Conceptual model of the different domains impacting the use of Routine Health Information System (RHIS) data in Senegal Intraorganizational factors Staffing Regular feedback / data flow Training Supervision Promotion of data culture Proximal factors Medial factors Distal factors Technical skills Infrastructure Financial factors Availability of funds Financial prioritization of RHIS strenthening Availability of open-source technologies for RHIS Computers Data software Telecommunications Electricity supply Computer software skills Statistical competency Data visualization Data quality Timely, available and accessible data Missingness of data elements Data accuracy Level of data granularity RHIS System Design Governance Global / donor pressures and incentives for data use MoH policies and directives around data use National and international DQA protocols / guidelines Health system decentralization Computerization of RHIS System integration Harmonization of indicators and data collection tools Built-in data validation / quality checks Levels of data aggregation Interorganizational factors Data access / approvals Data sharing Sharing of data use experiences Coordination for M&E Data review meetings Promotion of data culture RHIS data demand Data managemenent Timeliness of reporting Completeness of reporting Completeness of data elements Parallel reporting systems Integration of communitybased program data Availability of corroborating data sources (surveys, qualitative) Behavioral factors Attitudes about RHIS data and data use Self-efficacy to use RHIS data Motivation to conduct M&E activties RHIS data use for decision-making