Gillian A. Levine
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View article: Clinical acceptance of a digital health clinical decision support algorithm for children in Tanzania and Rwanda: A mixed-method and before-after analysis from the DYNAMIC study
Clinical acceptance of a digital health clinical decision support algorithm for children in Tanzania and Rwanda: A mixed-method and before-after analysis from the DYNAMIC study Open
Background: Digital clinical decision support algorithms (CDSAs) can improve healthcare provider adherence to guidelines by streamlining clinical assessments and suggesting appropriate diagnoses and treatments. However, low uptake, accepta…
View article: Effectiveness of a digital clinical decision support algorithm for guiding antibiotic prescribing in pediatric outpatient care in Rwanda: A pragmatic cluster non-randomized controlled trial
Effectiveness of a digital clinical decision support algorithm for guiding antibiotic prescribing in pediatric outpatient care in Rwanda: A pragmatic cluster non-randomized controlled trial Open
Background Poor adherence to clinical guidelines and diagnostic uncertainty are key contributors to antibiotic overprescription, accelerating antimicrobial resistance—a major global health threat. We developed ePOCT+, a digital clinical de…
View article: medAL-suite: A software solution for creating and deploying complex clinical decision support algorithms
medAL-suite: A software solution for creating and deploying complex clinical decision support algorithms Open
Not applicable.
View article: Development and validation of a novel clinical risk score to predict hypoxaemia in children with pneumonia using the WHO PREPARE dataset
Development and validation of a novel clinical risk score to predict hypoxaemia in children with pneumonia using the WHO PREPARE dataset Open
Background Hypoxaemia predicts mortality at all levels of care, and appropriate management can reduce preventable deaths. However, pulse oximetry and oxygen therapy remain inaccessible in many primary care health facilities. We aimed to de…
View article: Effectiveness of introducing pulse oximetry and clinical decision support algorithms for the management of sick children in primary care in India and Tanzania on hospitalisation and mortality: the TIMCI pragmatic cluster randomised controlled trial
Effectiveness of introducing pulse oximetry and clinical decision support algorithms for the management of sick children in primary care in India and Tanzania on hospitalisation and mortality: the TIMCI pragmatic cluster randomised controlled trial Open
Unitaid grant n°2019-35-TIMCI: Tools for Integrated Management of Childhood Illness.
View article: Barriers and enablers of using a clinical decision support algorithm to consult sick children at primary health facilities: A qualitative study from Uttar Pradesh, India
Barriers and enablers of using a clinical decision support algorithm to consult sick children at primary health facilities: A qualitative study from Uttar Pradesh, India Open
Introduction: In Indian public health system, adherence to Integrated Management of Childhood Illness (IMNCI) guidelines is low due to inadequate capacity building, high workload and shortage of healthcare providers (HCPs). Objective was t…
View article: Effectiveness of introducing pulse oximetry and clinical decision support algorithms for the management of sick children in primary care in Kenya and Senegal on referral and antibiotic prescription: the TIMCI quasi-experimental pre-post study
Effectiveness of introducing pulse oximetry and clinical decision support algorithms for the management of sick children in primary care in Kenya and Senegal on referral and antibiotic prescription: the TIMCI quasi-experimental pre-post study Open
Unitaid grant n°2019-35-TIMCI: Tools for Integrated Management of Childhood Illness.
View article: ePOCT+ Rwanda: A Clinical Decision Support Algorithm For Managing Sick Children Below 15 Years of Age in Primary Healthcare Settings
ePOCT+ Rwanda: A Clinical Decision Support Algorithm For Managing Sick Children Below 15 Years of Age in Primary Healthcare Settings Open
Primary health systems in resource-constrained settings suffer from human resource shortages, low quality care, and diagnostic uncertainty, resulting in over-reliance on antibiotics, increasing risks of antimicrobial resistance. Digital cl…
View article: Coverage of policies to improve antimicrobial stewardship in human medicine in low and middle income countries: results from the Global Survey of Experts on Antimicrobial Resistance
Coverage of policies to improve antimicrobial stewardship in human medicine in low and middle income countries: results from the Global Survey of Experts on Antimicrobial Resistance Open
View article: Development and validation of a novel clinical risk score to predict hypoxemia in children with pneumonia using the WHO PREPARE dataset
Development and validation of a novel clinical risk score to predict hypoxemia in children with pneumonia using the WHO PREPARE dataset Open
Background Hypoxemia predicts mortality at all levels of care, and appropriate management can reduce preventable deaths. However, pulse oximetry and oxygen therapy remain inaccessible in many primary care health facilities. We aimed to dev…
View article: The Tools for Integrated Management of Childhood Illness (TIMCI) study protocol: a multi-country mixed-method evaluation of pulse oximetry and clinical decision support algorithms
The Tools for Integrated Management of Childhood Illness (TIMCI) study protocol: a multi-country mixed-method evaluation of pulse oximetry and clinical decision support algorithms Open
Effective and sustainable strategies are needed to address the burden of preventable deaths among children under-five in resource-constrained settings. The Tools for Integrated Management of Childhood Illness (TIMCI) project aims to suppor…
View article: Effectiveness of Introducing Pulse Oximetry and Clinical Decision Support Algorithms for the Management of Sick Children in Primary Care in India and Tanzania on Hospitalisation and Mortality: The TIMCI Pragmatic Cluster Randomised Controlled Trial
Effectiveness of Introducing Pulse Oximetry and Clinical Decision Support Algorithms for the Management of Sick Children in Primary Care in India and Tanzania on Hospitalisation and Mortality: The TIMCI Pragmatic Cluster Randomised Controlled Trial Open
View article: A digital health algorithm to guide antibiotic prescription in pediatric outpatient care: a cluster randomized controlled trial
A digital health algorithm to guide antibiotic prescription in pediatric outpatient care: a cluster randomized controlled trial Open
Excessive antibiotic use and antimicrobial resistance are major global public health threats. We developed ePOCT+, a digital clinical decision support algorithm in combination with C-reactive protein test, hemoglobin test, pulse oximeter a…
View article: Antibiotic stewardship using ePOCT+, a digital health clinical decision support algorithm for paediatric outpatient care: results from the DYNAMIC Tanzania cluster randomized controlled trial
Antibiotic stewardship using ePOCT+, a digital health clinical decision support algorithm for paediatric outpatient care: results from the DYNAMIC Tanzania cluster randomized controlled trial Open
Excessive antibiotic use and antimicrobial resistance are major global public health threats. We developed ePOCT+, a digital Clinical Decision Support Algorithm in combination with C-reactive protein test, haemoglobin test, pulse oximeter …
View article: Coverage of policies to improve antimicrobial stewardship in low and middle income countries: Results from the first Global Survey of Experts on Antimicrobial Resistance
Coverage of policies to improve antimicrobial stewardship in low and middle income countries: Results from the first Global Survey of Experts on Antimicrobial Resistance Open
Background Antimicrobial resistance (AMR) constitutes a major threat to global health security. While antimicrobial misuse or overuse is a one of the main drivers for AMR, little is known regarding the extent to which this is due to a lack…
View article: 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
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 Open
Electronic clinical decision support algorithms (CDSAs) have been developed to address high childhood mortality and inappropriate antibiotic prescription by helping clinicians adhere to guidelines. Previously identified challenges of CDSAs…
View article: 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
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 Open
Electronic clinical decision support algorithms (CDSAs) have been developed to address high childhood mortality and inappropriate antibiotic prescription by helping clinicians adhere to guidelines. Previously identified challenges of CDSAs…
View article: Coverage of Policies to Reduce Antimicrobial Resistance in Low and Middle Income Countries: Results from the First Global Expert Survey on Antimicrobial Resistance (GESAR)
Coverage of Policies to Reduce Antimicrobial Resistance in Low and Middle Income Countries: Results from the First Global Expert Survey on Antimicrobial Resistance (GESAR) Open
View article: Mobile nudges and financial incentives to improve coverage of timely neonatal vaccination in rural areas (GEVaP trial): A 3-armed cluster randomized controlled trial in Northern Ghana
Mobile nudges and financial incentives to improve coverage of timely neonatal vaccination in rural areas (GEVaP trial): A 3-armed cluster randomized controlled trial in Northern Ghana Open
Background Despite progress in vaccination coverage, timeliness of childhood vaccination remains a challenge in many settings. We aimed to assess if mobile phone-based reminders and incentives to health workers and caregivers could increas…
View article: GEVaP dataset.xlsx
GEVaP dataset.xlsx Open
Primary dataset for the evaluation of the Ghana Early Vaccination Program ( GEVaP) cluster randomized controlled trial. Manuscript: Mobile Nudges and Financial Incentives to Improve Coverage of Timely Neonatal Vaccination in Rural Areas (G…
View article: Referral systems for preterm, low birth weight, and sick newborns in Ethiopia: a qualitative assessment
Referral systems for preterm, low birth weight, and sick newborns in Ethiopia: a qualitative assessment Open
View article: Clinical Outcome of Febrile Tanzanian Children with Severe Malnutrition Using Anthropometry in Comparison to Clinical Signs
Clinical Outcome of Febrile Tanzanian Children with Severe Malnutrition Using Anthropometry in Comparison to Clinical Signs Open
Children with malnutrition compared with those without are at higher risk of infection, with more severe outcomes. How clinicians assess nutritional risk factors in febrile children in primary care varies. We conducted a post hoc subgroup …
View article: Severe Infection and Mortality in Kenyan Newborns
Severe Infection and Mortality in Kenyan Newborns Open
View article: Defining Pediatric Diarrhea in Low-Resource Settings
Defining Pediatric Diarrhea in Low-Resource Settings Open
Differences in definitions of acute pediatric diarrhea result in variable estimates of morbidity and mortality, treatment coverage, and associations with risk factors and outcomes. We reviewed published literature and guidelines focused on…
View article: People living with HIV travel farther to access healthcare: a population‐based geographic analysis from rural Uganda
People living with HIV travel farther to access healthcare: a population‐based geographic analysis from rural Uganda Open
Introduction The availability of specialized HIV services is limited in rural areas of sub‐Saharan Africa where the need is the greatest. Where HIV services are available, people living with HIV (PLHIV) must overcome large geographic, econ…