Five Years of eMIS: Registering over 20 million individuals

Five Years of eMIS: Registering over 20 million individuals

A health system cannot function without data. Health planners and managers require data and a digital system is ideally suited for such task. The eMIS is a digital ecosystem of apps and applications. Within eMIS, Population Registration System (PRS) is a module embedded in FWA eRegister and HA eRegister developed for use of community level workers of Ministry of Health and Family Welfare.

The PRS started out as an individual app, however, later it was integrated with FWA eRegister and HA eRegister. The FWA eRegister is used by the Family Welfare Assistants working in the upazila set up of Directorate General of Family Planning. of Individuals within a household are registered using this system. The HA eRegister is used by the Health Assistants under the Directorate General of Health Services. Both the FWA and HAs work in the community level and their work include domiciliary visits.

The work of eMIS for them begins with registration of all the households and its members in their catchment areas. Actually, in addition to personal details, they collect the socioeconomic status of the households. The database is used for identifying the clients and to keep track of services provided to them. Health identification numbers are assigned to all the registered individuals. The unique HID is generated by SHR (Directorate General of Health Services, 2019), a system developed by the DGHS.

In this blog, we would give an idea of population registration activities carried out in the field. The eMIS started with pilot implementation in 2 districts (Tangail and Habiganj) in 2015. On the basis of initial results, it was scaled up in 6 more districts by 2018 (Lakshmipur, Noakhali, Natore, Madaripur and Maulvibazar). Both the FWAs and the HAs conducted population registration using PRS Tangail and Habiganj and later in Lakshmipur, Noakhali and 4 out of 7 upazilas of Natore. Registration in the remaining 2 districts were carried out by the FWAs. The chart below shows registration scenario in these 8 districts.

In short, 2,614,036 out of 3,722,183 households representing 70% of total households and 11,149,021 out of 17,082,804 individuals representing 65.26% of the population were registered. See the following table.

District Date Started Census 2011 HH Registered HH Progress Census 2011 Pop Registered Pop Progress
Habiganj Apr-15 397,379 360,738 90.78% 2110931 1744528 82.64%
Tangail Apr-15 870,102 913,910 105.03% 3605006 3505628 97.24%
Lakshmipur Feb-18 366,095 166,241 45.41% 1793879 729164 40.65%
Natore Feb-18 434,939 266,425 61.26% 1688053 1016994 60.25%
Noakhali Apr-18 618,088 292,507 47.32% 3028617 1395720 46.08%
Jhenaidah Apr-18 422,305 272,544 64.54% 1771304 1119017 63.17%
Madaripur Apr-18 252,098 112,153 44.49% 1165952 486970 41.77%
Maulvibazar Apr-18 361,177 229,518 63.55% 1,919,062 1,151,000 59.98%
3,722,183 2,614,036 70.23% 17,082,804 11,149,021 65.26%

In 2018, the DGFP decided to scale up the eMIS in additional districts and between January 2019 and December 2019 the eMIS tools were rolled out to 17 more districts. The chart below provides the progress of registration in these districts.

The table below provides further details:

District Date Started Census 2011 HH Registered HH Progress Census 2011 Pop Registered Pop Progress
Coxs bazar Jan-19 84,268 19,418 23.04% 471,768 92,566 19.62%
Rangpur Jan-19 717,370 174,039 24.26% 2,881,086 701,950 24.36%
Rajshahi Feb-19 96,906 33,829 34.91% 377,511 134,586 35.65%
Dinajpur Feb-19 82,383 28,586 34.70% 336,072 117,152 34.86%
Gaibandha Feb-19 600,863 92,672 15.42% 2,335,440 373,827 16.01%
Kurigram Feb-19 501,418 59,894 11.94% 2,039,590 247,840 12.15%
Lalmonirhat Feb-19 290,444 68,245 23.50% 1,256,099 317,982 25.32%
Nilphamari Feb-19 421,572 130,674 31.00% 1,834,231 566,438 30.88%
Thakurgaon Mar-19 314,815 31,825 10.11% 1,365,327 131,768 9.65%
Panchagarh Apr-19 218,476 35,603 16.30% 942,055 154,419 16.39%
Sunamganj Jun-19 439,119 254,370 57.93% 2,455,572 1,321,957 53.83%
Sylhet Jun-19 579,868 221,834 38.26% 3,342,112 1,193,380 35.71%
Cumilla Sep-19 1,050,812 597,993 56.91% 5,373,175 2,907,420 54.11%
Bandarban Nov-19 71,924 36,329 50.51% 347,228 165,580 47.69%
Khagrachhari Nov-19 133,792 47,031 35.15% 613,917 203,361 33.13%
Rangamati Dec-19 128,496 27,875 21.69% 595,979 119,583 20.06%
Chattogram Dec-20 961,397 58,389 6.07% 4,964,396 279,680 5.63%
6,693,923 1,918,606 28.66% 31,531,558 9,029,489 28.64%

Finally, some clarifications. All the eMIS tools have not been introduced in all the districts. Out of 32, only facility modules have been introduced in 7 districts. Therefore, population registration has not been carried out in those 7 districts. FWA eRegister, commonly known as community modules, was introduced gradually in different upazilas in all the districts. In some districts, all upazilas are yet to be covered. The figures in those cases reflect the total of upazilas, not the whole district. Census 2011 figures have been used as the baselines. If intercensal growth is considered, the baselines would be higher. On the other hand, there are some urban areas in all districts, which remain outside the purview of DGFP and population of those areas would remain outside the purview of the eMIS.

The process of registration is not easy and it required visiting particular household and discussion with at least one individual and collecting a host of variables relating to household and all its members. The FWA would request for consent before entering data. We intend to cover types of data captured under the PRS and challenges of data collection as well their use in a future blog.

By |2020-06-11T23:23:51-06:00 Published on April 04, 2020| Updated on June 11, 2020|Uncategorized|1 Comment

One Comment

  1. MD A Halim Miah June 20, 2020 at 9:03 am - Reply

    Dear respected Sir, many thanks for sharing the MoH&FW transformation from manual data management to software based data managemen. I worked for ICDDR,B for seven years as Research Manager. Experienced revealed that it has had Demographic Surveillance System in some Upazilas but not all the HHs covered as it is so expensive and moreover if it is not used then it is merely a garbag! I dont know what the purpose of this vast investmen? But it is perceived that there is so lack in the #PolicyCoherence among different ministries otherwise why do we have failed to integrate positions of Health Assistant and Family Welfare Assistant. Mainly their role should be #Paramadic or #Pharmacist who will work as #,FirstResponder to assist a #FamilyHealthDoctor. I wish this large investment will be worthy by harmonazing with other National Statistics System and help to surve a real national interest!

    Waiting for reading the next blog as that could be the main interesting topic for the #readers!
    With best regards
    MD A Halim Miah, Anthropologist

Leave A Comment

This site uses Akismet to reduce spam. Learn how your comment data is processed.