Hypotheses on Impact of Facility Characteristics on EIR Use Aligned to PRISM Framework
| PRISM Framework Determinant | Variable | Hypotheses |
|---|---|---|
| Organizational | Paperless reporting | If a facility transitions to paperless reporting (only using the EIR as the official system), it will be more likely to use the EIR. |
| Facility volume | If a facility has a larger patient population, HCWs may have a busier daily patient load, therefore less time for data entry and will be less likely to use the EIR. OR, if a facility has a larger patient population, HCWs may see more value in using the EIR to manage their patient population and will be more likely to use the EIR. | |
| Facility type | If a facility is a hospital or health center, it may have more resources (e.g., equipment, skilled HCWs) compared to a dispensary and may be more likely to use the EIR. | |
| Ownership type | If a facility is public, HCWs may feel greater ownership of the decision to adopt the EIR and/or feel more accountable to use the EIR than in private facilities and thus may be more likely to use the EIR. | |
| Distance to district health office | If a facility is located closer to the district health office, it will be more likely to receive in-person support from district health officials. | |
| Training strategy (Tanzania only) | If a facility received the second training strategy (i.e., district staff provided additional support and training), it will be more likely to use the EIR than facilities who received the first training strategy, which relied on BID project staff. | |
| Number of immunization sessions per week | If a facility provides more immunization sessions per week, they will be more likely to enter data into the EIR each week. | |
| Technical | Primary power source | If a facility has a consistent electricity connection, it will be more likely to use the EIR. |
| Internet connectivity | If a facility has a consistent internet connection, it will be more likely to use the EIR. | |
| Behavioral | Number of HCWs trained per facility | If a facility has more HCWs trained, it will be more likely to use the EIR. |
| Weeks since EIR introduction | As the length of time since EIR introduction increases, facilities will be less likely to use the EIR. |
Abbreviations: EIR, electronic immunization registry; HCW, health care worker; PRISM, Performance of Routine Information System Management.