 The study is an18 month prospective quasi-experimental evaluation of nosocomial bacteremia and mortality among hospitalized neonates and will consist of a 6-month baseline period to capture the incidence and all-cause mortality of nosocomial BSIs, a 1-month implementation period of low-cost infection control strategies including alcohol-based hand rub AHR, 2 chlorhexidine gluconate CHG, hospital staff education and text message-based reminders of infection control recommendation and an 11-month intervention period. 