1. LEVERAGING TECHNOLOGY TO IMPROVE QUALITY PSI\TANZANIA Authors: Anya Fedorova, PSI; Niza Sikana, PSI; Dr. Joseph Mashafi, PSI, Dr. Edgar Lusaya, PSI, Dr. Khadija Said, PSI. Presenter: Edwin Mtei

2. PSI\T has a network of 245 clinics located in 13 regions of Tanzania The clinics are supervised by 11 QA Coordinators Paper-based checklists were used to give QA scores to providers, and were collected on a monthly basis This reporting system faced a number of challenges including -Late reporting due to geographic challenges -Loss of reports due to transport logistics -Untimely analysis of collected reports -Untimely feedback to the field team for improving performance Business Problem

3. What we wanted to do Have a system that allows us to confirm that the supervisory visit took place QA scores being immediately available to give feedback to the provider and for analysis and actions in HQ level No opportunity to skip a step at checklist Functioning off and online

4. Solution Smart phone or a tablet with; Native application to function off and on line to enter and calculate the QA scores Ability to capture GPS (works even without mobile network available) Auto Syncronization with web based system when connection is available

5. How it works QA supervisor inputting data in the system Interactive Smartphone interface

6. How it works cont…

7. System pilot findings Data from 207 supervisory visits conducted in 6 consecutive months were analyzed 15% of providers were visited twice 30% of providers did not receive any supervision At large, field QA staff did not adhere to quarterly supervision call cycle

8. Importance of the technology Produces online/real time reports for management decision making Real time data collection enhances team efficiency Enhance better monitoring of QA supervisors Reduced workload for supervisors

9. Challenges – QA supervisors adapting to new technology – Initial and maintenance cost – More focus on QA supervisors and providers

10. Applicability to social franchising Facility management access of the data enhance better provider performance monitoring Real time data availability enhance accurate QA data reporting both to donors and Ministry Of Health The system ensures effective use of franchise management human resource

11. THANK YOU