Abstract:
This Open Educational Resource (OER) presents a comprehensive Excel-based clinical decision support and learning tool designed to enhance antenatal care management in primary care settings. Developed in alignment with the Sabah Obstetrics Shared Care Guideline (SOSCG), the tool integrates key components of maternal assessment, including anaemia evaluation, risk stratification, iron therapy calculation, and clinical decision pathways.
The Excel platform incorporates automated calculators and embedded logic to assist healthcare providers in interpreting clinical parameters accurately and efficiently. Core features include haemoglobin-based anaemia classification, Mentzer index calculation for differentiation of microcytic anaemia, intravenous iron dose estimation, and infusion rate guidance. Additional modules support screening and monitoring processes relevant to antenatal care, promoting standardisation of clinical practice.
Designed for both service delivery and educational purposes, this tool facilitates experiential learning among medical students and primary care practitioners by linking theoretical knowledge with practical application. Its user-friendly interface reduces calculation errors, improves decision-making speed, and supports adherence to evidence-based guidelines.
This resource is particularly valuable in resource-limited and high-burden settings such as Sabah, where efficient, accurate, and guideline-concordant antenatal care is essential. By making this tool openly accessible, it aims to strengthen clinical competency, enhance maternal outcomes, and support continuous medical education.