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 2

The enabling environment is the foundation for planning, implementing, and maintaining a health information system (HIS). It may involve legislation, partnerships, policies, standards, financing, human resources, capacity and infrastructure—many of which are managed outside the HIS.

Two subareas within the enabling environment area of MEASURE Evaluation’s Health Information System Strengthening Model (HISSM) are HIS governance and leadership, and HIS management.

Examples of interventions corresponding to the subareas listed below are illustrative, essential elements that facilitate improved HIS.

Area

Subareas

Examples of essential elements that support an enabling environment

Enabling environment

HIS governance and leadership

Partnerships, both private and across government agencies, and coalitions

A health sector plan with a 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

Information and communication technology standards

Data stewardship

HIS champions at the national, regional, and facility levels

HIS management

Financial resources management

Infrastructure development and maintenance

Supply chain and maintenance

In-service and continuous education

Human resources training and incentives

Information and communication technology

Roads and vehicles

Related Content

Routine Health Information Systems Governance and Management of Resources from the RHIS Curriculum

mHealth Data Security, Privacy, and Confidentiality

Standard Operating Procedure for Integrating Gender in Monitoring, Evaluation, and Research

Health Metrics Network assessment

Master facility list resource package: Guidance for countries wanting to strengthen their MFL (World Health Organization, 2018)

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