MedNav - helping midwives manage neonatal resuscitation in resource poor settings.

We set out to understand whether MedNav, a digital decision support tool, improves the quality of neonatal resuscitation practice in resource poor settings. A 6-month long trial in Uganda showed that adherence to good practice increased from a mean of 46% without MedNav to 94% with MedNav. The mean system usability score was self-assessed at 84.5%. While the younger midwifery team liked MedNav, it was unpopular with senior members of staff who felt that staff should not rely on support tools even if they improved -clinical practice. Next steps include a larger scale study -looking at neonatal survival outcomes and greater attention to the -barriers that need to be overcome in order to enhance -acceptance and adoption.