Performance of Routine Information System Management (PRISM) Framework

The PRISM framework looks at the drivers of HIS success through three lenses:

  • behavioral
  • technical
  • organizational

The framework defines RHIS performance as both the production of quality data as well as documented use of information for health services decision making. It postulates that poor quality data and poor use of information for evidence-based decision making are not only due to technical issues but also a result of organizational and behavioral barriers that hinder the effective use of information.


PRISM assessments have been conducted in more than 20 countries; results of these assessments were reviewed in a 2013 inventory conducted by MEASURE Evaluation.

Related Assessment Tools

The framework underpins a suite of tools to assess Routine Health Information System (RHIS) performance, identify technical, behavioral and organizational factors that affect RHIS, aid in designing priority interventions to improve performance, and improve quality and use of routine health data.

The tools not only measure technical factors but also organizational and behavioral factors. PRISM methodology provides quantifiable information related to these three RHIS performance determinants that can be used to evaluate results overtime.

The current suite of PRISM tools includes the  following questionnaires, data collection methods, and processes for assessing RHIS performance, processes, and determinants:

  • Performance Diagnostic Tool – As the primary component in the PRISM toolkit, this tool determines the overall level of RHIS performance to identify strengths and weaknesses; the other three tools identify the underlying technical, organizational, and behavioral reasons for those strengths and weaknesses.
  • Overview and Facility/Office Checklist – This tool examines technical determinants, such as the structure and design of existing information systems in the health sector, information flows, and interaction between different information systems. It allows users to understand the availability and status of RHIS resources and procedures used at health facilities.
  • Management Assessment Tool – This tool is designed to take rapid stock of the RHIS management practices and aid in developing recommendations for better management.
  • Organizational and Behavioral Assessment Tool – This tool identifies behavioral and organizational factors affect RHIS performance, including data demand, motivation, confidence level, task competence, and problem-solving skills.

Learn More
Learn more about the PRISM framework and download the PRISM tools from the MEASURE Evaluation project. You can also find PRISM assessment reports in our Resource Library by searching for PRISM.

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