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Effectiveness of a campaign to implement chlorhexidine use for newborns in rural Haiti.
Walsh, Susan M; Norr, Kathleen F; Sipsma, Heather; Cordes, Leslie A; Sankar, Girija.
Afiliação
  • Walsh SM; Department of Women, Children, and Family Health Science, University of Illinois at Chicago, College of Nursing, 845 South Damen Avenue (M/C 802), Chicago, IL, 60612, USA. swalsh@uic.edu.
  • Norr KF; Department of Women, Children, and Family Health Science, University of Illinois at Chicago, College of Nursing, 845 South Damen Avenue (M/C 802), Chicago, IL, 60612, USA.
  • Sipsma H; Benedictine University, 5700 College Road, Lisle, IL, 60532, USA.
  • Cordes LA; Northwestern University, Feinberg School of Medicine, 420 E Superior St, Chicago, IL, 60611, USA.
  • Sankar G; The International Trachoma Initiative at the Task Force for Global Health, Atlanta, USA.
BMC Res Notes ; 10(1): 742, 2017 Dec 19.
Article em En | MEDLINE | ID: mdl-29258564
BACKGROUND: Chlorhexidine topical cord application is recommended to prevent umbilical cord infections in newborns delivered at home in low-resource settings. A community campaign introducing chlorhexidine for the first time in Haiti was developed. Traditional birth attendants (TBAs) were identified as implementers since they typically cut newborns' cords. TBAs were trained to apply chlorhexidine to the cord and demonstrate this procedure to the mother. Concurrently TBAs explained reasons for using chlorhexidine exclusively instead of traditional cord care practices. The campaign's effectiveness was evaluated 7-10 days post-delivery using a survey administered by community health workers (CHWs) to 198 mothers. RESULTS: Nearly all mothers heard about chlorhexidine use and applied it as instructed. Most mothers did not initially report using traditional cord care practices. With further probing, the majority reported covering the cord but few applied an unhygienic substance. No serious cord infections were reported. CONCLUSION: The campaign was highly successful in reaching mothers and achieving chlorhexidine use. In this study, the concomitant use of traditional cloth coverings or bindings of the cord did not appear harmful; however more research is needed in this area. This campaign provides a model for implementing chlorhexidine use, especially where trained TBAs and CHWs are present.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções Bacterianas / Cordão Umbilical / Clorexidina / Saúde da População Rural Tipo de estudo: Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Limite: Adult / Female / Humans / Newborn / Pregnancy País/Região como assunto: Caribe / Haiti Idioma: En Revista: BMC Res Notes Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções Bacterianas / Cordão Umbilical / Clorexidina / Saúde da População Rural Tipo de estudo: Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Limite: Adult / Female / Humans / Newborn / Pregnancy País/Região como assunto: Caribe / Haiti Idioma: En Revista: BMC Res Notes Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido