1. With the limited digital infrastructure and resource constraints, I didn’t see the electronic-based clinical decision support system specifically using or plan to use for NCD patients in Myanmar. One of my friends said there is one application called the Community-Based Health Assistance app which is using in MAM (Medical Action Myanmar) at the community health workers (CHW) level in remote areas. The application consists of different basic healthcare management around 15 types and the use of the volunteers was controlled by team leaders who are medical professionals. Unfortunately, I didn’t get and find the detailed pros and cons of the tool.

2. Based on my experience mostly with the MNCH and communicable diseases at the community level, I believe that one option as the NCD management tool will support management for better patient care and monitoring but don’t think as the best option to compensate for the shortage of healthcare workers in underserved areas, especially in Myanmar. A lot of infrastructure in terms of technology, health literacy, access difficulties, time constraints, altitude/cultural challenges, and no law enforcement could become the limitations for the sustainable use of the support system at the community level with the current situation.

Currently, the health cluster and WHO in Myanmar are encouraging and applying iCCM (integrated Community Case Management) strategy to train and support CHW for childhood illnesses: malaria, pneumonia, and diarrhea. https://shorturl.at/TIizd
It could be beneficial to integrate NCD patient care into this strategy to support healthcare providers in low-resource settings. Regular mobile clinics using the iCCM approach, supplemented with NCD management tools, could also be one option and can enhance the quality of care. This is sure we should take the strength of community-based resources and technology in addressing the healthcare workforce shortage in remote areas.