Results from one-year use of an electronic Clinical Decision Support System in a post-conflict context: An implementation research.

Results from one-year use of an electronic Clinical Decision Support System in a post-conflict context: An implementation research.

Blog Article

BackgroundIn 2017, the Adamawa State Primary Healthcare Development Agency introduced ALMANACH, an electronic clinical decision support system based on a modified version of IMCI.The target area was the Federal State of Adamawa (Nigeria), a region recovering after the Boko Haram insurgency.The aim of this implementation research was to assess the improvement in terms of quality care isidor oreiller offered after one year of utilization of the tool.MethodsWe carried out two cross-sectional studies in six Primary Health Care Centres to assess the improvements in comparison with the baseline carried out before the implementation.

One survey was carried out inside the consultation room and was based on the direct observation of 235 consultations of children aged from 2 to 59 months old.The second survey questioned 189 caregivers outside the health facility for their opinion about the consultation carried out through using the tablet, the prescriptions and medications given.ResultsIn comparison with the baseline, more children were checked for danger signs (60.0% vs.

37.1% at baseline) and in addition, children were actually weighed (61.1% vs.27.

7%) during consultation.Malnutrition screening was performed in whelen remote spotlight 35.1% of children (vs.12.

1%).Through ALMANACH, also performance of preventive measures was significantly improved (pConclusionsOur findings highlight major improvements in terms of quality of care despite many questions still pending to be answered in relation to a full integration of the tool in the Adamawa health system.