Awareness and Practices of Women of Reproductive Age regarding the Use of Chlorhexidine for Newborn Cord Care in a Selected Community in Jos South Local Government Area, Plateau State, Nigeria (original) (raw)
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East African Journal of Health and Science
Neonatal sepsis contributes to increased rates of mortality among newborns during their first month of life. Chlorhexidine (CHX) has proven effective in the prevention of neonatal sepsis due to umbilical stump infection after birth. Despite shifting from dry cord care techniques to CHX use, there is still a high prevalence of improper cord care in low-resource settings in Kenya. This study sought to explore barriers and enablers to CHX use in Kwale, Vihiga and Machakos counties in Kenya. We adopted mixed methods cross-sectional survey with 582 women of reproductive age with a young child less than one year as respondents to the quantitative survey. Qualitative data entailed thirty (30) key informant interviews with healthcare workers and national policymakers. Six (6) focus group discussions with mothers, caregivers, community health volunteers (CHVs) and traditional birth attendants were conducted. An observation checklist was used to assess the availability of CHX services and sup...
Asian Journal of Pediatric Research, 2022
Background: Use of chlorhexidine gel for cord care was scaled up in Nigeria to address the high burden of neonatal deaths from severe sepsis but there is scarcity of data on its uptake. Aim: A cross-sectional study was conducted to examine the cord care practices of mothers in Nnewi. Methods: Data was obtained using an interviewer-administered semi-structured questionnaire, and analyzed with SPSS version 21. P-value < 0.05 was considered statistically significant. Results: Mean age of the 214 studied mothers was 29.6 ± 5.53 years. Majority had at least secondary education (93.5%), were income earners (83.2%), attended ante-natal clinic (ANC) (83.1%) or delivered (81.8%) in a health facility with skilled provider, and received health education on cord care during pregnancy for the index baby (80.4%). Health education was mostly received during ANC (75.6%[130/172]) and from nurses (73.3%[126/172]). Majority knew about methylated spirit use (89.3%) and the consequence of poor cord...
https://www.ijhsr.org/IJHSR\_Vol.11\_Issue.8\_Aug2021/IJHSR-Abstract.026.html, 2021
Introduction: Neonatal mortality rate in Nigeria is high and sepsis is a significant contributor. The World Health Organization recommends the use of 7.1% chlorhexidine gel for cord care to prevent neonatal sepsis and mortality. Aim: The study aimed to assess the awareness, attitude and use of chlorhexidine gel for cord care among mothers in Port Harcourt. Methods: A cross sectional study was carried out in the well-baby clinic in Rivers State University Teaching Hospital for 3 months. A research proforma with questions to assess awareness, attitude and use of chlorhexidine gel for cord care practices among the participants was used to collect data and analyzed with SPSS version 23. A score of 70% or more was taken as benchmark for good awareness, attitude and use. Result: A total of 199 mothers participated in the study, 126(63.3%) had heard of chlorhexidine gel, mostly from antenatal clinics. Thirty (23.8%) knew that it prevents neonatal infections, 74(58.7%) perceived it was effective, but only 19(9.6%) used it. About a third of the mothers had good awareness and attitude towards the use of chlorhexidine gel but only 18(9%) used it correctly. Mothers with tertiary level of education significantly had good attitude towards its use and poor knowledge correlated significantly with poor use, P < 0.05. Conclusion: The level of awareness, attitude and use of CHX in cord care practices in Port Harcourt is poor. There is an urgent need to educate mothers on the proper use and benefits of chlorhexidine gel in cord care practices.
BMC Pregnancy and Childbirth, 2018
Background: Cleansing the umbilical cord with chlorhexidine reduces neonatal morbidity and mortality, particularly in communities where newborn deaths and home births are common. As a result, the World Health Organization and national authorities are advocating the scale up of this intervention. In order for such a scale up to be effective, it has to be acceptable to the targeted population. With the overall aim to clarify conditions for scale-up, this study explored the acceptability of single dose chlorhexidine solution for umbilical cord care among health workers and infant care providers in the districts of Kampala and Mukono in Central Uganda. Methods: This was a qualitative study that involved mothers of neonates enrolled in a chlorhexidine trial, nurses implementing the trial, key community members and opinion leaders in childcare. We conducted 30 in depth interviews (IDIs) with mothers (18), health workers (8), traditional birth attendants (2), a father (1) and a grandmother (1) and 4 focus group discussions (FGDs), 3 with mothers and 1 with health workers. We used qualitative content analysis to analyze our findings and borrow upon Sekhon's model when presenting our findings. Results: Cognitive and emotional responses to chlorhexidine use included ease of use, and a perception that chlorhexidine reduced smell and abdominal colic. We also found that wider social and cultural factors were important to chlorhexidine use. These included cultural value put on quick separation of the umbilical cord as well as the practice of bathing the baby in a herbal mixture called kyogero. We also found that older relatives were key decision makers in umbilical cord care for newborns, but were seldom present during health workers' counseling of mothers about hygienic care of the cord. Conclusions: The application of chlorhexidine on the umbilical cord stump at birth was acceptable as an addition rather than a total replacement of traditional substances. The scale up of chlorhexidine should consider how to accommodate local beliefs and practices in a way that does not compromise the effect of the intervention; encouraging mothers to delay the bathing of babies in kyogero could be one way of doing this.
BMC pregnancy and childbirth, 2015
Infections are responsible for 30-40 % of 4 million neonatal deaths annually. Use of chlorhexidine (CHX), a broad-spectrum topical antiseptic with strong residual activity, for umbilical cord cleansing has been shown to reduce infections during the neonatal period. However, the challenge remains with regard to selection of best mode of CHX delivery. As a part of formative research, we undertook a qualitative study in Pemba Island as a pilot to explore the attitudes; beliefs and practices of the community and health workers related to delivery, newborn and cord care. During the second phase of formative research, we used Trials of Improved Practices (TIPs) methodology to explore the acceptance and impediments, for the three possible modes of chlorhexidine application- 100 ml bottle with cotton swab, 10 ml single use dropper bottle and 3 g single application squeeze tube containing gel, as an umbilical cord care intervention. In this pilot study, 204 mother-newborn pairs were enrolled...
PLOS ONE
Introduction Chlorhexidine cord care is an effective intervention to reduce neonatal infection and death in resource constrained settings. The Federal Ministry of Health of Ethiopia adopted chlorhexidine cord care in 2015, with national scale-up in 2017. However, there is lack of evidence on the provision of this important intervention in Ethiopia. In this paper, we report on the coverage and determinants of chlorhexidine cord care for newborns in Ethiopia. Methods A standardized Nutrition International Monitoring System (NIMS) survey was conducted from January 01 to Feb 13, 2020 in four regions of Ethiopia (Tigray, Amhara, Oromia, and Southern Nations, Nationalities and Peoples Region [SNNPR]) on sample of 1020 women 0–11 months postpartum selected through a multistage cluster sampling approach. Data were collected using interviewer-administered questionnaires in the local languages through home-to-home visit. Accounting for the sampling design of the study, we analyzed the data us...
International Journal Of Community Medicine And Public Health
Background: Umbilical cord care is an essential newborn care practice which determines newborn survival. Knowledge on cord care influences the choice of cord care practices. This study was therefore conducted to determine the umbilical cord care practices among mothers in Jos metropolis.Methods: A cross sectional study involving 119 study respondents who were selected by cluster sampling technique. Data was collected using a self-administered questionnaire and analyzed using SPSS version 23.0. At 95% confidence interval, a p value of <0.05 was considered statistically significant.Results: Thirty-nine (35.1%) of the respondents had poor knowledge of cord care while 48 (43.3%) and 24 (21.6%) had fair and good knowledge respectively. Majority of the respondents used methylated spirit for the last delivery 54 (76.1%), 5 (6.9%) used chlorhexidine gel while 11 (15%) used substances such as salt and vaseline. Respondents with tertiary education were more likely than those with secondary...
Determinants of Cord Care Practices among Mothers in Abakaliki, Ebonyi State, South East, Nigeria
Introduction: Unhygienic cord-care practices are major public health concern because of the associated gross neonatal and infant morbidity and mortality. Various factors have been linked to these practices. This study aims to identify the determinants of cord care practices among mothers in Abakaliki, Ebonyi State, South East, Nigeria. Methods: A cross sectional questionnaire based study involving women attending antenatal clinics and those who brought their babies to the immunization clinics of Federal Teaching Hospital , Mile Four Hospital and Maternal/Child Primary Health Care Center, all in Abakaliki. Results: Two hundred and seventy three mothers participated in the study. The majority of the participants aged 26 to 35 years (60.07%), had tertiary education (49.45%) and were business women (38.46%). Mothers who had secondary and tertiary education basically applied methylated spirit (p-value 0.0014) and chlorhexidine (p-value 0.0289) as a form cord care while those who had primary or no formal education cared for cord using hot water , Vaseline, close up tooth paste and local herbs. The mothers educational status, occupation and parity also determined the care given the umbilical cord after birth. Conclusion: Cord care practices are determined and influenced by several factors in Ebonyi State. Health education and awareness campaigns should be upheld and targeted among women of child bearing age found in women meetings, local markets and primary health care delivery centers especially in the rural setting.
Assessment of Chlorhexidine use for cord care at Kangundo level 4 Hospital
2019
Background: Sepsis continues to be an important cause of morbidity and mortality in neonates. One of the most important portals of entry for infections is the umbilical cord. Proper care of the cord can prevent many of these cases of sepsis and hence reduce neonatal mortality rates. In Kenya, the use of chlorhexidine digluconate (CHX) gel was introduced to scale in 2016 and received with mixed reactions in some hospitals with reports of medication errors and ineffectiveness being received. This study sought to find out the knowledge, practices and attitude on its use in Kangundo Level 4 hospital. Methodology: The study was carried out at Kangundo level 4 hospital between June and August 2019. It was a descriptive cross-sectional study with both quantitative and qualitative components. A questionnaire was used for the quantitative data collection while focus group discussions were held for the qualitative data collection. Ethical approval was sought prior to commencement of data coll...
Integrating Chlorhexidine for Cord Care into Community Based Newborn Care in Ethiopia
Ethiopian Medical Journal, 2019
ntroduction: Ensuring adequate cord care at birth and in the first week of life is crucial to prevent sepsis and cord infections, and to reduce preventable neonatal deaths. WHO recommends application of 7.1% chlorhexidine digluconate daily to the umbilical cord stump during the first week of life for newborns born at home in settings with high neonatal mortality. Objective: This article describes the introduction of chlorhexidine for cord care in Ethiopia using the Community-Based Newborn Care (CBNC) platform and early lessons. Methods: Data related to chlorhexidine introduction inputs and processes from minutes, reports, and related documents from 2013 to 2017 were assessed and described using steps from the three phases to ensure sustainable implementation introduced in a recent guideline from the Global Chlorhexidine Working Group. Results: Chlorhexidine was included as one of the components in CBNC after consensus building, and it was manufactured locally. Current implementatio...