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Non-Linear IMCI Aligning diagnostics with clinical practice Bryan Eastes Bennett Ng Adam Rule Photo Credit: United Nations Photo 10 million children 2 1. Pneumonia 2. Diarrhea 3. Malaria 3 Treatment Detection Referral 4 Treatment


  1. Non-Linear IMCI Aligning diagnostics with clinical practice Bryan Eastes – Bennett Ng – Adam Rule Photo Credit: United Nations Photo

  2. 10 million children 2

  3. 1. Pneumonia 2. Diarrhea 3. Malaria 3

  4. Treatment Detection Referral 4

  5. Treatment Detection Referral 5

  6. 6

  7. 7

  8. 8

  9. It’s not used 9

  10. Issues with IMCI Workflow Expertise Localization Training 10

  11. Our Work Workflow Expertise Localization Training 11

  12. Paper Workflow Pneumonia Exam Pneumonia Treatment Dehydration Exam Dehydration Treatment … 12

  13. Current Digital Workflow General Exam 1 Pneumonia Exam 2 Dehydration Exam … 3 Treatment 13

  14. Future Workflow General Exam Pneumonia Dehydration … 14

  15. Future Workflow General Exam Pneumonia Dehydration … 15

  16. Job Aids • Breath Counts • Diagnostic Tests • Medical Terminology 16

  17. Related Work E-IMCI IMNCI on ODK Survey • DeRenzi, et al. (2008) • Waylon Brunette • Increased Adherence 17

  18. Contacts Jim Black MD Amy Ginsburg MD • Experience as clinician in • Extensive experience Mozambique with IMCI • Currently developing • Has close contacts with diagnostic peripherals for health workers in India Series 40 Nokia phones 18

  19. ODK Architecture Linear .xlsx ODK Android IMCI survey JavaScript Platform definition Engine Entry to .xlsx Rendering Parse to JSON file Object Store Results Local SQL Database 19

  20. Our Work Entry method that JSON allows for simple representation description of a that supports User Friendly non-linear flow non-linear survey Workflow Linear .xlsx ODK Android IMCI survey JavaScript Platform definition Engine Entry to .xlsx Rendering Parse to JSON file Object Store Results Local SQL Database 20

  21. Design and Evaluation • Formative Usability Testing – Run through scenario cases using our tool • Participants – MDs and nurses in town (PATH) – UW Students as a fallback 21

  22. Plan for Next Quarter Week 1 2 3 4 5 6 7 8 9 10 ODK Survey & Job Aid Final Technical JavaScript Prototype Development Development Development Bootcamp Job Aid Research Social IMCI Mapping & Prototyping Prototype Testing & Test Planning Final paper, Midterm paper Deliverable Spec poster, and and presentation presentation 22

  23. Questions? 23

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