Using the Family Folder which is a tool or package designed to be used for data collection and documentation to meet the necessary information needs for providing family-focused promotive, preventive and environmental health services at community level. Complementing the Family Folder is a simple HMIS record-keeping and reporting procedure that feeds community level health information. In Tigray regional state rural areas 95% of the eligible households have been registered in family folder in the year 2005 Ethiopian fiscal year.