**6.2 There are community-based health structures composed of voluntary community health workers (CHWs) monitored by the health systems in most developing countries**

As already stated above, most of these community structures are established for specific programs. Integrating the knowledge and safe practices for newborn care into the existing activities of the VHTs/CHWs can stimulate a structured newborn care at community level under the supervision of the health systems. There has been successful home-based neonatal care programs [20], and this can be scaled up for preterm neonates.

#### **6.3 There are locally known signs to identify pre-term neonates**

Community members such as Traditional birth attendants (TBAs) can correctly identify preterm neonates with features such as 'baby at birth is very small', 'not able to suckle', 'skin is wrinkled' and 'inability to open eyes at birth [21].

#### **6.4 There is some knowledge about how to look after pre-term babies**

The need to give the pre-term babies extra-care is known to many community members such as keeping them warm, encouraging adequate feeding and keeping the environment clean. For example, warmth is generated from the different sources in different societies including covering the babies with many clothes, lighting charcoal stoves under the bed where the baby is laid and providing hot water jerrycans [22].
