Figure 1.

The Health Information (HI)-Impact framework: evaluation domains for monitoring the impact of national health information systems in public health policy and practice. Notes: I. Health Information (HI) Evidence Quality relates to data production, accuracy and content relevance; II. HI System Responsiveness reflects the attributes of the wider data infrastructure that enhance the likelihood of information to be used—by improving the end-user experience and addressing expectations on how to access and work with the data; this domain mediates the interaction between the HI systems that generate evidence and the decision-makers in public health policy and practice as represented by the double arrows; III. Stakeholder Engagement relates to the use of HI for training, decision-making and the implementation of interventions in public health policy and practice; IV. Knowledge Integration relates to the use of HI by community partners, in multi-stakeholder coalitions, and for cross-sectoral actions with a broader reach on the determinants of health. This domains builds on the other three domains and furthers the use of HI in all policies for a greater societal impact