Publications by authors named "Geletaw Sahle Tegenaw"

Background: A clinical decision support system (CDSS) based on the logic and philosophy of clinical pathways is critical for managing the quality of health care and for standardizing care processes. Using such a system at a point-of-care setting is becoming more frequent these days. However, in a low-resource setting (LRS), such systems are frequently overlooked.

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Background: Understanding the temporal and geographic distribution of disease incidences is crucial for effective public health planning and intervention strategies. This study presents a comprehensive analysis of the spatiotemporal distribution of disease incidences in Ethiopia, focusing on six major diseases: Malaria, Meningitis, Cholera and Dysentery, over the period from 2010 to 2022, whereas Dengue Fever and Leishmaniasis from 2018 to 2023.

Methods: Using data from Ethiopian public health institute: public health emergency management (PHEM), and Ministry of Health, we examined the occurrence and spread of each disease across different regions of Ethiopia.

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A health information system has been created to gather, aggregate, analyze, interpret, and utilize data collected from diverse sources. In Ethiopia, the most popular digital tools are the Electronic Community Health Information System and the District Health Information System. However, these systems lack capabilities like real-time interactive visualization and a data-driven engine for evidence-based insights.

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Background: Clinical pathways are one of the main tools to manage the health care's quality and concerned with the standardization of care processes. They have been used to help frontline healthcare workers by presenting summarized evidence and generating clinical workflows involving a series of tasks performed by various people within and between work environments to deliver care. Integrating clinical pathways into Clinical Decision Support Systems (CDSSs) is a common practice today.

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Article Synopsis
  • This research investigates the referral process in low-resource settings, aiming to enhance coordination and communication specifically for maternal and child health in Ethiopia's Jimma Health Center.
  • The study involved analyzing 459 paper-based records from a referral registration logbook and comparing them with 201 medical records from the hospital to assess the quality and completeness of the referral process.
  • Findings indicated that a significant majority (86.5%) of referred patients were aged between 20 to 30 years, highlighting the need for improved data collection and feedback mechanisms in the referral system.
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Though a clinical pathway is one of the tools used to guide evidence-based healthcare, promoting the practice of evidence-based decisions on healthcare services is incredibly challenging in low resource settings (LRS). This paper proposed a novel approach for designing an automated and dynamic generation of clinical pathways (CPs) in LRS through a hybrid (knowledge-based and data-driven based) algorithm that works with limited clinical input and can be updated whenever new information is available. Our proposed approach dynamically maps and validate the knowledge-based clinical pathways with the local context and historical evidence to deliver a multi-criteria decision analysis (concordance table) for adjusting or readjusting the order of knowledge-based CPs decision priority.

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