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medRxiv PreprintsInternational6 November 2026

SMALL AND SICK NEWBORN CARE: LEARNING FOR IMPLEMENTATION ACROSS AFRICA AND BEYOND: Supplement 2

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Background: Kangaroo Mother Care (KMC) reduces neonatal mortality and morbidity among preterm and low birthweight (LBW) infants, but implementation and quality vary across sub-Saharan African (SSA) hospitals. This study reports KMC coverage and quality of care for preterm and LBW neonates admitted to hospitals in the NEST360 Alliance (Kenya, Malawi, Tanzania, Nigeria) and examines the association between KMC provision and survival to discharge. Methods: We conducted a cross-sectional study using routinely collected neonatal inpatient data from hospitals participating in the NEST360 Alliance. N
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