Dynamic electronic decision trees to manage sick children in Tanzania (DYNAMIC Tanzania)
We aim to improve quality of care for ~1’000'000 children 0-14 years in 60 health facilities through implementing, validating (impact on clinical outcome and antimalarial/antibiotic use) and further improving ePOCT+, an innovative clinical decision support algorithm (CDSA) combined with point-of-care diagnostic tests.
ePOCT+ builds on the validated ePOCT tool, but will contain additional modules for data visualization, e-learning, supervision and self-audit. ePOCT+ will allow to improve response to outbreaks and generating reporting for informed planning and targeting of interventions by health authorities.
We will develop a framework at local, district, and national level for the scale-up of CDSA, investigate facilitating and impeding factors and create specific IT tools to allow health authorities to create their own medical algorithms.
Publications:
- 2024 - A digital health algorithm to guide antibiotic prescription in pediatric outpatient care: a cluster randomized controlled trial
Rainer Tan, Godfrey Kavishe, Lameck B. Luwanda, Alexandra V. Kulinkina, Sabine Renggli, Chacha Mangu, Geofrey Ashery, Margaret Jorram, Ibrahim Evans Mtebene, Peter Agrea, Humphrey Mhagama, Alan Vonlanthen, Vincent Faivre, Julien Thabard, Gillian Levine, Marie-Annick Le Pogam, Kristina Keitel, Patrick Taffé, Nyanda Ntinginya, Honorati Masanja & Valérie D’Acremont - 2024 - A cluster randomized trial assessing the effect of a digital health algorithm on quality of care in Tanzania (DYNAMIC study)
Rainer Tan , Godfrey Kavishe, Alexandra V. Kulinkina, Sabine Renggli, Lameck B. Luwanda, Chacha Mangu, Geofrey Ashery, Margaret Jorram, Ibrahim Evans Mtebene, Peter Agrea, Humphrey Mhagama, Kristina Keitel, Marie-Annick Le Pogam, Nyanda Ntinginya, Honorati Masanja, Valérie D’Acremont - 2023 - ePOCT+ and the medAL-suite: Development of an electronic clinical decision support algorithm and digital platform for pediatric outpatients in low- and middle-income countries
Rainer Tan, Ludovico Cobuccio, Fenella Beynon, Gillian A. Levine, Nina Vaezipour, Lameck Bonaventure Luwanda, Chacha Mangu, Alan Vonlanthen, Olga De Santis, Nahya Salim, Karim Manji, Helga Naburi, Lulu Chirande, Lena Matata, Method Bulongeleje, Robert Moshiro, Andolo Miheso, Peter Arimi, Ousmane Ndiaye, Moctar Faye, Aliou Thiongane, Shally Awasthi, Kovid Sharma, Gaurav Kumar, Josephine Van De Maat, Alexandra Kulinkina, Victor Rwandarwacu, Théophile Dusengumuremyi, John Baptist Nkuranga, Emmanuel Rusingiza, Lisine Tuyisenge, Mary-Anne Hartley, Vincent Faivre, Julien Thabard, Kristina Keitel, Valérie D’Acremont - 2021 - Predictors of disease severity in children presenting from the community with febrile illnesses: a systematic review of prognostic studies
Arjun Chandna*, Rainer Tan*, Michael Carter, Ann Van Den Bruel, Jan Verbakel, Constantinos Koshiaris, Nahya Salim, Yoel Lubell, Paul Turner, Kristina Keitel