{"id":32404,"date":"2018-09-19T14:48:38","date_gmt":"2018-09-19T18:48:38","guid":{"rendered":"https:\/\/www.healthynewbornnetwork.org\/?post_type=resource&#038;p=32404"},"modified":"2022-10-03T15:11:59","modified_gmt":"2022-10-03T19:11:59","slug":"chlorhexidine-gel-navi-malam","status":"publish","type":"resource","link":"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/","title":{"rendered":"Chlorhexidine Gel (Navi Malam)"},"content":{"rendered":"<p>&#8211; This factsheet describes and illustrates the process of application of chlorhexidine gel to umbilical cord stump<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8211; This factsheet describes and illustrates the process of application of chlorhexidine gel to umbilical cord stump<\/p>\n","protected":false},"author":7211,"featured_media":32408,"comment_status":"open","ping_status":"closed","template":"","toolkit":[28],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Healthy 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\/resource\/chlorhexidine-gel-navi-malam\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Chlorhexidine Gel (Navi Malam) - Healthy Newborn Network\" \/>\n<meta property=\"og:description\" content=\"&#8211; This factsheet describes and illustrates the process of application of chlorhexidine gel to umbilical cord stump\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/\" \/>\n<meta property=\"og:site_name\" content=\"Healthy Newborn Network\" \/>\n<meta property=\"article:modified_time\" content=\"2022-10-03T19:11:59+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Capture3745.png\" \/>\n\t<meta property=\"og:image:width\" content=\"428\" \/>\n\t<meta property=\"og:image:height\" content=\"588\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/\",\"url\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/\",\"name\":\"Chlorhexidine Gel (Navi Malam) - Healthy Newborn Network\",\"isPartOf\":{\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Capture3745.png\",\"datePublished\":\"2018-09-19T18:48:38+00:00\",\"dateModified\":\"2022-10-03T19:11:59+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/#primaryimage\",\"url\":\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Capture3745.png\",\"contentUrl\":\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Capture3745.png\",\"width\":428,\"height\":588},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.healthynewbornnetwork.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Chlorhexidine Gel (Navi Malam)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/#website\",\"url\":\"https:\/\/www.healthynewbornnetwork.org\/\",\"name\":\"Healthy Newborn Network\",\"description\":\"Addressing critical knowledge gaps in newborn health.\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.healthynewbornnetwork.org\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Healthy Newborn Network","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/","og_locale":"en_US","og_type":"article","og_title":"Chlorhexidine Gel (Navi Malam) - Healthy Newborn Network","og_description":"&#8211; This factsheet describes and illustrates the process of application of chlorhexidine gel to umbilical cord stump","og_url":"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/","og_site_name":"Healthy Newborn Network","article_modified_time":"2022-10-03T19:11:59+00:00","og_image":[{"width":428,"height":588,"url":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Capture3745.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/","url":"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/","name":"Chlorhexidine Gel (Navi Malam) - Healthy Newborn Network","isPartOf":{"@id":"https:\/\/www.healthynewbornnetwork.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/#primaryimage"},"image":{"@id":"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/#primaryimage"},"thumbnailUrl":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Capture3745.png","datePublished":"2018-09-19T18:48:38+00:00","dateModified":"2022-10-03T19:11:59+00:00","breadcrumb":{"@id":"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/#primaryimage","url":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Capture3745.png","contentUrl":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Capture3745.png","width":428,"height":588},{"@type":"BreadcrumbList","@id":"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-gel-navi-malam\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.healthynewbornnetwork.org\/"},{"@type":"ListItem","position":2,"name":"Chlorhexidine Gel (Navi Malam)"}]},{"@type":"WebSite","@id":"https:\/\/www.healthynewbornnetwork.org\/#website","url":"https:\/\/www.healthynewbornnetwork.org\/","name":"Healthy Newborn Network","description":"Addressing critical knowledge gaps in newborn health.","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.healthynewbornnetwork.org\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"}]}},"featured_image":"<img width=\"428\" height=\"588\" src=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Capture3745.png\" class=\"attachment-medium_large size-medium_large\" alt=\"\" decoding=\"async\" srcset=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Capture3745.png 428w, https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Capture3745-218x300.png 218w\" sizes=\"(max-width: 428px) 100vw, 428px\" \/>","author_name":"HNN Team","author_image":"<img src=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/themes\/hnn\/dist\/images\/member-default.jpg\" alt=\"\" class=\"avatar avatar-32 photo\" height=\"32\" width=\"32\"\/>","acf_custom_fields":{"publication_date":"20030603","authors":false,"additional_authors":"USAID, Norwegian Ministry of Foreign Affairs, Saving Lives at Birth, Grand Challenges Canada, The World Bank","type":"tools_guidelines","language":["en"],"external_links":[{"link":""}],"files":[{"file":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Chlorhexidine-for-cord-care_Job-aid.pdf"}],"partners":[],"other_organizations":"","issues":[{"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&#038;p=133","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&#038;p=55231","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"}],"regions":[],"countries":[],"views":"4047","featured_image":32408,"ft_img_caption":""},"_links":{"self":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/32404"}],"collection":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource"}],"about":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/types\/resource"}],"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=32404"}],"version-history":[{"count":0,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/32404\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media\/32408"}],"wp:attachment":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media?parent=32404"}],"wp:term":[{"taxonomy":"toolkit","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/toolkit?post=32404"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}