Family Planning eRegister or FP eRegister is a part of Union Facility eRegister. It is an electronic version of existing paper-based Pill, Condom, Injectable, IUD, IUD Follow up, Implant Follow-up Registers used at Union Health and Family Welfare Center (UHFWC), MCH-FP unit of Upazila Health Complex (UHC) and Maternal and Child Welfare Center (MCWC) by Family Welfare Visitors and Sub Assistant Community Medical Officers (SACMO) to record family planning services. It is a mobile application (mHealth) that works both offline and online.
How does FP eRegister work?
Once any person is registered can retrieve particulars of that person as a service seeker or client from the hand-held device (Tablet PC) or from Population Registration System (PRS) database using unique ID which is provided during registration or performing a search using different parameters. Service histories of the clients are also available from relevant database tables. FWVs are also be able to check the status of distribution of FP methods by other service providers (e.g. methods distributed by FWA during ELCO visit). The details of pill, condom and injectable usage are accessible from family planning eRegister.
Key Components of FP eRegister
Methods Eligibility Screening following Medical Eligibility Criteria (MEC)
This Family Planning (FP) eRegister can also guide the provider for appropriate method selection for the Eligible Couple (ELCO) using the Medical Eligibility Criteria (MEC).
The combined Pill – Condom register is converted to eRegister. Data from FWA eRegister are visible at the facility level which helps providing appropriate services from facility and also reduces resource wastage at the community.
Injectable register is converted to eRegister for facility and community services. This integration of the eRegisters helps the FWAs to identify eligible clients for follow up dosages, the follow up dosage of injectable are usually provided by Community Service Provider.
IUD and Follow-up Registers
IUD and Follow-up registers are converted to eRegisters. After insertion of IUD (long acting), client requires follow-up as per schedule, which is now automatically prompted by the eRegisters.
Implant and Follow-up Registers
Implant and Follow-up registers are converted to eRegisters. FWVs are responsible to follow-up implant clients in a suggested schedule which is now automatically prompted by the eRegisters.
Integration with LMIS
FWV as Service Delivery Point (SDP), commodities like pill, condom, injectable, IUD from upazila store for distribution to the clients. FP eRegister is connected with MOHFW Supply Chain Management Portal (SCMP) – a separate DGFP database, and updates stock-distribution data end of the month through adjustment of closing balance with opening balance.
Tracking of service delivery point
This eRegister allows to identify the location where the service has been provided by service provider. E.g. whether the provided service from facility or satellite clinic.
Job aid with medical intelligence
Development of Job aid tools is novel in nature and made possible due to use of digital technologies. FWVs and SACMOs can access Family Planning service based list such as Pill-Condom, Injectable, IUD wise client list based on geographical location. This eRegisters built in medical intelligence allows the provider to identify the appropriate methods for client by following Medical Eligibility Criteria (MEC). Also this system has the provision to notify the provider instantly if the client needed to be referred to the higher level facility.
The FWVs and SACMOs prepare MIS-3 report at the end of each month. MIS-3 form is now generated automatically at any point of time. E.g. service providers are now be able to check their MIS-3 form even after providing each service. It significantly reduces the work load of the FWVs, and SACMOs who used to spend 1-2 days each month compiling the report by extracting relevant data from service register.
Data sharing and use
The data could be shared horizontally and vertically within and between Family Welfare Visitor (FWV), Sub Assistant Community Medical Officer (SACMO) and Family Welfare Assistant (FWA). Thus, it eliminates the likelihood of duplication or double reporting from same facility and community level as denominator is same and enforced through central database. Data collection is easy, timely and effortless. This would be pivotal in ensuring the quality of data.