Publications by authors named "Lameck Bonaventure Luwanda"
Effective, scalable and sustainable strategies to improve quality of care are needed to address the substantial burden of preventable deaths of children under-five in resource-constrained settings. Clinical decision support systems (CDSS), digital tools which generate recommendations for healthcare providers based on patient-specific information, show promise. By strengthening adherence to evidence-based assessment, diagnosis and management and generating high-quality data, CDSS can improve quality care - care that is effective, safe, people-centered, timely, equitable, integrated and efficient.
View Article and Find Full Text PDFePOCT+ and the medAL-suite: Development of an electronic clinical decision support algorithm and digital platform for pediatric outpatients in low- and middle-income countries.
PLOS Digit Health
January 2023
Article Synopsis
- ePOCT+ Development
- : A new electronic clinical decision support algorithm (CDSA), called ePOCT+, was created to help reduce childhood mortality and improve antibiotic prescribing practices in low- and middle-income countries by guiding clinicians to follow established medical guidelines.
- medAL-Suite
- : The medAL-suite software was developed to streamline the creation and application of CDSAs, allowing healthcare professionals without technical skills to design algorithms easily, using tools like medAL-creator and medAL-reader for consultations.
- Validation and Future Plans
- : The algorithms underwent thorough reviews and usability tests by experts across several countries to ensure clinical relevance, with ongoing clinical validation studies planned in Tanzania, Rwanda, Kenya, Senegal, and India
Background: Strategies to improve the uptake of Prevention of Mother-To-Child Transmission of HIV (PMTCT) are needed. We integrated HIV and maternal, newborn and child health services in a One Stop Clinic to improve the PMTCT cascade in a rural Tanzanian setting.
Methods: The One Stop Clinic of Ifakara offers integral care to HIV-infected pregnant women and their families at one single place and time.
Background: The Kilombero and Ulanga Antiretroviral Cohort (KIULARCO) is a single-site, open and ongoing prospective cohort of people living with human immunodeficiency virus (PLWHIV) established in 2005 at the Chronic Diseases Clinic of Ifakara (CDCI), within the Saint Francis Referral Hospital (SFRH) in Ifakara, Tanzania. The objectives of KIULARCO are to (i) provide patient and cohort-level information on the outcomes of HIV treatment; (ii) provide cohort-level information on opportunistic infections and comorbidities; (iii) evaluate aspects of human immunodeficiency virus (HIV) care and treatment that have national or international policy relevance; (iv) provide a platform for studies on improving HIV care and treatment in sub-Saharan Africa; and (v) contribute to generating local capacity to deal with the challenges posed by the HIV/AIDS pandemic in this region. Moreover, KIULARCO may serve as a model for other healthcare settings in rural sub-Saharan Africa.
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