<p>Introduction: Public health problem is somewhat mentioned. However, the significance of selecting the Kilifi County referral hospital was not stated in the background. Better to state that.</p><p>&nbsp;</p><p>Result: all data in the conclusion need to be derived from the result section. some of the conclusion section is general. eg. support supervision, increased resource allocation, and staff training..... it is a general recommendation from external known sources rather than supported by data in the study.</p>