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

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based on outdated information– Challenge to compile and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

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

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

Sample DHIS2 dashboard

Sample DHIS2 dashboard

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…

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

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