AFB-M/Refpath

Nigeria Clinical Referral Decision Support System # RefPath ### Nigeria Clinical Referral Decision Support System --- ## What is RefPath? RefPath is an AI-powered clinical referral decision support tool built specifically for Nigeria. A community health worker or clinician types a patient presentation in plain English and gets back: - ✅ The matched clinical condition from NSTG 2022 - ✅ Appropriate level of care (primary, secondary, or tertiary) - ✅ Urgency classification (emergency, urgent, or routine) - ✅ Immediate intervention from Nigerian clinical guidelines - ✅ Nearest appropriate health facilities ranked by distance **Try it live:** refpath.streamlit.app --- ## The Problem Nigeria's referral system fails not because clinicians don't know when to refer — but because no tool exists that tells them *where* to refer. A CHW in rural Ondo who knows a patient needs tertiary care still has to figure out which facility to go to, how far it is, and what to do in the meantime. RefPath fills that gap — the referral decision layer that sits on top of clinical knowledge. > *"You know what the patient needs. RefPath tells you where to take them."* --- ## How It Works ``` User Input (free text) ↓ Gemini 3.6 Flash → Match against 285 clinical scenarios ↓ Extract: condition, care level, urgency, intervention ↓ Haversine Distance → Rank 37,261 facilities by proximity ↓ Return: Referral recommendation + nearest facilities ``` --- ## Example **Input:** `"Pregnant woman with fits and high blood pressure"` **Output:** ``` 🔴 Eclampsia Urgency: EMERGENCY | Care Level: TERTIARY Immediate Action: Secure airway, place in left lateral position. Give IV/IM magnesium sulphate 4g loading dose over 5 minutes. Control BP with IV hydralazine 5-10mg or labetalol 20mg IV. Insert urinary catheter. Deliver baby urgently. Transfer immediately to tertiary facility. Source: FMOH Maternal Health Guidelines 2016 Nearest Tertiary Facilities: 📍 State Specialist Hospital — Ondo West, Ondo · 1.8 km 📍 Flomer Garden Specialist Hospit …