INTERVENTION	DESCRIPTION
1. Infrastructure
Housing	A room in conjunction with the maternity wards. Mothers stay in the maternity beds.
Water	Establish clean water in 1 sink.
Electricity	Increase the capacity of fuses, cables, and sockets.
Main equipment	Buy durable, geographically as close as possible. Local manufacturing if possible.
Maintenance	Train hospital maintenance staff on new equipment.
Cleaning	Clean the room twice a day, establish a dedicated place for cleaning all reusable equipment of neonates.
2. Medical Products And Technologies
Medicines, disposables, feeds, and vaccines	Identify gaps in the Somaliland essential medicines list. Assess availability in hospital and private pharmacies. Establish a reliable supply chain with a store and stock system. Provision and cold-chain for vaccines.
Newborn clothes, diapers	Locally acceptable, locally manufactured, preventing hypothermia.
3. Health Workforce
Neonatal nurses and doctors
Recruitment	Twelve national nurses and 2 doctors based on eligibility, attitudes, and motivation. International pediatrician and neonatal nurse, 1-year contract for developing the unit and modeling patient care.
Training	Develop a 3 months curriculum. Use well-tested tools. Lectures, scenarios, skills, assessments, exams. Training the trainer's philosophy. On-job re-training of skills. New class every year.
Internship	Nine months, interns paired with experienced neonatal nurses.
Accreditation	Approval of a 1-year postgraduate training with MoH and National Certification Board.
Retention	One year minimum, after which the diploma is released.
Midwives and operation theatre staff
Training	Able to recognize newborn danger signs, newborn resuscitation (HBB), breastfeeding techniques, using diagnostics, and mastering treatment protocols.
Nurse students and medical students
Training and assessment	Integrate neonatal training in undergraduate pediatric curriculums and assessments in partnership with the medical and nursing schools on pediatric rotation at HGH.
4. Information Systems and Monitoring
Routine data	Neonatal register book – coordinate/agree with MoH Staff training-courses assessment. Quantitative data for availability, functionality, and cleaning of life-saving commodities.
Neonatal ward-charts	Pediatric charts are not suitable; design charts for the neonatal unit.
Protocols and guidelines	Identify existing or develop new ones for levels of care, admission, discharge, main diagnosis case definitions and treatments, maintenance, and cleaning.
Mortality audit	Once a week, as part of the ward staff meeting.
Quantitative research	Use routine data and structured follow-up interviews with mothers to assess risk factors for disease, morbidity, mortality, quality of care, and the unit's regular activities.
5. Leadership, Governance and Task Distribution
Structure	Develop ward procedures, rotas, and job descriptions and integrate training, internship, and regular positions.
Contracts of work	Trainees and staff. Salaries according to hospital/MoH policy.
Supervision	Compliance with contracts, protocols, guidelines, ward routines, job descriptions, and rotas. Staff meetings.
Coordinative meetings	With key stakeholders inside and outside of the hospital at regular intervals. Minutes and action points.
6. Health Care Financing
Budgeting	Defining cost for each building block and responsibility (NNM, HPA, hospital, MoH, out‑of‑pocket)
Contracts	Multiparty contracts for organizational responsibilities in funding and follow-up.