ASSESSMENT OF ROUTINE HEALTH INFORMATION SYSTEM IN HEALTH CARE SETTING, HEALTH MANAGEMENT ASSESSMENT OF ROUTINE HEALTH INFORMATION SYSTEM IN HEALTH CARE SETTING, HEALTH MANAGEMENT

1. ASSESSMENT AND
IMPROVEMENT OF
ROUTINE HEALTH
INFORMATION
• GUIDANCE FOR ASSESSING HEALTH
INFORMATION SYSTEM

2. INTRODUCTION TO RHIS
• Routine health data refers to the regular and
systematic collection of health service-based
data.
• The purpose of gathering routine health data
is to monitor and assess various aspects of
health, healthcare delivery, and public health

3. WEAKNESS IN RHIS
• Health workers have burdensome tools for
data collection and use at the point of care.
• Data at the facility level are not generally
perceived as useful to those who collect it.
• Few health facilities are computerized
• Primary health care workers lack tools and
training that enable them to use data for
decision-making.

4. WEAKNESS IN RHIS CONT……
• Paper tools and registers are designed to
collect data for reporting, rather than serve as
useful tools.
• Tool design often does not support collecting
data that is valuable for day-to-day work.
• Staff are overburdened by manual data
processing and tallying to produce reports.
• Data collected at the primary health care
level are not often of high-enough quality to
be useful.

5. Weakness in RHIS cont……
• Assessments and supervision are not always
effectively translated into follow-up action
plans to improve performance results are not
shared and acted upon.
• Inadequate culture, and capacity to use data
to inform planning, management, and clinical
decisions
• Lack of perceived benefits to the data
collector.

6. Weakness in RHIS cont……
• Where source data systems exist, data are
being re-entered into DHIS2 rather than
transferred electronically

7. IMPROVEMENT TO RHIS
• Enhance government coordination of data
systems and use initiative
• Put in place an enterprise architecture
including governance, guidelines and
standard for interoperability.
• Institute data use practice and capacity
• Facilitate the upgrade of existing point-of-
care systems and other systems to allow data
transfer into centralized electronic HMIS

8. MECHANISMT TO IMPROVE RHIS
• Procure and distribute hardware (tablets,
smartphones, solar chargers), as well as data
bundles and hardware insurance for primary
health care facilities and community health
workers.
• Implement client registry
• Review and strengthen data use practices in
pre-service and in-service training curricula
for all health care workers

9. MECHANISMT TO IMPROVE RHIS
CONT…
• set up the application programming interface
(API) and interoperability with other systems
• Conduct meetings and other outreach to
prospective data use champions and provide
speaking opportunities for champions.
• Develop a data use toolkit, including
guidelines and change management
practices, for all levels of the health system

10. ASSESSMENT OF ROUTINE
HEALTH INFORMATION SYSTEM
• PRISM Tools, is the tool that provide a
structured way to assess the quality of data
and use of information in routine health
information system
• Help to design, strengthen and evaluate
routine health information systems,
emphasizes RHIS performance and
incorporates organizational, technical and
behavioural determinants of performance

11. ASSESMENT RHIS CONT….
• The framework analyses the role of each of
these determinants by identifying appropriate
interventions to address determinants that
negatively influence RHIS performance
• RHIS performance is affected by RHIS
processes, which in turn are affected by
technical, behavioural and organizational
determinants. Ex. the complexity of data collection
forms (technical) could affect performance directly or
indirectly by lowering motivation

12. PRISM’s KEY FACTORS
• Behavioral determinants —The knowledge,
skills, attitudes, values, and motivation of the
people who collect and use data.
• Technical determinants —Data collection
processes, systems, forms, and methods.
• Organizational/environmental
determinants —Information culture,
structure, resources, roles, and
responsibilities of the health system and key
contributors at each level.

13. Key purposes of PRISM toolset
• To assess the performance of a routine health
information system.
It provide the methods to measure data quality and
the degree to which information is used for evidence-
based decision making.
• Provide evidence on the factors that affect
RHIS performance.
It identify specific technical, behavioral, and organizational factors
that affect RHIS. Eg. RHIS performance was hindered by
complicated data collection registers and forms, lack of motivation
of staff .

14. Key purposes of PRISM toolset
• Aids in the design of interventions to
improve RHIS performance.
It identifies which technical, behavioral, and
organizational determinant(s) should be
modified to improve RHIS performance.eg.
:Simplification of data collection forms.
:Refresher training in data collection and
processing for health workers.
• Support ongoing efforts to monitor and
evaluate data quality and use.

15. FOUR PRISM TOOLS
• RHIS Performance Diagnostic Tool.
This determines the level of RHIS performance,
looking separately at quality of data and use of
information. This tool identifies strengths and
weaknesses; the other three tools identify the
underlying technical, organizational, and
behavioral reasons for those strengths and
weaknesses.

16. PRISM TOOLS CONT….
• RHIS Overview and Facility/Checklist.
This examines technical determinants such as
the structure and design of existing information
systems in the health sector, information flows,
and interaction between different information
systems. This tool is used to understand the
availability and status of RHIS resources and
procedures used at health offices and facilities

17. PRISM TOOLS CONT….
• Organizational and Behavioral Questionnaire.
This looks at behavioral and organizational factors
that affect RHIS performance. Do staff have the
necessary knowledge, skills, motivation?. Does the
organization promote a culture that values
information quality and use?.
• RHIS Management Assessment Tool.
This is designed to rapidly take stock of the
management and supportive practices of RHIS, and
to aid in developing recommendations for RHIS
management