National Scale up of eMIS in new districts (Natore, Moulvi Bazar, Jhenaidaha, Madaripur, Noakhali and Comilla) was formally inaugurated by Mr. Mohammad Nasim, Honorable Minister for Health and Family Welfare (MOHFW) at a Launching Ceremony held on 11 October 2017 in Dhaka. The steps for implementation began in Natore through an Inception Meeting held on 23 January 2018. It was followed by a Training of Trainers (ToT) for Managers and MIS Personnel from 23 to 24 January. New districts are being added for implementation of eMIS following demonstration phase in Tangail and Habiganj that began in January 2015. eMIS has developed mobile apps for CHWs providing health and family planning services in the rural areas and service providers at the union level facilities. There are apps and web-based tools for the managers and decision-makers. Scaling up of eMIS is a part of the current sector program of MOHFW called Fourth Health, Population and Nutrition Sector Program (4th HPNSP). In 4th HPNSP (Jan 2017 to June 2022), there are provisions for introducing eMIS tools in 2 Divisions (Chittagong and Sylhet comprising of 15 districts) under MIS Operational Plan (OP) of DGFP. Union level facility modules would also be implemented in 2,000 Union Health and Family Welfare Centers or UHFWCs.
The Inception Meeting began with the welcome address delivered by Dr. S M Zakir Hossain, DDFP, Natore. Mr. Suman Kanti Chowdhury made a PowerPoint presentation on eMIS-FP tools. Dr. Azizul Islam, Civil Surgeon spoke about importance of digitization at the field level. Mr. Suleman Khan, Director (MIS), DGFP was present as a Special Guest. He mentioned that DGFP is committed to digitize the activities at all levels and working for realization of government’s vision of Digital Bangladesh. Md. Humayun Kabir, Senior Strategic and Technical Advisor, MEASURE Evaluation narrated how the eMIS tools have been developed. He emphasized that the leadership and guidance from top management and enthusiasm of district and upazila level managers and employees have played a crucial role in successful implementation of eMIS tools in the demonstration districts. Mr. Moloy Kumar Roy, Divisional Director, DGFP, Rajshahi chaired the Inception Meeting. In his speech, he expressed his optimism that officers and staff of Natore would whole-heartedly carry out the implementation. Officials of icddr,b were also present in the meeting.
District Map of Natore

Natore is situated in the northern part of Bangladesh. The area of Natore is 1,896.05 sq km. There are 7 upazilas in Natore (Natore Sadar, Bagatipara, Baraigram, Gurudaspur, Lalpur, Naldanga and Singra) with 8 municipalities (urban/peri-urban areas). The total population of Natore is 1,849,324 of which 938,618 are male and 910,706 female (census 2011). There are 298 FWA units where the FWAs provide services. There are 5 upazila health complexes, 2 MCWCs, 37 UHFWCs (of which 22 are upgraded for 24/7 service delivery), 15 Union Sub-Center and 205 Community Clinics (of which 193 are functional), as gathered from DDFP and Civil Surgeon Office Natore. The number of Satellite Clinics is 288 per month where services are provided by the community and facility level family planning workers on a fixed day. The venue of the inception meeting and Training of Trainers (ToT) was at Ananda Bhaban, Rajbari which is also a tourist attraction. Rajbari is a historic site bearing the memory of Rani Bhabani (1716-1795) who became the virtual zamindar after the death of her husband (zamindar of Rajshahi) and remembered for her sagacity, generosity and extensive social works benefiting the subjects
A total of 24 local level managers and MIS personnel including Upazila Family Planning Officers, Medical Officers (MO-MCH), and Upazila Family Planning Assistant participated in the ToT session. The training was conducted by Dr. Reza Ali Rumi, Dr. Twaha Mansurun Haque, Mr. Mohammad Ahsan Ullah and Md. Mosharraf Hossain Shamim. They covered the following subjects: Population Registration System, FWA eRegister, FPI eSupervision System, UFPO eSupervision System, Web-based Monitoring Tools, Facility and CSBA eRegister. The training program included demonstrations and extensive group practices with Q&A. The closing session was earmarked for evaluation and feedback where Dr. S M Zakir Hossain, DDFP was present. The training program details can be viewed here.
This is exciting to see the scale up activities are progressing in other districts.