Awareness, Attitude and Use of Chlorhexidine Gel for Cord Care in a Well-Baby Clinic in Port Harcourt, Nigeria (original) (raw)
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Saudi Journal of Nursing and Health Care
Cord infection remains a significant cause of death among neonates in the developing world. Its prevention using the appropriate cleaning agent is key to ensuring the neonates stay free and safe during the period of cord care. This study was conducted to assess the awareness and use of chlorhexidine gel (CHG) in the prevention of neonatal sepsis among nurses and midwives in selected health facilities in Abeokuta. The descriptive study utilized a purposive sampling technique and a questionnaire derived from literature review to collect data from 42 respondents in three selected health facilities in Abeokuta. Findings revealed that while 31% were aware of the recommendation favoring the use of CHG for cord care, only 10% understood that the recommended strength for umbilical cord care is the aqueous solution or gel delivering 4% chlorhexidine. Prevention of umbilical cord infection should center on meticulous care of the umbilical cord with the use of chlorhexidine (CHG) which is the recommended cleaning agent. It is therefore recommended that a seminar or conference should be organized for nurses and midwives as this will increase awareness on the use of chlorhexidine gel for umbilical cord care and its benefits.
BMC Health Services Research, 2017
Background: This paper explores the perspectives of health care providers regarding the use of 7.1% Chlorhexidine Digluconate (CHX) gel that releases 4% chlorhexidine for newborn umbilical cord care under a managed access program (MAP) implemented in Bungoma County of Kenya. Understanding the perspectives of providers regarding CHX is important since they play a key role in the health system and the fact that their views could be influenced by prior beliefs and inconsistent practices regarding umbilical cord care. Methods: Data are from in-depth interviews conducted between April and June 2016 with 39 service providers from 21 facilities that participated in the program. The data were transcribed, typed in Word and analyzed for content. Analysis entailed identifying recurring themes based on the interview guides. Results: Use of CHX gel for cord care in neonates was acceptable to the health care providers, with all of them supporting scaling up its use throughout the country. Their views were largely influenced by positive outcomes of the medication including fast healing of the cord as reported by mothers, minimal side effects, reduced newborn infections based on what their records showed and mothers' reports, ease of use that made it simple for them to counsel mothers on how to apply it, positive feedback from mothers which demonstrated satisfaction with the medication, and general acceptance of the medication by the community. They further noted that successful scaleup of the medication required community sensitization, adequate follow-up mechanisms to ensure mothers use the medication correctly, addressing issues of staffing levels and staff training, developing guidelines and protocols for provision of the medication, adopting appropriate service delivery approaches to ensure all groups of mothers are reached, and ensuring constant supply of the medication. Conclusion: Use of CHX gel for cord care in neonates is likely to be acceptable to health care workers in settings with high prevalence of neonatal morbidity and mortality arising from cord infections. In scaling up the use of the medication in such settings, some of the health systems requirements for successful roll-out can be addressed by programs while others are likely to be a persistent challenge.
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...
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...
Assessment of the Use Of Chlorhexidine Digluconate Gel for Cord Care at Kangundo Level 4 Hospital
International journal of scientific and research publications, 2020
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. 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 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 collection. Results: A total of 19 clients and 24 healthcare workers were interviewed and two focus group discussions h...
2020
Background: Neonatal mortality remains a public health concern in sub-Saharan Africa especially in Nigeria and poor cord care is a major contributor to the high neonatal mortality. The objective of this study was to assess the awareness and practice of Chlorhexidine cord care by women of reproductive age in Jos South Local Government Area of Plateau State. Methods: This was a community based descriptive cross sectional study carried out among women of childbearing age in Lwellem Community of Jos South Local Government Area. A structured interviewer-administered questionnaire was used to obtain information from respondents who were selected through total population sampling. Data was analyzed using Statistical package for the Social Sciences version 20.Results: Three hundred women with children aged less than 5 years were administered the questionnaire. Two hundred and ninety seven (99%) were of low socio-economic status, 71 (23.5%) were farmers, 75 (25%) were traders and 60 (20%) we...
International Health
Background Sepsis in the first week or two of life is a major cause of newborn deaths. People from diverse cultural backgrounds use different substances for umbilical cord care. Evidence-based umbilical cord care practices have a large potential to lower infant morbidity and mortality linked to infection. This study investigated the knowledge and use of chlorhexidine gel for umbilical cord care. Methods A cross-sectional descriptive survey was employed among 191 postpartum women at the Poly General Hospital Asata, Enugu, selected through simple random sampling. A researcher-developed questionnaire was used for data collection. Results More than one-half (n=101; 52.1%) had poor knowledge of chlorhexidine gel use in umbilical cord care. There was no significant association between educational status and knowledge of chlorhexidine gel use in umbilical cord care among the participants (p=0.072). Only 89 (46.6%) had ever used chlorhexidine gel for umbilical cord care, while 49 (25.7%) us...
Chlorhexidine for facility-based umbilical cord care: EN-BIRTH multi-country validation study
BMC Pregnancy and Childbirth
Background Umbilical cord hygiene prevents sepsis, a leading cause of neonatal mortality. The World Health Organization recommends 7.1% chlorhexidine digluconate (CHX) application to the umbilicus after home birth in high mortality contexts. In Bangladesh and Nepal, national policies recommend CHX use for all facility births. Population-based household surveys include optional questions on CHX use, but indicator validation studies are lacking. The Every Newborn Birth Indicators Research Tracking in Hospitals (EN-BIRTH) was an observational study assessing measurement validity for maternal and newborn indicators. This paper reports results regarding CHX. Methods The EN-BIRTH study (July 2017–July 2018) included three public hospitals in Bangladesh and Nepal where CHX cord application is routine. Clinical-observers collected tablet-based, time-stamped data regarding cord care during admission to labour and delivery wards as the gold standard to assess accuracy of women’s report at exi...
A Study on Adverse Drug Reaction of Chlorhexidine Gel for Umbilical Cord Care in Newborns
2006
Introduction: Chlorhexidine 4% gel is specifically formulated for umbilical cord care and is safe and effective for reducing bacterial colonization on the skin and umbilical stump of the newborn. 7.1% chlorhexidine digluconate delivering 4% chlorhexidine was added to the 2013 World Health Organization (WHO) List of Essential Medicines for Children, specifically for umbilical cord care. Chlorhexidine can induce allergic contact dermatitis, immediate type hypersensitivity reaction, urticaria, photosensitivity, chemical burns and maculopapular erythema. Method: Hospital based descriptive and observational study was carried out in Paropakar Maternity and Women`s Hospital, Thapathali. The study was carried out for 5 months from September 2017 to February 2018. Total of 300 newborns whose umbilical cord was about to be removed were included in the study. Chlorhexidine gluconate gel was applied immediately after the removal of umbilical cord for the prophylactic treatment of umbilical cord...