Orientation to PRISM Framework

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

Orientation to PRISM Framework

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