<p>The abstract generally has gramma issues with hanging sentences making its comprehension difficult.</p><p>Background: Study objective is not clear</p><p>Methods: Its is very difficult to understand what the authors actually did?</p><p>I am not certain that the CDC guidelines actually have a questionnaire that was used for this study. &nbsp;What did the questionaire actually assess/what were the measures? How the measures categories handled eg for performance that is being referred to in the results section?</p><p>Results: Findings should flow systematically..state &nbsp; neonatal death rate before going to the causes eg Asphyxia etc</p>