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
• 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based on outdated information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
• 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
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
– Regionally based Consultants who could
troubleshoot with the team in real time
– Good team communication
Sample DHIS2 dashboard
Sample DHIS2 dashboard
• One System - All field and facility-level data exists in one
• 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…
• System to potentially help franchises (and
programs) analyze effectiveness and make
– Visualizing trends help predict changes in client
– Improved accountability and supportive supervision
of field staff
– Targeted support for franchised providers
– Adjust program as needed
• Improved client information and trends for
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

Sarah Romorini, PSI - Social Franchising for Health