Description of Session
MEASURE Evaluation’s technical assistance to the Cote d’Ivoire Ministry of Health in strengthening its routine health information systems (RHIS) dates back to 2004. MEASURE’s two Performance of Routine Information System Management (PRISM) assessments in 2008 and 2012 subsequently led to RHIS interventions. The 2018 PRISM assessment aimed to evaluate the improvements of the country’s RHIS and identify key challenges to address for a full functionality of the overall RHIS. The survey targeted all levels of the health pyramid using the six revised PRISM tools. The selection of sites was based on convenient and random sampling to take into account the weight of key sites such as regional and general hospitals compared to usual health facilities, as well as districts located in regional capitals vs other districts within the same region. The overall sample size encompassed 12 regions, 24 districts, and 235 health facilities including regional and general hospitals as well as urban and rural health centers. Data collection methods included desk reviews, observations, interviews, and data abstraction from primary data collection and reporting tools, and RHIS databases. To check for trends in data quality, three periods were set and four indicators selected for data accuracy checks. The questionnaires were configured into an Open Data Kit platform serving as a data entry platform on Android tablets. Data were then analyzed with the PRISM Analysis Tool based on the PRISM analysis plan previously developed by MEASURE. The data analysis provides results on the performance of the RHIS in terms of quality of data (timeliness, accuracy, and completeness) and 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.
