The Fourth Biennial Meeting on Regional Progress in Early Essential Newborn Care (EENC) Implementation: Ensuring Institutionalization and Sustainability of EENC through Pre-service Education and Routine Monitoring of Quality of Care was held on 13-15 November 2024 in Manila, Philippines. Nine priority countries reported data on indicators included in the Early Essential Newborn Care Monitoring and Evaluation Framework. This report highlights collective achievements in EENC implementation and underscores Member States’ continued commitment to sustaining these gains through strengthened institutional frameworks, systematic monitoring and the integration of EENC competencies into pre-service education.