MaMoni Health Systems Strengthening Activity: FY’16 Q2 Quarterly Report

The project aims to strengthen the health systems in Bangladesh, particularly in the areas of maternal, newborn, and child health (MNCH). The project has been supporting the Directorate General Family Planning (DGFP) in assessing all Union Health and Family Welfare Centers (UH&FWCs) in Bangladesh for readiness to provide 24/7 delivery services. As of the end of the second quarter of year three, all remaining facilities of Dhaka, Khulna, and Rajshahi divisions have been completed, bringing the total assessment to 4,463 out of an initially projected 4,000+ health facilities nationwide. MaMoni has also been supporting the routine health information system (RHIS) initiative of the Directorate General Health Services (DGHS) MOH&FW to pilot the automated population registry system (PRS) in Madhabpur and Lakhai upazilas of Habiganj district. As of March 31, 2016, 3,323 household members in 621 households of Lakhai upazila of Habiganj district have been registered. In Madhabpur upazila, where PRS has been completed, 1,823 health ID cards were distributed in two unions in late March 2016. The project has also introduced offline capability so that the data can be entered offline at the service delivery point (SDP) level. In three unions of Madhabpur, Family Welfare Visitors (FWVs) recorded service data of 1,994 ANC, delivery, and PNC in the maternal, newborn, and child health (MNCH) e-register. MaMoni HSS has also developed FP modules to record service data of pill, condom, injectables, and IUD. The project has made significant progress in the second quarter of year three, with key accomplishments including the completion of assessments of all remaining facilities of Dhaka, Khulna, and Rajshahi divisions, the piloting of the automated population registry system (PRS) in Madhabpur and Lakhai upazilas of Habiganj district, and the introduction of offline capability for data entry at the SDP level. The project has also been supporting the Directorate General Health Services (DGHS) MOH&FW in organizing three divisional advocacy meetings in Chittagong, Rangpur, and Khulna divisions. MaMoni has also validated some of the key indicators of the data through an independent team of 6 who visited 7 divisions, and through its periodic service delivery point (SDP) assessment in Lakshmipur district. The project's progress has been significant, with a total of 4,463 health facilities assessed for readiness to provide 24/7 delivery services, and 3,323 household members registered in Lakhai upazila of Habiganj district through the automated population registry system (PRS). The project has also made significant progress in the areas of routine health information system (RHIS) and maternal, newborn, and child health (MNCH).