(Kawach) in Banke, Jumla and Bajhang Districts - Nepal Family ...

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Coverage and Compliance of Chlorhexidine (Kawach) in Banke, Jumla and Bajhang Districts United States Aid for International Development (USAID) U.S. Embassy, Maharajgunj Kathmandu, Nepal Nepal Family Health Program II Oasis Complex, Patan Dhoka Kathmandu, Nepal New ERA Rudramati Marga, Kalo Pul Kathmandu, Nepal March, 2012 Newborn Vitamin A Supplementation 2
Government of Nepal Ministry of Health & Population DEPANTMINT tTH STRVICES l-el. :4261436 :4261712 Fax:4262238 Pachali, Teku Kathmandu, Nepal Ref.lVo. Date : 8't March,2012 FOREWORD It is my pleasure to write few words on the pilot study report "Coverage and Compliance of Chlorhexidine (Kawach) in Banke, Jumla antl Bajhang Districts". This report highiighis the information on coverage and compliance of use of 4o/o Chlolhexidine (CHX) to prevent umbilical cord infection in newborn babies in the three districts. Reduction of neonatal mortality is one of the big challenges for the government of Nepal. With the majority of births occurring at places where optimal hygiene cannot be maintained, use of 4% CHX is viewed as an important intervention. CHX is a broad-spectrum antiseptic that is safe and effective for reducing bacterial colonization on the skin and umbilicai stumps of newborns. Several studies have shown that immediate cleansing of umbilical cord with 4vo chlorhexidine reduces neonatal mortality by about23yo" CHX was introduced as one of the component of Maternal and Newborn Flealth activities at Community Level in the three pilot districts. The study indicated coverage ranging from 47yo to 67Yo in the those districts, with high compliance rate. The results show that there is possibility of expanding CHX combined with existing goveilrment program in Nepal. I hope the findings of this study will be pivotal to all the stakeholders for addressing the current challenges in newborn health in Nepal. I would like to provide my sincere thanks to USAID Nepal, NFHP II and New ERA fbr conducting this study. Dr. Naresh Pratap K.C. Director Family Health Division Department of Health Services Ministry of Health and Population Nepal
Page 4 and 5: Preface This document provides resu
Page 6 and 7: List of Tables Table 1 : Percent di
Page 8 and 9: Abbreviations ANC CHDK CHX DoHS FCH
Page 10 and 11: Toxide (TT) vaccine during their la
Page 12 and 13: three districts stated that person
Page 15 and 16: 1.0 Introduction 1.1 Background Pus
Page 17 and 18: who had given birth to a living bab
Page 19 and 20: Methods of Data Collection and Surv
Page 21 and 22: Data was computerized using the SPS
Page 23 and 24: 2.2 Antenatal and Delivery Care Tab
Page 25 and 26: Most of the RDW in institutional de
Page 27 and 28: 2.6 Use of Kawach All RDW were aske
Page 29 and 30: 2.7 Appropriateness of Kawach Appli
Page 31 and 32: Table 14: Percent distribution of R
Page 33 and 34: 2.11 Opinion Regarding Kawach All R
Page 35 and 36: applying Kawach. Almost seven in te

(Kawach) in Banke, Jumla and Bajhang Districts - Nepal Family ...

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