spend limited time on assessment, intervention, and education.
    • A significant proportion of NNTs lack specialist training, and workforce priorities include continuity of care and better training access.

    Conclusions:

    • Limited NNT availability in NICUs/SCBUs compromises early rehabilitation intervention, potentially affecting vulnerable neonates and families.
    • A substantial scale-up of NNT services and a national network are proposed to enhance training, continuity, and equity of care.
    • Addressing NNT workforce shortages and training needs is critical for equitable neonatal neurodevelopmental outcomes.