JSI RESOURCES: Publications

Assessment of the Performance of Routine Health Information System Management in Côte d’Ivoire


After two consecutive routine health information system (RHIS) performance assessments were conducted in Côte d’Ivoire in 2008 and 2012, the Ministry of Health and Public Hygiene (MSHP) implemented massive strengthening interventions. To evaluate their impact, JSI conducted a Performance of Routine Information System Management (PRISM) assessment in September 2018, using PRISM tools newly revised by the United States Agency for International Development- and United States President’s Emergency Plan for AIDS Relief (PEPFAR)-funded MEASURE Evaluation project. The assessment targeted 234 health facilities, 24 districts, 12 health regions, and the central level, represented by the Directorate for Information Technology and Health Data (DIIS).

Results for health facilities show that data quality at that peripheral level remains low but has improved—along with management procedures—at higher levels (districts, regions, and central government). Likewise, data use is low at health facilities, average for districts and regions, and high at the central level.

Given the 2018 PRISM findings, RHIS strengthening efforts should focus on the health facilities level—where data are initially produced and gathered—because the quality of those data heavily determines the overall quality of the MSHP’s health data.  

This poster was presented and exhibited at the Global Digital Health Forum, December 9–11, 2019, in Bethesda, MD, USA. JSI/MEASURE Evaluation Project. 2019.

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