This dataset provides 30,000 simulated preterm neonate records (10,000 per scenario) from sub-Saharan Africa. Each record contains 50+ variables including maternal factors, gestational age, birth weight, KMC practice, respiratory support (CPAP, surfactant), complications (RDS, sepsis, NEC), and neonatal outcomes. Three settings: NICU (8% mortality), special care nursery (14%), and postnatal ward (33%).