CMIS has been successfully installed  at Ghorasal, Bangladesh Special Work Unit (SWU). The most surprising thing is the young Paramedic (designated as Counselor cum Paramedic) who register, counsel and provides services, quickly picked up the computerized process of open EMR. The Community Mobilzer who basically works in the community level attended the training and picked up the steps of open EMR as well.  These kinds of staff are not usually exposed to computer operation particularly in remote rural environment in Bangladesh.  These two staff completed training on basic computer application at local level when it was decided that the CMIS would be initiated step by step at all the GCACP SDPs in Bangladesh. The Coordinator Program (in-charge of the SWU) also attended the training and quickly got acquainted with the system.  In the morning on the last day of the training (i.e. 3 June 2010) it was so exciting to observe that the young Counselor cum Paramedic was taking a print out while a client came for service to the SDP. The Paramedic completed all the steps of the CMIS (e.g. ID, demography, encounter form, printing the tally sheet, filling out the E-tally sheet, fees and check out) practically while she was serving a client. She was aware that when the GCAC form need to be filled out. GCACP of FPAB had to go through a challenging process to bring the CMIS into a reality.  

 MA to MA Knowledge Sharing

This was the most effective and appropriate measure for transferring knowledge and skills from one country to another. Mrs. Shubhra Rehaman of IPPF/ SARO and Mr. Pramij Thapa, Project Coordinator, GCACP, Family Planning Association of Nepal has conducted training as per schedule in  Ghorasal.  Mr. Pramij of FPAN is one of resource in the training as he and his team of FPAN (KP Bista, DG, Dr. Giridhari Sharma Poudel , DDG, Dr Deeb, Nabina, Ashwani, Kiran, Sudhir and Diksha) has been actively involved in the process of implementing the CMIS in their country for  last two years. This kind of MA to MA knowledge sharing was first of its kind in the South Asia Region of IPPF or may be throughout all the IPPF regions. Mr. Pramij has mastered the knowledge and skills of handling innovative systems like CMIS in his country that he exactly diffused to Bangladesh as a gift and set a burning example of brotherhood between MA to MA.  
Support, assistance, cooperation, collaboration, motivation came from all directions i.e. CO, SARO, FPAB authority to GCACP Bangladesh and that actually made the CMIS a success in Ghorasal, Bangladesh.  It is now the challenge to establish and sustain the system at all other five SDPs of GCACP Bangladesh within the stipulated time frame.  
The CMIS is no more a dream now in GCACP Bangladesh. No NGO in Bangladesh those provide services has computerized client record system. GCACP of FPA Bangladesh has made a history in Bangladesh through establishing the system called open EMR in the year 2010. 

                          Discussion on the open EMR---how to run it