A strong month overall — OPD returning rate climbed to 54%, ANC completion broke 80% for the first time, and the “slipping away” list shrank by 15 patients. Immunisations are flat and worth a closer look.
The OPD reminder cadence we adjusted in February is now compounding. Returning patients are up 3 points month-over-month and the no-show rate dropped to its lowest level since we started measuring. Most of the gain came from second and third visits — not first returns — which suggests deeper retention is taking hold, not just front-of-funnel response.
On MCH, ANC completion crossed 80% for the first time. The mothers who completed the full schedule this month are concentrated in the cohort enrolled in January — another sign the system performs better the longer it runs with a given group.
This month, last month, the change, and what it means.
| Metric | This Month | Last Month | Change | What it means |
|---|---|---|---|---|
|
OPD Returning Rate
First-time patients who came back for a second visit
|
54% | 51% | +3 pts | Climbing steadily for four months. Compounding effect of consistent follow-ups. |
|
No-Show Rate
Scheduled appointments that didn't happen
|
11% | 14% | −3 pts | Lowest since we started. Reminders are landing on the right channel. |
|
ANC Completion Rate
Expectant mothers who completed their full ANC schedule
|
81% | 76% | +5 pts | First month above 80%. January cohort drove most of the gain. |
|
Immunisation Coverage
Children in your patient base on schedule for immunisations
|
87% | 86% | +1 pt | Plateau. Pentavalent-3 doses are the slowest moving — flagged for review. |
|
PNC Follow-up Reach
New mothers who engaged with post-natal check-ins in first 6 weeks
|
74% | 68% | +6 pts | Strongest single-month jump. New PNC message timing is working. |
|
Patients Slipping Away
Patients with no return visit in 60+ days
|
52 | 67 | −15 | Re-engagement campaign in March recovered 11 patients. Continuing in April. |
Three of your six metrics moved meaningfully in the right direction this month. The two biggest wins — ANC completion and PNC follow-up reach — both came from MCH, suggesting your maternal care pipeline is now your strongest retention engine.
Immunisation coverage is the one to watch. It's held above 85% for three months but hasn't grown. We've broken down the data by vaccine and the bottleneck is consistent — details on the next page.
Specific, scoped, and tied to the numbers above. We'll execute and report back next month.
We'll run a soft re-engagement nudge over the next two weeks — one personalised message, then a follow-up if no response. Based on March's recovery rate (16%), we'd expect to recover 8 to 10 of these patients before they cross the 90-day threshold.
Pentavalent-3 is dragging your overall immunisation number. 23 children in your patient base are overdue and reachable. We'll send a dedicated reminder to those families this week with a follow-up call list for your MCH nurses.
The January enrolment cohort is your top-performing ANC group. We'll look at what was different about their onboarding (timing, message variant, nurse handover) and roll the best elements into how new mothers get enrolled this month.
A solid month, Dr. Mwangi. The MCH gains in particular are now compounding — expect ANC and PNC numbers to keep climbing if we hold the current cadence. I'll send a quick call invite next week to walk through actions 1 and 2 before we execute. Anything you'd like the May report to include that isn't here, just say.
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Sample report — numbers and facility name are illustrative. Real reports are confidential to the facility they're prepared for.