biostudies-literatureUnknown24(1)McLaughlin M<h4>Background</h4>The World Health Organization (WHO) Integrated Management of Childhood Illness (IMCI) guidelines established in 1992 to decrease preventable under-five child morbidity and mortality, was adopted by Nigeria in 1997. Over 20 years later, while under-five child mortality remains high, less than 25% of first level facilities have trained 60% of community health workers (CHW) who care for sick children with IMCI. This study investigated the impact in CHWs overall adherence to IMCI guidelines, particularly for critical danger signs, as well as usability and feasible following the implementation of THINKMD's IMCI-based digital clinical decision support (CDS) platform.<h4>Methods</h4>Adherence to IMCI guidelines was assessed by observational and digital data acquisition of key IBMC health services research953https://www.ebi.ac.uk/biostudies/studies/S-EPMC11337650biostudies-literatureAdherence to integrated management of childhood illness (IMCI) guidelines by community health workers in Kano State, Nigeria through use of a clinical decision support (CDS) platform.PMC11337650McLaughlin MMahmoud NMAbbas DMetiboba LMount-Finette ELangle-Chimal OFemi-Ojo OGiwa ARavi NFinette BfalseAdherence to integrated management of childhood illness (IMCI) guidelines by community health workers in Kano State, Nigeria through use of a clinical decision support (CDS) platform.<h4>Background</h4>The World Health Organization (WHO) Integrated Management of Childhood Illness (IMCI) guidelines established in 1992 to decrease preventable under-five child morbidity and mortality, was adopted by Nigeria in 1997. Over 20 years later, while under-five child mortality remains high, less than 25% of first level facilities have trained 60% of community health workers (CHW) who care for sick children with IMCI. This study investigated the impact in CHWs overall adherence to IMCI guidelines, particularly for critical danger signs, as well as usability and feasible following the implementation of THINKMD's IMCI-based digital clinical decision support (CDS) platform.<h4>Methods</h4>Adherence to IMCI guidelines was assessed by observational and digital data acquisition of key I2024-01-01T00:00:00Z2024 Aug2025-04-04T07:54:07.847Z2025-04-04T07:54:07.847ZS-EPMC113376503916464710.1186/s12913-024-11245-z