Every year, more than 20 million infants are born weighing less than 2.5 kg—over 96% of them in developing countries. These low birth weight infants are at an increased risk of early growth retardation, infectious disease, developmental delay, and death during infancy and childhood. Conventional neonatal care can be expensive and resource intensive. Kangaroo Mother Care is a low-resource, safe, and effective alternative to care for low birth weight and/or preterm newborns, and it has been shown to reduce mortality among low birth weight newborns by up to 36%.
As the first country to achieve nationwide scale-up of chlorhexidine for newborn cord care, Nepal has become a “living university” for the world. Its experience provides crucial evidence, lessons learned, and resources for other countries seeking to introduce or scale-up chlorhexidine.