{"id":32184,"date":"2018-08-13T12:26:05","date_gmt":"2018-08-13T16:26:05","guid":{"rendered":"https:\/\/www.healthynewbornnetwork.org\/?p=32184"},"modified":"2022-09-22T23:16:19","modified_gmt":"2022-09-23T03:16:19","slug":"in-one-of-the-most-deadly-places-to-be-born-pakistani-mothers-learn-safe-cord-care","status":"publish","type":"post","link":"https:\/\/www.healthynewbornnetwork.org\/blog\/in-one-of-the-most-deadly-places-to-be-born-pakistani-mothers-learn-safe-cord-care\/","title":{"rendered":"In One of the Most Deadly Places to be Born, Pakistani Mothers Learn Safe Cord Care"},"content":{"rendered":"

Ram Bai, 27, is a mother of five from southeast Pakistan. Although she delivered her children safely, she nearly lost one child to an umbilical cord infection \u2013 an infection that could have been prevented.<\/p>\n

Life in Yousfani Farm, where she lives and farms with her children and husband, Kirshan, is hard. The village in Sindh province is comprised of 60 households \u2013 about 500 people in all \u2013 and most are very poor. With the nearest health facility in Nasarpur \u2013 an eight-kilometer (five-mile) commute away along poor roads \u2013 health issues are largely dealt with at home using traditional methods.<\/p>\n

Following the births of her first four children, Ram Bai cleaned the base of their umbilical cords with oil and surma<\/em> (kohl) as she was taught by women in her community. However, her youngest child \u2013 a son named Mano \u2013 soon showed signs of an unhealthy reaction, his umbilical cord stump becoming swollen and infected. Her worst fears were realized when he developed neonatal sepsis, a very serious and potentially life threatening condition<\/a>.<\/p>\n

Fortunately, Shagufta Razzaque, an MCHIP-trained community health worker (CHW) from Yousfani Farm, heard about Mano\u2019s health crisis and supplied Ram Bai with chlorhexidine antiseptic gel tubes and instructions on how to treat the baby\u2019s infection. When applied to a newborn\u2019s umbilical cord in high-risk settings, chlorexhidine antiseptic gel has been shown to reduce severe infection by 68% and newborn mortality by 23%, potentially saving over 300,000 lives globally.<\/p>\n

For Ram Bai, who was pregnant with her fifth child at the time, learning about proper cord care was a potentially lifesaving intervention \u2013 it not only improved her young son\u2019s health; it also allowed her to better prepare for a healthy next delivery. And for Shagufta, meeting Ram Bai opened her eyes to the larger community need for education on proper cord care.<\/p>\n

As a result, the CHW helped form a monthly support group for about a dozen women from Yousfani Farm to improve their knowledge of maternal and newborn health. The topics discussed covered a wide range of critical issues for moms and babies \u2013 from the importance of both antenatal and postnatal care, to immunization, cord care, breastfeeding, and personal hygiene. And while the support groups were for women only, men were also sensitized to issues of maternal and newborn health through education sessions hosted by MCHIP-trained community mobilizers.<\/p>\n

\"\"
Above: Shagufta Razzaque, an MCHIP-trained CHW, holds a community support group meeting in the village of Yousfani Farm.<\/em><\/figcaption><\/figure>\n

In Pakistan, one of the most dangerous places to be a newborn<\/a>, MCHIP trained 3,000 skilled birth attendants and 13,000 CHWs and LHWs \u2013 including Shagufta \u2013 from 16 districts in Sindh to meet the health needs of women like Ram Bai and their families. These one-day trainings included lectures, role plays, and practice session on dolls. MCHIP also developed training manuals for both skilled birth attendants and CHWs, translating the latter into the local language, and distributed more than 600,000 chlorhexidine antiseptic gel tubes free of cost to families throughout the 16 intervention districts.<\/p>\n

The Program\u2019s work to improve maternal, newborn and child health services in the region quickly gathered steam, ultimately reaching thousands of women like Ram Bai, who found the support groups invaluable. For instance, becoming an active member of the group led Ram Bai to one-to-one counseling session with Shagufta during her pregnancy. And when she gave birth to her fifth baby at home and applied the chlorexhidine gel as instructed, she was relieved to see that the baby remained healthy and did not suffer from a cord infection or sepsis.<\/p>\n

She then shared her positive experience with chlorhexidine with her support group, thereby spreading the effectiveness of one of Shagufta\u2019s key health messages through the power of her own story. \u201cI found the gel easy to apply,\u201d she told her fellow group members. \u201cThe umbilical cord remained healthy and separated within seven days!\u201d<\/p>\n

As the follow-on project to MCHIP, USAID\u2019s flagship Maternal Child Survival Program<\/a> continues to help bring proven, cost-effective solutions like chlorexhidine antiseptic gel to communities that lack access to integrated healthcare. As the Program increases women\u2019s authority to make health decisions for themselves and their children, we\u2019re improving the health of entire families in some of the world\u2019s neediest communities.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ram Bai, 27, is a mother of five from southeast Pakistan. Although she delivered her children safely, she nearly lost one child to an umbilical cord infection \u2013 an infection that could have been prevented. Life in Yousfani Farm, where she lives and farms with her children and husband, Kirshan, is hard. The village in … Continued<\/a><\/p>\n","protected":false},"author":7211,"featured_media":32183,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"acf":[],"yoast_head":"\nHealthy Newborn Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.healthynewbornnetwork.org\/blog\/in-one-of-the-most-deadly-places-to-be-born-pakistani-mothers-learn-safe-cord-care\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"In One of the Most Deadly Places to be Born, Pakistani Mothers Learn Safe Cord Care - Healthy Newborn Network\" \/>\n<meta property=\"og:description\" content=\"Ram Bai, 27, is a mother of five from southeast Pakistan. 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He currently supports Save the Children as the Newborn and Child Health Advisor for the USAID-funded MNCH Services Component.","user_avatar":"<img alt='' src='https:\/\/secure.gravatar.com\/avatar\/4769f54acff04347cb2f9d291f99064e?s=96&d=mm&r=g' srcset='https:\/\/secure.gravatar.com\/avatar\/4769f54acff04347cb2f9d291f99064e?s=192&d=mm&r=g 2x' class='avatar avatar-96 photo' height='96' width='96' decoding='async'\/>"}],"additional_authors":"Irshad Ahmed, Younus Khan","partners":[{"ID":643,"post_author":"4007","post_date":"2010-03-01 00:39:54","post_date_gmt":"2010-03-01 00:39:54","post_content":"<p> MCHIP is the USAID Bureau for Global Health's flagship maternal, neonatal and child health (MNCH) program which focuses on reducing maternal, neonatal and child mortality and accelerating progress toward achieving Millennium Development Goals (MDGs) 4 and 5. Awarded to Jhpiego and partners in September 2008, MCHIP works with USAID missions, governments, nongovernmental organizations, local communities and partner agencies in developing countries to implement programs at scale for sustainable improvements in MNCH.<\/p>\r\n<h2>What we do<\/h2>\r\n<p><strong>MCHIP and Newborn Health<\/strong><\/p>\r\n<p>By focusing on the three main causes of death and supporting the introduction and scale-up of evidence-based prevention and treatment interventions, MCHIP aims to contribute to the global reduction of neonatal mortality. In the process, the Program will be contributing to the reduction in Millennium Development Goal 4, as well as to USAID’s goal of reducing under-five mortality by 25% by 2013 in 30 priority countries, and to their newborn health pathway goals.<\/p>\r\n<p>The MCHIP strategy for newborn health will:<\/p>\r\n<ul>\r\n <li>     Follow the Paris Principles and work with partners including UNICEF, WHO and Saving Newborn Lives to provide catalytic inputs to support the introduction and expansion of evidence-based newborn care interventions;<\/li>\r\n <li>     Scale up evidence-based approaches to improve newborn health by focusing on 30 priority MCH countries;<\/li>\r\n <li>     Support integration of ENC packages into MCH systems;<\/li>\r\n <li>     Assure that evidence-based ENC programs are documented and promoted at scale; <\/li>\r\n <li>     Provide technical leadership in newborn health globally; and<\/li>\r\n <li>     Strengthen and support strategic alliances that support implementation of newborn health programs at scale.<\/li>\r\n<\/ul>","post_title":"Maternal and Child Health Integrated Program (MCHIP)","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"maternal-and-child-health-integrated-program-mchip","to_ping":"","pinged":"","post_modified":"2016-01-21 00:41:53","post_modified_gmt":"2016-01-21 00:41:53","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=partner&p=643","menu_order":0,"post_type":"partner","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":646,"post_author":"4388","post_date":"2014-10-23 00:42:05","post_date_gmt":"2014-10-23 00:42:05","post_content":"The Maternal and Child Survival Program is a global, USAID Cooperative Agreement to introduce and support high-impact health interventions with a focus on 24 high-priority countries* with the ultimate goal of ending preventable maternal and child deaths (EPMCD) within a generation. This new program will build on the successes of the six-year Maternal and Child Health Integrated Program (MCHIP).\r\n\r\n \r\n\r\nThe Maternal and Child Survival Program supports programming in maternal, newborn and child health, immunization, family planning and reproductive health, nutrition, health systems strengthening, water\/sanitation\/hygiene, malaria, prevention of mother-to-child transmission of HIV, and pediatric HIV care and treatment.\r\n\r\n \r\n\r\nThe Program is focused on ensuring that all women, newborns and children most in need have equitable access to quality health care services to save lives.\r\n\r\n \r\n\r\n* USAID's high-priority countries are Afghanistan, Bangladesh, Democratic Republic of Congo, Ethiopia, Ghana, Haiti, India, Indonesia, Kenya, Liberia, Madagascar, Malawi, Mali, Mozambique, Nepal, Nigeria, Pakistan, Rwanda, Senegal, South Sudan, Tanzania, Uganda, Yemen, and Zambia.\r\n<h2>What we do<\/h2>\r\nAwarded in the spring of 2014, the Maternal and Child Survival Program engages governments, policymakers, private sector leaders, health care providers, civil society, faith-based organizations and communities in adopting and accelerating proven approaches to address the major causes of maternal, newborn and child mortality such as postpartum hemorrhage, birth asphyxia, and diarrhea, respectively, and improve the quality of health services from household to hospital. The Program will tackle these issues through approaches that also focus on health systems strengthening, household and community mobilization, gender integration and eHealth, among others.\r\n\r\n \r\n\r\nWith approaches tailored to meet individual country needs, the Program seeks to empower countries to design effective approaches, develop technical skills, apply analytical tools, manage workforce capacity and devote resources to reduce inequities in care and build sustainable health systems to keep mothers, newborns and children alive and healthy.","post_title":"Maternal and Child Survival Program (MCSP)","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"maternal-and-child-survival-program-mcsp","to_ping":"","pinged":"","post_modified":"2016-04-05 12:01:50","post_modified_gmt":"2016-04-05 16:01:50","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=partner&p=646","menu_order":0,"post_type":"partner","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":793,"post_author":"7211","post_date":"2009-11-18 19:01:52","post_date_gmt":"2009-11-18 19:01:52","post_content":"Save the Children is the world's leading independent organization for children. Our vision is a world in which every child attains the right to survival, protection, development and participation. Our mission is to inspire breakthroughs in the way the world treats children and to achieve immediate and lasting change in their lives.\r\n<h2>What we do<\/h2>\r\n<img class=\"aligncenter size-full wp-image-795\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/2.-Parth-Sanyal.jpg\" alt=\"2. Parth Sanyal\" width=\"800\" height=\"533\" \/>\r\n\r\n \r\n\r\nPhoto: Parth Sanyal\/ Save the Children\r\n\r\n<strong>Saving Newborn Lives (SNL) Program:<\/strong>\r\n\r\nSave the Children's Saving Newborn Lives (SNL) program, supported by the Bill & Melinda Gates Foundation, is a globally recognized leader in newborn health and a respected voice in many low-resource countries. Since 2000, Save the Children\u2019s SNL program has worked as a catalyst towards ensuring that newborn health and survival is on global and national agendas. SNL seeks to achieve equitable and effective coverage of high-impact newborn services and practices institutionalized at scale.\r\n\r\nSNL currently works in partnership with 7 countries to reduce newborn mortality, improve newborn health and bring high-impact interventions to scale. In 4 countries \u2013 Bangladesh, Malawi, Nepal, and Uganda - the program works through partnerships with government and stakeholders to achieve and document the scale-up of newborn health interventions. These countries have achieved substantial policy and system readiness for scale-up and are positioned for accelerated change in service delivery and health outcomes. In 3 additional countries \u2013 Ethiopia, India, and Nigeria \u2013 SNL coordinates with government and partners to develop policies, program experience, and evidence in order to promote the effective and sustainable scale-up of key interventions. SNL collaborates closely with governments and implementing partners, and provides direct support to the design, development and implementation of national strategies and policies to improve the quality and availability of care for mothers and newborns. For more information on Save the Children\u2019s Newborn Health program, <a href=\"http:\/\/www.savethechildren.org\/site\/c.8rKLIXMGIpI4E\/b.6234293\/k.7FC1\/Newborn_Health.htm\">visit our website<\/a>.\r\n\r\nSNL currently maintains the Healthy Newborn Network and strives to establish the site as the \u201cgo-to\u201d resource for newborn health information, data and resources.\r\n\r\nSave the Children also offers technical assistance and support as the newborn health leading partner under USAID\u2019s Maternal and Child Survival Program (MCSP). MCSP is a global, USAID Cooperative Agreement to introduce and support high-impact health interventions with a focus on 24 high-priority countries with the ultimate goal of ending preventable maternal and child deaths within a generation. The Program is focused on ensuring that all women, newborns and children most in need have equitable access to quality health care services to save lives.\r\n\r\n<strong>Save the Children Campaigns:<\/strong>\r\n\r\nAs an independent and global organization, Save the Children has a powerful voice in campaigning for long-term change, and a track record of success. Save the Children encourages its supporters to put pressure on decision makers and opinion formers to change policies and practices, locally and globally, to ensure children's rights become reality.\r\n\r\n<strong><img class=\"alignleft size-full wp-image-796\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/EveryOne-Thumb.jpg\" alt=\"EveryOne - Thumb\" width=\"160\" height=\"160\" \/>The EveryOne Campaign<\/strong>: Save the Children has launched a global campaign to ensure governments provide basic health and nutrition services to millions of children who might not otherwise live to see their fifth birthday. EVERY ONE is Save the Children\u2019s global campaign to ensure no child under the age of five dies from preventable causes, and that public attitudes do not tolerate a return to high levels of child deaths. By 2015, the campaign aims to have catalyzed a breakthrough in governments' policies and practices that dramatically accelerates sustainable progress towards MDG 4. Follow the <a href=\"http:\/\/everyone.savethechildren.net\/news\">Every One campaign via their blog. <\/a>\r\n\r\n<strong><img class=\"alignleft size-full wp-image-797\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/EveryBeatMatters-Thumb.jpg\" alt=\"EveryBeatMatters - Thumb\" width=\"160\" height=\"160\" \/>Every Beat Matters<\/strong>: Through this campaign, Save the Children aims to raise awareness among the American public of the key issues related to child survival, engage and foster champions who are willing to raise their voices for children in need around the world, and create a movement which demands that we increase access to lifesaving care so that no parent suffers the unnecessary loss of a child. Every child deserves the chance to grow up healthy, happy and able to reach their potential. Take a look at <a href=\"http:\/\/www.everybeatmatters.org\/\">Save the Children\u2019s Action Network <\/a>for more information.","post_title":"Save the Children","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"save-the-children","to_ping":"","pinged":"","post_modified":"2016-12-12 10:03:13","post_modified_gmt":"2016-12-12 15:03:13","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=partner&p=793","menu_order":0,"post_type":"partner","post_mime_type":"","comment_count":"0","filter":"raw"}],"issues":[{"ID":118,"post_author":"7211","post_date":"2015-10-21 15:18:04","post_date_gmt":"2015-10-21 19:18:04","post_content":"[vc_row][vc_column][vc_column_text]\r\n<h2 style=\"text-align: center;\"><em>As of 2022, the below information reflects outdated global consensus and guidance. For up-to-date guidance on umbilical cord care, including chlorhexidine, please visit the <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/umbilical-cord-care\/\">Umbilical Cord Care page<\/a>.<\/em><\/h2>\r\n[\/vc_column_text][vc_btn title=\"Umbilical Cord Care\" color=\"1\" size=\"lg\" align=\"center\" button_block=\"true\" link=\"url:https%3A%2F%2Fwww.healthynewbornnetwork.org%2Fissue%2Fumbilical-cord-care%2F|title:Umbilical%20cord%20care\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_separator][vc_column_text]\r\n<h2><strong><a href=\"#getready\">Get Ready\u00a0\u00a0\u00a0<\/a><\/strong>|\u00a0 \u00a0<strong><a href=\"#plan\">Plan\u00a0<\/a><\/strong>\u00a0 |\u00a0 \u00a0<strong><a href=\"#execute\">Execute\u00a0\u00a0<\/a><\/strong>\u00a0|\u00a0 \u00a0<strong><a href=\"#about\">About\u00a0\u00a0\u00a0\u00a0<\/a><\/strong>|\u00a0 \u00a0<strong><a href=\"#country\">Country Specific Resources<\/a><\/strong><\/h2>\r\n<h2><\/h2>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2 style=\"text-align: justify;\">Ensuring optimal cord care at birth and during the first week of life, including use of chlorhexidine, especially in settings having poor hygiene, is a crucial strategy to prevent life-threatening sepsis and cord infections and avert preventable neonatal deaths.<\/h2>\r\n<p style=\"text-align: justify;\">Chlorhexidine digluconate is a broad spectrum antiseptic that is available in a range of concentrations and has been safely used for over 40 years for a variety of health-related applications; but its specific use for umbilical cord care was uniquely tested in three clinical trials in Nepal, Bangladesh, and Pakistan, in the form of 7.1% chlorhexidine digluconate (CHX). Given the promising results of the trials, in 2013 the World Health Organization (WHO) added CHX to its <a href=\"http:\/\/www.who.int\/medicines\/publications\/essentialmedicines\/en\/\" target=\"_blank\" rel=\"noopener noreferrer\">Model List of Essential Medicines for Children<\/a>; and in 2014 the WHO issued a new <a href=\"http:\/\/apps.who.int\/iris\/bitstream\/10665\/97603\/1\/9789241506649_eng.pdf?ua=1\" target=\"_blank\" rel=\"noopener noreferrer\">guideline<\/a> on umbilical cord care, which included a formal recommendation on the use of chlorhexidine.<\/p>\r\n[\/vc_column_text][vc_column_text]\r\n<p style=\"text-align: justify;\">This webpage was developed by the <a href=\"#about\">Chlorhexidine Working Group<\/a>\u00a0(CWG) to help policy makers, program managers, and donors facilitate the introduction of 7.1% chlorhexidine digluconate into existing essential newborn care services in low- and middle-income countries. The document, <a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CHXstory_From-Research-to-Use_01.22.18.pdf\">From Research to Use: Saving Newborn Lives with Chlorhexidine for Umbilical Cord Care<\/a> chronicles the history and accomplishments of the CWG. The webpage consists of three phases, <strong><a href=\"#getready\">Get Ready<\/a><\/strong>, <strong><a href=\"#plan\">Plan<\/a><\/strong>, and <strong><a href=\"#execute\">Execute<\/a><\/strong>, and is based on the experiences of the CWG partners in introducing chlorhexidine in various countries (see <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/guide-implementing-7-1-chlorhexidine-digluconate-umbilical-cord-care\/\">Guide to Implementing 7.1% chlorhexidine digluconate for umbilical cord care: Three phases to ensure sustainable implementation<\/a>). Each phase\u00a0is composed of activities that facilitate introduction and scale-up. The phases do not necessarily occur in a sequential manner; however, as some activities\/components across the three phases may\u00a0occur simultaneously while others are dependent upon the results of activities from a previous phase.<\/p>\r\n[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_cta h2=\"Chlorhexidine Global Scale-Up Tracker\" style=\"outline\" color=\"sandy-brown\" css=\".vc_custom_1503604990256{border-radius: 5px !important;}\"]\r\n\r\n[caption id=\"attachment_17423\" align=\"alignright\" width=\"250\"]<a href=\"https:\/\/www.healthynewbornnetwork.org\/chlorhexidine-dashboard\/\"><img class=\"wp-image-17423\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Dashboard-Thumbnail-1-300x211.jpg\" alt=\"Dashboard Thumbnail\" width=\"250\" height=\"176\" \/><\/a> Click on the map to view the tracker[\/caption]\r\n\r\nOver 25 countries are now moving toward implementation of chlorhexidine for umbilical cord care. The global scale-up tracker is a real-time, interactive dashboard that illustrates the global progress of chlorhexidine implementation and scale-up. Dashboard users can see a wealth of information regarding the current status of chlorhexidine engagement in these countries, including policy status, type of product used, location of use, regulatory status, and locations of local manufacture.[\/vc_cta][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/4\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">2.4<\/span>M<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1651600731322{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">Newborn lives are claimed every year across the world*<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/4\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">7<\/span>%<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1651600713114{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">Of the deaths are caused by sepsis and other infectious conditions of the newborn*<\/span><\/h3>\r\n<h6>*Represents the most recent data available. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> page and download the Excel spreadsheet to explore the data further<\/h6>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/4\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">23<\/span>%<\/strong><\/h1>\r\n[\/vc_column_text][vc_empty_space][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1461187100208{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">Reduction in neonatal mortality when 7.1% chlorhexidine digluconate was used on the first day of life, as demonstrated by the clinical trials conducted in South Asia.<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1460150566355{margin-top: 0px !important;margin-bottom: 0px !important;border-top-width: 0px !important;background-color: #ffffff !important;}\"][vc_column][vc_cta h2=\"Cautionary note\" color=\"sandy-brown\"]\r\n<h3 style=\"text-align: justify;\"><strong>As with all medications, care must be taken to ensure that the product is used appropriately. 7.1% chlorhexidine digluconate for umbilical cord care should be kept out of eyes and ears and should be applied only to the umbilical stump.<\/strong><\/h3>\r\n<h3 style=\"text-align: justify;\">In 2015, it came\u00a0to the attention of the global Chlorhexidine Working Group (CWG) that 7.1% chlorhexidine digluconate aqueous solution (liquid) for umbilical cord care was mistakenly applied to the eyes of at least five children in Nigeria, causing eye injury.\u00a0\u00a0 Chlorhexidine has been in use for over 50 years and has a well\u2013characterized safety profile when used as directed. The formulation of chlorhexidine digluconate used for cord care (7.1% w\/v), when used as directed, is effective in preventing neonatal sepsis due to bacterial exposure through the fresh umbilical stump. \u00a0However, it can cause serious harm if applied to the eyes and should also not be put into the ear canal. It is important that persons and organizations responsible for chlorhexidine for umbilical cord care programs and for the distribution of the chlorhexidine for umbilical cord care product to caregivers ensure that instruction is provided on the appropriate use of the product, including appropriate warnings.<\/h3>\r\n<h3><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/memorandum-safety-concerns-over-misuse-of-chlorhexidine-chx\/\">Memorandum: Safety Concerns Over Misuse of Chlorhexidine (CHX)<\/a><\/h3>\r\n<h3><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/alert-no-133-chlorhexidine-71-digluconate-chx-reports-of-serious-eye-injury-due-to-errors-in-administration\/\">Alert No. 133: Chlorhexidine 7,1% digluconate (CHX): Reports of serious eye injury due to errors in administration<\/a><\/h3>\r\n[\/vc_cta][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=\".vc_custom_1636735661384{background-color: #ef814a !important;}\"]<a name=\"getready\"><\/a>\r\n<h1 style=\"text-align: center;\"><span style=\"color: #ffffff;\"><strong>Get Ready<\/strong><\/span><\/h1>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]\r\n<p style=\"text-align: justify;\">Successful program implementation requires the coordinated effort of the key stakeholders and alignment of policies and guidelines. The first step is to <strong>gain consensus<\/strong> through consultations with various key stakeholders in the public and private sectors. Further <strong>evidence for implementation<\/strong> may need to be generated if stakeholders believe that gaps in operational evidence exist. The final component of coordinating the effort is to <strong>align policies and guidelines<\/strong> for chlorhexidine implementation.<\/p>\r\n<a href=\"#top\"><strong>Back to CHX HOMEPAGE<\/strong><\/a>[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_single_image image=\"15591\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"Resources\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/activity-1-gaining-consensus-chlorhexidine\/\"><strong>Activity 1: Gaining Consensus<\/strong><\/a>\r\n<ul>\r\n \t<li>CWG Tech Brief (<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-technical-brief-umbilical-cord-cleansing-saves-newborn-lives\/\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>,<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CHX-Technical-Brief_final-for-translation__2017-11-20_FR-1.pdf\">\u00a0fran\u00e7ais<\/a>,\u00a0<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CHX-Technical-Brief_final-for-translation__2017-11-20_PT-1.pdf\">Portugu\u00eas<\/a>)<\/li>\r\n \t<li>CWG Chlorhexidine Products and Uses\u00a0in Healthcare (<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-products-and-uses-in-health-care\/\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>,\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/les-produits-a-base-de-chlorhexidine-et-leurs-utilisations-dans-le-domaine-des-soins-de-sante\/\" target=\"_blank\" rel=\"noopener noreferrer\">fran\u00e7ais<\/a>,\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-Chlorhexidine-Applications-PT_Aug_2015-2015-08-20.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Portugu\u00eas<\/a>)<\/li>\r\n \t<li>UN Commission on Life-Saving Commodities for Women and Children\u00a0<a href=\"http:\/\/www.path.org\/publications\/detail.php?i=2381\" target=\"_blank\" rel=\"noopener noreferrer\">Policy\/Advocacy Toolkit<\/a><\/li>\r\n \t<li>Results of the randomized controlled trials in\u00a0<a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(06)68381-5\/abstract\" target=\"_blank\" rel=\"noopener noreferrer\">Nepal<\/a>,\u00a0<a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(11)61848-5\/abstract\" target=\"_blank\" rel=\"noopener noreferrer\">Bangladesh<\/a>, and\u00a0<a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(11)61877-1\/abstract\" target=\"_blank\" rel=\"noopener noreferrer\">Pakistan<\/a>, and the\u00a0<a href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/1471-2458-13-S3-S15\" target=\"_blank\" rel=\"noopener noreferrer\">meta-analysis<\/a>\u00a0of the three trials<\/li>\r\n \t<li>Chlorhexidine gel versus aqueous solution\u00a0<a href=\"http:\/\/journals.lww.com\/pidj\/Abstract\/2010\/11000\/Chlorhexidine_Gel_Versus_Aqueous_for_Preventive.4.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">randomized noninferiority trial<\/a><\/li>\r\n \t<li>Chlorhexidine\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2386993\/\" target=\"_blank\" rel=\"noopener noreferrer\">safety data<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-for-umbilical-cord-care-game-changer-for-newborn-survival\/\" target=\"_blank\" rel=\"noopener noreferrer\">Chlorhexidine for umbilical cord care: game-changer for newborn survival?<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/DRC-Group-work_outline.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">DRC Technical Working Group structure and outline<\/a>\u00a0(fran\u00e7ais)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/R%C3%A9sum%C3%A9-sur-les-%C3%A9vidences-scientifiques-de-lutilisation-de-la-Chlorhexidine-digluconate-7-1_0.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">DRC\u00a0R\u00e9sum\u00e9 sur les \u00e9vidences scientifiques de l\u2019utilisation de la Chlorhexidine(CHX) digluconate 7.1%<\/a>\u00a0(fran\u00e7ais) \u00a0[DRC scientific evidence presentation]<\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CHX-Nepal-meeting-report-12-02-2011-FINAL-1.pdf\">Chlorhexidine for Umbilical Cord Care: Evidence Base and the Way Forward<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Coffey-P.-et-al.-umbilical-cord-care-practice-in-low-and-middle-income-countries-1.pdf\">Umbilical cord-care practices in low- and middle-income countries: a systematic review<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Final_CHX_Meeting-Report_EN_140429.pdf\">Technical Report: Report on the Regional Meeting for Francophone West Africa on the use of Chlorhexidine for Umbilical Cord Care<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Herrick-et-al_Modeling-the-potential-impact-of-emerging-innovations_2017.pdf\">Modeling the potential impact of emerging innovations on achievement of Sustainable Development Goals related to maternal, newborn, and child health<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Mullany_Safety-and-impact-of-chlorhexidine-antisepsis-interventions_Ped-Inf-Dis-J_2006.pdf\">Safety and Impact of Chlorhexidine Antisepsis Interventions for Improving Neonatal Health in Developing Countries<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Sazawal-S-et-al-Pemba-Island-chlorhexidine-trial-Lancet-GH-2016.pdf\">Efficacy of chlorhexidine application to umbilical cord on neonatal mortality in Pemba, Tanzania: a community-based randomized controlled trial<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Semrau-KEA-et-al-ZamCAT-main-analysis-Lancet-GH-2016.pdf\">Effectiveness of 4% chlorhexidine umbilical cord care on neonatal mortality in Southern Province, Zambia (ZamCAT): a cluster-randomised controlled trial<\/a><\/li>\r\n \t<li>Antiseptic brief (<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Antiseptic-brief_Final-for-translation_11-30-17_EN.pdf\">English<\/a>,\u00a0<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Antiseptic-brief_Final-for-translation_3-11-30-17_FR.pdf\">fran\u00e7ais<\/a>,\u00a0<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Antiseptic-brief_Final-for-translation_3-11-30-17_PT.pdf\">Portugu\u00eas<\/a>)<\/li>\r\n \t<li>Generic CHX PPT\u00a0(<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Final-for-translation_Generic-CHX-Presentation-updated-January-19-2018.pptx\">English<\/a>,\u00a0<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Final-for-translation_Generic-CHX-Presentation-updated-January-19-2018_F....pptx\">fran\u00e7ais<\/a>,\u00a0<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Final-for-translation_Generic-CHX-Presentation-updated-January-19-2018_P....pptx\">Portugu\u00eas<\/a>)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-innovation-countdown-report-2030-reimagining-global-health\/\">The Innovation Countdown Report 2030: Reimagining global health<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][vc_column_text][\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/activity-2-building-evidence-implementation-chlorhexidine\/\"><strong>Activity 2: Building Evidence for Implementation<\/strong><\/a>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Madagascar-Formative-Research-Presentation_English.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Madagascar formative research<\/a><\/li>\r\n \t<li><a href=\"https:\/\/bmcinthealthhumrights.biomedcentral.com\/articles\/10.1186\/1472-698X-14-12\">Ethiopia formative research<\/a><\/li>\r\n \t<li>Bangladesh operations research<a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Bangladesh_CHX-operations-research_report_2010Jan20.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">\u00a0report\u00a0<\/a>and\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Bangladesh_Programatic-Presentation_Winch-2011.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">presentation<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/PATH-Chlorhexidine-Product-Attribute-Study-Bangladesh-2008.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Bangladesh product attribute study<\/a><\/li>\r\n \t<li>India (Uttar Pradesh)\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/results-from-chx-survey-india\/\" target=\"_blank\" rel=\"noopener noreferrer\">formative research\u00a0results<\/a>\u00a0and\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-end-to-end-analysis-focusing-on-uttar-pradesh\/\" target=\"_blank\" rel=\"noopener noreferrer\">end-to-end analysis<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CHX-Market-Research-in-Kenya_PATH-FINAL_19Feb2015.pdf\">Market research for 7.1% chlorhexidine digluconate: Kenya<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/FINAL_Nigeria-market-research_v9_12.9.2014.pdf\">Market research for 7.1% chlorhexidine digluconate: Nigeria<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Muriuki-et-al_KenyaCHX_2017.pdf\">Health care providers\u2019 perspectives regarding the use of chlorhexidine gel for cord care in neonates in rural Kenya: implications for scale-up<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Walsh-et-al_Newborn-Cord-Care-Practices-in-Haiti.pdf\">Newborn cord care practices in Haiti<\/a><\/li>\r\n<\/ul>\r\n<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/activity-3-aligning-policies-guidelines-chlorhexidine\/\"><strong>Activity 3: Aligning Policies and Guidelines<\/strong><\/a>\r\n<ul>\r\n \t<li>CWG\u00a0Country Guidance\u00a0(<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Final-for-translation_CWG-Country-Guidance_Jan-19-2018_EN.pdf\">English<\/a>,\u00a0<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Final-for-translation_CWG-Country-Guidance_Jan-19-2018_FR.pdf\">fran\u00e7ais<\/a>,\u00a0<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Final-for-translation_CWG-Country-Guidance_Jan-19-2018_PT.pdf\">Portugu\u00eas<\/a>)<\/li>\r\n \t<li>CWG\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-Supplementary-Country-Guidance-EN_Sept_2015-2015-08-21.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Supplementary Country Guidance<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Policy-Developement-DRC-CHX-FR-format.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">DRC \u00c9laboration d\u2019une politique nationale concernant l\u2019introduction de la chlorhexidine \u00e0 7,1 % pour les soins du cordon ombilical<\/a>\u00a0(fran\u00e7ais) [DRC national policy development plan]<\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Ghana_Chlorhexidine-Policy-Brief-FINAL.pdf\">Chlorhexidine Digluconate 7.1% Gel Press Release<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_separator][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=\".vc_custom_1460145487524{background-color: #ef814a !important;}\"]<a name=\"plan\"><\/a>\r\n<h1 style=\"text-align: center;\"><span style=\"color: #ffffff;\"><strong>Plan<\/strong><\/span><\/h1>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]\r\n<p style=\"text-align: justify;\">The next phase should be to plan for initial implementation. Key components of implementation planning include: developing\u00a0<strong>demand generation<\/strong> strategies, <strong>orientation and training<\/strong>\u00a0of service providers, considering <strong>product manufacturing and distribution<\/strong> options, developing a <strong>monitoring and evaluation<\/strong> plan, and developing a <strong>financing<\/strong> strategy.<\/p>\r\n<a href=\"#top\"><strong>Back to CHX HOMEPAGE<\/strong><\/a>[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_single_image image=\"16266\" onclick=\"custom_link\" img_link_target=\"_blank\" link=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/HNN-Chlorhexidine-PLAN-Graphic.jpg\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"Resources\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/component-1-integrating-demand-generation-chlorhexidine\/\"><strong>Component 1: Integrating Demand Generation<\/strong><\/a>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/driving-demand-chlorhexidine-human-centered-design-toolkit-development-demand-generation-materials\/\">Driving Demand for Chlorhexidine<\/a>: a human-centered design toolkit for the development of\u00a0demand generation materials<\/li>\r\n \t<li>Demand Generation\u00a0<a href=\"http:\/\/sbccimplementationkits.org\/demandrmnch\/\" target=\"_blank\" rel=\"noopener noreferrer\">Implementation Kit (I-Kit)<\/a>\u00a0for Underutilized, Life-Saving Commodities<\/li>\r\n \t<li>Madagascar\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/madagascar-chlorhexidine-flyer\/\" target=\"_blank\" rel=\"noopener noreferrer\">flyer<\/a>\u00a0and\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/madagascar-chlorhexidine-poster\/\" target=\"_blank\" rel=\"noopener noreferrer\">poster<\/a>\u00a0for AroFoitra (Malagasy)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Resultats-du-pretest-des-materiels-IEC-pour-AroFoitra-.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Madagascar Resultats du pretest des materiels IEC pour AroFoitra<\/a>\u00a0(fran\u00e7ais) \u00a0[results of the pretest of IEC materials for AroFoitra]<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Plan-com-CHX_final1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Madagascar Strat\u00e9gie de communication<\/a>\u00a0(fran\u00e7ais)\u00a0[Madagascar communication strategy for AroFoitra]<\/li>\r\n<\/ul>\r\n[\/vc_column_text][vc_column_text]<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/component-2-orientationtraining-chlorhexidine\/\"><strong>Component 2: Orientation\/Training<\/strong><\/a>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Nepal_Chlorhexidine-Training-Manual2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Training materials for single-day application<\/a>\u00a0(from Nepal)<\/li>\r\n \t<li><a href=\"http:\/\/www.medicalaidfilms.org\/film\/how-to-use-chlorhexidine-for-umbilical-cord-care\/\" target=\"_blank\" rel=\"noopener noreferrer\">How to use chlorhexidine for umbilical cord care<\/a>\u00a0(link to training video)<\/li>\r\n \t<li>Madagascar formation des agents de sante (fran\u00e7ais)\u00a0[Madagascar health worker training materials]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/programme-introductive-de-prevention-de-linfection-du-nouveau-ne-par-la-chlorhexidine-71-pommade-formation-des-agents-de-sante-cahier-du-formateur\/\" target=\"_blank\" rel=\"noopener noreferrer\">Cahier du formateur<\/a>\u00a0[trainer notebook]<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/programme-introductive-de-prevention-de-linfection-du-nouveau-ne-par-la-chlorhexidine-71-pommade-formation-des-agents-de-sante-carnet-du-participant\/\" target=\"_blank\" rel=\"noopener noreferrer\">Carnet du participant<\/a>\u00a0[participant book]<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/madagascar-chlorhexidine-job-aid\/\" target=\"_blank\" rel=\"noopener noreferrer\">Madagascar job aid<\/a>\u00a0(Malagasy)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Nepal_Poster-Kawach-eng.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Nepal job aid<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-training-manual-sbas-lhws-sindh-pakistan\/\" target=\"_blank\" rel=\"noopener noreferrer\">Sindh Province (Pakistan) training materials<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/TS_CHX_IFU_Poster_Update_v3_rev04.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Aqueous solution (liquid) instructions for use<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CHX-Posters05-PRESS02-how-to-use_Kenya.pdf\">How to apply chlorhexidine gel and solution: Instructions for use from Kenya<\/a><\/li>\r\n \t<li>Brief on correct use (<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Brief-on-Correct-Use_Final-for-translation_12-05-17_EN.pdf\">English<\/a>,\u00a0<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Brief-on-Correct-Use_Final-for-translation_2-12-05-17_FR.pdf\">fran\u00e7ais<\/a>,\u00a0<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Brief-on-Correct-Use_Final-for-translation_2-12-05-17_PT.pdf\">Portugu\u00eas<\/a>)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/path-chlorhexidine-product-attribute-study-2008\/\">PATH Chlorhexidine Product Attribute Study (2008)<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][vc_column_text][\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/component-3-product-manufacturing-distribution-chlorhexidine\/\"><strong>Component 3: Product Manufacturing and Distribution<\/strong><\/a>\r\n<ul>\r\n \t<li>Chlorhexidine Market Sizing Tool (Utilizing\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-market-sizing-tool-utilizing-user-estimates\/\" target=\"_blank\" rel=\"noopener noreferrer\">User Estimates<\/a>, Utilizing\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-market-sizing-tool-utilizing-market-size-estimates\/\" target=\"_blank\" rel=\"noopener noreferrer\">Market Size Estimates<\/a>)<\/li>\r\n \t<li>CWG Production Strategy (<a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-Production-Strategy-EN_November_2015-2015-11-06.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>,\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-Production-Strategy-FR_November-2015-2015-11-06.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">fran\u00e7ais<\/a>)<\/li>\r\n \t<li>CWG\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-Guidance-to-Procurers-EN_APR_2016.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Procurement Guidance<\/a><\/li>\r\n \t<li>CWG\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/list-of-manufacturers-of-7-1-chlorhexidine-digluconate-for-umbilical-cord-care-2021\/\">List of manufacturers of 7.1% chlorhexidine digluconate for umbilical cord care<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-Standard-Patient-Information-Leaflet-English_October_2015.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Patient information\u00a0leaflet<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Chlorhexidine-in-Nepal-A-Public-Private-Partnership-Case-Study.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Nepal Public Private Partnership Case Study<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][vc_column_text]<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/component-4-monitoring-evaluation-chlorhexidine\/\"><strong>Component 4: Monitoring and Evaluation (M&E)<\/strong><\/a>\r\n<ul>\r\n \t<li>CWG\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Performance-Indicators-CHX.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Performance Indicators<\/a><\/li>\r\n \t<li>Every Newborn Action Plan\u00a0<a href=\"http:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/1471-2393-15-S2-S8\" target=\"_blank\" rel=\"noopener noreferrer\">indicators<\/a>\u00a0(includes chlorhexidine)<\/li>\r\n \t<li><a href=\"http:\/\/dhsprogram.com\/publications\/publication-DHSQM-DHS-Questionnaires-and-Manuals.cfm\" target=\"_blank\" rel=\"noopener noreferrer\">Demographics and Health Surveys (DHS) newborn module<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.livessavedtool.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Lives Saved Tool (LiST)<\/a><\/li>\r\n \t<li>Demographic and Health Surveys (DHS)\u00a0<a href=\"http:\/\/dhsprogram.com\/pubs\/pdf\/DHSQM\/DHS7_Module_Newborn_Care_EN_01Mar2016_DHSQM.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">newborn module<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][vc_column_text]<strong>Component 5: Financing\u00a0 <\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/national-strategy-for-scale-up-of-chlorhexidine-in-nigeria\/\">National Strategy For Scale-Up Of Chlorhexidine in Nigeria<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-costed-scale-up-plan-in-madagascar\/\">Chlorhexidine costed scale-up plan in Madagascar<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_separator][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=\".vc_custom_1460145515019{background-color: #ef814a !important;}\"]<a name=\"execute\"><\/a>\r\n<h1 style=\"text-align: center;\"><span style=\"color: #ffffff;\"><strong>Execute<\/strong><\/span><\/h1>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]\r\n<p style=\"text-align: justify;\">The final phase is to execute the CHX implementation plan and continuously monitor how it is being implemented to determine if the desired outcomes are being achieved. Data from the initial phase of implementation should be disseminated to key stakeholders within the country. If the program is not being implemented as planned, corrective action should be taken. Ministries of Health or key stakeholders may wish to disseminate data about the progress of CHX implementation in their country through international conferences or publications to help other countries accelerate implementation of CHX.<\/p>\r\n<a href=\"#top\"><strong>Back to CHX HOMEPAGE<\/strong><\/a>[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_single_image image=\"15603\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\r\n<ul>\r\n \t<li>Chlorhexidine for umbilical cord care\u00a0presentations at the Global Maternal Newborn Health Conference (October 2015):\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Introduction-of-Chlorhexidine-in-Sindh-Pakistan.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Introduction of Chlorhexidine in Sindh, Pakistan<\/a> (MCHIP)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/INTRODUCTION-DE-LA-CHLORHEXIDINE-DIGLUCONATE-71-EN-RDC.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Introduction de la Chlorhexidine Digluconate 7,1% dans les soins ombilicaux en RDC<\/a> (MSH\/SIAPS)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Saving-the-Pair-%E2%80%93-Integrated-Scale-up-of-CHX-and-Miso-in-Rural-Madagascar.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Saving the Pair \u2013Integrated Scale-up of Chlorhexidine and Misoprostol for Newborns and Mothers in Rural Madagascar<\/a> (JSI Research and Training Institute)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Institutionalizing-Chlorhexidine-Program-and-Maintaining-Coverage-in-Nepal.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Institutionalizing Chlorhexidine Program and Maintaining Coverage Chlorhexidine Cord Care Program in Nepal<\/a> (JSI Research and Training Institute)<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Timeline-Nepal-progress-towards-CHX-sustainability.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Nepal progress towards program sustainability (timeline)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/national-strategy-for-scale-up-of-chlorhexidine-in-nigeria\/\">National Strategy For Scale-Up Of Chlorhexidine in Nigeria<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-costed-scale-up-plan-in-madagascar\/\">Chlorhexidine costed scale-up plan in Madagascar<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-Implementation-Guide-3-1.pdf\">Guide to implementing 7.1% chlorhexidine digluconate for umbilical cord care: Three phases to ensure sustainable implementation<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Establishing-Quality-Product-Supply-of-Chlorhexidine-for-Umbilical-Cord-Care.pptx\">Establishing Quality Product Supply of Chlorhexidine for Umbilical Cord Care<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Institutionalizing-Chlorhexidine-Program-and-Maintaining-Coverage-in-Nepal.ppt\">Institutionalizing Chlorhexidine Program and Maintaining Coverage in Nepal<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/INTRODUCTION-DE-LA-CHLORHEXIDINE-DIGLUCONATE-71-EN-RDC.pptx\">Introduction de la chlorhexidine digluconate 7,1% dans les soins ombilicaux en RDC (fran\u00e7ais) [Introduction of 7.1% chlorhexidine digluconate for umbilical cord care in DRC]<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Saving-the-Pair_Integrated-Scale-up-of-CHX-and-Miso-in-Rural-Madagascar.ppt\">Saving the Pair: Integrated Scale-up of Chlorhexidine and Misoprostol in Rural Madagascar<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Timeline-Nepal-progress-towards-CHX-sustainability-1.pdf\">Timeline of Nepal progress towards CHX program sustainability<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CHXstory_From-Research-to-Use_01.22.18-1.pdf\">From Research to Use: Saving Newborn Lives With Chlorhexidine for Umbilical Cord Care<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_separator][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=\".vc_custom_1460149292456{background-color: #ef814a !important;}\"]<a name=\"about\"><\/a>\r\n<h1 style=\"text-align: center;\"><span style=\"color: #ffffff;\"><strong>About<\/strong><\/span><\/h1>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]\r\n<p style=\"text-align: justify;\">The Chlorhexidine Working Group (CWG) is an international collaboration of organizations committed to advancing the use of 7.1% chlorhexidine digluconate (delivering 4% chlorhexidine) for umbilical cord care through advocacy and technical assistance. PATH serves as the Secretariat of the CWG.<\/p>\r\n<a href=\"#top\"><strong>Back to CHX HOMEPAGE<\/strong><\/a>[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_single_image image=\"15798\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\r\n<ul>\r\n \t<li>CWG <a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-terms-of-reference_April-2016.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Terms of Reference<\/a><\/li>\r\n \t<li>CWG <a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/NEW-FORMAT_CWG-strategy-statement_03.20.15-1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Strategy Statement<\/a><\/li>\r\n \t<li>CWG Capacity Statement (<a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-Capacity-Statement-English_August_2015.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>, <a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-Capacity-Statement-PT_Aug_2015-2015-08-20.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Portugu\u00eas<\/a>)<\/li>\r\n<\/ul>\r\n<strong>Members include individuals representing:<\/strong>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]\r\n<ul>\r\n \t<li>PATH [Secretariat]<\/li>\r\n \t<li>ayzh<\/li>\r\n \t<li>Bill & Melinda Gates Foundation<\/li>\r\n \t<li>Boston University<\/li>\r\n \t<li>Burnet Institute<\/li>\r\n \t<li>Centre for Infectious Disease Research in Zambia<\/li>\r\n \t<li>Clinton Health Access Initiative<\/li>\r\n \t<li>Drugfield Pharmaceuticals Ltd. (Nigeria)<\/li>\r\n \t<li>Duke University<\/li>\r\n \t<li>Global Health Action<\/li>\r\n \t<li>Jhpiego<\/li>\r\n \t<li>John Snow, Inc.<\/li>\r\n \t<li>Johns Hopkins Bloomberg School of Public Health<\/li>\r\n \t<li>Johnson & Johnson (USA)<\/li>\r\n \t<li>Lomus Pharmaceuticals Pvt. Ltd. (Nepal)<\/li>\r\n \t<li>Maternal and Child Survival Program<\/li>\r\n \t<li>Ministry of Health, DRC (Reproductive Health)<\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]\r\n<ul>\r\n \t<li>Ministry of Health, Ethiopia (Maternal & Child Health)<\/li>\r\n \t<li>Ministry of Health, Kenya (Child & Adolescent Health)<\/li>\r\n \t<li>Ministry of Health, Liberia (Family Health)<\/li>\r\n \t<li>Ministry of Health, Malawi (Reproductive Health)<\/li>\r\n \t<li>Ministry of Health, Mozambique (Child Health)<\/li>\r\n \t<li>Promoting the Quality of Medicines\/United States Pharmacopeia<\/li>\r\n \t<li>PSI<\/li>\r\n \t<li>Save the Children\/Saving Newborn Lives<\/li>\r\n \t<li>SHOPS Plus\/Abt Associates<\/li>\r\n \t<li>Systems for Improved Access to Pharmaceuticals and Services\/Management Sciences for Health<\/li>\r\n \t<li>United Nations Children\u2019s Fund<\/li>\r\n \t<li>United States Agency for International Development<\/li>\r\n \t<li>Universal Corporation Ltd. (Kenya)<\/li>\r\n \t<li>University of Illinois at Chicago<\/li>\r\n \t<li>University Research Corporation<\/li>\r\n \t<li>World Health Organization<\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_separator][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=\".vc_custom_1511361090172{background-color: #ef814a !important;}\"]<a name=\"country\"><\/a>\r\n<h1 style=\"text-align: center;\"><span style=\"color: #ffffff;\"><strong>Country Specific Resources<\/strong><\/span><\/h1>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<strong>Bangladesh: <\/strong>\r\n<ul>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/bangladesh-national-newborn-health-situation-analysis-report-2014\/\">National Newborn Health Situation Analysis Report 2014<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/end-preventable-child-deaths-2035-bangladesh-call-action\/\">End preventable child deaths by 2035: Bangladesh Call for Action <\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/bangladesh-chlorhexidine-operations-research-study-2008-2009\/\">Bangladesh chlorhexidine operations research study 2008-2009<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/impact-of-cord-cleansing-with-chlorhexidine-on-neonatal-mortality-in-rural-bangladesh-a-communitybased-clusterrandomised-trial\/\">Impact of cord cleansing with chlorhexidine on neonatal mortality in rural Bangladesh a community based trial<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Bangladesh_CHX-operations-research_phase-2-user-instructions_English_2009Feb01.pdf\">Chlorhexidine poster<\/a><\/li>\r\n<\/ul>\r\n<strong>Democratic Republic of the Congo:<\/strong>\r\n<ul>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/INTRODUCTION-DE-LA-CHLORHEXIDINE-DIGLUCONATE-71-EN-RDC.pdf\">Chlorhexidine Introduction in the DRC <\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/overview-of-the-chlorhexidine-work-structure-for-democratic-republic-of-the-congo\/\">Chlorhexidine working group structure in the DRC<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Infection-ombilicale.pdf\">Chlorhexidine PowerPoint Presentation <\/a><\/li>\r\n<\/ul>\r\n<strong>India: <\/strong>\r\n<ul>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/effect-4-chlorhexidine-cord-colonization-among-hospital-community-births-india-randomized-controlled-study\/\">Effect of 4% chlorhexidine on cord colonization among hospital and community births in India: a randomized controlled study<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CHX-End-to-End-CHX-WG-121230.pdf\">Chlorhexidine end-to-end analysis focusing on Uttar Pradesh <\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/results-from-chx-survey-india\/\">Results from chlorhexidine survey<\/a><\/li>\r\n<\/ul>\r\n<strong>Madagascar<\/strong>:\r\n<ul>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/presentation-des-resultats-du-pretest-des-materiels-iec-pour-arofoitra\/\">Results of the pretest of IEC materials for the chlorhexidine program in Madagascar<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/madagascar-chlorhexidine-formative-research-presentation\/\">Chlorhexidine Formative Research Presentation <\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/madagascar-chlorhexidine-job-aid\/\">Chlorhexidine Job Aid<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/madagascar-chlorhexidine-flyer\/\">Chlorhexidine Flyer<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/madagascar-chlorhexidine-poster\/\">Chlorhexidine Poster <\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/programme-introductive-de-prevention-de-linfection-du-nouveau-ne-par-la-chlorhexidine-71-pommade-formation-des-agents-de-sante-cahier-du-formateur\/\">Training toolkit for community health workers <\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/saving-pair-integrated-scale-chlorhexidineand-misoprostol-newborns-mothers-rural-madagascar\/\">Saving the Pair \u2013Integrated Scale-up of Chlorhexidine and Misoprostol for Newborns and Mothers in Rural Madagascar<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-costed-scale-up-plan-in-madagascar\/\">Chlorhexidine Scale-up Plan<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Notice-CHX-FB01.pdf\">Chlorhexidine medical notice<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/arofoitra-flyer-malagasy\/\">Chlorhexidine Flyer<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/investiguer-les-pratiques-courantes-et-les-perceptions-autour-du-soin-du-cordon-ombilical-et-lacceptabilite-de-arofoitra-par-les-cibles\/\">Study on umbilical cord care practices<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Plan-com-CHX_final1.pdf\">Communications Strategy<\/a><\/li>\r\n<\/ul>\r\n<strong>Nepal: <\/strong>\r\n<ul>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/timeline-nepals-progress-towards-chlorhexidine-program-sustainability\/\">Timeline of Nepal\u2019s progress towards chlorhexidine program sustainability<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/institutionalizing-chlorhexidine-program-maintaining-coverage-chlorhexidine-cord-care-program-nepal\/\">Institutionalizing Chlorhexidine Program and Maintaining Coverage \u2013 Chlorhexidine Cord Care Program in Nepal<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/introducing-chlorhexidine-in-nepal\/\">Chlorhexidine Introduction in Nepal<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-in-nepal-a-public-private-partnership-case-study\/\">Case Study<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-in-nepal-a-public-private-partnership-case-study-july-2013\/\">USAID, JSI Nepal Case Study <\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/innovation-in-reducing-neonatal-death-using-chlorhexidine-in-nepal-a-case-study\/\">Innovation in reducing neonatal death using Chlorhexidine in Nepal- a case study<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-cleansing-of-the-umbilical-cord-in-nepal-leading-by-example-and-saving-lives\/\">Chlorhexidine cleansing of the umbilical cord in Nepal: leading by example and saving lives<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/study-on-cord-care-practices-focus-group-discussion-with-occupational-castes\/\">Study on cord care practices focus group discussion<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/a-study-on-cord-care-practices-semi-structured-interview-with-recently-delivered-women\/\">Semi-structured interview with mothers who recently gave birth<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/a-study-on-cord-care-practices-semi-structured-interview-with-mothers-in-law\/\">Semi-structured interview with mother-in laws<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/a-study-on-cord-care-practices-focus-group-discussion-with-mothers-in-law\/\">Study on cord care practices focus group discussion with mother in laws<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/study-on-cord-care-practices-semi-structured-interview-with-cord-cutting-occupational-groups\/\">Semi-structured interview with cord cutting occupational groups<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-navi-care-program\/\">Chlorhexidine poster<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Nepal_CHX-presentation-for-Nigeria-meeting_October2012.pdf\">Nepal chlorhexidine presentation<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-navi-care-program-2\/\">Chlorhexidine navi care program<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/preliminary-experience-with-chlorhexidine-for-cord-care-in-nepal\/\">Preliminary experience with chlorhexidine for cord care in Nepal<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/fighting-newborn-infection-chlorhexidine-in-rural-nepal\/\">Fighting newborn infection in rural Nepal<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/community-trial-of-newborn-skin-and-umbilical-cord-cleansing-on-neonatal-mortality-in-nepal\/\">Community trial of newborn skin and umbilical cord cleansing on neonatal mortality in Nepal<\/a><\/li>\r\n<\/ul>\r\n<strong>Nigeria: <\/strong>\r\n<ul>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/nigeria-every-newborn-action-plan-a-plan-to-end-preventable-newborn-deaths-in-nigeria-launch-version\/\">Nigeria Every Newborn Action Plan: A Plan to End Preventable Newborn Deaths in Nigeria<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/national-strategy-for-scale-up-of-chlorhexidine-in-nigeria\/\">National Strategy for Scale-up of Chlorhexidine in Nigeria<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/RESOURCE_MamaYe-Nigeria-leaflet-drugs.pdf\">Mame Ye Nigeria brochure <\/a><\/li>\r\n<\/ul>\r\n<strong>Pakistan:\u00a0 <\/strong>\r\n<ul>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-training-manual-sbas-lhws-sindh-pakistan\/\">Chlorhexidine Training Manual for SBAs and LHWs <\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/introduction-chlorhexidine-sindh-pakistan\/\">Introduction of chlorhexidine in Pakistan<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/evaluation-of-topical-application-of-chlorhexidine-to-the-umbilical-cord-for-reduction-in-omphalitis-neonatal-mortality-in-pakistan\/\">Evaluation of topical application of chlorhexidine to the umbilical cord for reduction in omphalitis neonatal mortality in Pakistan<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row]","post_title":"Chlorhexidine for umbilical cord care","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"chlorhexidine-for-umbilical-cord-care","to_ping":"","pinged":"","post_modified":"2022-09-20 16:54:48","post_modified_gmt":"2022-09-20 20:54:48","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=118","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":126,"post_author":"7211","post_date":"2015-10-21 15:19:14","post_date_gmt":"2015-10-21 15:19:14","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>Severe newborn infections\u2014including sepsis, meningitis, and <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/pneumonia\/\">pneumonia<\/a>\u2014are a major cause of morbidity and mortality among newborns in low- and middle-income countries.<\/h2>\r\nRecent analyses estimate that globally, approximately 400,000 newborns die each year as a result of severe infections, over one-sixth of the total burden of newborn deaths. Most of these deaths could be averted through:\r\n<ol>\r\n \t<li>preventive measures, such as improving hygiene practices, and<\/li>\r\n \t<li>timely and appropriate care for sick newborns.<\/li>\r\n<\/ol>\r\n[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">17<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456252549558{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of neonatal deaths caused by severe bacterial infections<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">400<\/span>k<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456252596727{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of newborns who die each year as a result of severe infections<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><b><span class=\"ticker\">8<\/span><\/b><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1653422219529{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\">percentage of neonatal deaths caused by pneumonia<\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner][vc_column_text]\r\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available, unless otherwise noted. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a>\u00a0page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1453407008439{padding-top: 0px !important;padding-bottom: 0px !important;background-color: #f6f6f6 !important;}\"][vc_column][vc_text_separator title=\"Prevention\"][vc_row_inner equal_height=\"yes\"][vc_column_inner][vc_column_text]Preventive measures during the antenatal and intrapartum periods can reduce the risk of congenital and newborn infections while protecting the health of the mother. Before and during pregnancy, women can be screened and treated for syphilis and vaccinated against diseases like tetanus. In addition to preventing subsequent infection in the newborn, treating maternal infections during pregnancy \u2013 such as antibiotics for prolonged, preterm rupture of membranes or chorioamnionitis -- can also greatly reduce the risk for preterm birth, a leading cause of newborn mortality as well as prevent serious newborn infection.\r\n\r\nClean birth practices reduce the rate of newborn infections at home and implementation of consistent, high-quality infection control practices reduces newborn infections in facility settings. Hygienic umbilical cord care, including using a sterile instrument to cut the cord and, when appropriate and per national guidelines, <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/chlorhexidine-for-umbilical-cord-care\/\">applying chlorhexidine to the newborn cord stump<\/a>, can also reduce infection and preventable death. <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/breastfeeding-and-feeding-of-small-and-sick-newborns\/\">Early and exclusive breastfeeding<\/a> also reduces the likelihood of newborn infections in several ways, including providing critical support to boost immune system development and avoiding the introduction of potentially harmful substances to the immature gut.\r\n\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1453407008439{padding-top: 0px !important;padding-bottom: 0px !important;background-color: #f6f6f6 !important;}\"][vc_column][vc_text_separator title=\"Management\"][vc_row_inner equal_height=\"yes\"][vc_column_inner][vc_column_text]WHO recommends that newborns and young infants should be hospitalized when they have signs of possible <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/treatment-of-possible-severe-bacterial-infection\/\">serious bacterial infection, and treated<\/a> with 7 days of a combination of injectable antibiotics \u2013 gentaminin and ampicillin (or penicillin). In many or most low and middle-income countries (LMICs), such hospital-based treatment is not routinely feasible for many families for a number of cultural, geographic, and financial barriers. In these circumstances, recent evidence has led WHO to recommend outpatient antibiotics to such newborns and young infants to successfully treat the illness. The recommended antibiotic course is a combination of injectable and oral antibiotics: 2 days of once-daily gentamicin combined with 7 days of twice-daily oral amoxicillin. A follow up visit at 4 days of treatment is recommended to ensure adherence to the antibiotics and to ensure improvement in the newborn\u2019s condition. When referral from outpatient facility to hospital is accepted by families, the health center provider should ensure that the newborn or young infant is first given a dose of gentamicin and amoxicillin since even short delays in initiation of treatment can mean the difference between life and death.\r\n\r\nSaving newborn lives from life-threatening infections is now indeed feasible, acceptable, and effective in reducing preventable newborn and young infant deaths, and should be a top public health priority.\r\n\r\n<strong>Key Resources:\u00a0<\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25274969\/\">Respiratory Distress in the Newborn <\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.everypreemie.org\/wp-content\/uploads\/2019\/09\/SafeOxygen_english_7.6.17.pdf\">Safe and effective oxygen use for inpatient care of newborns<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.everypreemie.org\/wp-content\/uploads\/2019\/09\/InfectionPrevention_english_7.6.17.pdf\">Safe and effective infection prevention for inpatient newborn care<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.everypreemie.org\/wp-content\/uploads\/2019\/07\/DNH_TechBrief_MgmtNewbornInfection_7.15.19.pdf\">Management of newborn infections during inpatient care<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.nature.com\/articles\/pr2013207\">Neonatal severe bacterial infection impairment estimates in South Asia, sub-Saharan Africa, and Latin America for 2010<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]","post_title":"Severe infections","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"severe-infections","to_ping":"","pinged":"","post_modified":"2022-10-18 14:43:52","post_modified_gmt":"2022-10-18 18:43:52","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=126","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":133,"post_author":"7211","post_date":"2015-10-21 15:20:35","post_date_gmt":"2015-10-21 15:20:35","post_content":"<p>[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<h2>Many countries experiencing humanitarian crises, including civil conflict, recurring natural disasters, or both, also have severe newborn and maternal mortality. For countries already burdened with poor maternal and newborn health outcomes, emergencies exacerbate existing challenges.<\/h2>\n<p>Population movements, insecurity, increased burden on health systems, poor or damaged infrastructure and limited availability of qualified health workers can restrict access to quality care. Recent analyses have indicated that roughly 60% of maternal deaths and 45% of newborn deaths occur in countries affected by a humanitarian\u00a0 crisis or fragile conditions. The highest rates of stillbirth occur in conflict and emergency settings. Further studies and efforts to improve measurements are encouraged in order to better track progress and increase accountability.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">29<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1655835486516{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\">babies were <a href=\"https:\/\/www.who.int\/news\/item\/13-01-2021-early-childhood-development-in-conflict-affected-countries-is-key-to-life-long-health-wellbeing-and-prosperity-says-who-and-partners\" target=\"_blank\" rel=\"noopener\">born into conflict-affected areas<\/a> in 2018<span style=\"font-weight: 400;\"><br \/>\n<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">500<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1655835996933{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><a href=\"https:\/\/www.unfpa.org\/sites\/default\/files\/pub-pdf\/UNFPA_HumanitAction_2019_PDF_Online_Version_16_Jan_2019.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">number of women and girls who die <\/a>from complications due to pregnancy and childbirth every day in countries facing humanitarian and fragile contexts<span style=\"font-weight: 400;\"><br \/>\n<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">40<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1655836784867{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><a href=\"https:\/\/www.unhcr.org\/refugee-statistics\/\" target=\"_blank\" rel=\"noopener noreferrer\">percentage of refugees<\/a> who are children<br \/>\nunder the age of 18<span style=\"font-weight: 400;\"><br \/>\n<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-green\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">45<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1576100716179{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><a href=\"https:\/\/www.unfpa.org\/sites\/default\/files\/pub-pdf\/Humanitarian_2017_Overview-Final_updated-11_Jan_2017_web.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">percentage of newborn deaths<\/a> occurring in countries affected by humanitarian crises and fragility<\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]<\/p>\n<h6 style=\"text-align: center;\"><span style=\"font-style: italic;\">All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<\/span><a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\"><span style=\"font-style: italic;\">Newborn Numbers<\/span><\/a><span style=\"font-style: italic;\">\u00a0page and download the Excel spreadsheet to explore the data further.<\/span><\/h6>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_column_text]<\/p>\n<h4 style=\"text-align: center;\">Newborn Health in Humanitarian Settings Field Guide<\/h4>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/newborn-health-humanitarian-settings-field-guide\/\" target=\"_blank\" rel=\"noopener\">English\u00a0<\/a>|\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/newborn-health-in-humanitarian-settings-field-guide-french\/\" target=\"_blank\" rel=\"noopener\">Fran\u00e7ais<\/a>\u00a0|\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/newborn-health-in-humanitarian-settings-field-guide-spanish\/\" target=\"_blank\" rel=\"noopener\">Espa\u00f1ol\u00a0<\/a>| <a href=\"https:\/\/newbornfieldguide.com\/en\/\" target=\"_blank\" rel=\"noopener\">Web portal (2022)<\/a>*<\/p>\n<h3 style=\"text-align: center;\"><em>*The web portal brings together essential guidance and tools that healthcare providers will find useful in designing, managing, monitoring, and evaluating newborn health services within humanitarian settings.<\/em><\/h3>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/arabic-newborn-health-humanitarian-settings-field-guide\/\">\u0639\u0631\u0628\u0649<\/a><b><\/b><i><\/i><u><\/u><\/p>\n<h4 style=\"text-align: center;\">Manual: Newborn Care Supply Kits for Humanitarian Settings<\/h4>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/manual-newborn-care-supply-kits-for-humanitarian-settings\/\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a><\/p>\n<h4 style=\"text-align: center;\">Global Commitments<\/h4>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/a-declaration-to-accelerate-newborn-health-in-humanitarian-settings\/\">A Declaration to Accelerate Newborn Health in Humanitarian Settings (2019)<\/a><br \/>\n<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/newbornroadmap\/\" target=\"_blank\" rel=\"noopener noreferrer\">Roadmap to Accelerate Progress for Every Newborn in Humanitarian Settings 2020-2024<\/a><br \/>\n<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/surviving-day-one-caring-for-mothers-and-newborns-in-humanitarian-emergencies-on-the-day-of-childbirth\/\">\u00a0Surviving Day One: Caring for Mothers and Newborns in Humanitarian Emergencies on the Day of Childbirth<\/a>[\/vc_column_text][vc_text_separator title=\"More on Newborn Health in Emergencies\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]<span style=\"color: #000000; font-family: Calibri;\">It is no coincidence that countries affected by humanitarian crises and conflict are the riskiest for mothers and babies. Access to essential services before, during, and after pregnancy in these settings is severely restricted. As the number of people affected by conflict, natural disasters, and other emergencies increases, the gap between needs and resources is growing. There is a growing demand from responders and governments to provide for the most vulnerable groups. When a baby is born in an emergency setting, the number of risks that are encountered in the first days of life may seem insurmountable \u2014 but even in these precarious situations, many of the deaths that occur around the time of birth are preventable. We can do something to help.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<span style=\"color: #000000; font-family: Calibri;\">The global health cluster that is led by the World Health Organization has agreed on and recently revised the <a href=\"https:\/\/iawg.net\/resources\/misp-calculator\" target=\"_blank\" rel=\"noopener noreferrer\">Minimum Initial Service Package<\/a> for reproductive health in crisis situations. The <a href=\"https:\/\/iawgfieldmanual.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">Inter-Agency Field Manual and MISP reference sheet<\/a> are also available. Recognizing the gap for newborns, an inter-agency group of stakeholders and UN agencies developed additional evidence and guidelines, and coordinate advocacy for newborn health in humanitarian emergencies. They aim to galvanize efforts to ensure that life-saving care is available even in the most difficult of circumstances.<\/span>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_text_separator title=\"Additional Resources\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/toolkit\/\">Newborn Health in Humanitarian Settings: Implementation Toolkit <\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/newborn-health-resources-trainings-and-tools-for-improving-newborn-health-in-humanitarian-settings\/\" target=\"_blank\" rel=\"noopener noreferrer\">Newborn Health Resources: Trainings and Tools for Improving Newborn Health in Humanitarian Settings<\/a><\/li>\n<li><a href=\"http:\/\/conflictandhealth.biomedcentral.com\/articles\/10.1186\/1752-1505-8-8\" target=\"_blank\" rel=\"noopener noreferrer\">Neonatal survival in complex humanitarian emergencies: setting an evidence-based research agenda<\/a><\/li>\n<li><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3488319\/\" target=\"_blank\" rel=\"noopener noreferrer\">Neonatal survival interventions in humanitarian emergencies: a survey of current practices and programs<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][vc_column][\/vc_column][vc_column][\/vc_column][vc_column][\/vc_column][\/vc_row]<\/p>\n","post_title":"Newborn Health in Emergencies","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"emergencies","to_ping":"","pinged":"","post_modified":"2023-08-02 15:18:08","post_modified_gmt":"2023-08-02 19:18:08","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=133","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":408,"post_author":"7211","post_date":"2016-01-20 17:59:41","post_date_gmt":"2016-01-20 17:59:41","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>While the term \u201cessential newborn care\u201d can be used in a variety of ways, the Healthy Newborn Network uses the term to refer to key routine practices in the care of the newborn, particularly at the time of birth and over the first hours of life, whether in the health facility or at home.<\/h2>\r\n[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">800<\/span>k<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1667425498849{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of children under age 5 who <a href=\"https:\/\/www.healthynewbornnetwork.org\/blog\/the-lancet-breastfeeding-series\/\">might be saved every year<\/a> if optimally breastfed<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">44<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666041181328{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percent of babies who are exclusively breastfed during their first six months of life globally (2014-2020)<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_column_text]\r\n<h6 style=\"text-align: center;\"><span style=\"font-style: italic;\">All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<\/span><a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\"><span style=\"font-style: italic;\">Newborn Numbers<\/span><\/a><span style=\"font-style: italic;\">\u00a0page and download the Excel spreadsheet to explore the data further.<\/span><\/h6>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_text_separator title=\"More information\"][vc_column_text]Essential newborn care includes:\r\n<ul>\r\n \t<li>early initiation and exclusive breastfeeding<\/li>\r\n \t<li>thermal care (including prompt drying and covering at birth, maximizing skin-to-skin contact, delayed bathing, maintaining \u201cwarm chain\u201d)<\/li>\r\n \t<li>hygiene practices (including cord-care and caregiver handwashing)<\/li>\r\n<\/ul>\r\nThere is good evidence that adherence to these recommended practices substantially reduces mortality risk, especially for very small newborns. Health service contacts (notably associated with antenatal care and the hospital admission for childbirth) are important opportunities to influence these practices. In some settings, community health workers (CHWs) can serve as important channels to influence adoption of these practices among pregnant women.[\/vc_column_text][vc_text_separator title=\"Key Resources\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.who.int\/tools\/essential-newborn-care-training-course\">Essential Newborn Care Course (WHO)<\/a>\u00a0\u2013 interim version of the second edition (2022)<\/li>\r\n \t<li><a href=\"https:\/\/www.aap.org\/en\/aap-global\/helping-babies-survive\/enc-now\/\" target=\"_blank\" rel=\"noopener\">ENC Now! (<\/a><a href=\"https:\/\/www.aap.org\/en\/aap-global\/helping-babies-survive\/enc-now\/\" target=\"_blank\" rel=\"noopener\">American Academy of Pediatrics (AAP) and Laerdal Global Health)<\/a><a href=\"https:\/\/www.aap.org\/en\/aap-global\/helping-babies-survive\/enc-now\/\" target=\"_blank\" rel=\"noopener\">\u00a0<\/a> \u2013 a digital version of the new WHO Essential Newborn Care 1 Basic Course (ENC) (formerly Helping Babies Breathe). (2022)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/no-harm-technical-briefs\/\" target=\"_blank\" rel=\"noopener\">Every Preemie\u2014SCALE: Do No Harm Technical Briefs<\/a> (2019)<\/li>\r\n \t<li><a href=\"http:\/\/www.who.int\/nutrition\/topics\/bfhi\/en\/\" target=\"_blank\" rel=\"noopener noreferrer\">Baby-friendly Hospital Initiative (WHO) <\/a>(2018)<\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Essential newborn care","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"essential-newborn-care","to_ping":"","pinged":"","post_modified":"2022-11-02 17:44:19","post_modified_gmt":"2022-11-02 21:44:19","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=408","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":122,"post_author":"7211","post_date":"2015-10-21 15:18:38","post_date_gmt":"2015-10-21 15:18:38","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>Every Newborn is a joint action platform for the reduction of preventable newborn deaths and stillbirths.<\/h2>\r\nIt aims to support countries in ending preventable newborn deaths and stillbirths in support of <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/every-woman-every-child\/\">Every Woman Every Child<\/a>. The EveryNewborn.org webpage has merged with HNN in order to streamline knowledge management \u2013 please find more details in the related events, blogs and resources below.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">3<\/span>m<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456366510023{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of babies and women that could be saved each year through investing in quality care around birth and care for small and sick newborns<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">1.15<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456366541065{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of US dollars per capita required to save 3 million babies and women each year<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong>\u2264<span class=\"ticker\">12<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1457016567251{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">the target number of newborn deaths and stillbirths per 1000 live births in every country by 2030<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_separator][vc_column_text]\r\n<h6 style=\"text-align: center;\"><span style=\"font-style: italic;\">All data above from the <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\">Every Newborn Action Plan<\/a>, based on research in <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-lancet-every-newborn-series\/\">The Lancet Every Newborn series.<\/a><\/span><\/h6>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" gap=\"2\" css=\".vc_custom_1482959354326{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column width=\"2\/3\"][vc_column_text]\r\n<h2><strong>Overview<\/strong><\/h2>\r\nNewborn deaths account for 47% of deaths among children under the age of five globally, resulting in 2.4 million lives lost each year. In addition, 2 million babies die in the last 3 months of pregnancy or during childbirth (stillbirths) and 295,000 maternal deaths occur each year*. We have the knowledge and tools to prevent at least two-thirds of these deaths. The global <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\">Every Newborn Action Plan<\/a> (ENAP), launched in 2014, provides a road map of strategic actions for ending preventable newborn mortality and stillbirth and contributing to reducing maternal mortality and morbidity.\r\n<h6>*Most recent data available. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> page to explore the data further (May 2022).<\/h6>\r\n<h2><b>The Plan<\/b><\/h2>\r\nThe ENAP presents evidence-based solutions to prevent newborn deaths and stillbirths. It sets out a clear path to 2020 with specific global and national milestones. The plan was based on evidence presented in <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-lancet-every-newborn-series\/\"><em>The Lancet<\/em> Every Newborn series<\/a>, and developed within the <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/every-woman-every-child\/\">Every Woman Every Child<\/a> framework.\r\n\r\nIn 2014, 194 member states of the Sixty-seventh World Health Assembly endorsed the action plan (<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/resolution-wha-67-10-newborn-health-action-plan\/\">Resolution WHA 67.10<\/a>). Led by UNICEF and the World Health Organization, ENAP was guided by the advice of experts and partners and by multistakeholder consultations and a web-based consultation with over 300 comments from stakeholders. The WHO Director-General has been requested to monitor progress towards the achievement of the global goal and targets, reporting periodically to the World Health Assembly until 2030.\r\n<h2><strong>The Action<\/strong><\/h2>\r\nThe Every Newborn partnership enhances and supports coordinated, comprehensive planning and implementation of newborn-specific actions. These efforts have been coordinated by a management team with focused work streams: metrics, country implementation and advocacy. Other related partnerships have formed in support of <em>Every Women Every Children<\/em> including the\u00a0<a href=\"http:\/\/www.qualityofcarenetwork.org\/\">Quality of Care Network<\/a>, <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/public-private-partnership-to-prevent-preterm-birth-presentation\/\">Partnership to Prevent Preterm Birth<\/a>, <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/breastfeeding-advocacy-initiative-call-action\/\">Breastfeeding Advocacy Initiative<\/a>, and others.\r\n\r\nSuccess of ENAP will come through links with global and national plans, measurement structures and accountability. By 2017, global agencies have set targets based on the shared goal to end preventable child and maternal deaths by 2030 including the Sustainable Development Goals and the <a href=\"http:\/\/globalstrategy.everywomaneverychild.org\/\">Global Strategy for Women\u2019s, Children\u2019s, and Adolescents\u2019 Health<\/a>. By 2017, at least 48 countries have established national newborn plans or integrated newborn content into their national health plans. As of 2016, over 50 countries had completed the Every Newborn tracking tool to facilitate country support in assessing progress, barriers, and resourcing technical assistance for newborn health in line with recommendations.[\/vc_column_text][\/vc_column][vc_column width=\"1\/3\"][vc_single_image image=\"22210\" alignment=\"center\"][vc_column_text]\r\n<h2><strong>Key Resources<\/strong><\/h2>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/ending-preventable-newborn-deaths-and-stillbirths-by-2030\/\">Every Newborn 2025 Targets and Milestones<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-advocacy-toolkit-guidance-manual-ending-preventable-deaths\/\">Every Newborn Advocacy Toolkit<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-progress-report-2019\/\">Every Newborn progress report 2019<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/survive-and-thrive-transforming-care-for-every-small-and-sick-newborn\/\">Small and Sick Newborn report 2019<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-webinar\/\"> Every Newborn Webinar (2013 - 2016)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\">Every Newborn action plan (2014)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-lancet-every-newborn-series\/\">The Lancet Every Newborn Series (2014)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/national-plans-newborn-health\/\">National plans for newborn health<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][vc_column_text]\r\n<h2><strong><span style=\"color: #000000;\"><img class=\"alignleft wp-image-20071\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/twitter-logo-transparent-small.png\" alt=\"twitter-logo-transparent-small\" width=\"30\" height=\"24\" \/>Join the conversation<\/span><\/strong><\/h2>\r\n[\/vc_column_text][vc_raw_html]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[\/vc_raw_html][\/vc_column][\/vc_row]","post_title":"Every Newborn","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"every-newborn","to_ping":"","pinged":"","post_modified":"2022-11-02 15:50:12","post_modified_gmt":"2022-11-02 19:50:12","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=122","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":424,"post_author":"7211","post_date":"2016-01-20 18:08:33","post_date_gmt":"2016-01-20 18:08:33","post_content":"<p>[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<h2>Originally launched in 2010, <a href=\"http:\/\/www.everywomaneverychild.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Every Woman Every Child<\/a> is an unprecedented global movement that mobilizes and intensifies international action by governments, multilaterals, private sector institutions, and civil society to address the major health challenges facing women and children.<\/h2>\n<p>The Every Woman Every Child movement puts into action the UN Secretary-General\u2019s <a href=\"http:\/\/globalstrategy.everywomaneverychild.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Global Strategy for Women\u2019s, Children\u2019s, and Adolescents\u2019 Health<\/a> 2016-2030, which presents a roadmap on how to enhance financing, strengthen policy, and improve service on the ground.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">10<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1667418172520{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">fold <a href=\"https:\/\/globalstrategy.everywomaneverychild.org\/chapter2\/\">return on investments<\/a> in the health and\u00a0<\/span><span style=\"font-weight: 400;\">nutrition of women, children, and adolescents<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">100<\/span>b<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1667418200862{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of US dollars in <a href=\"https:\/\/globalstrategy.everywomaneverychild.org\/chapter2\/\">demographic dividends from investments<\/a> in early childhood and adolescent health and development <\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">7<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456365806694{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of years remaining in the 2030 Agenda for Sustainable Development<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_column_text]<\/p>\n<h6 style=\"text-align: center;\"><span style=\"font-style: italic;\">All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<\/span><a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\"><span style=\"font-style: italic;\">Newborn Numbers<\/span><\/a><span style=\"font-style: italic;\">\u00a0page and download the Excel spreadsheet to explore the data further.<\/span><\/h6>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_text_separator title=\"Global Strategy for Women\u2019s, Children\u2019s and Adolescents\u2019 Health 2016-2030\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4><img class=\"wp-image-1630 size-full alignnone\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/small-ewec1.jpg\" alt=\"\" width=\"570\" height=\"230\" \/><\/h4>\n<p>[\/vc_column_text][vc_column_text]The ambition of the <a href=\"http:\/\/globalstrategy.everywomaneverychild.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Global Strategy for Women\u2019s, Children\u2019s, and Adolescents\u2019 Health<\/a> is to end preventable deaths among all women, children, and adolescents; to greatly improve their health and well-being; and to bring about the transformative change needed to shape a more prosperous and sustainable future. Fulfilling the Global Strategy and achieving the Sustainable Development Goals (SDGs) will require new evidence-based approaches backed by innovative and sustainable financing mechanisms. The three overarching objectives of the updated Global Strategy are survive, thrive, and transform. With its full implementation\u2014supporting country priorities and plans and building the momentum of Every Woman Every Child\u2014no woman, child, or adolescent should face a greater risk of preventable death because of where they live or who they are.<\/p>\n<p>The previous Global Strategy spurred stakeholders to achieve great things between 2010 and 2015. It galvanized political leadership, attracted billions of dollars in new financial commitments, and created <a href=\"http:\/\/www.everywomaneverychild.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Every Woman Every Child<\/a>. The United Nations Commission on Information and Accountability for Women\u2019s and Children\u2019s Health resulted in a landmark Accountability Framework and an independent Expert Review Group (iERG), and the United Nations Commission on Life-Saving Commodities for Women\u2019s and Children\u2019s Health strengthened the availability and supply of essential interventions. Several global action plans and reports were launched to address and bring attention to neglected areas with support for country implementation. Millions of lives were saved, and progress toward the health Millennium Development Goals (MDGs) was accelerated. Strides were made in areas such as increasing access to contraception and essential interventions; reducing maternal and child mortality and malnutrition; and combating HIV\/AIDS, malaria, and tuberculosis.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4><img class=\"wp-image-1631 size-full alignnone\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/small-ewec2.jpg\" alt=\"\" width=\"570\" height=\"230\" \/><\/h4>\n<p>[\/vc_column_text][vc_column_text]However, far too many women, children, and adolescents worldwide still have little or no access to essential, good-quality health services, education, clean air and water, adequate sanitation, and good nutrition. They face violence and discrimination, are unable to participate fully in society, and encounter other barriers to realizing their human rights. The new Global Strategy is needed in order to complete the unfinished work of the MDGs, to address inequities within and between countries, and to help countries begin implementing the 2030 Agenda for Sustainable Development.<\/p>\n<p>By March 2015 more than 50 new commitments for newborn health\u00a0had been\u00a0made toward the Every Woman Every Child movement as part of the <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/every-newborn\/\" target=\"_blank\" rel=\"noopener noreferrer\">Every Newborn movement<\/a>, an effort to end preventable newborn deaths and stillbirths in support of the Global Strategy.[\/vc_column_text][vc_column_text]<strong>Key resources<\/strong><\/p>\n<ul>\n<li><a href=\"http:\/\/www.everywomaneverychild.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Every Woman Every Child<\/a><\/li>\n<li><a href=\"http:\/\/globalstrategy.everywomaneverychild.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">The Global Strategy for Women\u2019s, Children\u2019s and Adolescent\u2019s Health (2016-2030)<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","post_title":"Every Woman Every Child","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"every-woman-every-child","to_ping":"","pinged":"","post_modified":"2023-08-02 15:37:57","post_modified_gmt":"2023-08-02 19:37:57","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=424","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":31084,"post_author":"7211","post_date":"2018-05-03 17:43:43","post_date_gmt":"2018-05-03 21:43:43","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>Midwifery encompasses care of women during pregnancy, labor, and the postpartum period, as well as care of the newborn.<\/h2>\r\nMidwifery includes measures aimed at preventing health problems in pregnancy, the detection of abnormal conditions, the procurement of medical assistance when necessary, and the execution of emergency measures in the absence of medical help.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/4\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">2.2<\/span>m<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1666121600643{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\">maternal and newborn deaths, including stillbirths, that could be averted with <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-state-of-the-worlds-midwifery-2021-report-supplements\/\">serious investment in midwives<\/a> by 2035<\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/4\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">900<\/span>k<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1666121626966{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\">midwives needed to address <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-state-of-the-worlds-midwifery-2021-report-supplements\/\">global gaps<\/a><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]\r\n<h6 style=\"text-align: center;\"><span style=\"font-style: italic;\">All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<\/span><a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\"><span style=\"font-style: italic;\">Newborn Numbers<\/span><\/a><span style=\"font-style: italic;\">\u00a0page and download the Excel spreadsheet to explore the data further.<\/span><\/h6>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_text_separator title=\"Specialized and Effective Care\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]Worldwide, approximately 295,000 women die every year due to pregnancy and childbirth related complications, 2.4 million newborns die in the first month of life and there are 2 million stillbirths*. Most of these largely preventable deaths occur in low-income countries and in poor and rural areas. Many maternal and newborn deaths can be prevented if competent midwives assist women before, during and after childbirth. Where referral services are in place, midwives are able to identify and refer women and newborns with complications to emergency obstetric or pediatric care when severe complications arise.\r\n\r\nMidwives are a special nexus between maternal and newborn care, providing supportive and respective care for women and infants. Balanced between labor and delivery expertise, prevention and management of complications and skilled emergency care, midwives enhance efficient use of resources and promote cost-effective, affordable and sustainable care while improving outcomes for women and babies.\r\n<h6>*All data on this page represents the most recent data available. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> page and download the Excel spreadsheet to explore the data further.<\/h6>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]When midwifery is successfully integrated into a healthcare system, it allows for provision of more effective care for women and infants, as described in The Lancet Midwifery Supplement. Strategic scale up of midwifery services and contributions within existing health facilities can increase not only coverage, but also sustainability, quality of care, and access to life saving interventions.\r\n\r\nThe International Day of the Midwife occurs each year on May 5th.\r\n\r\n<strong>Key resources:<\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-state-of-the-worlds-midwifery-2021-report-supplements\/\">State of the World\u2019s Midwifery 2021<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-lancet-midwifery-series\/\">The Lancet: Midwifery Series<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/state-worlds-midwifery-analysis-sexual-reproductive-maternal-newborn-adolescent-health-workforce-east-southern-africa\/\">The State of the World\u2019s Midwifery: Analysis of the Sexual, Reproductive, Maternal, Newborn and Adolescent Health Workforce in East & Southern Africa<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]","post_title":"Midwifery","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"midwifery","to_ping":"","pinged":"","post_modified":"2022-10-18 15:33:12","post_modified_gmt":"2022-10-18 19:33:12","post_content_filtered":"","post_parent":0,"guid":"https:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=31084","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":55231,"post_author":"7211","post_date":"2022-09-20 15:41:44","post_date_gmt":"2022-09-20 19:41:44","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1663702110176{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2 style=\"text-align: justify;\">Ensuring optimal umbilical cord care at birth and during the first week of life is a crucial strategy to prevent life-threatening sepsis and cord infections and avert preventable neonatal deaths.<\/h2>\r\nThe World Health Organization (WHO) <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789240045989\">recommends<\/a> clean, dry umbilical cord care for all newborns, including those born in facilities, at home, and in humanitarian settings. Proper cord care includes using clean, sterile blades and ties, keeping the stump clean using soap and water, and drying thoroughly with a clean cloth after getting wet. In most settings, proper clean, dry umbilical cord care is sufficient to prevent infection.\r\n\r\nHowever, in settings where harmful traditional substances are placed on the cord, WHO recommends using chlorhexidine digluconate in addition to clean, dry cord care. Chlorhexidine digluconate (CHX) is a broad-spectrum antiseptic that is available in a range of concentrations, and has been safely used for over 40 years for a variety of health-related applications. Its specific use for umbilical cord care was originally tested in three clinical trials in Nepal, Bangladesh, and Pakistan, in the form of 4% chlorhexidine, delivered through a 7.1% chlorhexidine digluconate gel. In 2013 the WHO added CHX to its\u00a0<a href=\"http:\/\/www.who.int\/medicines\/publications\/essentialmedicines\/en\/\">Model List of Essential Medicines<\/a>; and in 2014 the WHO issued <a href=\"http:\/\/apps.who.int\/iris\/bitstream\/10665\/97603\/1\/9789241506649_eng.pdf?ua=1\">guidelines<\/a>\u00a0on umbilical cord care, which included a formal recommendation on the use of chlorhexidine. This guidance was subsequently <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789240045989\">updated<\/a> in 2022, reflecting the current recommendation for CHX use in certain settings.\r\n\r\nCHX is the primary recommendation for settings where harmful traditional substances, such as oils, compresses, native plants, or other organic substances, are commonly placed on the umbilical cord. It was previously recommended for settings with high rates of home birth and neonatal mortality, where mothers, traditional birth attendants, and community health workers can be trained to administer CHX; as a result, this may be included as a recommendation in some national protocols.\r\n\r\nIn humanitarian settings, clean and dry umbilical cord care is the standard, but the use of chlorhexidine digluconate is also included as a recommendation in the <a href=\"https:\/\/iawgfieldmanual.com\/manual\">Inter-Agency Field Manual for Reproductive Health in Humanitarian Settings (IAFM),<\/a> the gold-standard for sexual and reproductive care in fragile and humanitarian settings. The IAFM includes CHX for cord care as a recommendation during the onset of emergencies, as part of the <a href=\"https:\/\/iawgfieldmanual.com\/manual\/misp\">Minimum Initial Service Package<\/a> (MISP), and as part of comprehensive maternal and newborn health (MNH) services. Additionally, chlorhexidine digluconate is included as a supplementary commodity in the <a href=\"https:\/\/www.unfpa.org\/sites\/default\/files\/resource-pdf\/IARH-Kits-6th-Edition_Manual_English.pdf\">Inter-Agency Reproductive Health Kits<\/a> (RH Kits), which provide the supplies necessary to implement the MISP at the onset of a humanitarian response.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_empty_space][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/4\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">2.4<\/span>m<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1666120145784{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">newborn deaths worldwide in 2020<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/4\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">7<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1666120079406{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percent of deaths caused by sepsis and other infectious conditions of the newborn in 2020<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]\r\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available, unless otherwise noted. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> page and download the Excel spreadsheet to explore the data further.\u00a0<\/em><\/h6>\r\n[\/vc_column_text][vc_separator][vc_empty_space][vc_cta h2=\"Cautionary note\"]\r\n<h3 style=\"text-align: justify; line-height: 13.5pt; background: #F7F7F7; margin: 0in 0in 18.75pt 0in;\"><strong><span style=\"font-size: 10.0pt; font-family: 'Arial',sans-serif; color: #333333;\">As with all medications, care must be taken to ensure that the product is used appropriately. 7.1% chlorhexidine digluconate for umbilical cord care should be kept out of eyes and ears and should be applied only to the umbilical stump.<\/span><\/strong><b><\/b><\/h3>\r\n<h3 style=\"text-align: justify; line-height: 13.5pt; background: #F7F7F7; margin: 0in 0in 18.75pt 0in;\"><b><span style=\"font-size: 10.0pt; font-family: 'Arial',sans-serif; color: #333333;\">Since 2015, there have been over <\/span><\/b><a href=\"https:\/\/www.who.int\/news\/item\/28-08-2020-chlorhexidine-7-1-digluconate-(chx)-aqueous-solution-or-gel-(10ml)-reports-of-serious-eye-injury-due-to-errors-in-administration\"><span style=\"font-size: 10.0pt; font-family: 'Arial',sans-serif;\">40 reported cases<\/span><\/a><b><span style=\"font-size: 10.0pt; font-family: 'Arial',sans-serif; color: #333333;\"> of incorrect administration of CHX in nine countries in sub Saharan Africa, specifically when CHX in both liquid and gel form have been mistaken for eye medication. In these reported cases, 7.1% chlorhexidine digluconate in both liquid and gel forms for umbilical cord care was mistakenly applied to the eyes, causing eye injury.\u00a0\u00a0 Chlorhexidine has been in use for over 40 years and has a well\u2013characterized safety profile when used as directed. The formulation of chlorhexidine digluconate used for cord care (7.1% w\/v), when used as directed, is effective in preventing neonatal sepsis due to bacterial exposure through the fresh umbilical stump. \u00a0However, it can cause serious harm if applied to the eyes and should also not be put into the ear canal. It is important that persons and organizations responsible for chlorhexidine for umbilical cord care programs and for the distribution of the chlorhexidine for umbilical cord care product to caregivers ensure that instruction is provided on the appropriate use of the product, including appropriate warnings.<\/span><\/b><\/h3>\r\n<h3 style=\"line-height: 13.5pt; background: #F7F7F7; margin: 0in 0in 18.75pt 0in;\"><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/memorandum-safety-concerns-over-misuse-of-chlorhexidine-chx\/\"><span style=\"font-size: 10.0pt; font-family: 'Arial',sans-serif; color: #e05533;\">Memorandum: Safety Concerns Over Misuse of Chlorhexidine (CHX)<\/span><\/a><b><\/b><\/h3>\r\n<h3 style=\"margin-top: 0in; line-height: 13.5pt; background: #F7F7F7;\"><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/alert-no-133-chlorhexidine-71-digluconate-chx-reports-of-serious-eye-injury-due-to-errors-in-administration\/\"><span style=\"font-size: 10.0pt; font-family: 'Arial',sans-serif; color: #e05533;\">Alert No. 133: Chlorhexidine 7,1% digluconate (CHX): Reports of serious eye injury due to errors in administration<\/span><\/a><b><\/b><\/h3>\r\n[\/vc_cta][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"Key Resources\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/globalhealthmedia.org\/videos\/care-of-the-cord\/\">Video on proper cord care for practitioners (2015)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/publications\/i\/item\/WHO-MHP-HPS-EML-2021.02\">WHO Model List of Essential Medicines (22nd list, 2021)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/savechildrenusa-my.sharepoint.com\/personal\/hwartinger_savechildren_org\/Documents\/HNN\/Page%20Drafts\/who.int\/publications\/i\/item\/WHO-MHP-HPS-EML-2021.03\">WHO Model List of Essential Medicines for Children (8<sup>th<\/sup> list, 2021)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789240045989\">WHO recommendations on maternal and newborn care for a positive postnatal experience (2022)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/iawgfieldmanual.com\/manual\">Inter-Agency Field Manual for Reproductive Health in Humanitarian Settings (2018)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/iawgfieldmanual.com\/manual\/misp\">Minimum Initial Service Package (2018)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.unfpa.org\/sites\/default\/files\/resource-pdf\/IARH-Kits-6th-Edition_Manual_English.pdf\">Inter-Agency Reproductive Health Kits<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/news\/item\/28-08-2020-chlorhexidine-7-1-digluconate-(chx)-aqueous-solution-or-gel-(10ml)-reports-of-serious-eye-injury-due-to-errors-in-administration\">Chlorhexidine 7,1% digluconate (CHX) aqueous solution or gel (10ml): Reports of serious eye injury due to errors in administration (2020)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/memorandum-safety-concerns-over-misuse-of-chlorhexidine-chx\/\">Memorandum: Safety Concerns Over Misuse of Chlorhexidine (CHX) (2019)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/alert-no-133-chlorhexidine-71-digluconate-chx-reports-of-serious-eye-injury-due-to-errors-in-administration\/\">Alert No. 133: Chlorhexidine 7,1% digluconate (CHX): Reports of serious eye injury due to errors in administration (2019)<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Umbilical cord care","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"umbilical-cord-care","to_ping":"","pinged":"","post_modified":"2022-12-27 14:18:49","post_modified_gmt":"2022-12-27 19:18:49","post_content_filtered":"","post_parent":0,"guid":"https:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=55231","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"}],"regions":[{"ID":249,"post_author":"7211","post_date":"2015-11-22 21:37:22","post_date_gmt":"2015-11-22 21:37:22","post_content":"","post_title":"Middle East","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"middle-east","to_ping":"","pinged":"","post_modified":"2016-02-11 21:49:15","post_modified_gmt":"2016-02-11 21:49:15","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=region&p=249","menu_order":0,"post_type":"region","post_mime_type":"","comment_count":"0","filter":"raw"}],"countries":[{"ID":212,"post_author":"7211","post_date":"2015-10-21 22:02:38","post_date_gmt":"2015-10-21 22:02:38","post_content":"[vc_row][vc_column css=\".vc_custom_1453305596740{padding-top: 30px !important;padding-bottom: 30px !important;}\"][vc_text_separator title=\"Leading causes of neonatal deaths in Pakistan (2020)\" el_class=\"transform:upperclass\"][vc_row_inner][vc_column_inner][vc_round_chart type=\"doughnut\" stroke_width=\"1\" stroke_color=\"custom\" values=\"%5B%7B%22title%22%3A%222%25%20Diarrhoea%22%2C%22value%22%3A%222%25%22%2C%22color%22%3A%22vista-blue%22%7D%2C%7B%22title%22%3A%220%25%20Tetanus%22%2C%22value%22%3A%220%25%22%2C%22color%22%3A%22mulled-wine%22%2C%22custom_color%22%3A%22%23f4524d%22%7D%2C%7B%22title%22%3A%226%25%20Pneumonia%22%2C%22value%22%3A%226%25%22%2C%22color%22%3A%22peacoc%22%7D%2C%7B%22title%22%3A%2234%25%20Preterm%20birth%20complications%22%2C%22value%22%3A%2234%25%22%2C%22color%22%3A%22blue%22%7D%2C%7B%22title%22%3A%2232%25%20Intrapartum%20related%20events%22%2C%22value%22%3A%2232%25%22%2C%22color%22%3A%22turquoise%22%7D%2C%7B%22title%22%3A%227%25%20Sepsis%20and%20other%20infectious%20conditions%20of%20the%20newborn%22%2C%22value%22%3A%227%25%22%2C%22color%22%3A%22pink%22%7D%2C%7B%22title%22%3A%229%25%20Congenital%20abnormalities%5Ct%22%2C%22value%22%3A%229%25%22%2C%22color%22%3A%22violet%22%7D%2C%7B%22title%22%3A%229%25%20Other%20conditions%22%2C%22value%22%3A%229%25%22%2C%22color%22%3A%22chino%22%7D%5D\" custom_stroke_color=\"#f6f6f4\" css=\".vc_custom_1686244596181{padding-right: 30px !important;padding-left: 30px !important;background-position: center !important;background-repeat: no-repeat !important;background-size: contain !important;}\"][\/vc_column_inner][\/vc_row_inner][vc_column_text]\r\n<h6 style=\"text-align: left;\">Source: Estimates for causes of death 2000-2020 generated by the WHO and Maternal and Child Epidemiology Estimation Group (MCEE) 2023 and downloaded from <a href=\"http:\/\/data.unicef.org\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=http:\/\/data.unicef.org&source=gmail&ust=1551964625737000&usg=AFQjCNFsFTtu9FzS8H64YC88NPOzQVbPwQ\">http:\/\/data.unicef.org<\/a><\/h6>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" gap=\"5\" css=\".vc_custom_1453306441839{background-image: url(\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/country-stat-bkgr.jpg?id=389) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}\"][vc_column css=\".vc_custom_1453306493120{margin-top: 30px !important;margin-bottom: 30px !important;}\"][vc_text_separator title=\"key indicators\" el_class=\"transform:uppercase text-white\"][vc_row_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1686244490303{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">39.4<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Newborn mortality rate (deaths per 1,000 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1686244501321{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">1.8<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Annual reduction in newborn mortality rate 2000-2021 (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1651154297803{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><strong><span class=\"ticker\">63<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Proportion of under-5 child deaths that are newborn (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1686244527181{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">30.9<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Stillbirth rate (deaths per 1,000 births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1686244569053{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">68<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Skilled birth attendance (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1578917092437{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><strong><span class=\"ticker\">20<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Early initiation of breastfeeding (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1698696880640{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">14.4<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Preterm birth rate (births <37 weeks per 100 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1686244549366{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">154<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Maternal mortality ratio (deaths per 100,000 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_column_text css=\".vc_custom_1456672771011{margin-top: 20px !important;}\"]\r\n<h5 style=\"text-align: center;\"><span style=\"color: #ffffff;\">Visit our<\/span> <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn numbers<\/a> <span style=\"color: #ffffff;\">page to explore the most recent data further<\/span><\/h5>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Pakistan","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"pakistan","to_ping":"","pinged":"","post_modified":"2023-10-30 16:13:17","post_modified_gmt":"2023-10-30 20:13:17","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=country&p=212","menu_order":0,"post_type":"country","post_mime_type":"","comment_count":"0","filter":"raw"}],"about_the_author":"<p><em>Qamar u Zaman Jamali<\/em><br \/>\n<em>MCHIP\/Save the Children, Newborn and Child Health Advisor, Pakistan<\/em><\/p>\n<p><em>Irshad Ahmed<\/em><br \/>\n<em>MCHIP\/Save the Children, Senior Program Coordinator Newborn and child health, Pakistan<\/em><\/p>\n<p><em>Younus Khan<\/em><br \/>\n<em>MCHIP\/Communication Specialist, Pakistan<\/em><\/p>\n","author_image":false,"ft_img_caption":""},"_links":{"self":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/posts\/32184"}],"collection":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/users\/7211"}],"replies":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/comments?post=32184"}],"version-history":[{"count":0,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/posts\/32184\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media\/32183"}],"wp:attachment":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media?parent=32184"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/categories?post=32184"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/tags?post=32184"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}