Chlorhexidine Cord Care Program inwards Nepal (Published yesteryear MoHP)

The neonatal mortality charge per unit of measurement inward Nepal is 23 per 1,000 alive births as well as major drive of neonatal death is infection. Among newborns, exposure of the freshly cutting cord stump to pathogens through hands instruments, cloths etc. may atomic number 82 to infection as well as death.

Chlorhexidine is a broad-spectrum antiseptic that is security as well as effective for reducing bacterial colonization on the skin as well as umbilical stump of newborns. Pooled analysis of studies including written report of 2006 in Sarlahi, Nepal has shown that immediate cleansing of the umbilical cord amongst 4% chlorhexidine (equivalent to 7.1% Chlorhexidine Digluconate w/v) reduces mortality adventure past times almost 23%. After this a written report was conducted inward Maternity hospital, Thapathali as well as demonstrated that a gel preparation was equally effective equally an aqueous preparation. Another written report on acceptability was done at the community marking as well as demonstrated a clear preference for a gel preparation. Then a pilot was done inward iv districts (Bajhang, Jumla, Banke as well as Parsa) to arrive at upwards one’s heed the coverage and compliance inward the Nepalese context as well as within the existing world wellness service delivery system.

 Based on the encouraging results of all studies conducted inward Nepal, the regime of Nepal approved the utilization of 4% chlorhexidine for umbilical cord attention equally purpose of essential newborn attention on 23rd December, 2011 (2068 Poush 8, BS). 

 It has already been scaled upwards to 49 districts equally of Feb 2015 as well as included inward Health Management Information System, Essential Drug List, Community Based Integrated Management of Newborn as well as Childhood Illness program as well as pre-service curriculum of Auxiliary Nurse Midwife. Ministry of Health as well as Population was awarded amongst USAID Pioneers Prize 2013 for thechlorhexidine cord attention program. USAID through JSI R&T’s Chlorhexidine Navi Care Program and other partners are supporting regime to scale upwards chlorhexidine cord attention plan in Nepal.