. The JSTH mother and child health services is led by: one full time obstetrician and gynaecologist and four part time specialists; team of midwives and advanced midwives; and trained neonatal ICU nurses. . The four district hospitals and numerous clinics refers complicated obstetric patients to JSTH for definitive management. . All neonates were managed at JSTH. . On average approximately 420 deliveries per month are managed at JSTH. . On average, there were 30 and 46 admissions in neonatal ICU and neonatal ward, respectively.