TY - JOUR
T1 - Information and Communication Technology to Enhance the Implementation of the Integrated Management of Childhood Illness
T2 - A Systematic Review and Meta-Analysis
AU - Bernasconi, Andrea
AU - Landi, Marco
AU - Yah, Clarence S.
AU - van der Sande, Marianne A.B.
N1 - Publisher Copyright:
© 2024 The Authors
PY - 2024/9
Y1 - 2024/9
N2 - Objective: To evaluate the impact of Information and Communication Technology (ICT) on the implementation of Integrated Management of Childhood Illness (IMCI) and integrated Community Case Management (iCCM) through a systematic review and meta-analysis (PROSPERO registration number: CRD42024517375). Methods: We searched MEDLINE, EMBASE, Cochrane Library, and gray literature from January 2010 to February 2024, focusing on IMCI/iCCM-related terms (Integrated Management of Childhood Illness, IMCI, integrated Community Case Management, iCCM) and excluding non-ICT interventions. A meta-analysis synthesized the effect of ICT on clinical assessment, disease classification, therapy, and antibiotic prescription through odds ratio (OR; 95% CI) employing a random effects model for significant heterogeneity (I2>50%) and conducting subgroup analyses. Results: Of 1005 initial studies, 44 were included, covering 8 interventions for IMCI, 7 for iCCM, and 2 for training. All digital interventions except 1 outperformed traditional paper-based methods. Pooling effect sizes from 16 studies found 5.7 OR for more complete clinical assessments (95% CI, 1.7-19.1; I2, 95%); 2.0 for improved disease classification accuracy (95% CI, 0.9-4.4; I2, 93%); 1.4 for more appropriate therapy (95% CI, 0.8-2.2; I2, 93%); and 0.2 for reduced antibiotic use (95% CI, 0.06-0.55; I2 99%). Conclusion: This review is the first to comprehensively quantify the effect of ICT on the implementation of IMCI/iCCM programs, confirming both the benefits and limitations of these technologies. The customization of digital tools for IMCI/iCCM can serve as a model for other health programs. As ICT increasingly supports the achievement of sustainable development goals, the effective digital interventions identified in this review can pave the way for future innovations.
AB - Objective: To evaluate the impact of Information and Communication Technology (ICT) on the implementation of Integrated Management of Childhood Illness (IMCI) and integrated Community Case Management (iCCM) through a systematic review and meta-analysis (PROSPERO registration number: CRD42024517375). Methods: We searched MEDLINE, EMBASE, Cochrane Library, and gray literature from January 2010 to February 2024, focusing on IMCI/iCCM-related terms (Integrated Management of Childhood Illness, IMCI, integrated Community Case Management, iCCM) and excluding non-ICT interventions. A meta-analysis synthesized the effect of ICT on clinical assessment, disease classification, therapy, and antibiotic prescription through odds ratio (OR; 95% CI) employing a random effects model for significant heterogeneity (I2>50%) and conducting subgroup analyses. Results: Of 1005 initial studies, 44 were included, covering 8 interventions for IMCI, 7 for iCCM, and 2 for training. All digital interventions except 1 outperformed traditional paper-based methods. Pooling effect sizes from 16 studies found 5.7 OR for more complete clinical assessments (95% CI, 1.7-19.1; I2, 95%); 2.0 for improved disease classification accuracy (95% CI, 0.9-4.4; I2, 93%); 1.4 for more appropriate therapy (95% CI, 0.8-2.2; I2, 93%); and 0.2 for reduced antibiotic use (95% CI, 0.06-0.55; I2 99%). Conclusion: This review is the first to comprehensively quantify the effect of ICT on the implementation of IMCI/iCCM programs, confirming both the benefits and limitations of these technologies. The customization of digital tools for IMCI/iCCM can serve as a model for other health programs. As ICT increasingly supports the achievement of sustainable development goals, the effective digital interventions identified in this review can pave the way for future innovations.
UR - http://www.scopus.com/inward/record.url?scp=85205953231&partnerID=8YFLogxK
U2 - 10.1016/j.mcpdig.2024.06.005
DO - 10.1016/j.mcpdig.2024.06.005
M3 - Review article
AN - SCOPUS:85205953231
SN - 2949-7612
VL - 2
SP - 438
EP - 452
JO - Mayo Clinic Proceedings: Digital Health
JF - Mayo Clinic Proceedings: Digital Health
IS - 3
M1 - doi.org/10.1016/j.mcpdig.2024.06.005
ER -