Gressier

Acute respiratory infections and diarrheal diseases are leading causes of death in children aged 1 month to 5 years worldwide. In resource-limited settings like Haiti, nighttime illness often leads to delayed care and emergency situations. To address this, researchers are evaluating a telemedicine and medication delivery service (TMDS) called MotoMeds, which aims to improve nighttime access to pediatric healthcare. This study focuses on testing a digital clinical decision support (dCDS) tool to see if it improves adherence to treatment guidelines by TMDS providers compared to the current paper-based tool. The study will compare two interventions over two 16-month periods separated by a two-week washout: the existing paper-based clinical decision support tool and a new digital version of this tool. Both tools help TMDS providers triage, assess, and create treatment plans for children using telemedicine. The digital tool is designed to support providers during nighttime calls to better manage acute pediatric illnesses remotely. Participants include children aged 10 years or younger who experience an acute illness and whose parents or guardians contact the TMDS during its operating hours. Researchers will collect data on how well providers follow clinical guidelines using each tool. Outcomes will be measured by comparing provider adherence rates during the two intervention periods. Consent will be obtained either verbally by phone or in writing during household visits. This study aims to improve early pediatric care access and treatment in low-resource settings through telemedicine technology.