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Adoption of an Electronic Decision Support Tool for Capacity Building of Community Health Workers: Mixed Methods Study

by

Authors: Anton Elepaño, Carol Stephanie Tan-Lim, Clare Bankhead, Leonila Dans, Noleen Marie Fabian, Josephine Sanchez, Antonio Dans, Catherine Pope

A study followed the use of UpToDate, a clinical decision tool, by community health workers (CHWs) in rural and remote areas over three years. While CHWs liked the tool, actual use was low and declined over time, affected by power outages, heavy workloads, and limited device access. CHWs mainly used it for learning and building professional credibility rather than at the point of care. The study suggests that measuring logins alone doesn’t capture real value, and digital tools work best when integrated into training, peer learning, offline access, and local language support to ensure lasting impact.

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Resource Topic: CHW Support, CHW training, Digital health

Resource Type: Mixed Methods

Year: 2026

Region: Asia

Country: Philippines

Publisher May Restrict Access: No

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