Health Information System Strengthening Model: The Enabling Environment

The enabling environment is the foundation for planning, implementing, and maintaining the health information system (HIS) through legislation, partnerships, policies, standards, financing, human resources, capacity and infrastructure.

HISSM Enabling Environment 2The enabling environment is the foundation for planning, implementing, and maintaining the health information system (HIS) through legislation, partnerships, policies, standards, financing, human resources, capacity and infrastructure. There are two major subareas within this area of the Health Information System Strengthening Model (HISSM)—HIS governance and leadership, and HIS management.

Below are examples of interventions or elements that correspond to these two subareas of the HIS Strengthening Model. HIS governance and leadership covers partnerships, working groups, and coalitions across government, international, and local and private entities. This area includes planning, strategies, and identification of indicators and information needs.

HIS management includes financial resources management, human resources, training, capacity building, and also the development and maintenance of essential infrastructure— including technology.

This depiction of the enabling environment isn’t exhaustive, but covers the most important elements necessary to improve HIS. The enabling environment also includes other domains that are outside of the HIS, including policies and the legal framework for health in general.

Area

Subareas

Examples

Enabling environment

HIS governance and leadership

Private partnerships; partnerships across government agencies; international partnerships and coalitions; community coalitions; a health sector plan; a health sector monitoring and evaluation (M&E) plan, including the identification of information needs and indicators; HIS policy and strategy; ehealth policy and digital health standards including privacy and security; various information and communication technology standards; data stewardship; and HIS champions at the national, regional, and facility levels

HIS management

Financial resources management; infrastructure development and maintenance; supply and maintenance; in-service and continuous education; human resources training development, training, and incentives; information and communication technology; roads; vehicles

 

Links to additional resources

 

National health strategy

HIS policy

HIS strategic plan

 

Health sector M&E plan

Core health indicators

National HIS coordinating body/committee

 

Master facility list

Health Metrics Network assessment

 

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