CLICClient Information Centre

Sam Johnson, MIS Technical Lead, MSIJoseph Komwihangiro, Health Services Director,

MS Tanzania

2

The problem

CLIC Marie Stopes International

• All client records kept on paper forms and registers• Clients not properly tracked over time, data difficult to access/use for client care

• Poor timeliness of management reports – could not respond rapidly to changes

• Frontline staff fed data upwards, but had little access to reports

3

The challenges

CLIC Marie Stopes International

• We deliver services via small teams, often in remote areas

• Slow/interrupted internet, or no internet at all• Poor IT literacy, with many staff having never

used a computer• Limited resources, particularly for IT support• No existing system/software that works in these

environments

4

The Solution

CLIC

MSI’s Client Information Centre (CLIC)• Structured around a single electronic record for each

client• Client care is tracked over time, and this single client record

can be shared nationally by all MSI clinics and outreach teams

• Provides a much deeper understanding of our clients, with actionable client-care reports available in real-time

• A focus on decision-making by frontline staff, with all management reports that are available at head office also available locally to frontline staff at the press of a button

Marie Stopes International

5

Rising to the challenges – a 4WD MIS

CLIC

• Works 100% offline, using whatever connectivity available =works with poor internet, or even just USB sticks

• Can run on any modern PC or laptop = cost-effective, and portable by outreach teams

• Very simple screens, designed to look like paper registers = lower training requirements, rapid adoption curve

• Self-monitoring and self-updating software (via internet/USB) = cost-effective to maintain, requires only very minimal IT support

Marie Stopes International

6

The roll-out…

CLIC Marie Stopes International

• Being used by 200+ MSI clinics / outreach teams in 17 countries

• 1.3 million clients being managed via CLIC• Continuing to roll CLIC out to new country

programmes (two more planned by the end of this year)

7

…and the Impact!

CLIC Marie Stopes International

8

More effective, personalised care for clients

CLIC Marie Stopes International

We’re tracking clients over time, and using this data to improve care (e.g. reminders when FP methods are due for renewal)

9

Closer monitoring of clinical quality

CLIC Marie Stopes International

We’ve added new client-tracking indicators to our clinical quality dashboards, and are able to identify issues as they arise

2015 Q1 Quality Assurance Framework Dashboard, MS Tanzania

10

Staff spend less time on reports, and more time on clients…

CLIC Marie Stopes International

• Up to two days spent compiling monthly paper summaries has been replaced by push-button submissions

• Reporting to head office is now weekly instead of monthly• Automated reports help staff with daily tasks that used to

be time-consuming, such as end-of-day reconciliations and generating insurance invoices

• Automated dashboards help us better manage our operations – e.g. we’ve been able to monitor daily staff-to-client ratios in clinics, and redeploy staff where they’re needed most.

11

Finally: it’s not just about tools…

Evaluations of MSI’s Mobile Outreach Services in India and Zimbabwe Marie Stopes International

12

…it’s about people.

CLIC

Marie Stopes International

Any questions…

CLIC

Marie Stopes International