ArticleBMJ open quality2021
Electronic application to improve management of infections in low-income neonatal units: pilot implementation of the NeoTree beta app in a public sector hospital in Zimbabwe.
Article in BMJ open quality, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05127070 (Evaluating the NeoTree), which is not on this map. Cited by 21 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Evaluating the NeoTree: An eHealth Solution to Reduce Neonatal Mortality in Two Low Income Countries: Malawi and Zimbabwe
Who cites it
21 citing papers in PubMed, 34 citations in OpenAlex.
- Developing the i-MoMCARE application in Cambodia: an iterative co-design approach using rapid prototyping.BMJ digital health & AI · 2026Article
- Adapting a digital quality improvement system (Neotree) for newborn care in primary health centres and community hospitals: a mixed-methods implementation study in Malawi.Global health action · 2025Article
- Predicting risk of early-onset sepsis in low-resource neonatal units using routine healthcare data: development and evaluation of multivariable statistical and machine learning models.BMJ paediatrics open · 2025Article
- A scoping review and modelling of predictors of an abnormal Thompson score in term neonates in low-resource settings.Scientific reports · 2025Article
- Assessing the Use of Neonatal Sepsis Guidelines and Antibiotic Prescription With Large-Scale Prospective Data From Zimbabwe and Malawi.Journal of the Pediatric Infectious Diseases Society · 2025Article
- Emerging technologies' role in reducing under-five mortality in a low-resource setting: Challenges and perceived opportunities by public health workers in Makonde District, Zimbabwe.Journal of child health care : for professionals working with children in the hospital and community · 2025Article
- Network characteristics of referrals for chronic disease patients: results from hierarchical medical reform in Shenzhen, China.BMC public health · 2024Article
- Development and Implementation of Digital Diagnostic Algorithms for Neonatal Units in Zimbabwe and Malawi: Development and Usability Study.JMIR formative research · 2024Article
- Effects of the COVID-19 pandemic on the outcomes of HIV-exposed neonates: a Zimbabwean tertiary hospital experience.BMC pediatrics · 2024Article
- Development and Pilot Implementation of Neotree, a Digital Quality Improvement Tool Designed to Improve Newborn Care and Survival in 3 Hospitals in Malawi and Zimbabwe: Cost Analysis Study.JMIR mHealth and uHealth · 2023Article
- Implementing Clinical Information Systems in Sub-Saharan Africa: Report and Lessons Learned From the MatLook Project in Cameroon.JMIR medical informatics · 2023Article
- Diagnosing early-onset neonatal sepsis in low-resource settings: development of a multivariable prediction model.Archives of disease in childhood · 2023Article
- Development and implementation experience of a learning healthcare system for facility based newborn care in low resource settings: The Neotree.Learning health systems · 2023Article
- Infection Prevention and Control in low-resource settings: the need for the local, the contextual and the pragmatic.Infection prevention in practice · 2022Article
- Article
- Indirect impacts of the COVID-19 pandemic at two tertiary neonatal units in Zimbabwe and Malawi: an interrupted time series analysis.BMJ open · 2022Article
- Usability-Focused Development and Usage of NeoTree-Beta, an App for Newborn Care in a Low-Resource Neonatal Unit, Malawi.Frontiers in public health · 2022Article
- Software development process of Neotree - a data capture and decision support system to improve newborn healthcare in low-resource settings.Wellcome open research · 2022Article
- Risk factors of mortality in neonates with neonatal encephalopathy in a tertiary newborn care unit in Zimbabwe over a 12-month period.PLOS global public health · 2022Article
- Admissions to a Low-Resource Neonatal Unit in Malawi Using a Mobile App and Dashboard: A 1-Year Digital Perinatal Outcome Audit.Frontiers in digital health · 2021Article
Corrections and comments
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Authors and funding
14 authors at 5 institutions in 2 countries.
Funding
Abstract
There are 2. 4 million annual neonatal deaths worldwide. Simple, evidence-based interventions such as temperature control could prevent approximately two-thirds of these deaths. However, key problems in implementing these interventions are a lack of newborn-trained healthcare workers and a lack of data collection systems. NeoTree is a digital platform aiming to improve newborn care in low-resource settings through real-time data capture and feedback alongside education and data linkage. This project demonstrates proof of concept of the NeoTree as a real-time data capture tool replacing handwritten clinical paper notes over a 9-month period in a tertiary neonatal unit at Harare Central Hospital, Zimbabwe. We aimed to deliver robust data for monthly mortality and morbidity meetings and to improve turnaround time for blood culture results among other quality improvement indicators. There were 3222 admissions and discharges entered using the NeoTree software with 41 junior doctors and 9 laboratory staff trained over the 9-month period. The NeoTree app was fully integrated into the department for all admission and discharge documentation and the monthly presentations became routine, informing local practice. An essential factor for this success was local buy-in and ownership at each stage of the project development, as was monthly data analysis and presentations allowing us to rapidly troubleshoot emerging issues. However, the laboratory arm of the project was negatively affected by nationwide economic upheaval. Our successes and challenges piloting this digital tool have provided key insights for effective future roll-out in Zimbabwe and other low-income healthcare settings.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.