Programme records for NGO clinics: SRH, HIV, TB and outreach
Programme registers, cohort reports and defaulter tracing on the same record as the rest of the clinic — entered once, at the point of care, by the people giving the care. With HIV, mental-health and confidential SRH charts sealed, and every site on one system, kept separate.
The problems we hear from NGO and programme sites
Clients lost to follow-up in the first months
Most losses from HIV care happen early. A defaulter found at month-end is a defaulter found too late.
Cohort reports counted, not generated
The cohort report and the monthly return are tallied from registers by data clerks — late, and only as accurate as the count.
Viral-load results nobody acts on
An unsuppressed result that sits in a folder is a client who should have started enhanced adherence counselling weeks ago.
Confidentiality that depends on the folder
Clients who fear being seen do not come back. A paper file can be read by anyone who handles it.
Outreach that leaves no record
Youth sessions and community activities happen away from the building, with no visit and no bill — so they rarely show up in the data.
Paper and screen, side by side
Keeping the paper register and an EMR at the same time makes both worse. The record has to be the one place the work is written.
What you get on day one
Defaulters the day they miss
Differentiated service delivery models and defaulter tracing for ART, and defaulter tracing with transfer in and out for TB — with reminders by Telegram, WhatsApp or SMS.
Cohort reports generated
The ART and TB cohort reports, the HMIS return and a DHIS2 export come from the visits already recorded.
Charts sealed by default
HIV, mental-health and confidential SRH charts can be sealed, with break-the-glass access and unusual reads flagged — and a waiting room that calls numbers, never names.
Every site, one system
Run several programme sites on one system, each kept separate, administered from one console and compared side by side.
HIV care, ART and TB on the national registers
The ART clinic runs on enrolment with the unique ART number, initiation, the follow-up form, regimen and status changes, and the viral-load loop with enhanced adherence counselling. TB runs on the presumptive and unit registers with the TB number, treatment and DOT cards, contact screening and preventive therapy.
- Unique ART number, follow-up form and the ART cohort report
- Viral-load loop with enhanced adherence counselling
- PMTCT and HIV-exposed infant follow-up, PrEP and PEP
- TB and DR-TB treatment cards, DOT card, contact screening and TPT
- Leprosy register with disability grading, and the TB cohort report
Youth-friendly SRH services and outreach
Family planning and ANC visits, HIV testing and counselling, STI cases and counselling sessions run on the youth client profile. Community outreach is recorded as it happens, without a visit or a bill.
- Family planning and antenatal visits
- HIV testing and counselling, and STI cases
- Counselling sessions and the youth client profile
- Community outreach recorded without a visit or a bill
The modules NGO and programme sites use
Every facility gets the core. Add-ons are switched on only where you need them.
HIV Care & ART
The ART clinic on one record: enrolment, follow-up, viral load and the cohort report.
- Enrolment with the unique ART number, and ART initiation
- Follow-up form, regimen and status changes
- Viral-load loop with enhanced adherence counselling
- Differentiated service delivery models and defaulter tracing
TB & Leprosy
The unit TB register and treatment cards, with results flowing in from the lab when you have one.
- Presumptive TB register and unit TB register with the TB number
- TB and DR-TB treatment cards, and the DOT card
- Contact screening and TB preventive therapy
- Defaulter tracing and transfer in / out
Sexual & Reproductive Health
The registers a youth-friendly service keeps, including work done away from the building.
- Family planning and antenatal care visits
- HIV testing and counselling, and STI cases
- Counselling sessions and the youth client profile
- Community outreach recorded without a visit or a bill
Security & Privacy
Each role sees only its own work, and every action carries a name and a timestamp.
- Role-based access — each staff member sees only what their job needs
- Facility-defined custom roles
- Sensitive charts (HIV, mental health, confidential SRH) sealed, with break-the-glass access
- Access monitoring that flags unusual record reads
HMIS & Surveillance
The national returns a facility is legally required to file, produced from the work already recorded.
- Monthly, quarterly and annual HMIS service return on the official reporting calendar
- OPD and IPD disease returns by sex and age band
- DHIS2 export keyed by FMOH indicator code
- Notifiable-disease alerts and the weekly IDSR return
Multi-Branch & Multi-Facility
Several facilities on one system, separated by default and administered from one place.
- Multiple facilities on one system, fully separated
- Branches, departments, wards, rooms, and chairs
- Per-facility operating hours, settings and branding
- Referral directory and referral letters in both directions
Laboratory
Ordering from the room, a worksheet for the bench, and results that keep their corrections.
- Lab test catalogue with order sets and STAT / urgent / routine priority
- Lab worksheet — technicians see their day's work in one list
- Barcoded specimen labels and scan-to-receive
- Results straight from analysers (ASTM and HL7)
Mobile App
The facility in a pocket for staff, and still readable when the connection drops.
- Patients, appointments, queue and triage on the phone
- Invoices, payments, and payment proof capture
- Medical records and lab results
- Field screens for postnatal and growth-monitoring visits
Data Exchange
Records that can leave the building in a standard shape when the patient or the system needs them to.
- FHIR R4 read access to patients, encounters, observations, results and prescriptions
- Clinical documents in and out as CDA
- E-prescriptions an outside pharmacy can verify
- Client registry with Fayda national ID
What NGO and programme sites ask us
Is the unique ART number supported?
Yes. Enrolment with the unique ART number, ART initiation, the follow-up form, and regimen and status changes.
Does it produce the ART and TB cohort reports?
Yes, both — along with the HMIS return and a DHIS2 export.
Does it produce PEPFAR or Global Fund indicator reports?
Not as built-in reports. It produces the national cohort reports, the HMIS return and a DHIS2 export, and reports export to Excel for further analysis. Talk to us about your donor’s requirements.
Does it replace or sync with SmartCare?
No. Bloom keeps its own programme registers and reports, with FHIR R4 read access and CDA documents for exchange. It does not sync with SmartCare or other national EMRs, so check your programme’s requirements first.
Who can see an HIV chart?
Only the roles you authorise. HIV charts can be sealed; opening one means breaking the glass, which is logged and flagged.
Can we run several programme sites?
Yes. Multiple sites on one system, each fully separated, with a central administration console and every site’s numbers side by side.
Can outreach workers record on a phone without network?
The staff mobile app is readable offline, but saving new records needs a connection. Outreach can be recorded once the team is back in coverage.
The research behind this page
Missed appointments in Ethiopia are a clinical failure, not an empty chair
39.2% of hypertensive patients in South Gondar follow-up clinics missed their appointments. In HIV care, 93% of patients lost to follow-up disappeared within six months. The Ethiopian evidence measures the harm, not the lost revenue.
Reporting on time and reporting correctly are different problems
Ethiopia runs one of the world's largest DHIS2 deployments — 30,000+ facilities, 95% reporting rates. The national maturity assessment scores data quality and infrastructure far lower. Submitting a report and submitting a correct one are not the same achievement.
Proclamation 1321/2024 makes patient data a legal duty, not a filing habit
Ethiopia now has a comprehensive personal data protection law. Health data is classified as sensitive personal data, breaches must be reported to the regulator within 72 hours, and the obligations apply to private clinics — not only to hospitals.
Also built for
View allHealth centers
Every programme register on one record, with the HMIS return built from the work.
MATERNITY & CHILD HEALTHMaternity & child health
ANC to the last vaccine on one record, with the partograph, EPI schedule and HMIS return built in.
CLINIC GROUPSClinic groups
Every branch on one system: stock transfers, cash closed per shift and numbers side by side.
Bring your reporting requirements
Send us the registers and reports your programme files. We will show you which come straight out of the system — and say plainly which do not.