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4 th  International RHINO Workshop Guanajuato, Mexico March 8, 2010 Measuring and Improving Routine Health Information System Performance  Session 1.5: The PRISM Framework: a paradigm shift for RHIS design, strengthening and evaluation
So, the main question that we want to answer  during this workshop is:   How can we measure and improve RHIS performance in support of planning and management of quality district health systems?
Examples of RHIS reform efforts in the past twenty years ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Some of the lessons learned ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Behavioral  Determinants Knowledge/ skills, attitudes ,   values, motivation PRISM Framework for Understanding   Routine Health Information System (RHIS) Performance Improved Health System Performance Improved Health  Outcomes Technical Determinants Data generation architecture Information/communication technology Desired Outputs = RHIS performance • good quality information • appropriate use of information Inputs RHIS assessment,   RHIS strategies   RHIS interventions Organizational Determinants Information culture, health system structure, roles & responsibilities, resources
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RHIS Determinants PRISM Framework  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Improved Health System Performance Improved health status ,[object Object],[object Object],[object Object],PROCESSES OUTPUTS OUTCOMES INPUTS  IMPACT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How to improve RHIS performance based on the  PRISM framework   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Documents to consult ,[object Object],[object Object],[object Object],[object Object]
PRISM Tools A) RHIS Performance Diagnostic Tool B) RHIS Overview Facility/ Office Checklist Quality of data Use of information C) Organizational & Behavioral Questionnaire D) RHIS Management Assessment Tool (MAT)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RHIS Determinants PRISM Framework  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Improved Health System Performance Improved health status ,[object Object],[object Object],[object Object],PROCESSES OUTPUTS OUTCOMES INPUTS  IMPACT Diagnostic Tool OBAT MAT Facility/Office Checklist ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PRISM Tools   Implementation ,[object Object],Self-administered questionnaire  OBAT Observations  MAT Observations and interviews Overview/ Checklist RHIS implementer Supervisor  Evaluator Assessment Monitoring Evaluation Facility level District level  Intermediate level National level Observations and interviews Diagnostic Who When Where How to use Tool
PRISM Tools: Sampling Methodology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RHIS performance improvement:  Taking Action ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examples of technical interventions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examples of organizational and behavioral interventions (let us go a step further...) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
To further the cause of RHIS and their support towards strengthening health services systems… ,[object Object],[object Object],[object Object],[object Object],[object Object]
THANK YOU! RHINO Secretariat 1616 N. Fort Myer Drive 11th Floor Arlington, Virginia 22209-3100 USA Tel.:  703.528.7474 Fax:  703.528.7480

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Orientation to PRISM Framework

  • 1. 4 th International RHINO Workshop Guanajuato, Mexico March 8, 2010 Measuring and Improving Routine Health Information System Performance Session 1.5: The PRISM Framework: a paradigm shift for RHIS design, strengthening and evaluation
  • 2. So, the main question that we want to answer during this workshop is: How can we measure and improve RHIS performance in support of planning and management of quality district health systems?
  • 3.
  • 4.
  • 5. Behavioral Determinants Knowledge/ skills, attitudes , values, motivation PRISM Framework for Understanding Routine Health Information System (RHIS) Performance Improved Health System Performance Improved Health Outcomes Technical Determinants Data generation architecture Information/communication technology Desired Outputs = RHIS performance • good quality information • appropriate use of information Inputs RHIS assessment, RHIS strategies RHIS interventions Organizational Determinants Information culture, health system structure, roles & responsibilities, resources
  • 6.
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  • 9. PRISM Tools A) RHIS Performance Diagnostic Tool B) RHIS Overview Facility/ Office Checklist Quality of data Use of information C) Organizational & Behavioral Questionnaire D) RHIS Management Assessment Tool (MAT)
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  • 17. THANK YOU! RHINO Secretariat 1616 N. Fort Myer Drive 11th Floor Arlington, Virginia 22209-3100 USA Tel.: 703.528.7474 Fax: 703.528.7480

Editor's Notes

  1. I have been involved in various RHIS reform efforts and we even published a book in 2000 called “ Design and Implementation of Health Information Systems” It describes many of the experiences in RHIS reform.