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Enablers and Barriers to Chlorhexidine Use in Umbilical Cord Care: Voices of Care Givers and Healthcare Providers in Selected Counties in Kenya

This study explored barriers and enablers to chlorhexidine (CHX) use for umbilical cord care in Kwale, Vihiga, and Machakos counties, Kenya, and revealed low adoption despite its proven effectiveness in preventing neonatal sepsis. Among 582 caregivers surveyed, only 1.3% had used CHX, with most relying on traditional substances like methylated spirits, herbal extracts, and even cow dung. Key barriers included low caregiver awareness, cultural taboos, inadequate CHX supply chains, and unclear user guidelines, while enablers involved faster cord healing, hospital infection control, and accessibility; thus, advocacy and improved supply chain management are needed to boost CHX uptake.

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  • Product TypePeer Reviewed Publication
  • Authorship:Main Author
Authors: Yvonne Opanga, Sarah Karanja, Zena Abdullahi, Richard Gichuki, Aneesa Ahmed, Viola Tupeiya, Daniel Omolo, Happiness Oruko, Mercy Mutua, Samuel Muhula, Elizabeth Wala, Dorcas Indalo
Institutional Affiliations: Amref Health Africa in Kenya, WelTel International mHealth Society, Amref Health Africa in Kenya, PHASTAR, Options Consultancy Services
  • Themes:Public Health,RMNCAH

Journal Name: East African Journal of Health and Science

  • Date: Published20221207

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