2. Presentation Overview
Overview of health system and status of
health in Bangladesh
Population Registration System (PRS) and
its place within the Education
Management Information System (EMIS)
process of registration
Uses, benefits, results, and learning
Final remarks
3. Overview of the health system in Bangladesh
• The Ministry of Health and Family Welfare (MOHFW) follows
sector-wide planning and is currently formulating a new
sector-wide approach (SWAp)
• Institutional issues (dualism in the health sector, two major
organizations under MOHFW)
Bangladesh has made progress in tackling Millennium
Development Goals (MDGs), but Sustainable Development
Goals (SDGs) will be challenging
Innovation is required to be better prepared for service
delivery, to meet data needs, and focus attention on
lagging areas
Bangladesh Health System and Status
9. Population Registration System (PRS)
PRS is an mHealth application for android
devices capable of working both online
and offline
PRS collects demographic and socioeconomic
data of households and their members,
including GPS data — built on geographical
reconnaissance
Public sector rural health workers (RHWs)
complete the registration by visiting
households
10. Population Registration System (cont.)
Health ID cards are provided to registered
individuals
PRS data is stored in a central database
allowing records to be retrieved when providing
services to individuals
Initially population registration module was
introduced separately, now integrated with
services modules
12. EMIS in Brief
EMIS aims to:
Automate entire business process of health
workers starting from the grassroots level
(a fully paperless system)
Apps developed for registration of socio-
demographic information of population and
capturing services at community and health
facility levels
Apps for use by supervisors
13. EMIS in Brief (cont.)
EMIS aims to:
Digital tools are modeled on paper-based
systems such as existing forms, registers and
manuals, and adheres to business logic
Apply intelligent solutions to support better
decisions
Tablets are used in the field, data goes into a
central server
Data collected on the fly, reports available at all
levels
16. Uses and Benefits of PRS and EMIS
Tracks services to the population
• PRS provides the key link to record all service history
to individuals from a central PRS database (service
delivery modules — like family planning, maternal
and child care, adolescent care, etc.)
Addresses systemic problems (eliminates duplication
generated through reporting by both DGHS and DGFP)
Provides reliable, timely, and comprehensive population
health data to improve health status
Performance management
• Improves accountability in the health sector
17. Results and Learning to Date
Technology
• It is not difficult to acquire skills to handle
the tablets
• Problem of power or connectivity need to
be tackled
Data quality
• Data is consistent with other national surveys and
population census
• Need to ensure data is complete and
accurate (some data entry problems remain)
18. Results and Learning to Date (cont.)
Multisectoral use
• Interest shown by health insurance
projects
• GOB’s Civil Registration and Vital Statistics
(CRVS) Secretariat is keen
to use EMIS data
20. Final Remarks
PRS is a robust field-based system that tracks
every health service transaction provided to
individuals (both services provided at the
household level and at health facilities)
PRS will improve data integrity (by providing
population denominator data), service efficiency
(by eliminating double counting and integrating
essential services), and decision making about
service provision (which services should be
provided & where)
21. New momentum for CRVS is building
worldwide, primarily driven by growing
demands for accountability and results
in health
• PRS can be fundamental for strengthening
CRVS system
Data revolution in the health sector is
occurring — efforts to ensure that every one is
counted and no one is left behind
Final Remarks (cont.)
22. This presentation was produced with the support of the United
States Agency for International Development (USAID) under
the terms of MEASURE Evaluation cooperative agreement AID-
OAA-L-14-00004. MEASURE Evaluation is implemented by the
Carolina Population Center, University of North Carolina at
Chapel Hill in partnership with ICF International; John Snow,
Inc.; Management Sciences for Health; Palladium; and Tulane
University. Views expressed are not necessarily those of USAID
or the United States government.
www.measureevaluation.org