Clinical Decision Logic

In resource-limited settings

Clinical decision support is a priority application area.

Where resources are scarce, medical expertise is typically scarce and decision support can provide vital underpinning of quality of care.

Clinicians use the mangologic user interface directly to precisely shape the conditional logic, calculations and counselling they want their systems to follow.

Paediatric HIV Care

We are working with the Institute of Human Virology's Center for International Health, Education and Biosecurity (CIHEB) at the University of Maryland, Baltimore to define a decision support system to improve the care and treatment of children exposed to or infected with HIV.
This will initially be deployed in Zambia.

System diagram courtesy of Douglas Watson, M.D.

Paediatric Care

MSF's eCARE is a modern, evidence-based pediatric care algorithm designed to guide clinicians in primary care facilities run by MSF. It is currently in use in five countries in sub-saharan Africa.

The algorithm has been implemented by medical experts into an interactive system which clinicians can use to help guide their decision making and which in turn helps MSF see when and how clinical decisions diverge from MSFeCARE to permit future improvement of algorithms and systems.



Antimicrobial resistance (AMR) is the ability of a microorganism (like bacteria, viruses, and some parasites) to stop an antimicrobial (such as antibiotics, antivirals and antimalarials) from working against it. As a result, standard treatments become ineffective, infections persist and may spread to others.

In the fight against the rapid spread of AMR, clinicians use MSFeCARE to better target prescription of antibiotics and thus decrease over-prescription.

Deployment of MSFeCARE has been demonstrated to reduce antibiotic prescription by more than 50% on average.