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The quality of the inter hospital transport of ill neonates, by selected ambulances in the Witwatersrand area, was investigated by means of the case study method. Of the fifteen case studies investigated, eleven neonates were transported by a private ambulance and four by provincial ambulances. Data regarding the maternal- and neonatal history, the optimal maintenance of the neonate's condition, the communication system, as well as aspects relating to the transport personnel, were collected by means of a structured instrument. Retrospective auditing of records, structured interviewing and direct observation/inspection were utilised as the research techniques. The quality of the inter hospital transport of ill neonates, especially by the private ambulance, is not up to standard. Deterioration of the neonate's body temperature, heart and respiration rates, as well as the serum glucose values after transport, were of the more important findings. The lack of equipment, especially in the private ambulance, increases the risk of transport. Staff development and formal control by a local committee, as well as a national control body, are recommended.

The transport of ill neonates between hospitals and/or health care centres, plays an important role in the mortality rate of these seriously ill neonates. It is therefore important that the ill neonate is transported under optimal conditions. A lack of standards in this regard hampers the evaluation of the quality of inter hospital transport of ill neonates. The purpose of this study is to formulate valid standards for the transport of seriously ill neonates between hospitals (and/or other health care institutions) to form the basis for the evaluation of the quality of this service. Factors that need to be considered in the transport of ill neonates include the ambulance, equipment and stock, the transport personnel and communication. These factors were systematically explored and described and standards were formulated accordingly.