Where electricity is unreliable, compare phototherapy offers together with the facility power and maintenance plan. A device that cannot remain available under local operating conditions leaves a service gap regardless of its purchase price.
Research involving specially filtered sunlight does not make ordinary sunlight or a window an interchangeable treatment device. Any alternative clinical service requires its own approved protocol, equipment and monitoring; it should not be improvised to cover a procurement shortfall.
Record supply conditions, outage patterns and the load of the complete proposed setup, including associated equipment. Ask qualified engineering staff to verify compatibility with the facility backup system and relevant operating limits. Do not infer battery operation from low electrical consumption.

Define what happens when supply fails and when it returns, using the approved instructions and without a patient. Check who is alerted, which settings or records must be reviewed and when the unit can resume service. Keep the clinical response separate and governed by the local neonatal protocol.
Compare replacement parts, local technical capability, remote assistance and expected transport arrangements. An inexpensive unit with a long repair journey may require additional reserve capacity. Record the approved referral route when local treatment capacity is unavailable.

| Constraint | Evidence needed | Decision owner |
|---|---|---|
| Power interruption | Site survey and backup compatibility review | Engineering |
| Operating environment | Model-specific operating limits | Engineering and ward team |
| Equipment failure | Repair route and replacement plan | Procurement |
| Unavailable capacity | Approved clinical transfer pathway | Neonatal service |
Use local operating history to compare the cost of keeping a service available, not merely the cost of owning equipment. Confirm unresolved electrical questions before installation rather than during a clinical interruption.
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