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Literacy in rural Nepal is low and health literacy is very low. There are huge disparities in health status in rural and urban area of Nepal. Life expectancy at Kathmandu, the capital city is 80+ where in Mugu district is 36 years. 
Most of the info

Literacy in rural Nepal is low and health literacy is very low. There are huge disparities in health status in rural and urban area of Nepal. Life expectancy at Kathmandu, the capital city is 80+ where in Mugu district is 36 years. Most of the info

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Yes Chioma, I saw the idea and I was intensively engaged with use of chlorhexidine for cord care program scale up in Nepal. Nepal is the first country scaling up use of 4% chlorhexidine for cord care. I have posted my comments in the idea based in India.

Nepal is the first country for national level scale up use of 4% chlorhexidine digluconate for cord care. There were different types of traditional cord care practices in Nepal as well and because of the intervention this is improving. At the same time there is two types of regime for use of chlorhexidine for cord care- single vs multiple application and make sure for that. India was one of the participants in every newborn action plan meeting and they were positive for approving CHX but I dont know about latest progress. Use of chlorhexidine is not only for cord care we can build other essential cord care practices with the program so please think about integrated essential newborn care practices. There are some challenges as well. If you see the WHO cord care guideline the use of CHX is only for home delivery where neonatal mortality is more that 30 not for health facility delivery. You have to clear on that as well and high level political commitment for health facility use

There are many other activities implemented by the government of Nepal for safe motherhood but these are more curative. But demand side strengthening is far behind. This intervention is not a stand-alone intervention and would be build on the existing safe motherhood programs.