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.
The Nepal experience has generated many lessons that JSI, in partnership with the Nepalese government, have used to provide guidance and technical assistance to governments around the world that are interested in the use of chlorhexidine.
Malnutrition is one of the greatest challenges to health and development in many low- and middle-income countries—it contributes to 45 percent of all deaths in children under the age of five. Like any national challenge, sufficient, sustained funding is needed to address this issue.
Developing countries often face the unexpected: disease outbreaks, natural disasters, and political unrest. To sustain advances in their health systems while safeguarding communities, health staff and organizations need strategies that promote system resilience—the capacity to anticipate and respond to crises; maintain core functions when shocks strike; and reorganize when extreme conditions or circumstances arise.
Female Community Health Volunteers in Nepal have a long history of doing an excellent job promoting essential health services in communities cut off from facilities. Because of this history, the role of FCHVs was more crucial than ever after the earthquake devastated the country’s health infrastructure.
At #ICFP, JSI’s Leela Khanal attended an exhibit on women’s health during crisis, which reminded her of the struggles she witnessed among young women in the aftermath of the devastating earthquake in her native Nepal.
Use of chlorhexidine for umbilical cord care has been shown to prevent infection. However, JSI’s Leela Khanal explains that implementing chlorhexidine interventions alone may not be enough; communication to providers and mothers can enhance uptake and effectiveness of these interventions to save lives.
For many problems in global health, we struggle to know the solutions.Pneumonia is not one of them. On World Pneumonia Day 2014, JSI’s Robert Steinglass blogs about the way forward to eliminating preventable death from pneumonia, currently the #1 infectious killer of children under five years old.
In 1998, the World Health Organization (WHO) released guidelines for umbilical cord-stump care. Their recommendation at that time was that antimicrobials need not be applied unless warranted by local conditions, which could result in higher infection risk. In those guidelines, the WHO also acknowledged that more evidence was required concerning possible benefits of antiseptic use. In response, … Continue reading “A new tool for newborn health: chlorhexidine”