Chlorhexidine Navi (Cord) Care Program

Country: Nepal

Client(s): Bill & Melinda Gates Foundation, Government of Norway, Grand Challenges Canada, USAID, World Bank

Service: Technical Assistance

Technical Expertise: Newborn and Child Health

In Nepal, nearly 70 percent of infant deaths occur within the first month of life, the most common cause being infection. The Chlorhexidine Navi Care Program (CNCP) is working to reduce newborn deaths in Nepal through the use of chlorhexidine (CHX) to prevent neonatal sepsis. The project has prevented nearly 8,000 newborn deaths thus far, and chlorhexidine population coverage has reached 77% of annual expected live births. Working with a local pharmaceutical firm and the Ministry of Health and Population, JSI is rapidly and sustainably increasing demand, availability, and use of the product on a national scale. To date, CNCP scaled up chlorhexidine use in 50 out of 75 districts at both the health facility and the community level. Following the earthquakes in 2015, CNCP quickly mobilized Female Community Health Volunteers and staff to respond in the 15 districts most affected. The program roll-out is ongoing in 24 additional districts and will be fully implemented nationwide by 2017.

CNCP’s reach expands beyond Nepal to provide technical support to other countries introducing and scaling up chlorhexidine use. Nepal has been a destination for study tours and learning visits for international delegates from 20 countries, who wanted to see chlorhexidine cord care in practice, understand the CHX program and Nepal’s government commitment. In addition, CNCP/Nepal is providing short-term technical assistance to other countries to initiate their own CHX program.

Learn more at the USAID Stories site, where they profile our work in an article called: Nepal's Navel Gazers: How thousands of women, armed with a little tube and lots of heart, are changing minds and saving lives.

Watch a video to see how better cord care is saving newborn lives in Nepal.

JSI's work introducing chlorhexidine in Nepal was recently featured in a video on Public Radio International.


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