Presented at a satellite session by MEASURE Evaluation and icddr,b at HSR’s International Conference Liverpool 2018.

1. Learning, adapting and use of mHealth tools for
service delivery: A rapid assessment
Suman Kanti Chowdhury
Maternal and Child Health Division, icddr,b
8 October 2018
HSR 2018, Liverpool

2. • CHWs and front-line service
providers are using the automated
systems since 2015
• Provided hand-held devices
• Organized trainings that included
hands-on training and mock data
entry
• Provided initial onsite support right
after training
Background
Apr 2015 (Piloting PRS in one sub-
district)
Nov 2015 - May 2016 (expansion of
PRS)
Apr 2016 (Piloting service
modules in one sub-district)
Sep 2016 – Nov 2016 (expansion of
community service modules)
May 2017 (expansion of facility
service modules)
7 months
5 months
6 months
January 2018 (Rapid assessment)
9 months
(Facility module)
15 months
(Community module)

3. • To explore users’ perception and experience about using the electronic
systems
• To explore users’ opinion about learning the electronic systems
• To explore users’ satisfaction about use of electronic systems
Objectives

4. Design: Cross-sectional survey
Assessment site: All (12) sub-
districts of Tangail.
Respondents: Total 200 users
randomly selected
- 139 CHWs
- 30 supervisors
- 31 service providers
Methods

5. Data collection tools: Structured paper-based
questionnaires
Data collection process: Participants who gave
consent were given self-administered
questionnaire.
It took 25-30 minutes to fill up the
questionnaire.
Methods cont…

6. RESULTS

7. Background characteristics of the respondentsPercentage

8. Background characteristics of the respondentsPercentage

9. Background characteristics of the respondentsPercentage

10. Perception about eRegister (CHWs)Percentage

11. Perception about eRegister (Facility service provider)Percentage

12. Perception about eSupervision system (supervisor)Percentage

13. Experience of using eRegister (CHW)Percentage

14. Experience of using eRegister (Facility service provider)Percentage

15. Experience of using eSupervision system (supervisor)Percentage

16. Learning how to use eRegister (CHW)Percentage

17. Learning how to use eRegister (Facility service provider)Percentage

18. Learning how to use eRegister (supervisor)Percentage

19. Experience of using data for decision makingPercentage

20. Experience of using data for decision making

21. Conclusion
• Users perceived the electronic tools as
• useful for service delivery, reduce workload, comprehensive in managing the
business process
• The electronic tools are found easier for
• data capturing, accessing and sharing data, data use, and reporting
• Learning and remembering how to use the electronic systems are not
difficult as anticipated
• Satisfied and recommend to scale-up

22. Thank You
For More Information, please visit
Website: www.rhis.net.bd
Facebook page: facebook.com/eMISRHIS
YouTube channel: youtube.com/eMIS Initiative, Bangladesh
Please visit -
the Exhibition Booth (stand # 34) on
‘eMIS for CHWs in Bangladesh’