Quality of Health Information System: Incongruity and Health System Dysfunction Primary health care brought changes in health systems to advance equity, access to basic services, and quality of care. Part of this transformation was establishing information systems to generate reliable data for decision making, planning, and assessing performance. Many decades after health systems in Africa continue to experience dearth of reliable information. This book examines factors leading to information system dysfunction and by extension health system dysfunction. The book is useful to health scientists and researchers attempting to understand failures in health system. Emerging incongruity model is useful guide.