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Cross-sectional study examines chlorhexidine gel use in cord care, revealing factors influencing utilization among mothers.
Background: Ethiopia continues to experience a high neonatal mortality rate (33 per 1000 live births), with neonatal sepsis being a major contributing factor. Chlorhexidine (CHX) gel is recommended for umbilical cord care in high-risk settings to prevent infection; however, its utilization remains low. Therefore, this study aimed to assess the magnitude of CHX gel utilization for newborn cord care and identify associated factors. Methods: A cross-sectional study was conducted among 415 mothers of infants under 6 months in Asella town. Data were collected using a structured questionnaire and analyzed with SPSS 26. Binary logistic regression identified factors linked to CHX use. Results: CHX utilization was 30.2% (95% CI: 25.5-34.9). Factors significantly associated with use being multiparous (AOR = 2.60), receiving cord care counseling (AOR = 2.09), having good knowledge (AOR = 2.08), and a positive attitude (AOR = 2.50). Conclusion: Only one-third of mothers used CHX appropriately. Strengthening maternal education, counseling, and community awareness is vital to enhance safe newborn cord care.
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Fano et al. (2026) studied this question.
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