Globally nearly four million newborns die each year, making up more than 40% of under-five child deaths. More newborn lives must be saved in order to meet Millennium Development Goal (MDG) 4 for child survival, a 2/3 reduction in under-five child deaths by 2015. How can these numbers be reduced? We go to Malawi and Nepal, countries that are both on track for MDG 4 and have similar statistics on newborn survival, to find out what is being done.