“…For highly dependent populations, the high quality of care needed is labour intensive and requires appropriate and adequate skilled nurse staffing (Murphy, Gathara, et al, ). Unfortunately, there are major nursing workforce deficits in Kenyan facilities and while addressing these can be expensive and challenging (Aiken et al, ; Wakaba et al, ), changes in how care is organized and delivered could reduce avoidable neonatal deaths (Aiken et al, ; Butler et al, ; Kane, Shamliyan, Mueller, Duval, & Wilt, ). Appropriate forms of task sharing offer a possible solution for service improvements in Kenyan hospitals.…”