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Development and evaluation of a mobile application for case management of small and sick newborns in Bangladesh.


ABSTRACT: BACKGROUND:In low-income settings, community health workers (CHWs) are frequently the first point of contact for newborns. Mobile technology may aid health workers in classifying illness and providing referral and management guidance for newborn care. This study evaluates the potential for mobile health technology to improve diagnosis and case management of newborns in Bangladesh. METHODS:A mobile application based on Bangladesh's Comprehensive Newborn Care Package national guidelines (mCNCP) was developed to aid CHWs in identifying and managing small and sick infants. After a 2-day training, CHWs assessed newborns at Sylhet Osmani Medical College Hospital and in the Projahnmo research site (Sylhet, Bangladesh) using either mCNCP or a comparable paper form (pCNCP), similar to standard IMCI-formatted paper forms. CHWs were randomized to conduct a block of ~?6 newborn assessments starting with either mCNCP or pCNCP, then switched to the alternate method. Physicians using mCNCP served as gold standard assessors. CHW performance with mCNCP and pCNCP were compared using chi-squared tests of independence for equality of proportions, and logistic regressions clustered by CHW. RESULTS:Two hundred seven total CHW assessments were completed on 101 enrolled infants. mCNCP assessments were more often fully completed and completed faster than pCNCP assessments (100% vs 23.8%, p?

SUBMITTER: Schaeffer LE 

PROVIDER: S-EPMC6585142 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature

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Development and evaluation of a mobile application for case management of small and sick newborns in Bangladesh.

Schaeffer Lauren E LE   Ahmed Salahuddin S   Rahman Mahmoodur M   Whelan Rachel R   Rahman Sayedur S   Roy Arunangshu Dutta AD   Nijhum Tanzia Ahmed TA   Bably Nazmun Nahar NN   D'Couto Helen H   Hudelson Carly C   Jaben Iffat Ara IA   Rubayet Sayed S   Baqui Abdullah A   Lee Anne Cc AC  

BMC medical informatics and decision making 20190620 1


<h4>Background</h4>In low-income settings, community health workers (CHWs) are frequently the first point of contact for newborns. Mobile technology may aid health workers in classifying illness and providing referral and management guidance for newborn care. This study evaluates the potential for mobile health technology to improve diagnosis and case management of newborns in Bangladesh.<h4>Methods</h4>A mobile application based on Bangladesh's Comprehensive Newborn Care Package national guidel  ...[more]

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