Maternal and Newborn Care eRegister is a part of Union Level Facilities eRegister. It is an electronic version of paper-based Maternal and Newborn Care (MNC) Register used at Union Health and Family Welfare Centers (UHFWC), MCH-FP unit of Upazila Health Complex (UHC) and Maternal and Child Welfare Center (MCWC) by Family Welfare Visitor and Sub Assistant Community Medical Officer (SACMO) to record maternal and newborn health services. It is a mobile application (mHealth) that works both offline and online.
How Does MNC eRegister Work
Once any person is registered, the FWV and SACMO 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 and SACMOs can find particular persons based on search performed on numerous parameters. They can then use different modules of the eRegister such as ANC, Delivery & Newborn Care and PNC for providing services. The electronic systems under the DGFP and the DGHS are interlinked and they use the same population database, which eliminates duplication.
Key Components of MNC eRegister
Antenatal Care (ANC)
FWVs provide Antenatal Care (ANC) services to pregnant women by registering instantly or previously registered through Population Registration System(PRS) in the facility which is known as Union Health and Family Welfare Centers (UH&FWCs) and also in Satellite Clinic. Sub Assistant Community Medical Officers (SACMOs) who also provide services from UH&FWCs use the application to provide antenatal and postnatal care service when FWVs are engaged in outreach services at the satellite centers.
Delivery and Newborn care
FWVs provide delivery & Newborn care services also by registering instantly (NRC) or previously registered through (PRS). This system are able to alert the providers automatically in case of any complicated mother for referral in higher facilities.
Postnatal Care (PNC)
FWVs provide Postnatal Care (PNC) services to mother and newborn by registering instantly (NRC) or previously registered through PRS in the facility which is known Union Health and Family Welfare Centers (UH&FWCs) and also in Satellite Clinic. Sub Assistant Community Medi- cal Officers (SACMOs) who also provide services from UH&FWCs use the application to provide antenatal and postnatal care service when FWVs are engaged in outreach services at the satellite centers.
Birth and Death
The FWVs and SACMOs record data on births and deaths occurring in the facilities. This makes it possible to share data with relevant authorities (such as Office of the Register on Births and Deaths) through Application Programming Interface (API) functionality.
Integration with LMIS
FWV as Service Delivery Point (SDP), receive misoprostol, Iron-folic acid and MNCH essential medicines from upazila store for distribution to the clients. MNC 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 serviceprovider. 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 digitaltechnologies. FWVs and SACMOs can access pregnant women list as well as service based listsuch as ANC, Delivery, PNC wise client list based on geographical location. This eRegistersbuilt in medical intelligence allows the provider to identify the high risk pregnancy whilerecording pregnancy information (LMP, EDD, previous pregnancy history). Also this systemhas the provision to notify the provider instantly if the client needed to be referred to thehigher level facility. E.g. during routine ANC visit, if a pregnant woman identified with highBlood Pressure (BP), system automatically detects that this woman needed to be referred andnotifies the provider.
The FWVs and SACMOs prepare MIS-3 report at the end of each month. MIS-3 form is nowgenerated automatically at any point of time. E.g. service providers are now be able to checktheir MIS-3 form even after providing each service. It significantly reduces the work load of theFWVs, 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 can be shared horizontally and vertically within and between the directorates (DGHSand DGFP)- i.e. Family Welfare Visitor (FWV ), Sub Assistant Community Medical Officer(SACMO), Health Assistant (HA) and Family Welfare Assistant (FWA). Thus, it eliminates thelikelihood of duplication or double reporting from same facility and community level asdenominator is same and enforced through central database. Data collection is easy, timelyand effortless. This would be pivotal in ensuring the quality of data.
Download brochure on MNC eRegister.