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Implementing the Population Registration System: Progress Towards a Data Revolution in the Health Sector


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Presented by by Md. Humayun Kabir at the Global Symposium on Health Systems Research on November 17, 2016.

Published in: Health & Medicine
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Implementing the Population Registration System: Progress Towards a Data Revolution in the Health Sector

  1. 1. Implementing the Population Registration System Progress Towards a Data Revolution in the Health Sector
  2. 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. 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
  4. 4. Health Service Delivery Structure of MOHFW
  5. 5. Indicators of Health 0 10 20 30 40 50 60 70 80 1960 1962 1964 1966 1968 1970 1972 1974 1976 1978 1980 1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 Life expectancy at birth, total (years)
  6. 6. Indicators of Health
  7. 7. Indicators of Health 0 0.5 1 1.5 2 2.5 3 3.5 1990 2000 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Bangladesh Bhutan India Nepal Sri Lanka Pakistan
  8. 8. Noncommunicable Diseases (NCD) Mortality Increases in Rural Bangladesh (Matlab), 1986-2006
  9. 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. 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
  11. 11. Registration Update (in 000 – Over 3 Million)160 190 207 176 418 252 410 297 408 288 278 521 149 319 172 191 194 168 348 197 336 240 381 289 231 212 66 342 0 100 200 300 400 500 600 Basail Bhuapur Delduar Dhanbari Ghatail Gopalpur Kalihati Madhupur Mirzapur Nagarpur Sakhipur TangailSadar Lakhai Madhabpur Tangail Habiganj Est Population Regd Populatiobn
  12. 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. 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
  14. 14. Data Collection
  15. 15. Data Collection
  16. 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. 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. 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
  19. 19. Towards a Fully Paperless System
  20. 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. 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. 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.