CLIC Client Information Centre Sam Johnson, MIS Technical Lead, MSI Joseph Komwihangiro, Health Services Director, MS Tanzania

The problem CLICMarie Stopes International2 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

The challenges CLICMarie Stopes International3 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

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 International4

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 International5

The roll-out… CLICMarie Stopes International6 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)

…and the Impact! CLICMarie Stopes International7

More effective, personalised care for clients CLICMarie Stopes International8 We’re tracking clients over time, and using this data to improve care (e.g. reminders when FP methods are due for renewal)

Closer monitoring of clinical quality CLICMarie Stopes International9 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

Staff spend less time on reports, and more time on clients… CLICMarie Stopes International10 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.

Finally: it’s not just about tools… Evaluations of MSI’s Mobile Outreach Services in India and Zimbabwe Marie Stopes International11

…it’s about people. CLIC Marie Stopes International12

Any questions… CLIC Marie Stopes International