Digitising Clinical Guidelines – What Have We Learned From Existing CDSS In The Management Of Childhood Illness In Low And Middle-Income Countries (LMICs)?

Date : Thursday 16 September 2021, 4:00pm – 5:30pm (CET, Central European Time)

Location : Internet

Language : English

Category : Presentation Session

Contact : Frederique.Guerin@unige.ch


Efforts to improve the diagnosis and management of childhood illness in primary care are a key component of the strategy to reduce under-five mortality in resource-constrained settings. Digital technologies such as Clinical decision support systems (CDSS) provide opportunities to strengthen quality of care and have recently been recommended by WHO as interventions for health systems strengthening.

Four humanitarian and research organisations have developed such CDSS in low and middle-income countries (LMICs), with evidence to indicate that their implementation can improve health worker performance including adherence to guidelines. Developing the clinical algorithms that underpin these CDSS however, requires translation of narrative guidelines to decision logic, which often requires a degree of interpretation.

In order to promote transparency and work towards best practices, a working group gathering practitioners, scientists, and policy actors working on IMCI-related CDSS was formed to share experiences and learning.

This work has been undertaken within the framework of the Geneva Health Forum and facilitated by the Geneva Science-Policy Interface. It brought together MSF, Terre des hommes, Swiss TPH, ICRC, WHO, Unisante and FIND.

This event is organised in collaboration with the Global Digital Health Network.


This meeting aims to share the results of a comparative analysis of the development of the clinical algorithms of four different child-health focused CDSS, highlight the recent work of WHO in this field, and provide a platform for discussion on clinical algorithm development with a wider audience.


Moderator: Karell G. Pelle, Foundation for Innovative New Diagnostics (FIND), Switzerland


  • Clotilde Rambaud-Althaus, Medecins sans Frontiere, Switzerland
  • Frederique Guerin, Executive Officer, Geneva Science-Policy Interface, Switzerland
  • Fenella Beynon, Swiss Tropical and Public Health Institute, Switzerland
  • Torsten Schmitz, Swiss Tropical and Public Health Institute, Switzerland
  • Rainer Tan, Swiss Tropical and Public Health Institute, Switzerland
  • Riccardo Lampariello, Terre des hommes, Switzerland
  • Nigel Rollins, Department of Maternal, Newborn, Child and Adolescent Health and Ageing, World Health Organisation, Switzerland


  • Organizations, NGOs using IMCI protocols
  • Foundations supporting child health programmes in resource-poor countries in the tropics
  • Child health facilities in resource-limited countries in the tropics
  • Ministries of health in resource-limited countries in the tropics
  • Health attaches in permanent missions of resource-limited countries in the tropics

Preparatory Documents