Description of Session
Following a routine health information system (RHIS) performance assessment in 2015, MEASURE Evaluation started working in Mali to reinforce its local health information system (SLIS) and hospital information system (SIH). The 2018 Performance of Routine Information System Management (PRISM) evaluation aimed to assess improvements in the SLIS while identifying key determinants influencing performance, and establish a baseline information for the SIH. The survey targeted all levels of the health pyramid using the six revised PRISM tools. The selection of sites for the SLIS was based on convenient and random sampling taking into account the weight of key sites (reference health centers vs. usual health facilities), as well as districts located in regional capitals compared to other districts within the same region. The overall sample size was represented by 8 regions, 14 districts, and 153 health facilities, including the whole universe of hospitals. Data collection methods included desk reviews, observations, interviews, and data abstraction from primary data collection and reporting tools as well as the RHIS database. To check for trends in data quality, three periods were set. Four indicators were selected for the SLIS and six for the SIH. The questionnaires were configured in the Open Data Kit platform for both systems using Android tablets. Entered data were then analyzed separately with the PRISM Analysis Tool based on the PRISM analysis plan previously developed by MEASURE Evaluation. The data analysis provides results on the performance of the RHIS for both the SLIS and SIH in terms of data quality (timeliness, accuracy, and completeness), and level of use of information for decision making. These results are presented by level of the health pyramid to facilitate follow-up actions. In addition, key technical, organizational, and behavioral determinants influencing the overall RHIS performance are ascertained to allow for full comprehension of the results.
