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Organization : PSI (PASMO) El Salvador

Tracking Social Franchise clients across demand creation and clinical services via DHIS2 in PSI El Salvador. Organization : PSI (PASMO) El Salvador Authors : Dra. Marcia Ivon Cruz, Sarah Romorini , Nicola Hobby, Dra. Nuria Canizalez. Background.

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Organization : PSI (PASMO) El Salvador

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  1. Tracking Social Franchise clients across demand creation and clinical services via DHIS2 in PSI El Salvador Organization: PSI (PASMO) El Salvador Authors:Dra. Marcia Ivon Cruz, Sarah Romorini, Nicola Hobby, Dra. Nuria Canizalez

  2. 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Segura Clinics for women´s health services • Before: • Lack of real-time information • Program decision-making based on outdated information • Challenge to compile and present meaningful results

  3. 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

  4. Thebumps • 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 staffon data entry • Staff adaptation to change • Overcomethrough: • Strong team buy-in/committment to use thesystem • Regionally based Consultants who could troubleshoot with the team in real time • Good team communication

  5. Sample DHIS2 dashboard

  6. Sample DHIS2 dashboard

  7. 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…

  8. 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

  9. 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

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