 Increasing rates of facility-based childbirth enable early intervention for small, vulnerable newborns in resource-constrained settings. However, there are significant gaps in health system inputs such as lack of equipment and medications, which can hinder high-quality care for these infants. To address this, targeted lactation support, discharge at appropriate weight, and access to feeding alternatives should be prioritized to ensure success in feeding and growth post-discharge. This article was authored by Catherine E. A. Semra, Rana R. Maktar, Kareem Manji, and others.