“…Through the studies by Eleanor, et al (2011, p. 3-4), Etambuyu and Charles (2015, p. 3), Kateule, et al (2022, p. 3), Yasuhiro, et al (2019, Christopher, et al (2022, p. 272-275) and Carla, et al (2016, p. 4-5), this systematic review establishes that generally, in Zambia, neonatal mortalities and health conditions are caused by numerous factors which include but are not limited to intrauterine infection, birth asphyxia, bacterial infections, premature deliveries, maternal positive HIV status, home deliveries, lack of trained birth attendants and inadequate water or sanitation facilities, born overweight, low-birth weight, higher the maternal level of education, neonatal sepsis, being a male infant, severe intrapartum incidents and or deformations, chromosomal abnormalities, malformations, deformations, respiratory syncytial virus, twin pregnancies and placental abruption. Therefore, neonates in Zambia are at risk of death due to numerous factors within the country that work against them right from the start and therefore in order to achieve SDG 3, the government and all public health stakeholders including the community must work speedily to find effective and workable solutions to these factors that cause neonatal mortalities in Zambia.…”