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countries of Sub-Saharan Africa as persistently high maternal mortality rates testify. The QUALMAT study seeks to improve the performance and motivation of rural health workers and ultimately quality of primary maternal health care services in three African countries Burkina Faso, Ghana, and Tanzania. One major intervention is the introduction of a computerized Clinical Decision Support System (CDSS) for rural primary health care centers to be used by health care workers of different educational levels. Methods: A stand-alone, java-based software, able to run on any standard hardware, was developed based on assessment of the health care situation in the involved countries. The software scope was defined and the final software was programmed under consideration of test experiences. Knowledge for the decision support derived from the World Health Organization (WHO) guideline \"Pregnancy, Childbirth, Postpartum and Newborn Care; A Guide for Essential Practice\". Results: The QUALMAT CDSS provides computerized guidance and clinical decision support for antenatal care, and care during delivery and up to 24 hours post delivery. The decision support is based on WHO guidelines and designed using three principles: (1) Guidance through routine actions in maternal and perinatal care, (2) integration of clinical data to detect situations of concern by algorithms, and (3) electronic tracking of peri-and postnatal activities. In addition, the tool facilitates patient management and is a source of training material. The implementation of the software, which is embedded in a set of interventions comprising the QUALMAT study, is subject to various research projects assessing and quantifying the impact of the CDSS on quality of care, the motivation of health care staff (users) and its health economic aspects. The software will also be assessed for its usability and acceptance, as well as for its influence on workflows in the rural setting of primary health care in the three countries involved. Conclusion: The development and implementation of a CDSS in rural primary health care centres presents challenges, which may be overcome with careful planning and involvement of future users at an early stage. A tailored software with stable functionality should offer perspectives to improve maternal care in resource-poor settings. Trial registration: www.clinicaltrials.gov/NCT01409824.","publication_date":"2015,,","grobid_abstract_attachment_id":"88405189"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"low","language":"en","title":"electronic clinical decision support system for rural Sub-Saharan Africa","broadcastable":false,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [53040581]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "full_page_mobile_sutd_modal"; window.loswp.useOptimizedScribd4genScript = false; window.loswp.appleClientId = 'edu.academia.applesignon';</script><script defer="" src="https://accounts.google.com/gsi/client"></script><div class="ds-loswp-container"><div class="ds-work-card--grid-container"><div class="ds-work-card--container js-loswp-work-card"><div 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data-login_uri="https://www.academia.edu/registrations/google_one_tap" data-moment_callback="onGoogleOneTapEvent" id="g_id_onload"></div><div class="ds-top-related-works--grid-container"><div class="ds-related-content--container ds-top-related-works--container"><h2 class="ds-related-content--heading">Related papers</h2><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="0" data-entity-id="11487276" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/11487276/_Quality_of_prenatal_and_maternal_care_bridging_the_know_do_gap_QUALMAT_study_an_electronic_clinical_decision_support_system_for_rural_Sub_Saharan_Africa">“Quality of prenatal and maternal care: bridging the know-do gap” (QUALMAT study): an electronic clinical decision support system for rural Sub-Saharan Africa</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="28692692" href="https://independent.academia.edu/AntjeBlank">Antje Blank</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="27980638" href="https://muchs.academia.edu/FelixSukums">Felix Sukums</a></div><p class="ds-related-work--metadata ds2-5-body-xs">BMC Medical Informatics and Decision Making, 2013</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"“Quality of prenatal and maternal care: bridging the know-do gap” (QUALMAT study): an electronic clinical decision support system for rural Sub-Saharan Africa","attachmentId":46675937,"attachmentType":"pdf","work_url":"https://www.academia.edu/11487276/_Quality_of_prenatal_and_maternal_care_bridging_the_know_do_gap_QUALMAT_study_an_electronic_clinical_decision_support_system_for_rural_Sub_Saharan_Africa","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/11487276/_Quality_of_prenatal_and_maternal_care_bridging_the_know_do_gap_QUALMAT_study_an_electronic_clinical_decision_support_system_for_rural_Sub_Saharan_Africa"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="1" data-entity-id="71442060" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/71442060/The_use_of_computerised_clinical_decision_support_system_in_maternal_and_neonatal_care_in_rural_Africa_enthusiasm_and_concerns">The use of computerised clinical decision support system in maternal and neonatal care in rural Africa : enthusiasm and concerns</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="53040581" href="https://independent.academia.edu/AlphonseZakane">Alphonse Zakane</a></div><p class="ds-related-work--metadata ds2-5-body-xs">2017</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"The use of computerised clinical decision support system in maternal and neonatal care in rural Africa : enthusiasm and concerns","attachmentId":80782956,"attachmentType":"pdf","work_url":"https://www.academia.edu/71442060/The_use_of_computerised_clinical_decision_support_system_in_maternal_and_neonatal_care_in_rural_Africa_enthusiasm_and_concerns","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/71442060/The_use_of_computerised_clinical_decision_support_system_in_maternal_and_neonatal_care_in_rural_Africa_enthusiasm_and_concerns"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="2" data-entity-id="84142544" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/84142544/Promising_adoption_of_an_electronic_clinical_decision_support_system_for_antenatal_and_intrapartum_care_in_rural_primary_healthcare_facilities_in_sub_Saharan_Africa_The_QUALMAT_experience">Promising adoption of an electronic clinical decision support system for antenatal and intrapartum care in rural primary healthcare facilities in sub-Saharan Africa: The QUALMAT experience</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="106217390" href="https://independent.academia.edu/Sukums">Felix Sukums</a></div><p class="ds-related-work--metadata ds2-5-body-xs">International Journal of Medical Informatics, 2015</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" 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href="https://www.academia.edu/84142544/Promising_adoption_of_an_electronic_clinical_decision_support_system_for_antenatal_and_intrapartum_care_in_rural_primary_healthcare_facilities_in_sub_Saharan_Africa_The_QUALMAT_experience"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="3" data-entity-id="11487278" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/11487278/Impact_of_an_electronic_clinical_decision_support_system_on_workflow_in_antenatal_care_the_QUALMAT_eCDSS_in_rural_health_care_facilities_in_Ghana_and_Tanzania">Impact of an electronic clinical decision support system on workflow in antenatal care: the QUALMAT eCDSS in rural health care facilities in Ghana and Tanzania</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="28692692" href="https://independent.academia.edu/AntjeBlank">Antje Blank</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="28177083" href="https://uni-heidelberg.academia.edu/AndreasMeid">Andreas Meid</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="27980638" href="https://muchs.academia.edu/FelixSukums">Felix Sukums</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Global health action, 2015</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Impact of an electronic clinical decision support system on workflow in antenatal care: the QUALMAT eCDSS in rural health care facilities in Ghana and Tanzania","attachmentId":37417669,"attachmentType":"pdf","work_url":"https://www.academia.edu/11487278/Impact_of_an_electronic_clinical_decision_support_system_on_workflow_in_antenatal_care_the_QUALMAT_eCDSS_in_rural_health_care_facilities_in_Ghana_and_Tanzania","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/11487278/Impact_of_an_electronic_clinical_decision_support_system_on_workflow_in_antenatal_care_the_QUALMAT_eCDSS_in_rural_health_care_facilities_in_Ghana_and_Tanzania"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="4" data-entity-id="48785786" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/48785786/Opportunities_and_obstacles_using_a_clinical_decision_support_system_for_maternal_care_in_Burkina_Faso">Opportunities and obstacles using a clinical decision support system for maternal care in Burkina Faso</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="53040581" href="https://independent.academia.edu/AlphonseZakane">Alphonse Zakane</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Online Journal of Public Health Informatics</p><p class="ds-related-work--abstract ds2-5-body-sm">Objective: Maternal and neonatal mortality is high in sub-Saharan Africa. To support Healthcare Workers (HCWs), a computerized decision support system (CDSS) was piloted at six rural maternal care units in Burkina Faso. During the two years of the study period, it was apparent from reports that the CDSS was not used regularly in clinical practice. This study aimed to explore the reasons why HCWs failed to use the CDSS.Methods: A workshop, organised as group discussions and a plenary session, was performed with 13 participants to understand their experience with the CDSS and suggest improvements if pertinent. Workshop transcripts were analysed thematically. Socio-demographic and usage patterns of the CDSS were examined by a questionnaire and analysed descriptively.Results: The participants reported that the contextual basic conditions for using the CDSS were not fulfilled. These included unreliable power supply, none user-friendly partograph, the CDSS was not integrated with workflo...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Opportunities and obstacles using a clinical decision support system for maternal care in Burkina Faso","attachmentId":67222796,"attachmentType":"pdf","work_url":"https://www.academia.edu/48785786/Opportunities_and_obstacles_using_a_clinical_decision_support_system_for_maternal_care_in_Burkina_Faso","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/48785786/Opportunities_and_obstacles_using_a_clinical_decision_support_system_for_maternal_care_in_Burkina_Faso"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="5" data-entity-id="11709006" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/11709006/Costs_associated_with_implementation_of_computer_assisted_clinical_decision_support_system_for_antenatal_and_delivery_care_case_study_of_Kassena_Nankana_district_of_northern_Ghana">Costs associated with implementation of computer-assisted clinical decision support system for antenatal and delivery care: case study of Kassena-Nankana district of northern Ghana</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="28692692" href="https://independent.academia.edu/AntjeBlank">Antje Blank</a></div><p class="ds-related-work--metadata ds2-5-body-xs">PloS one, 2014</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Costs associated with implementation of computer-assisted clinical decision support system for antenatal and delivery care: case study of Kassena-Nankana district of northern Ghana","attachmentId":46564145,"attachmentType":"pdf","work_url":"https://www.academia.edu/11709006/Costs_associated_with_implementation_of_computer_assisted_clinical_decision_support_system_for_antenatal_and_delivery_care_case_study_of_Kassena_Nankana_district_of_northern_Ghana","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/11709006/Costs_associated_with_implementation_of_computer_assisted_clinical_decision_support_system_for_antenatal_and_delivery_care_case_study_of_Kassena_Nankana_district_of_northern_Ghana"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="98700796" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/98700796/Implementation_of_a_Newborn_Clinical_Decision_Support_Software_NoviGuide_in_a_Rural_District_Hospital_in_Eastern_Uganda_Feasibility_and_Acceptability_Study">Implementation of a Newborn Clinical Decision Support Software (NoviGuide) in a Rural District Hospital in Eastern Uganda: Feasibility and Acceptability Study</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="262063690" href="https://independent.academia.edu/JeanArmas2">Jean Armas</a></div><p class="ds-related-work--metadata ds2-5-body-xs">JMIR mHealth and uHealth, 2021</p><p class="ds-related-work--abstract ds2-5-body-sm">Background Lack of trained health care workers and nonadherence to national guidelines are key barriers to achieving high-quality newborn care in health care facilities in low- and middle-income countries. Traditional didactic approaches addressing these barriers fail to account for high staff turnover rates and result in temporary behavior change. NoviGuide, a clinical decision support software designed to standardize neonatal care through point-of-care assessments, has the potential to align bedside practice to national guidelines in settings lacking subspecialty neonatal providers. Objective This study aims to determine the adaptation, adoption, feasibility, acceptability, and sustainability of NoviGuide and its impact on nurse-midwives’ knowledge in a rural hospital in eastern Uganda. Methods This mixed methods observational study was guided by the Proctor framework. Experts reviewed the clinical content of NoviGuide to ensure fidelity to Uganda guidelines. We enrolled nurses an...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Implementation of a Newborn Clinical Decision Support Software (NoviGuide) in a Rural District Hospital in Eastern Uganda: Feasibility and Acceptability Study","attachmentId":99980846,"attachmentType":"pdf","work_url":"https://www.academia.edu/98700796/Implementation_of_a_Newborn_Clinical_Decision_Support_Software_NoviGuide_in_a_Rural_District_Hospital_in_Eastern_Uganda_Feasibility_and_Acceptability_Study","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/98700796/Implementation_of_a_Newborn_Clinical_Decision_Support_Software_NoviGuide_in_a_Rural_District_Hospital_in_Eastern_Uganda_Feasibility_and_Acceptability_Study"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="74047671" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/74047671/Cost_effectiveness_of_an_electronic_clinical_decision_support_system_for_improving_quality_of_antenatal_and_childbirth_care_in_rural_Tanzania_an_intervention_study">Cost-effectiveness of an electronic clinical decision support system for improving quality of antenatal and childbirth care in rural Tanzania: an intervention study</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="66586103" href="https://independent.academia.edu/HappinessSaronga">Happiness Saronga</a></div><p class="ds-related-work--metadata ds2-5-body-xs">BMC Health Services Research</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Cost-effectiveness of an electronic clinical decision support system for improving quality of antenatal and childbirth care in rural Tanzania: an intervention study","attachmentId":82341850,"attachmentType":"pdf","work_url":"https://www.academia.edu/74047671/Cost_effectiveness_of_an_electronic_clinical_decision_support_system_for_improving_quality_of_antenatal_and_childbirth_care_in_rural_Tanzania_an_intervention_study","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/74047671/Cost_effectiveness_of_an_electronic_clinical_decision_support_system_for_improving_quality_of_antenatal_and_childbirth_care_in_rural_Tanzania_an_intervention_study"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="12100892" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/12100892/Cost_of_installing_and_operating_an_electronic_clinical_decision_support_system_for_maternal_health_care_case_of_Tanzania_rural_primary_health_centres">Cost of installing and operating an electronic clinical decision support system for maternal health care: case of Tanzania rural primary health centres</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="27980638" href="https://muchs.academia.edu/FelixSukums">Felix Sukums</a></div><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Cost of installing and operating an electronic clinical decision support system for maternal health care: case of Tanzania rural primary health centres","attachmentId":37417711,"attachmentType":"pdf","work_url":"https://www.academia.edu/12100892/Cost_of_installing_and_operating_an_electronic_clinical_decision_support_system_for_maternal_health_care_case_of_Tanzania_rural_primary_health_centres","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/12100892/Cost_of_installing_and_operating_an_electronic_clinical_decision_support_system_for_maternal_health_care_case_of_Tanzania_rural_primary_health_centres"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="14278312" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/14278312/Cost_effectiveness_of_clinical_decision_support_system_in_improving_maternal_health_care_in_ghana">Cost-effectiveness of clinical decision support system in improving maternal health care in ghana</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="33244183" href="https://uni-heidelberg.academia.edu/RainerSauerborn">Rainer Sauerborn</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="4455488" href="https://umonash-my.academia.edu/RaymondAborigo">Raymond Aborigo</a></div><p class="ds-related-work--metadata ds2-5-body-xs">PloS one, 2015</p><p class="ds-related-work--abstract ds2-5-body-sm">This paper investigated the cost-effectiveness of a computer-assisted Clinical Decision Support System (CDSS) in the identification of maternal complications in Ghana. A cost-effectiveness analysis was performed in a before- and after-intervention study. Analysis was conducted from the provider&#39;s perspective. The intervention area was the Kassena- Nankana district where computer-assisted CDSS was used by midwives in maternal care in six selected health centres. Six selected health centers in the Builsa district served as the non-intervention group, where the normal Ghana Health Service activities were being carried out. Computer-assisted CDSS increased the detection of pregnancy complications during antenatal care (ANC) in the intervention health centres (before-intervention= 9 /1,000 ANC attendance; after-intervention= 12/1,000 ANC attendance; P-value=0.010). In the intervention health centres, there was a decrease in the number of complications during labour by 1.1%, though th...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Cost-effectiveness of clinical decision support system in improving maternal health care in ghana","attachmentId":44363353,"attachmentType":"pdf","work_url":"https://www.academia.edu/14278312/Cost_effectiveness_of_clinical_decision_support_system_in_improving_maternal_health_care_in_ghana","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/14278312/Cost_effectiveness_of_clinical_decision_support_system_in_improving_maternal_health_care_in_ghana"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--sticky-ctas","attachmentId":88405189,"attachmentType":"pdf","workUrl":null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--sticky-ctas","attachmentId":88405189,"attachmentType":"pdf","workUrl":null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_88405189" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. 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