PRISM Webinar Q&A

Questions and answers from the February 7, 2012, PRISM webinar discussion.

Really interesting examples, but I am just wondering if these tools work 
equally well at a lower level, for instance within one facility or one NGO?
Yes they can be used with one facility or one NGO.

Why not build a holistic Web-based GIS to handle all of those data in layers 
of overlay with user capacity to activate / deactivate; It seems like Web GIS 
systems could integrate vital stats, immunization registries, notifiable 
disease and more, at all scales, regional, national, subnational, and facility, 
The short answer is this is a good idea. The key is being able to do it, as in the 
question it highlights that it is to "integrate" the information and then interact with 
the data. The issue is being able to build and sustain the geographic linkage 
between the vital stats, immunization registries, notifiable disease and other 
datasets to enable the integration. Once you have the data linked geographically 
then you need to compare data at the similar scales and create linkages 
between the datasets, beyond just geography, to minimize the risk of conclusion 
that are ecological fallacies. This can be done, but there are considerations 
when do this; as always it depends on your data. Because you are asking 
greater questions of the data than with other methods you need to more 
stringent on the quality and validity of the method of integration that you are 

Of the countries using the PRISM application, is there one using it 
Yes, Mexico, Peru, Paraguay and the Dominican Republic. Peru is a good 
example, decentralized country; they used all the tools and developed strategic 
plans and interventions. 

Merits of DHIS 2 versus DHIS 4?
It is actually DHIS 1.4 vs DHIS 2. DHIS 1.4 is a Microsoft Access system, and 
DHIS 2 is an open source Web-based system.

Thanks for the illuminating presentations.  Can you give us some more 
information or point us in the direction of more information on the 
performance improvement tools developed in Thailand? 
Natasha can send them on after. 

As with any form of evaluation, people are nervous when it comes to being 
assessed.  Do the PRISM tools provide process examples to engage 
collaboratively with stakeholders to implement PRISM assessments?
Bring everyone together. Country-owned process. Stakeholders decide to assess 
and not us. The initiative comes at the country level and then MEASURE Evaluation
comes in at country level to implement the tool. 

How often do you suggest these tools be applied? Monthly, quarterly, 
semi-annually, annually, etc.? 
It depends on the objective of the tool. 

What does it cost to implement the tool in terms of what do you need to be 
able to implement it especially as a single national NGO? Thank you.
In the LAC region, we applied both the HMN assessment tool to give an overview 
and then drilled down to the routine system; doing both assessments for the 
country was around $50,000.

Can these tools be adapted for RH/FP intervention? 
Yes absolutely, these tools are flexible and can be adapted to meet program 

Downloadable Q&A