Health Assistants (HAs) are frontline community health workers under the DGHS. They are primarily responsible for providing door-to-door and outreach (EPI) services. One of the key activities of HAs is to conduct regular immunization sessions at eight EPI sub-blocks (catchment areas with a population of 6000, approximately).
They are also responsible for collecting routine data on maternal and child health including nutrition, births/deaths, etc. The HA eRegister is an electronic version of the existing paper registers. It is a mobile application that works both online and oﬀline. Data collected in course of service provision or as part of other activities is stored in the device as well as in a cloud database.
How does the HA eRegister work?
Once a person is registered in the Population Registration System (PRS), the HA can retrieve particulars of that person from the hand-held device (tablet PC) by using the unique Health ID provided from the Open Shared Health Record (SHR) of the DGHS or by searching by diﬀerent parameters. While conducting an EPI session, HAs can access lists of children and women to be vaccinated and record immunization data. Using the HA e-Register,
the Advance Work plan can be submitted to the supervisor (AHI) which is one of the important administrative tasks HAs have to perform regularly. The DGHS and DGFPs electronic systems are interlinked and they use the same population database, which eliminates duplication.
Key components of the HA eRegister
Registration of children and women for immunization
Using records available in the Population Registration System (PRS) database, HAs are able to register children (0- 23 months) and adolescent girls and women (15-49) in their respective catchment areas for immunization. The app interface guides the HA in this task so that those who have not been registered can be identified easily from the color on the list.
EPI Micro Planning
The EPI program is managed through micro planning carried out at the beginning of the year. Web-based tools allows the Medical Technologist-EPI at the upazila level to enter data in the EPI micro plan. Lists of EPI centers are downloaded from the server. There are eight EPI sub-blocks in any ward, which can be used for conducting sessions on a given date.
Pregnancy, Delivery, and Post- Delivery
The maternal and newborn module allows HAs to register pregnant women in a particular catchment area. HAs use the list to capture records of ANC care (at least four visits recommended). They also collect data on delivery, newborn, and PNC care provided to both mother and newborn.
Child health (0-5 years)
The under-five module in the HA eRegister provides the recommended care to children below 5 years of age. Algorithms or built-in medical intelligence guides HAs to make decisions e.g., counseling, preventive advice, referral, etc.
EPI Session Management
Every month there are eight EPI sessions in a ward. The HA eRegister can be used to plan for a particular EPI session. HAs can access the list of children and women to be vaccinated. The EPI card in the HA eRegister records all dates of immunization which is also visible in the EPI modules for children and women.
AEFI Data Collection
Collecting data on adverse effects following immunization (AEFI) is a regular activity of HAs. HAs collect details on incidence. Managers can access AEFI data and take necessary actions.
Birth and Deaths
HAs collect data on birth and deaths occurring in their catchment areas. The HA eRegister makes it possible to share data with relevant authorities (such as the Oﬀice of the Register of Birth and Death) through the Application User Interface (API) function.
Advance Work Plan
HAs need to submit monthly advance work plans to their supervisors (Assistant Health Inspector-AHI). This work plan is prepared on the basis of structured tasks and submitted online. The AHI is able to approve or suggest modifications. The approved work plan is available online and can be used by the supervisors or managers to monitor activities performed by HAs.
Periodic reports on immunization, pregnant women, births and deaths prepared by HAs every month can now be generated automatically from the HA eRegister. The reports can be submitted online to the AHI for aggregation. Using the HA eRegister makes the preparation of reports easy and eﬀortless, at the same time, increasing the accuracy and consistency of the report. These reports are also available in the DHIS2 format.
Use and Sharing of Data
Data can be shared within and between the Directorates (DGHS and DGFP) with FWA, FWV, and SACMO. Thus, it eliminates the likelihood of duplication or double reporting from same community. Data collection is easy, timely and eﬀortless. This is pivotal in ensuring the quality of data.
Coverage (ongoing and under scale-up)
Approximately 3.4 million household
Approximately 15.4 million population (under digital service)
More than 2,500 users (HA)
Download brochure on HA eRegister.