This tool is designed to analyse the health systems bottlenecks and challenges preventing the scale up of high-impact, cost-effective interventions/packages for newborns, and identify potential solutions, including innovative strategies to overcome the barriers, bottlenecks and challenges identified. The tool is divided into 3 sections: Section I includes questions related to newborn health programmes in general. Section II is sub-divided into 9 sections representing critical newborn interventions. Bottlenecks specific to each essential intervention are also assessed according to the 7 health system building blocks. Section III facilitates the identification of Potential and successful strategies and solutions for priority bottlenecks identified under each health system building block.