Rambaud-Althaus, Clotilde. Almanach: a new electronic algorithm to promote evidence-based medicine and rational use of drugs in primary care for Tanzanian children aged 2 to 59 months : from development to pilot implementation. 2016, PhD Thesis, University of Basel, Faculty of Science.
Restricted to Repository staff only until November 2017.
Available under License CC BY-NC-SA (Attribution-NonCommercial-ShareAlike).
Official URL: http://edoc.unibas.ch/diss/DissB_11988
To improve primary care management of acute illnesses for children under 5 years, WHO and UNICEF developed in the 1990’s the Integrated Management of Childhood Illness (IMCI). Implemented in more than 75 countries, IMCI has had a limited impact on health workers’ performance and overuse of antimicrobials. The main reasons for this limited impact are the insufficient compliance to recommendations, the insufficient specificity of diagnostic classifications, and the lack of guidance for the management of fever once malaria has been ruled-out.
To address this public health concern, we developed and tested an innovative approach for a safe rational use of antimicrobials in primary care for Tanzanian children. The project had three major components:
(1) Developing a new evidence-based clinical algorithm for childhood illness and its electronic version on mobile devices.
(2) Assessing the safety of the algorithm as compared to routine practice in term of health outcome and antimicrobial prescription.
(3) Assessing the impact of the implementation of the new electronic algorithm on health workers’ performance.
|Advisors:||Tanner, Marcel and Qazi, S.|
|Faculties and Departments:||09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Health Interventions > Malaria Vaccines (Tanner)|
|Bibsysno:||Link to catalogue|
|Number of Pages:||1 Online-Ressource (xxviii, 176 Seiten)|
|Last Modified:||19 Apr 2017 08:35|
|Deposited On:||19 Apr 2017 08:34|
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