tracking social franchise clients across demand creation and clinical services via dhis2 in psi el...
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Tracking Social Franchise clients across demand creation and clinical services via DHIS2 in PSI El
Salvador
Organization: PSI (PASMO) El SalvadorAuthors: Dra. Marcia Ivon Cruz, Sarah Romorini, Nicola Hobby, Dra. Nuria Canizalez
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Background
• Demand-creation activities for potential clients to visit Red Segura Clinics for women´s health services
• Before: – Lack of real-time information– Program decision-making
based on outdated information– Challenge to compile and
present meaningful results
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Method• Introduction of DHIS 2 an open-source
management information system (MIS) software
• Data entered at client level reports aggregated from these records
• (Near) real-time information – Referral success– Average times between interventions – Services received
• Ex: women´s health check-up, family planning consultations, methods provided, general consultations
– Follow-up for clients who haven´t received services but interested
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The bumps• Initial time investment as a “pioneer” – Relatively new system responded to field feedback– System troubleshooting and building new
functionality to increase data entry efficiency – Training staff on data entry– Staff adaptation to change
• Overcome through:– Strong team buy-in/committment to use the system– Regionally based Consultants who could
troubleshoot with the team in real time– Good team communication
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Sample DHIS2 dashboard
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Sample DHIS2 dashboard
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Findings• One System - All field and facility-level data exists in one place• Broad Access - All program staff has access to data• Self-generated analysis – Not dependent on technical staff; • Improved evidence-based decision-making
– Access to real-time information– Improved analysis, better understanding of efficacy and more
successful areas– Improved supervision for demand generation activities– Graphs automatically generated
• Reduced time to consolidate reports• Communication to providers on outcomes
– Motivation to better understand clients, services rendered– …A little bit of peer pressure never hurts…
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Applicability?
• System to potentially help franchises (and programs) analyze effectiveness and make decisions– Visualizing trends help predict changes in client
behavior – Improved accountability and supportive
supervision of field staff– Targeted support for franchised providers– Adjust program as needed
• Improved client information and trends for providers
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What’s next?
• Franchisee supportive supervision visits module added to DHIS2 reporting
• Possible pilot for data entry for providers; supportive environment
• Include key franchise indicators into DHIS2 system for improved franchise monitoring and support