IMCI Gap Design Software development Improving the quality of IMCI services using e-health technology in Bangladesh: Developing the e-IMCI software through a participatory approach involving frontline health workers and health managers Author: Ahmed Ehsanur Rahman and Shams El Arifeen Introduction Gaps and Challenges IMCI Global strategy developed WHO and UNICEF in 1990s Lack of adherence of guidelines Designed to address major causes of childhood deaths Inadequate and inappropriate documentation Step-by-step in history taking, clinical assessment, classification and treatment Inadequate monitoring and supervision system Objective Develop e-IMCI software by digitizing IMCI guidelines through a participatory approach involving frontline health workers and health managers Method and Design Gap Health Facility Assessment Qualitative Exploration Step1 Step-2 Step-3 Step-4 Manager: 5 IMCI supervisor: 10 IMCI service provider:28 12 facilities 417 IMCI service contacts: observation, re-examination Identification In-depth Interview Consultative Workshop Workshop-1: Policy Makers and Manager Workshop-2: IMCI service providers Share paper based system gaps Identify expectations from e-IMCI and discuss design and options of e-IMCI Design Computer Programmer: 3 IMCI trained doctors: 3 Anthropologist: 1 e-IMCI demo testing: 100 rounds per classification Software development Android program Team Composition Validity Testing Field testing 4 first level facility 6 IMCI service provider 1 month 432 sick children Software finalization Final version of the e-IMCI software was updated after addressing the key gaps and operational e-IMCI is acceptable to the IMCI service providers, supervisors and managers e-IMCI introduction in routine system in feasible 1-2 weeks of intensive support is required for new technology adoption Additional support required for logistics and maintenance of tablets Next step e-IMCI is the process of national scale-up as a part of RHIS service automation Results and Conclusion ehsanur@icddrb.org