On 3rd December 2016, the Paediatric and Child Health Association (PACHA) held a technical working group to review their mentoring tools. In 2017, PACHA will mentor the ten hospitals where in partnership with the Ministry of Health and UNICEF, they have supported the renovation of neonatal units. During 2016, healthcare workers (250) from these facilities were trained in the Care of Infants and Neonates (COIN) course, in 2017, the focus is on mentorship and monitoring and evaluation. The quality improvement is led by the local teams with PACHA supporting them. This support will include mentorship of staff from these units at the two large neonatal units at Queen Elizabeth Central Hospital, Blantyre, Malawi and Kamuzu Central Hospital, Lilongwe, Malawi. During these attachments at the central hospitals the staff will complete competency based assessments which will include ten skills which are required to provide quality new-born care.