Development and evaluation of a mobile application for case management of small and sick newborns in Bangladesh

Table 1 Comparison of Completeness of Neonatal Assessments by CHWs using Paper Forms (pCNCP) and mobile-CNCP (mCNCP)

Completeness of Exams	Paper Form: pCNCP	Mobile App: mCNCP	% Point Difference (mCNCP – pCNCP)	Chi Square Test P-Value
Full Assessment Completed^a	20/84 (23.8%)	86/86 (100%)	76.2	< 0.001
Any Care Management Recommendation Given^b*	34/104 (32.7%)	103/103 (100%)	67.3	< 0.001
Respiratory Rate Recorded	47/104 (45.2%)	103/103 (100%)	54.8	< 0.001
Temperature Recorded	62/104 (59.6%)	103/103 (100%)	40.4	< 0.001
Weight Recorded^c	101/104 (97.1%)	102/103 (99.0%)	1.9	0.32
Weight-loss Calculation Completed^d*	99/104 (95.2%)	103/103 (100%)	4.8	0.024
Gestational Age Calculated (if LMP recorded)*	6/29 (20.7%)	34/34 (100%)	79.3	< 0.001
Postnatal Age Calculated^e*	77/104 (74.0%)	103/103 (100%)	26.0	< 0.001

^aAll danger signs were assessed, with weight (either birth weight or current weight), temperature, and respiratory rate recorded, and at least one management recommendation given. The version of the IMCI-style paper form on the first day of study enrollment had checkmarks next to newborn conditions, but did not have response choices of “yes” or “no” for each danger sign. This option was included for the remaining days of the study, and thus the first day of assessments was not included in the completeness analysis. ^b At least one care recommendation or referral was given. ^c Either birth weight or current weight recorded. ^d A calculated percent weight loss or gain was recorded (whether correct or incorrect). ^eInfant’s postnatal age was calculated (whether correct or incorrect).; *mCNCP’s built-in algorithms performed these calculations and generated recommendations

ISSN: 1472-6947