Ensuring a consistent supply of family planning commodities and tracking availability through standardized procedures is crucial for delivering effective services in any city. In Satna, Madhya Pradesh, a review by city health officials, with support from The Challenge Initiative (TCI), found significant gaps in how the Family Planning Logistics Management Information System (FPLMIS) was being used. From 2018 to 2023, urban health facilities had not placed or recorded any family planning commodity orders through the system. Only two Urban Primary Health Centers (UPHCs), Hanuman Nagar and Tikuriya Tola, had FPLMIS IDs, and their use was irregular and unmonitored. The root cause was a lack of training for Auxiliary Nurse Midwives (ANMs) and Accredited Social Health Activists (ASHAs), who had not been trained to use the system for ordering and tracking family planning commodities, leading to delays and stock shortages. The Nodal Officer raised these issues with the Chief Medical & Health Officer, who directed immediate corrective action. FPLMIS IDs were created for ASHAs and ANMs, and rapid hands-on trainings were held on how to request supplies and manage inventory. Manisha Kushwaha, Nursing Officer at the District Hospital in Satna, said:

Around 104 ASHAs and 45 ANMs received hands-on training and peer-to-peer support on creating FPLMIS IDs, generating passwords, initiating family planning commodity indenting, and maintaining stock records. Since September 2024, all ASHAs and ANMs across five Urban Community Health Centers and two UPHCs are successfully identifying family planning commodities themselves. This has led to improved data management, uninterrupted stock supply, and timely commodity distribution.

Since then, district authorities have used monthly review meetings to reinforce the importance of FPLMIS for commodity tracking and to ensure consistent stock availability. These actions are preventing stock-outs and keeping family planning methods and services reliably accessible to the community.