PRISM Evaluation Published in BMC Health Services Research

A MEASURE Evaluation study of the PRISM framework based on data from Uganda has been published by BMC Health Services Research.

Sound policy, resource allocation and day-to-day management decisions in the health sector require timely information from routine health information systems (RHIS). In most low- and middle-income countries, the RHIS is viewed as being inadequate in providing quality data and continuous information that can be used to help improve health system performance. In addition, there is limited evidence on the effectiveness of RHIS strengthening interventions in improving data quality and use.

The study evaluated the usefulness of the newly developed Performance of Routine Information System Management (PRISM) framework, which consists of a conceptual framework and associated data collection and analysis tools to assess, design, strengthen and evaluate RHIS. The specific objectives of the study were to: a) assess the reliability and validity of the PRISM instruments and b) assess the validity of the PRISM conceptual framework.

Study results provide some empirical support for the reliability and validity of the PRISM instruments and the validity of the PRISM conceptual framework, suggesting that the PRISM approach can be effectively used by RHIS policy makers and practitioners to assess the RHIS and evaluate RHIS strengthening interventions. However, additional studies with larger sample sizes are needed to further investigate the value of the PRISM instruments in exploring the linkages between RHIS data quality and use, and health systems performance.

The study results also suggest that a promotion of a culture of information influences RHIS tasks self-efficacy, RHIS tasks competence and motivation, and that self-efficacy and the presence of RHIS staff have a direct influence on the use of RHIS information, a key aspect of RHIS performance.

Read "Evaluation of the Performance of Routine Information System Management (PRISM) framework: evidence from Uganda."

Learn about PRISM.

The 2018 version of the PRISM Series, updated and with new modules (Toolkit, User’s Kit, and Training Kit) is available here:


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