Nepal Scale up Chlorhexidine as Part of Essential Newborn Care: Country Experience

  • Bikash Lamichhane Child Health Division, Department of Health Service, Ministry of Health, Kathmandu, Nepal.
  • Leela Khanal JSI Research and Training Institute, Inc., Kathmandu, Nepal.
  • Parashu Ram Shrestha Child Health Division, Department of Health Service, Ministry of Health, Kathmandu, Nepal.
  • Penny Dawson JSI Research and Training Institute, Inc., Kathmandu, Nepal.
  • Samikshya Singh JSI Research and Training Institute, Inc., Kathmandu, Nepal.

Abstract

Chlorhexidine is a broad-spectrum antiseptic, effective on gram positive and gram negative bacteria as well as some viruses, having strong skin binding effect. Randomized controlled trials conducted in South Asian countries have proven that the use of chlorhexidine (4% weight/weight) for cord care can reduce neonatal mortality and prevent severe cord infections. Between 2011 and 2017, Nepal completed nationwide scale-up of the use of chlorhexidine by integrating with ongoing maternal and neonatal health programs, under the leadership of the Child Health Division. The chlorhexidine coverage and compliance study (2017) has revealed that the country has achieved 59% coverage of the intervention to date, with lowest use among home births. The strategy should be further strengthened to ensure that every newborn in need is reached with chlorhexidine.
Keywords: Chlorhexidine; cord care; Nepal experience, Newborn.

Published
2018-10-30
How to Cite
LAMICHHANE, Bikash et al. Nepal Scale up Chlorhexidine as Part of Essential Newborn Care: Country Experience. Journal of Nepal Health Research Council, [S.l.], v. 16, n. 3, p. 359-361, oct. 2018. ISSN 1999-6217. Available at: <http://jnhrc.com.np/index.php/jnhrc/article/view/1268>. Date accessed: 20 nov. 2018.