Towards a better health system

Reliable, scalable and cost-effective health data solution

Current healthcare systems are not perfect!

Here are just some of the drawbacks

Weak accountability mechanisms

Lack of a proper accountability mechanism is leading to problems such as misused funds. Without an efficient mechanism funds can be spent on any purpose other than the intended one which hinders the quality of services to improve.

Lack of visibility

Without an efficient mechanism that provides visibility about the services, the health workers who performed those services and the clients who received those services, making effective decisions about whether or not the services have proper quality or finding the underlying problems is almost impossible. Reliable data supports decision making and leads to high performance healthcare systems.

Input based financing

Paying funds to the low performing health centres has a negative, unintended result of working against performance improvement. Healthcare systems would not improve unless funds are paid based on their high performance. Without an efficient output based mechanism, no improvements would be made, because payments are done as long as system remains low performing.

Sustainability issues

Experience has proven that mechanisms with high reliability on financial, human and technological resources would not last long. We need mechanisms that allow governments to sustain the solution long-term, and be less dependent on external donor funds for support in data collection and data use activities.

We are here to solve the problems

Here are just some of the the use cases of our solution!

Outreach improvement solution

See the Outreach outputs, then Pay.
Always full transparency.

Support supervision solution

Improve the quality of healthcare services with effective performance-based mechanism.

Results-based financing

Implement an effective results-based financing mechanism to improve the performance.

Outreach solution

See the outreach outputs, then Pay.
Always full transparency.

Outreach solution >

How does the current process of outreaches work?

Advance payment to districts

Conducting outreaches and preparing requisition

Payment to Health Workers after requisition approval

Sending compiled documents to MoH and Donors

Outreach solution >

Underlying problem

Weak accountability mechanism leads to misused funds and demotivated health workers who aren’t paid on time. As a result no outreach documents are sent and no payments are made!

1

Advance payments for outreaches are made to the districts.

2

Districts spend the funds on other purposes than outreaches.

3

As a result health workers are not paid for the outreaches.

4

Health workers are demotivated and not willing to do outreaches.

5

No outreaches means no documentation and no more funds!
“All as a reason of weak accountability mechanism”

Outreach solution >

How are we solving the problem?

First see the outputs, then pay!

Health workers conduct the Outreach using SPT solution

Supporting documents are digitized and requisitions are generated.

Requisitions are approved, mobile payments are made and integration with the account systems are done automatically.

Health workers are paid on time and directly into their accounts.

Outreach solution >

What are the changes that we are bringing?

Benefits

Reliable outreach documentation
Money is definitely spent on outreaches
Clients' info are documented
Output based payments
On-time payments for health workers
Automatic verification of outreaches

Support supervision solution

Encourage high performance by paying for improvements. Follow districts every step of the way.

Support supervision solution >

How does the current process of support supervision work?

Advance payment to the low performing districts

Meetings to review health facility performance, identify gaps, and discuss improvement actions

Support supervision visits to health facilities to ensure that actions are taken

Documents are compiled and sent to MoH and Donors

Support supervision solution >

Underlying problem

Paying low-performing districts has the unintended result of working against performance improvement. A weak accountability mechanism leads to misused funds, where support supervision visits are not done or do not bring the desired result because payments are made as long as districts perform poorly.

1

Funds for support supervision visits are paid only to the low-performing districts.

2

Districts would not be willing to make improvements because they would lose their future funds.

3

Effective measures are not taken to improve the quality of services.

4

Transparency regarding what has been done is limited.

5

Low-performing districts remain low-performing, and the process starts again.
“The quality of services does not improve as long as funds are allocated only to the low-performing districts.”

Support supervision solution >

How are we solving the problem?

First see the improvements in quality of services, then pay!

Low-performing facilities are identified based on data regarding quality of services

Efforts to improve low-performing facilities should be undertaken

Consequently, the performance of health facilities should be improved

Districts are paid for the output of their efforts when facilities improved their performance

Support supervision solution >

What are the changes that we are bringing?

Benefits

Direct payment for performance improvement
Make the effort where it is needed the most, based on reliable data about the performance of health facilities
Customisable indicators for measuring the performance of health facilities and districts.
Districts are encouraged to take effective action to improve their performance.

Results-based-financing solution

Results-based financing is made easy and fast through automatic verification and payments made directly to facilities' and health workers’ accounts.

Results-based-financing solution >

How does the current process work?

Healthcare services provided to clients are documented in the HMIS.

At the end of the month or quarter, invoices for provided services are generated manually by health workers and submitted to the district.

The district team visits the health facilities, performs manual verification of the provided services, and approves the invoice.

An aggregated invoice is sent to the Payer, payments are approved, and money is provided to the districts so that health facilities can be paid.

Results-based-financing solution >

Underlying problem

Several problems contribute to the inefficiency of results-based financing. First, the indicators set to measure services are mostly quantitative and incapable of measuring the quality of services. Second, the manual verification of the invoices takes a lot of time, energy, and money, and is not precise. Lastly, since the payments are made from top to bottom and are not paid directly to facilities and health workers, the process takes several  months to complete if done at all, causing health workers to become demotivated.

1

Health workers struggle to compile all supporting documents to manually prepare invoices on a monthly or quarterly basis.

2

District teams need to go to the health facilities and perform a manual verification which is not only time and energy consuming but also costly.

3

After a long period, once manual verification is performed, the invoices are aggregated and sent to the Payer.

4

Payments are made only if all invoices are aggregated and approved. This extensively delays payments.

5

Late payments demotivate healthcare workers, thereby counteracting service improvement.
“Manual verification and delayed payments are the root causes of inefficiency.”

Results-based-financing solution >

How are we solving the problem?

Automatic verification and direct payments
to facilities and health workers with no delay!

Healthcare services provided to clients are documented on SPT forms.

Supporting documents are digitised and verified based on quantitative and qualitative criteria, and invoices are generated.

Invoices can be checked against supporting documents and they are approved and signed through the app on all levels.

Payments are simplified and can be done on time thanks to auto-validated payment details and integration with accounting systems.

Results-based-financing solution >

What are the changes that we are bringing?

Benefits

Customisable indicators for measuring the quality and quantity of services.
Automatic verification by the system.
Payments are made on time to the facilities and health workers

You’re in safe hands!

We have implemented our solution all around the world.

“National implementation in less than 6 months!”

Hear from some of our partners

Our partners

90%

Reduction in data verification costs

*Based on the annual cost comparison of the existing HMIS and SPT in Zambia

+11000

Health system delivery points using our solution

In eight countries around the world

100%

Data visibility regardless of infrastructure limitations

*Based on external evaluation of SPT solution in The Gambia

Why is our solution the best?

Get in touch

Fryksdalsbacken 12,
123 43Stockholm, Sweden
Organizational no.: 802477-8089
Bankgiro: 900-4938
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