The Family Welfare Assistant (FWA), the frontline community worker of DGFP, provides primarily door-to-door and outreach services (in satellite clinics with FWVs) and collects routine data on family planning, maternal and child health, births and deaths, adolescent health, under-five health, and nutrition status using the paper-based national register known as the FWA Register. The FWA eRegister is an electronic version (a mobile application that works both online and oﬀline) of the existing paper register. The data collected by FWAs during service provision or as a part of other activities is stored in the device as well as in a cloud database.
How Does the FWA eRegister Work?
Once a person is registered, the FWA can retrieve particulars of that person from the hand-held device (Tablet PC) using the Population Registration System (PRS) database and the unique ID which is provided during registration or by performing a search using diﬀerent parameters. Service histories of clients are also available from relevant database tables.
FWAs can use diﬀerent modules of the eRegister such as eligible couples, pregnant women, under five children, adolescents, etc., for providing services and collecting data. The electronic systems under the DGFP and the DGHS are interlinked and they use the same population database, which eliminates duplication.
Key components of the FWA eRegister
Lists of eligible couples (based on age, sex and marital status) are available in the device. FWAs can provide family planning services to eligible couples (distribution of pill, condom, and administration of second dose of injectable or suggest a method) using diﬀerent modules.
The FWA eRegister lists all children aged 0-18 months and records immunization status. The under-five children module is used to provide health care to under 5 children based on guidelines approved by the DGFP.
Births and Deaths
FWAs collect data on births and deaths occurring in their catchment areas. The tools make it possible to share data with relevant authorities (such as Oﬀice of the Register on Births and Deaths) through Application User Interface (API) function.
Job Aid Tools
Development of job aid tools is novel in nature and made possible due to the use of digital technologies. The FWAs are able to access numerous lists such as pregnant women whose EDD are within the next 7 days, pregnancies at risk, eligible couples not visited within last 3 months, eligible couples who need injectable within the next 7 days, and many more lists. A notification system is also used to alert FWAs.
Pregnancy, Delivery, And Post-delivery
FWAs register all pregnant women in their catchment areas. They use the list of pregnant women to collect data on ANC care (at least four visits recommended). They also collect data on delivery, newborn, and PNC care provided to both mother and newborn.
FWAs provide health services to adolescents, which includes counseling on early marriage and disadvantages of teenage pregnancy, nutrition and iron and folic acid, reproductive health, STIs and menstrual hygiene, etc. They are guided though the app interface.
Integration with LMIS
FWAs receive commodities like pill, condom, injectable, misoprostol, iron and folic acid, etc., from the sub-district warehouse for distribution to clients. The FWA eRegister is connected with the MOHFW Supply Chain Management Portal (SCMP) a separate DGFP database – and updates stock distribution data at the end of the month through an adjustment of the closing balance with the opening balance.
FWAs are required to submit an advance work plan to the Family Planning Inspector (FPI) on a monthly basis. The work plan is submitted to the FPI online and the FPI approves such plans and submits them to the upazila oﬀice electronically. Progress can be reviewed by supervisors on the basis of work plans. Supervisors can plan inspection visits by downloading work plans.
FWAs prepare the MIS 1 form at the end of each month. This form can be generated at the end of the month or at any time of the month. It can be submitted online to the FPI for aggregation. The preparation of the report is easy and eﬀortless, increasing the accuracy and consistency of the report. This report is also available in the DHIS2 format.
Use and Sharing of Data
The data can be shared horizontally and vertically within and between the directorates (DGHS and DGFP) i.e., FWA, Health Assistant, Family Welfare Visitor. Thus, it eliminates the likelihood of duplication or double reporting from the same community. Data collection is easy, timely and eﬀortless. This is pivotal in ensuring the quality of data.
Coverage (ongoing scale-up)
Approximately 5 million household
Approximately 22.5 million population (under digital service)
More than 4,000 users (FWA)