1. Strengthening FP voucher service provision in BlueStar SF Network using Claims Processing Data Management System (CPDMS)
Authors: Kanakulya Richard1, William Nnyombi1, Kelsi Kritimaa1
Affiliation:
1 Marie Stopes Uganda

2. Introduction
MarieStopes Uganda (MSU) is implementing a five year program for provision of long acting and permanent methods (LAPM) of FP services.
75% of the targeted services are voucher based (targeting the poor populations), and 25% of services are targeting Cash clients
The program works through 400 accredited Bluestar clinics across the country, where MSU reimburses the franchisees for voucher service provided.
As MSU needed a system to help effectively monitor the voucher scheme implementation and be able to process claims on a timely basis, the ‘Claims Processing Data Management System’ (CPDMS) was developed

3. External relations & Advocacy Voucher Service providers
MSU Voucher Management Mechanism
Claims
Processing
&
Reimbursement
to Providers
Accreditation,
contracting
and
training VSPs
Contract Mgt
Project
Supervision &
M&E
Monitor service
Quality
&
CME
Design,
distribution of
Vouchers
BCC activities
External relations & Advocacy
Voucher distributors
Voucher Service providers
Voucher recipients

4. Background
Reimbursement and payment reports to providers were recorded using paper based records and Excel spreadsheet.
The above systems were compounded by several challenges including;
Poor and slow programme monitoring and delayed reimbursements to providers.
None detailed program reports that can help management in strategic operations of the scheme

5. Program Intervention Implemented in February 2011, the CPDMS captures:
MSU implemented the CPDMS, an SQL database to capture information that is used to focus resources and increase efficiency of FP-service provision (program monitor and timely reimbursements to providers)
Implemented in February 2011, the CPDMS captures:
FP clients’ bio data and geographic information and the information on the PGT
Medical & Reproductive history and FP method taken
Complications reasons and treatment given
Reason for FP removal and FP charges in each module
The CPDMS currently provides:
Timely information used for generating service numbers, performance reports & reimbursement reports.
Used to Quarantine claims, reject claims & fraud control
I tried to re-format this slide to make it easier to read and less text-heavy.
1st Bullet # The CPDMS is the Main MIS under BlueStar social franchise network

6. System operation
Claims submitted to MSU offices by VSP
Claims received is recorded by Admin Assist
Claims are entered in the system
Reimbursement report are generated by finance team
System checks adherence to CP system
Medical Advisors vetting claims
Payment processed and VSP paid
VSP provides service
MarieTXT-SMS platform enabling real time reporting and communication with CBDs and service providers
Voucher distribution to clients
START
STOP
The beneficiaries of the CPDMS are BlueStar managers, Research Monitoring & Evaluation department, Finance department and other stakeholders

7. Program Intervention
Coupon for provision of service
Coupon for management of complication/side effects
Coupon for removal of method
With Integration of the SMS platform (MarieTXT) in CPDMS; The system has an interactive platform to continuously share information between Voucher management agency (MSU) & service provider (VSP) and the community based distributors of vouchers(CBDs). The SMS platform has been linked to the Hotline for more interaction with the clients, VSPs & CBDs.

8. Key findings
The CPDMS has made FP claims processing faster and more efficient than the initial systems with;
Fast and improved data validation to check fraud and other inconsistencies from the voucher scheme and service delivery.
Improved FP data management for decision making through routine tracking of voucher services and generating detailed reports both programmatic and financial.
Enhanced security and access authentication at different modules and levels with over 100 users able to be logged on at the same time

9. Program Implications/Lessons
Due to the efficiency of the CPDMS in processing FP data, BlueStar management has been able to process FP claims for providers efficiently and has been able to make evidence based decisions through reviews and routine monitoring and evaluation.

10. MarieStopes Uganda staff processing FP Claims

11. Thank you for your attention!
Contact information for MSU: