<p>A total of 226 neonatal deaths were recorded, of which 51% (116) were males, and the mean age was 5.0 days (SD+/-5.11). For the period under study, the average neonatal mortality rate was 42 per 1000 live birth; and it decreased from 80 per 1000 live births in 2018 to 47 per 1000 live births in 2022. Birth weight &lt;2.5kg accounted for more than half of the total deaths with 52% (117/226). Normal vaginal delivery accounted for 73% (166/226) of neonatal deaths and cesarean section for 27% (60/226). Seventy-one percent (161/226) of the deaths occurred within 24 hours of admission, and 30% (68/226) were among children delivered out of the hospital (home and peripheral health units). Respiratory distress accounted for the majority with 32% (73/226), followed by Birth Asphyxia and Neonatal sepsis at 23% (51/226) and 16% (37/226) respectively.</p>