Investment on improving quality of medical consultations in PHC via an electronic Clinical Decision Support System (eCDSS: MSF E-care) has been made for children under five years of age, and a similar approach is under development for children under 2 months of age: where the tool has been piloted, an improvement in the quality of medical consultation together with a clear trend on significant reduction of antibiotic prescription, up to 50%, has been seen for the majority of the clinical indications (internal MSF data, Kenya).
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Antimicrobial stewardship in primary health care programs in humanitarian settings: the time to act is now.
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