What are the factors and conditions of HIS performance progress?

As MEASURE Evaluation works to strengthen health information systems (HIS) at the country level, we have a unique opportunity to document processes and challenges that support HIS strengthening—and to document best practices that countries can replicate to achieve stronger HIS.

What are the factors and conditions of HIS performance progress?

Four MEASURE Evaluation studies are documenting the factors and conditions for improving HIS performance. From improvements in staff capacity, to conducting monitoring and evaluation, to interventions to help reach global goals that combat HIV/AIDS, these studies examine interventions across the Health Information Systems Strengthening Model (HISSM).

KenyaIn Kenya, MEASURE Evaluation PIMA conducted baseline and end line assessments to measure improvements in capacity for monitoring and evaluation, including the ability to collect, manage and use high-quality data. This study compared the process and results in three counties, two in which MEval-PIMA had supported HIS strengthening intervention, and one comparison county in which only a baseline was conducted and no additional MEval-PIMA support was given. The baseline report documents capacities and gaps in HIS strengthening across countries in Kenya. The final report will be available here once finalized.

SwazilandSwaziland has been working to implement a client management information system (CMIS) to track patients across health facilities and services and provide the foundation to collect aggregate health data. MEASURE Evaluation documented this process in Implementing Swaziland’s Client Management Information System: Stakeholders' Views of the Process and Recommendations to Improve It.

IMadagascarn Madagascar, MEASURE Evaluation is conducting a study to understand questions related to the process and outcomes of integrating and strengthening the national HIS. The study aims to document the health system strengthening process, the interventions implemented, and the efforts to monitor and assess their implementation. The study also utilizes MEASURE Evaluation’s HIS Strengthening Model (HISSM) as a foundation to understand and verify the how changes in key HIS interventions led to changes in HIS performance (data quality and use) and service delivery. The study uses a qualitative method called process tracing to describe the causal chain between the intervention activities and HIS performance outcomes.

CIIn Côte d’Ivoire, MEASURE Evaluation is leading a study to document how HIS strengthening interventions do or do not contribute to achievement of the Joint United Nations Programme on HIV/AIDS (UNAIDS) 95-95-95  global fast-track targets. Findings from this study have the potential to inform PEPFAR strategies to increase efficiency of HIS strengthening investments and to facilitate country ownership of these systems.

This body of work will grow as we and others continue to examine what works to strengthen HIS. We have an opportunity to document challenges, processes, and best practices that support HIS strengthening.

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